Browne Lorin R, Shah Manish I, Studnek Jonathan R, Farrell Brittany M, Mattrisch Linda M, Reynolds Stacy, Ostermayer Daniel G, Brousseau David C, Lerner E Brooke
Prehosp Emerg Care. 2016 May-Jun;20(3):311-6. doi: 10.3109/10903127.2015.1102997. Epub 2016 Jan 25.
Pediatric prehospital research has been limited, but work in this area is starting to increase particularly with the growth of pediatric-specific research endeavors. Given the increased interest in pediatric prehospital research, there is a need to identify specific research priorities that incorporate the perspective of prehospital providers and other emergency medical services (EMS) stakeholders.
To develop a list of specific research priorities that is relevant, specific, and important to the practice of pediatric prehospital care.
Three independent committees of EMS providers and researchers were recruited. Each committee developed a list of research topics. These topics were collated and used to initiate a modified Delphi process for developing consensus on a list of research priorities. Participants were the committee members. Topics approved by 80% were retained as research priorities. Topics that were rejected by more than 50% were eliminated. The remaining topics were modified and included on subsequent surveys. Each survey allowed respondents to add additional topics. The surveys were continued until all topics were either successfully retained or rejected and no new topics were suggested.
Fifty topics were identified by the three independent committees. These topics were included on the initial electronic survey. There were 5 subsequent surveys. At the completion of the final survey a total of 29 research priorities were identified. These research priorities covered the following study areas: airway management, asthma, cardiac arrest, pain, patient-family interaction, resource utilization, seizure, sepsis, spinal immobilization, toxicology, trauma, training and competency, and vascular access. The research priorities were very specific. For example, under airway the priorities were: "identify the optimal device for effectively managing the airway in the prehospital setting" and "identify the optimal airway management device for specific disease processes."
This project developed a list of relevant, specific, and important research priorities for pediatric prehospital care. Some similarities exist between this project and prior research agendas but this list represents a current, more specific research agenda and reflects the opinions of working EMS providers, researchers, and leaders.
emergency medical technician; research; emergency medical services; priorities.
儿科院前研究一直较为有限，但随着儿科专项研究工作的开展，该领域的研究开始增多。鉴于对儿科院前研究的兴趣增加，有必要确定纳入院前急救人员及其他紧急医疗服务（EMS）利益相关者观点的具体研究重点。
制定一份对儿科院前护理实践具有相关性、针对性和重要性的具体研究重点清单。
招募了由EMS急救人员和研究人员组成的三个独立委员会。每个委员会制定了一份研究主题清单。这些主题经过整理，并用于启动改进的德尔菲法流程，以就研究重点清单达成共识。参与者为委员会成员。80%认可的主题被保留为研究重点。超过50%被否决的主题被剔除。其余主题进行修改并纳入后续调查。每次调查允许受访者添加其他主题。调查持续进行，直到所有主题要么成功保留要么被否决，且不再有新主题提出。
三个独立委员会共确定了50个主题。这些主题被纳入初始电子调查。随后进行了5次调查。在最后一次调查结束时，共确定了29项研究重点。这些研究重点涵盖以下研究领域：气道管理、哮喘、心脏骤停、疼痛、患者与家属互动、资源利用、癫痫发作、脓毒症、脊柱固定、毒理学、创伤、培训与能力以及血管通路。这些研究重点非常具体。例如，在气道管理方面的重点是：“确定在院前环境中有效管理气道的最佳设备”以及“确定针对特定疾病过程的最佳气道管理设备”。
本项目制定了一份对儿科院前护理具有相关性、针对性和重要性的研究重点清单。本项目与之前的研究议程存在一些相似之处，但这份清单代表了当前更具体的研究议程，并反映了在职EMS急救人员、研究人员和领导者的意见。
急救医疗技术员；研究；紧急医疗服务；重点
