Department of Pediatrics, Section of Pediatric Emergency Medicine, University of Colorado School of Medicine, Aurora, CO.
Department of Emergency Medicine, Oregon Health Sciences University, Portland, OR.
Acad Emerg Med. 2018 Dec;25(12):1345-1354. doi: 10.1111/acem.13637. Epub 2018 Nov 8.
The evidence supporting best practices when treating children in the prehospital setting or even the effect emergency medical services (EMS) has on patient outcomes is limited. Standardizing the critical outcomes for EMS research will allow for focused and comparable effort among the small but growing group of pediatric EMS investigators on specific topics. Standardized outcomes will also provide the opportunity to collectively advance the science of EMS for children and demonstrate the effect of EMS on patient outcomes. This article describes a consensus process among stakeholders in the pediatric emergency medicine and EMS community that identified the critical outcomes for EMS care in five clinical areas (traumatic brain injury, general injury, respiratory disease/failure, sepsis, and seizures). These areas were selected based on both their known public health importance and their commonality in EMS encounters. Key research outcomes identified by participating stakeholders using a modified nominal group technique for consensus building, which included small group brainstorming and independent voting for ranking outcomes that were feasible and/or important for the field.
支持在院前环境中治疗儿童的最佳实践的证据，甚至是紧急医疗服务（EMS）对患者结局的影响，都是有限的。将 EMS 研究的关键结局标准化，将允许在少数但不断增长的儿科 EMS 研究人员中针对特定主题进行集中和可比的努力。标准化的结果还将为 EMS 为儿童服务的科学提供机会，并展示 EMS 对患者结局的影响。本文描述了在儿科急诊医学和 EMS 社区的利益相关者之间进行的共识过程，该过程确定了五个临床领域（创伤性脑损伤、一般损伤、呼吸疾病/衰竭、脓毒症和癫痫）的 EMS 护理的关键结局。这些领域的选择基于它们在公共卫生方面的已知重要性以及它们在 EMS 遇到的常见性。使用修改后的名义群体技术来确定关键研究结果，该技术包括小组头脑风暴和独立投票，以对可行和/或对该领域重要的结果进行排名。
