Prehospital Emergency Research Paper

Research provides an evidence base to support the application of particular medical treatments and raises red flags when interventions are demonstrated to cause harm to patients.

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The aim of prehospital emergency medical services (EMS) research is to guide the field with respect to clinical interventions and system designs.In addition, there has been a growing contribution to the EMS literature by nonphysicians.Trauma care research is a parallel field of study that is also defined by time and place.Most of the evidence base that exists to support EMS has been generated by researchers at a small number of medical schools, generally in midsized cities, who have ongoing relationships with municipal EMS systems (NHTSA, 1996).The preponderance of published EMS research is component-based, focusing on a single intervention or health problem rather than broader system-level issues.The pediatric emergency care subcommittee provided insights in Emergency Care for Children: Growing Pains concerning challenges that define EMS services for youths, such as lack of pediatric training in professional education and health services and clinical research.This group also studied the shortcomings of emergency services provided to children and adolescents.The prehospital EMS subcommittee contributed to the Emergency Medical Services at a Crossroads report by highlighting and suggesting changes to the administration of services, organizational infrastructure, and financing mechanisms that characterized the 2004-2006 prehospital emergency care system.This subcommittee assessed the current organization, delivery, financing of EMS services and systems, andprogress toward the EMS Agenda for the Future.The subcommittee considered the evolving role of EMS as an integral component of the overall health care system in the areas of dispatch and medical direction.They also focused on integration with trauma systems, pediatric EMS, public health, prevention, emergency department overcrowding, EMS system planning and coordination at the federal, state, and local levels; EMS funding and infrastructure investment, EMS workforce trends, professional education; EMS research priorities and funding.


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