Prehospital emergency medicine research by additional teams on scene - Concepts and lessons learned.

Cardiac arrest Field supervisor Paramedic Paramedic research Prehospital emergency medicine research Prehospital research Prehospital research car Research car

Journal

Resuscitation plus
ISSN: 2666-5204
Titre abrégé: Resusc Plus
Pays: Netherlands
ID NLM: 101774410

Informations de publication

Date de publication:
Dec 2023
Historique:
medline: 29 11 2023
pubmed: 29 11 2023
entrez: 29 11 2023
Statut: epublish

Résumé

While the initial minutes of acute emergencies significantly influence clinical outcomes, prehospital research often receives inadequate attention due to several challenges. Retrospective chart reviews carry the risk of incomplete and inaccurate data. Furthermore, prehospital intervention trials frequently encounter difficulties related to extensive training requirements, even during the planning phase. Consequently, we have implemented prospective research concepts involving additional paramedics and physicians directly at the scene during major emergency calls. Three concepts were used: (I) Paramedic field supervisor units, (II) a paramedic + physician field supervisor unit, (III) a special physician-based research car. This paper provides insights into our historical perspective, the current situation, and the lessons learned while overcoming certain barriers and using existing and novel facilitators. Our objective is to support other research groups with our experiences in their planning of upcoming prehospital trials.

Identifiants

pubmed: 38026141
doi: 10.1016/j.resplu.2023.100494
pii: S2666-5204(23)00137-6
pmc: PMC10658399
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100494

Informations de copyright

© 2023 Published by Elsevier B.V.

Déclaration de conflit d'intérêts

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Références

N Engl J Med. 2023 Jul 6;389(1):45-57
pubmed: 37318140
Am J Emerg Med. 2017 Mar;35(3):391-396
pubmed: 27866692
N Engl J Med. 2022 Oct 20;387(16):1467-1476
pubmed: 36027567
Resuscitation. 2014 Jun;85(6):741-8
pubmed: 24642406
Resuscitation. 2013 Jan;84(1):42-7
pubmed: 22796542
Resuscitation. 2021 Apr;161:115-151
pubmed: 33773825
Crit Care Med. 2009 Jan;37(1 Suppl):S91-101
pubmed: 19104231
Resuscitation. 2014 Jan;85(1):59-64
pubmed: 24036196
Prehosp Emerg Care. 2002 Apr-Jun;6(2 Suppl):S38-47
pubmed: 11962583
Ann Emerg Med. 1993 Jan;22(1):17-23
pubmed: 8424609
Prehosp Emerg Care. 2010 Jan-Mar;14(1):71-7
pubmed: 19947870
Resuscitation. 2018 Jan;122:48-53
pubmed: 29169910
Resuscitation. 2021 Apr;161:61-79
pubmed: 33773833
Prehosp Emerg Care. 2016 Jul-Aug;20(4):448-53
pubmed: 25985185
N Engl J Med. 2021 Jun 17;384(24):2283-2294
pubmed: 34133859
Resuscitation. 2015 Sep;94:40-8
pubmed: 25724356

Auteurs

Matthias Mueller (M)

Department of Emergency Medicine, Medical University of Vienna, Austria.

Heidrun Losert (H)

Department of Emergency Medicine, Medical University of Vienna, Austria.

Fritz Sterz (F)

Department of Emergency Medicine, Medical University of Vienna, Austria.

Georg Gelbenegger (G)

Department of Clinical Pharmacology, Medical University of Vienna, Austria.

Michael Girsa (M)

Emergency Medical Service Vienna, Austria.

Mathias Gatterbauer (M)

Emergency Medical Service Vienna, Austria.

Andreas Zajicek (A)

Emergency Medical Service Vienna, Austria.

Daniel Grassmann (D)

Emergency Medical Service Vienna, Austria.
PULS - Austrian Cardiac Arrest Awareness Association, Vienna, Austria.

Mario Krammel (M)

Emergency Medical Service Vienna, Austria.
PULS - Austrian Cardiac Arrest Awareness Association, Vienna, Austria.

Michael Holzer (M)

Department of Emergency Medicine, Medical University of Vienna, Austria.

Thomas Uray (T)

Department of Cardiology, Clinic Floridsdorf, Vienna Healthcare Group, Austria.

Sebastian Schnaubelt (S)

Department of Emergency Medicine, Medical University of Vienna, Austria.
PULS - Austrian Cardiac Arrest Awareness Association, Vienna, Austria.

Classifications MeSH