NAEMSP Home

Published: December 31, 2001

 

Supported by the National Highway Traffic Safety Administration, Department of Transportation

and

the Maternal and Child Health Bureau, Health Resources Services Administration, Department of Health and Human Services

Grant: DTN 22-99-H-05100

 


Table of Contents

Abstract

Dedication

Preface

Process

Similar Efforts

Definition of EMS for this Document

Federal Agencies Can Help Advance EMS Research

Executive Summary

Develop Researchers

Facilitate Collaboration

Establish a Reliable Funding Stream

Establish Alternative Funding Sources

Recognize The Need for EMS Research

View Research as Necessary for the Improvement of Patient Care

Create Reliable Information Systems

Enhance Ethical Approaches to Research

Conclusion

Introduction

EMS Impact

Is EMS Cost-effective?

Need for Outcome Measurement

Organized Research Effort Needed

History of EMS Research

Federal Involvement in EMS Begins

Beginning of EMS Research

A Case Study In EMS Research

The Present State of EMS Research

Appeals for Advancement

Peer Review Journals

Methodological Constraints and Concerns

Current Literature in EMS

Research Domains

Clinical Research

Systems Research

Education

Overcoming the Barriers to EMS Research

Primary Barriers: Developing Researchers

Primary Barriers: Funding

Secondary Barriers: Recognizing the Need for EMS Research

The Culture of EMS

EMS Systems

EMS Education

The Public and Policy Makers

EMS Professionals

Secondary Barriers: Information Systems

Data Definitions

Hardware and Software Infrastructure

Data Set Linkages

Statistical Implications of Large Databases

Secondary Barriers: Ethical Concerns

Principles

Informed Consent

IRBs and EMS Research

Valuing Individual Autonomy

Summary

Appendix A: The National EMS Research Agenda Writing Team

Appendix B: Organizations Invited to Participate in the National Review Team

Appendix C: Ethical Standards and IRB Requirements

Appendix D

Inclusion Of Women And Minorities In Research Study Populations Involving Human Subjects

Inclusion Of Children As Participants In Research Involving Human Subjects

Appendix E: Bibliographic List of Internet Links

Appendix F: Published EMS Randomized Clinical Trials

References

Last Modified: February 18, 2005