Emergency Medical Services Outcomes Project
and
National EMS Research Agenda
Implementation Symposium
June 3rd and 4th, 2002
Alexandria, VA
Click on the title or the author name of a talk to read its contents. The contents are PowerPoint presentations. The size of the presentation is noted after each entry.
June 3, Monday - Morning
8:30 - 12:00 EMS Outcomes Project portion of program
40 minute presentations; 20 minute discussions / Q&A
8:30 - 9:30 Background and overview (309k)
Ron Maio, DO
University of Michigan
9:30 - 10:30 Models/conceptual framework for research design
Dan Spaite, MD
University of Arizona
10:30 - 10:45 Break
10:45 - 11:45 Specific measures (161k)
Herb Garrison, MD
East Carolina University
11:45 - 12:00 Break
June 3, Monday - Afternoon
12:00 - 5:00 EMS Research Agenda (lunch served)
12:00 - 12:45 Introduction / How we got here (1917k)
Michael Sayre, MD
Bethesda North Hospital
12:45 4:00 Breakouts rotating among three groups
Group 1: Recommendations 1 and 2
Jane Scott, ScD, MSN (36k)
R Adams Cowley Shock Trauma Center, University of MarylandMarge Keyes, MA (47k)
Agency for Health Care Research and Quality, Department of Health and Human ServicesFacilitator: Lance Becker, MD
University of ChicagoInvestigator: Michael Sayre, MD
Recommendation 1.
A large cadre of career EMS investigators should be developed and supported in the initial stages of their careers. Highly structured training programs with content directed toward EMS research methodologies should be developed.Recommendation 2.
Centers of Excellence should be created to facilitate EMS research. These Centers will bring together experienced investigators, institutional expertise, and resources such as budgetary and information systems support. Centers will develop and maintain strong working relationships with local and regional EMS providers. As the focal point of these resources, Centers of Excellence will be the catalyst for collaboration between EMS systems and investigators. Such an environment will enable quality research to flourish.
Group 2: Recommendations 3 and 4
Cindy Doyle, RN, MA (980k)
Maternal and Child Health Bureau -- EMS for Children, Department of Health and Human ServicesKishena Wadhwani, PhD
Maternal and Child Health Bureau EMS for Children, Department of Health and Human ServicesJoan Mellor (61k)
Medtronic FoundationFacilitator: E. Brooke Lerner, PhD
SUNY BuffaloInvestigator: Lynn J. White, MS
Akron General Medical CenterRecommendation 3.
Federal agencies that sponsor research should acknowledge their commitment to EMS research.Recommendation 4.
States, corporations, and charitable foundations should be encouraged to support EMS research.
Group 3: Recommendations 5, 6 and 7
Baxter Larmon, PhD, MICP (54k)
University of California at Los Angeles, Center for Prehospital CareGreg Mears, MD (107k)
University of North CarolinaJames Atkins, MD (54k)
University of Texas, SouthwesternFacilitator: Greg Margolis, MS, NREMT-P
George Washington UniversityInvestigator: Lawrence Brown, EMT-P
Upstate Medical UniversityRecommendation 5.
The efforts of EMS professionals, delivery systems, academic centers, and public policy makers should be organized to support and apply the results of research.Recommendation 6.
EMS professionals of all levels should hold themselves to higher standards of requiring evidence before implementing new procedures, devices, or drugs.Recommendation 7.
There should be standardized data collection methods at local, regional, state, and national levels. These data must be devoid of information that allows individual patient identification. All EMS provider agencies should adopt the Uniform Prehospital Data Elements for data collection.
12:45 1:35 Round One
1:45 2:35 Round Two
2:45 3:35 Round Three
4:00 5:00 Summary
Facilitators present results of working groups
Lance Becker, Recommendations 1 & 2
Brooke Lerner, Recommendations 3 & 4
Gregg Margolis, Recommendations 5, 6 & 7 (55k)Final discussion
June 4, Tuesday - Morning
7:30 3:00 EMS Research Agenda Recommendation 8: Ethical Issues in EMS Research
7:30 - 7:45 Introductions / Charge of the group
Robert OConnor, MD
Christiana Care SystemRecommendation 8.
The Food and Drug Administration (FDA) and the Office for Human Research Protections (OHRP) should work with EMS research stakeholders to evaluate the current requirements for exception from informed consent in emergency situations and to identify those requirements that are serious impediments to conducting EMS research. The FDA, OHRP, and EMS research stakeholders should work together to develop and propose EMS-specific consent strategies as well as appropriate revisions to the existing regulations to reduce the impediments to research while continuing to adequately protect research subjects.
7:45 8:15 The OHRP Perspective (125k)
Judith Brooks, MS
Office of Human Research Protection, Department of Health and Human Services
8:15 8:25 Discussion
8:25 8:55 The EMS Researcher Perspective (655k)
Dan Spaite, MD
University of Arizona
8:55 9:05 Discussion
9:05 9:35 The FDA Perspective (79k)
Bonnie Lee
Food and Drug Administration, Department of Health and Human Services
9:35 9:45 Discussion
9:45 10:00 Break
10:00 10:45 The IRB Perspective
Marti Benedict, RN, BSN, CIP (130kb)
IRB Administrator, Upstate Medical UniversityVernon K. Sondak, MD (515kb)
Professor of Surgery, Co-chair, IRBMED, University of Michigan
10:45 11:15 Discussion
11:15 12:30 Lunch on your own
12:30 12:35 Introduction to breakouts
Breakout A
Facilitator: Michelle Biros, MD
Hennepin County Medical CenterInvestigator: Michael Sayre, MD
Breakout B
Facilitator: Henry Halperin, MD
Johns Hopkins UniversityInvestigator: Lawrence Brown, EMT-P
12:35 1:15 Round One
Odd numbered participants in Breakout A
Even numbered participants in Breakout B
1:15 1:55 Round Two
Odd numbered participants in Breakout B
Even numbered participants in Breakout A
2:00 3:00 Summary
Facilitators present results of working groups
Michelle Biros (50k)
Henry Halperin (50k)Final discussion
Last Update: January 26, 2007