Index |
SummaryThe National EMS Research Agenda makes the following recommendations: 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. 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 collaborative research to flourish. 3.
Federal
agencies that sponsor research should acknowledge
their commitment to EMS research. 4.
States,
corporations, and charitable foundations should be
encouraged to support EMS research. 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. 6.
EMS
professionals of all levels should hold themselves
to higher standards of requiring evidence before implementing
new procedures, devices, or drugs. 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. 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. An investment in EMS research infrastructure is necessary to overcome the obstacles currently impeding EMS research. Funding is needed to train new researchers and to establish their careers. Increased financial support is necessary to develop effective prehospital treatment for the diseases that drive the design of the EMS system, including injury and sudden cardiac arrest. Innovative strategies to make EMS research easier to accomplish in emergency situations must be legitimized and implemented. Researchers must have access to patient outcome information so that the impact of prehospital patient care can be evaluated and improved. Incorporating standard scientific methodology into the evaluation of biomedical and technical advances in prehospital care is crucial. Research is the key to maintaining an appropriate focus on improving the overall health of the community in a competitive and cost conscious health care market. Most importantly, research is essential to ensure that the best possible patient care is provided in the prehospital setting. |