NAEMSP Sessions Examine Putting Evidence Into Practice

NAEMSP Sessions Examine Putting Evidence Into Practice

By John Erich Jan 12, 2018

As a young field, EMS has lacked much of its own specific evidence base. But as more is developed and the overall body grows, providers and their medical directors could benefit from a way to access that EMS-specific data, rather than relying on consensus, best guess, or findings from other fields.

The Canadian Prehospital Evidence-Based Practice Project (PEP) offers a way to do that. Born in Nova Scotia and housed at Dalhousie University, PEP is an effort to collect relevant studies specific to EMS for the easy reference of all.

The goals, its architects explained at the NAEMSP annual meeting Friday, are to help patients; help EMS systems make the best use of their limited resources; identify gaps and help steer future research; and become internationally recognized as a resource for evidence-based decision-making. PEP’s database is free and open to all. 

In assembling PEP, project leaders combed PubMed for EMS-specific literature with no date or outcome parameters (though they excluded animal studies and opinion pieces). Appraisers evaluated the strength and quality of each study, considering aspects like setting, methods, and primary outcomes; then a second team of senior appraisers vetted them further. On each issue, the body of evidence is summarized in a quick-reference matrix for easy use. Now project leaders are enhancing the database into what they call PEP 2.0, adding details like secondary outcomes and where studies were conducted. 

Find PEP at https://emspep.cdha.nshealth.ca, and for more information contact Jennifer Greene at EMS@dal.ca

Meanwhile, in the States, the National Association of State EMS Officials recently released an update to its National EMS Model Clinical Guidelines. Version 2, out since September, contains new and updated guidelines compatible with EMS Compass performance measures and NEMSIS v.3 protocols, as well as a universal documentation guideline. Ohio is incorporating the contents into its statewide EMS guidance.

The guidelines are intended to be patient-centric, evidence- and consensus-based, and reflect input from the broad EMS community. First released in 2014, they’ve been downloaded more than 15,000 times by local, regional, military and international bodies. 

An interim update in 2015 accommodated that year’s update to AHA guidelines before the full update last year. For more: https://nasemso.org/Projects/ModelEMSClinicalGuidelines/index.asp


 

Students can shadow doctors, get CPR-certified, and learn about EMS from an air medical helicopter crew.
Scituate Fire Department must be prepared for incidents at the harbor, such as injuries from boat propellors and falls from docks.
Take our poll and find out how CAPCE and NREMT have just made your recertification process easier!
MassBay Community College's EMT students triaged 18 mannequins simulating patients injured in an explosion.
Help students reinforce lessons and become lifelong learners.
Fifty students met with a team from IU Health Lifeline Critical Care Transport to learn about flight medicine.
Law enforcement K9 handlers learn protective tips for their partners. 
Camp Fury is led by women working in fire and EMS to encourage girls who want to pursue careers in emergency services.
Given by Dr. Charles Gillespie, who established universal 9-1-1 services in Georgia, Albany Tech College will use the donation to support its EMS and paramedicine program.
Bystander CPR is critical to OHCA survival—but how good is it?
Understand a few key concepts to better comprehend research and its clinical significance.
The first of a two-part series looks at colors, cuffs, and CO2.
The 2017 Fentanyl Working Meeting report provides evidence-based recommendations for first responders working on the frontlines of the opioid crisis.
Can a comparison of approaches determine what works best?
American Heart Association's scientific statement addresses gaps in training that lead to flat survival rates for cardiac arrest victims.