Out-of-hospital resuscitation research

Rationale and strategies for controlled clinical trials

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

There is no better place to test life-saving resuscitation interventions than in the prehospital setting. Patients rarely survive cardiac arrest if resuscitation techniques have failed before leaving the scene. Also, paramedics are usually every experienced in key initial resuscitative techniques, and they routinely operate under strict paramilitary protocol, resulting in better study compliance. In addition, the large study populations that are derivec from emergency medical services (EMS) systems lead to faster study completion and statistically stronger data. Most important, by reinforcing standardized care, rigidly scrutimized trials improve patient care, regardless of the effect of the study intervention. The success of productive EMS research centers requires routine communication between hospital and EMS administrators and their medical directors, designation of mutually acceptable data collectors who quarantee confidentiality, reciprocal exchange of study data provided as educational seminars to the hospitals, commitments to support the budget requests of an EMS program and appropriate system modifications, inclusion of EMS personnel is study design from the very beginning, prospective education of the medical community and media before protocol implementation, an authoritative grassroots medical director, and a paramedic supervisor system.

Original languageEnglish (US)
Pages (from-to)17-23
Number of pages7
JournalAnnals of Emergency Medicine
Volume22
Issue number1
DOIs
StatePublished - 1993

Fingerprint

Controlled Clinical Trials
Emergency Medical Services
Resuscitation
Physician Executives
Allied Health Personnel
Research
Confidentiality
Budgets
Medical Education
Heart Arrest
Administrative Personnel
Compliance
Biomedical Research
Hospital Emergency Service
Patient Care
Communication
Population

Keywords

  • CPR
  • emergency medical services resuscitation

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Out-of-hospital resuscitation research : Rationale and strategies for controlled clinical trials. / Pepe, Paul E.

In: Annals of Emergency Medicine, Vol. 22, No. 1, 1993, p. 17-23.

Research output: Contribution to journalArticle

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