Emergency Medical Services Outcomes Project I (EMSOP I): Prioritizing Conditions for Outcomes Research

• Published in: Annals of emergency medicine 1999-04, Vol.33 (4), p.423-432
• Main Authors: Maio, Ronald F, Garrison, Herbert G, Spaite, Daniel W, Desmond, Jeffrey S, Gregor, Mary Ann, Cayten, C.Gene, Chew, John L, Hill, Elizabeth M, Joyce, Steven M, MacKenzie, Ellen J, Miller, David R, O’Malley, Patricia J, Stiell, Ian G
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Child; Child, Preschool; Emergency and intensive care: techniques, logistics; Emergency Medical Services; Female; First Aid - classification; Health Priorities; Humans; Infant; Intensive care medicine; Intensive care unit. Emergency transport systems. Emergency, hospital ward; Male; Medical sciences; Middle Aged; Outcome Assessment (Health Care); Quality Assurance, Health Care; Triage
• ISSN: 0196-0644; 1097-6760
• DOI: 10.1016/S0196-0644(99)70307-0

Over the past several years, out-of-hospital EMS have come under increased scrutiny regarding the value of the range of EMS as currently provided. We used frequency data and expert opinion to rank-order EMS conditions for children and adults based on their potential value for the study of effectiveness of EMS care. Relief of discomfort was the outcome parameter EMS professionals identified as having the most potential impact for the majority of children and adults in the top quartile conditions. Future work from this project will identify appropriate severity and outcome measures that can be used to study these priority conditions. The results from the first year of this project will assist those interested in EMS outcomes research to focus their efforts. Furthermore, the results suggest that nonmortality out-come measures, such as relief of discomfort, may be important parameters in determining EMS effectiveness. [Maio RF, Garrison HG, Spaite DW, Desmond JS, Gregor MA, Cayten CG, Chew JL Jr, Hill EM, Joyce SM, MacKenzie EJ, Miller DR, O’Malley PJ, Stiell IG: Emergency Medical Services Outcomes Project I (EMSOP I): Prioritizing conditions for outcomes research. Ann Emerg Med April 1999;33:423-432.]