Table 7 Review findings mapped against research priorities for physician-provided pre-hospital critical care
From: Randomised controlled trials in pre-hospital trauma: a systematic mapping review
No. | Suggested pre-hospital trauma research areas [9] | Evidence identified in mapping review |
|---|---|---|
1 | Pre-hospital critical care. Staffing, training and effect | ✓ |
2 | Advanced airway management in pre-hospital care | ✓ |
3 | Define time window for time-critical interventions | |
4 | Pre-hospital ultrasound | |
5 | Dispatch/activation criteria for physician-manned EMS | |
6 | Integrated information systems | |
7 | Evaluating quality of care | |
8 | Patient safety in the pre-hospital setting | |
9 | Pre-hospital temperature management in critical care patients | ✓ |
10 | Monitoring in the pre-hospital setting | ✓ |
11 | Fluid resuscitation in shock | ✓ |
12 | Efficient and reliable trauma registries | |
13 | Immobilization techniques | |
14 | Pre-hospital management of stroke | |
15 | Where to go with which patient? | |
16 | Emergency cardiac care in the pre-hospital setting | |
17 | Management of haemorrhagic shock | ✓ |
18 | Interhospital transport | |
19 | Does further centralization give better outcomes? | |
20 | Goal-directed therapy studies in pre-hospital critical care | |
21 | EMS systems - regionalization of emergency care | |
22 | Validity and impact of pre-hospital assessment | |
23 | Economic impact of EMS | |
24 | Pre-hospital analgesia, new perspectives | ✓ |
25 | Major incident management: How can it be improved? | |
26 | Management of severe head injury | ✓ |
27 | Pre-hospital recognition and goal-directed therapy of sepsis | |
28 | Paediatric transport solutions | |
29 | Implementation of new guidelines and research findings | |
30 | Effects of pre-hospital care on quality of life | |
31 | Ethical implications in pre-hospital research | |
32 | Pre-hospital care as a steering system for acute patients | |
33 | Lay person interventions before arrival of EMS | |
34 | Communication and interaction between EMS and hospitals | |
35 | Evaluation of future needs in pre-hospital care | |
36 | Pre-hospital thoracotomy |