Christian Martin-Gill, MD, MPH, NREMT-P, assistant professor of emergency medicine at the University of Pittsburgh and associate medical director of STAT MedEvac and UPMC Prehospital Care, discussed the present and future of evidence-based guidelines in prehospital care. He’s the project lead in a collaborative effort involving the National Association of EMS Physicians and the National Highway Traffic Safety Administration to create a National Strategy for the use of evidence-based guidelines in EMS.
Martin-Gill contrasted the practice of “how we’ve always done things” with ongoing efforts to identify and use evidence-based medicine in out-of-hospital care. He stressed the importance of basing prehospital treatments on scientific evidence and the important role that prehospital providers have in creating this evidence and utilizing it.
He went on to describe the model process for prehospital evidence-based guideline development and provided examples of recent guidelines that have been created with this process, which can be implemented today.
Martin-Gill provided additional points outlining the recently released National Prehospital Evidence-Based Guideline Strategy, which aims to:
- Engage EMS stakeholders at all levels in a sustainable strategy to promote the development, implementation, and evaluation of prehospital evidence-based guidelines.
- Involves the creation of the Prehospital Guidelines Consortium, a collaborative group that includes representatives from national EMS and medical organizations.
- Identifies critical action items that promote research, education, development, and implementation aspects of prehospital evidence-based guidelines, and ways that EMS stakeholders can work together to make this effort successful.