Index
Abstract
Dedication
Preface
Definition of EMS for this Document
Federal Agencies Can Help Advance EMS Research
Executive Summary
Introduction
History of EMS Research
The Present State of EMS Research
Overcoming the Barriers to EMS Research
Summary
Appendix A: The National EMS Research Agenda Writing Team
Appendix B: Organizations Invited to Participate in the National Review Team
Appendix C: Ethical Standards and IRB Requirements
Appendix D Inclusion Of Women And Minorities In Research Study Populations Involving Human Subjects
Inclusion Of Children As Participants In Research Involving Human Subjects
Appendix E: Bibliographic List of Internet Links
Appendix F: Published EMS Randomized Clinical Trials
References

Appendix E: Bibliographic List of Internet Links


Page

Name

Website

Description of Site Linked

5

EMS Agenda for the Future1

www.nhtsa.dot.gov/people/injury/ems/agenda/emsman.html

Link to National Highway Traffic Safety Administration site and posted copy of the EMS Agenda for the Future.

5

EMS Agenda for the Future Implementation Guide2

www.nhtsa.dot.gov/people/injury/ems/agenda/index.html

Link to the National Highway Traffic Safety Administration site and posted copy of the EMS Agenda for the Future Implementation Guide.

5

Technology Assessment and Practice Guidelines Forum3

odp.od.nih.gov/consensus/about/process.htm

Guidelines for the Planning and Management of NIH Consensus Development Conferences. This site provides guidelines for organizing major conferences that produce consensus statements on important and controversial topics in medicine.

5

Research Agenda Home

www.ResearchAgenda.org

Web site with pertinent information relating to the National EMS Research Agenda Project

5

Breaking the Scientific Bottleneck

www.aamc.org/newsroom/clinres

The Association of American Medical Colleges Research Statement: Breaking the Scientific Bottleneck. Clinical Research: A National Call to Action 

11

Negotiated Rule Making 23

www.hcfa.gov/medicare/comstate.htm

Document (2-14-2000) regarding Medicare expenditures for ambulance services. Health Care Financing Administration. Department of Health and Human Services

13

National Academy of Sciences29

www4.nationalacademies.org/nas/nashome.nsf

Link to National Academy of Sciences’ web site. For reference to paper entitled Accidental Death and Disability: The Neglected Disease of Modern Society.

13

National Highway Traffic Safety Administration

www.nhtsa.gov

Home page for the National Highway Traffic Safety Administration

13

Agency for Healthcare Research and Quality

www.ahrq.gov

Link to Agency for Healthcare Research and Quality web site. The AHRQ provides evidence-based information on health care outcomes, quality and cost, use and access.

13

Emergency Medical Services for Children Research

grants.nih.gov/grants/guide/2001/01.01.26/index.html

Link to the program announcement, PA-01-044, encouraging the development of research on emergency medical services for children,

19

Robert Wood Johnson Foundation Clinical Scholars Program

www.uams.edu/rwjcsp

The Robert Wood Johnson Foundation Clinical Scholars home page. Describes the mission of the RWJ foundation and the direction toward which their philanthropic grant making efforts are aimed.

21

PULSE conference

www.nhlbi.nih.gov/meetings/pulse/index.htm

Proceedings of June 2000 conference. “NHLBI Workshop on Post-Resuscitation and Initial Utility in Life Saving Efforts” (PULSE). The goal of the workshop was to provide novel research recommendations in the area of cardiopulmonary resuscitation.

22

The National Institutes of Health web site

www.drg.nih.gov/review/peerrev.htm

Link to NIH Web Site and discussion of the peer review process used to evaluate grant proposals. “A Straightforward Description of What Happens to Your Research Project Grant Application (R01/R21) After it is Received for Peer Review”

23

Curricula

First Responders, EMT-Basics, EMT-Intermediates, EMT-Paramedics.

www.nhtsa.dot.gov/people/injury/ems/nsc.htm

www.nhtsa.dot.gov/people/injury/ems/pub/frnsc.pdf, www.nhtsa.dot.gov/people/injury/ems/nsc.htm#emt, www.nhtsa.dot.gov/people/injury/ems/EMT-I/index.html, and www.nhtsa.dot.gov/people/injury/ems/EMT-P/index.html

The Curricula developed by the U.S. Department of Transportation National Highway Traffic Safety Administration


Individual content for each of the EMT levels.

23

EMS Education Agenda For The Future: A Systems Approach52,58

www.nhtsa.dot.gov/people/injury/ems/EdAgenda/final/index.html

National Highway Traffic Safety Administration’s web site and link to the EMS Education Agenda for the Future Document

23

Outcomes measurement82

www.jcaho.org/perfmeas/nextevol.html

Facts about ORYX: The Next Evolution in Accreditation. In February 1997, the Joint Commission announced the health care organization requirements for the ORYX initiative, which integrates outcomes and other performance measurement data into the accreditation process.

25

Uniform Prehospital Data Elements and Definitions.87

www.nhtsa.dot.gov/people/injury/ems/pub/def.zip

Link to the National Highway Traffic Safety Administration’s web site and electronic copy of the data elements (criteria written to facilitate standardization of prehospital data).

25

DEEDS88

www.cdc.gov/ncipc/pub-res/deedspage.htm

Data Elements for Emergency Department Systems.

25

HIPAA imposes new requirements

Code of Federal Regulations 164.514(i)

www.hhs.gov/ocr/hipaa

www.hhs.gov/ocr/regtext.html

HIPAA will require additional security of medical record information including medical records held by EMS agencies.

Research review is permitted under these regulations, but additional requirements are added to previously existing regulations. See CFR 164.514(i)

27

Report on the status of the rights of research subjects

Office of Human Research Protection

www.dhhs.gov/progorg/oei/reports/a447.pdf

ohrp.osophs.dhhs.gov

Report describing the various federal and ethical rules and regulations on human research.

United States Department of Health and Human Services agency regulating human research.

27

CFR 21 Part 50, section 50.24

www.fda.gov/opacom/morechoices/fed996.html

Section of the Federal Register document containing the legislation concerning the process required for exception from informed consent for emergency research.

27

Exception to informed consent implementation guide draft document

www.fda.gov/ora/compliance_ref/bimo/err_guide.htm

Draft document released by the FDA

34

Belmont Report

Office of Human Research Protections

www.dhhs.gov/progorg/oei/reports/a447.pdf

ohrp.osophs.dhhs.gov

Text of the report “Protecting the Rights of Research Subjects”

Link to the Department of Health and Human Services home page.