The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research.
This podcast is a collaboration between PECARN STELAR node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC).
Show notes by: Mohsen Saidinejad, MD, MS, MBA, on behalf of the PECARN STELAR Node
Implementation science is the scientific study of how people adopt practices. In healthcare this typically refers to translating evidence based practices into clinical care.
Dr. Fishe focused on implementation science in EMS care particularly with regards to asthma.
Some of the highlights of her research and the research of others in this field include:
1- only about one and 10 children transported by EMS for asthma who receive bronchodilators also receive steroids
2- in a study of seven EMS agencies, giving steroids in route only resulted in a decrease in admission of asthma patients by 1.5%, which was not significant. However, patient with mild asthma, experienced an 11% decrease in admissions and patients with a transport time of greater than 40 minutes experienced a 17% decreased in hospital admissions.
The next step is to take a systematic look into the barriers to medication administration in the pre-hospital setting and ways to overcome these barriers. Some that have already been identified include difficulty and time of medication administration compared with time of transport, hesitancy in administering medication’s to children and concern for possible adverse outcomes.
Other areas where implementation science research could be very beneficial in the pre-hospital setting include airway management, seizure management, and use of American Hospital Association (AHA) guidelines.
