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Inside EMS
by Inside EMS

Quick Clip: Why EMS needs to take ownership of industry research

Hosts Chris Cebollero and Kelly Grayson discuss why EMS needs to start doing its own medical research on issues important to the industry

By EMS1 Staff

Download this quick clip on iTunesSoundCloud or via RSS feed

In this week’s Inside EMS podcast quick clip, hosts Chris Cebollero and Kelly Grayson discuss why EMS needs to start doing its own medical research on issues important to the industry.

“We really have to be the ones to step out and challenge the paradigm, and not be fearful of what those people are going to be saying — those armchair quarterbacks,” Cebollero said.

He highlighted a controversial study about giving cardiac patients placebos instead of epinephrine, that Cebollero and Grayson discussed in a past podcast, as an example of the type of research with potential to move the industry forward.

Field intubation, he said, is another issue that should be addressed.

“There are no studies that show field intubation is really taking care of these patients,” Cebollero said.

Grayson agreed that EMS needs to take the lead in studies that have the potential to influence patient care and industry standards.

“We are relying on physicians and nurses and the rest to dictate our practice to us,” Grayson said. “If we’re not doing EMS centered research ourselves, then we are at the mercy of other healthcare professions to shape our future. We have to take ownership.” 

About the author

Inside EMS, a podcast series that features hosts Chris Cebollero and Kelly Grayson, brings expert perspective to hot topics, clinical issues, operational and leadership lessons to EMS personnel and leaders to be safe and successful.

Inside EMS is available for download on iTunes, SoundCloud and via RSS feed.
Comments
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Ginny Renkiewicz Ginny Renkiewicz Thursday, September 04, 2014 5:57:36 PM I don't disagree that EMS needs to do its own research but there are plenty of EMS professionals out there actively contributing to the body of prehospital research and have been for some time. Let's not overlook those currently writing and the non profits like the PCRF that were created to foster passion and involvement in the research process. On another note: having been involved in the PolyHeme study, I can say that the outrage surrounding the consent issues in the GB study is like deja vu from what we experienced when participating in that study.
Garrett Smith Garrett Smith Thursday, September 04, 2014 8:10:45 PM One word. Funding.
Boon Doc Boon Doc Thursday, September 04, 2014 8:30:09 PM EMS has no business pushing research until we have the educational credentials to back it up. And it can't be restricted to a few individuals with advanced degrees. We, as an industry, must raise the bar and insist on a minimum of a bachelor's degree before someone even sees the street. No one will, nor should they, take us seriously until that happens. The United Kingdom, Australia, South Africa and other nations insist on this standard and so should we. In many cases, master's degrees are even required for advanced practice settings such as flight and community paramedicine. As long as we're willing to settle for shake and bake diploma programs along with merit badge con-ed courses we are effectively hampering the development of our own profession. We need degrees that are clinical in orientation and not glorified business degrees (EMS Management / Allied Health). After that...maybe THEN we can talk about getting involved in research. Pushing that angle at this point does nothing but distract from what our main goal should be and that's raising the standard. Just as an aside...though I'm currently working to rectify this...I do not currently hold a college degree of any kind. But before we can demand respect, autonomy, better wages and a seat at the "grown up table"...we need to take a hard look at ourselves and realize that we've got a LONG way to go before we can effectively take the reigns of our trade and plot a course that will transform it into a profession.
Paula Kennedy Paula Kennedy Friday, September 05, 2014 4:32:45 AM part of what I learned during my bachelor's degree is anyone can do research. The research is most reliable when the guidelines are followed but proposals and oversight can go a long way to ensure the research is balanced, thorough and relevant. The work is weighted on quality not pedigree. Don't limit yourself. If you have a topic you think warrants research go ahead and get started.
Audrey Dixon Audrey Dixon Saturday, September 06, 2014 9:29:45 AM Bachelor degree to work in the field is ridiculous. It even states in ACLS that every year a medic has in the field. The patient has a better chance of survival. It doesn't state that every degree that a medic has does anything. Which shows that experience is valued more than a piece of paper. Hands on is the make or break. It would be a good ideal to look up all the successful people without a degree. In fact the "research" has put a spot light over the last 10 years. How "degrees" are not all that everyone was made to believe. Respect, autonomy, better wages and seat at the "grown up table" should not be dependent on a degree. If so than there are a lot of people that we should not respect, take back their money and ignored? Bill Gates, Abraham Lincoln, Richard Branson, J.D. Rockefeller, Thomas Edison, Henry Ford, Andrew Jackson, Andrew Carnegie, Benjamin Franklin, Christopher Columbus, George Eastman, Simon Cowell, Walt Disney. I can go on. In my County. Our EMS director has "NO" EMS experience. It shows. He can not put himself into any situation. He refers everything to a study or a book he read. We treat policies not patients. We have lost more EMTs, Medics and RNs in the last two years. Because of him. I equate this to a person who gets a "degree", reads a book and now is in charge of a Pilot school. Our EMS person before him had less degrees and 15 years experience. We still talk about him with "Respect". No disrespect boon doc but I have to disagree. After experiencing first hand someone with a lot of degrees and no experience. I will take the no degrees and years of experience when it comes to saving lives.
Boon Doc Boon Doc Saturday, September 06, 2014 10:51:28 AM Audrey Dixon...no disrespect intended...but your tirade was so poorly worded that I'm having trouble getting to the root of what you're attempting to say. I will, however, make an effort to do so. 1. A college degree is more than a piece of paper. It's the education represented by it that counts. You claim that experience is what matters and to some extent I agree, however, after obtaining a clinically focused four year degree that mixes academics and science with loads of clinical time...the newly minted medic would start off with a whole four years of education AND "hands-on experience" under their belts. Not sure what you're arguing against here... 2. ACLS...sigh...not going to win many arguments by pointing to a merit badge class like this. Every time we turn around the AHA is pushing some whiz bang new therapy while they dismiss the last "sure thing" from the previous update. Escalating doses of Epi...greatest thing since...oh wait...maybe not. How about that prophylactic lidocaine eh? I mean...that's sure to...oh no...that's no good either. Do I really need to list everything that the AHA has been wrong about over the years? Even their dietary recommendations are under fire. If you're going to refute me...please use a more reliable source. 3. Pointing out famous people like Bill Gates, etc. is also no way to make an argument. These people are known as outliers. They are individuals of RARE talent, intellect and drive. Of course we respect accomplishments, however, they are the exception and not the rule. The rest of the health care professions have advanced themselves through formal education...if we want the respect of our industry...then we must follow suit. 4. Speaking of outliers...your EMS Director is one as well...he's just on the bad end of the spectrum. There are good, bad and mediocre people in ALL professions. One bad EMS director does not disprove the value of formal education. Just like one bad experience with a paramedic should not prejudice someone against you when you respond to their call for help. At the end of the day EMS in the United States is woefully behind that of other nations. Every field of endeavor has a journey it follows on the way to it becoming a profession. For some reason we in the USA got held up somewhere...a variety of things are responsible for this I imagine. But that's a discussion for another time.
Roger Morgan Roger Morgan Saturday, September 06, 2014 12:25:04 PM Chris, mentioned he is looking to launch a study on field intubation and has sai he thinks supraglottic airways will replace endotracheal intubation in the future in EMS. While I am a strong advocate for EMS controlling research, the is evidence the supraglottic airways are harmful.
Sanford Frasier Sanford Frasier Sunday, September 07, 2014 5:04:38 AM We have to get rid of the "armchair medics" and take control of what we do. We are the ones that are out there, not them! By all means, I am not saying that we should be pricks about it either. It shoud be about teamwork. But please, don't tell us how to do our job, and we won't belittle yours!

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