Evidence map›Paper›PMID 22387089›Full record

ArticleAnnals of emergency medicine2012

Evidence from the scene: paramedic perspectives on involvement in out-of-hospital research.

Duika L Burges Watson, Randy Sanoff, Joan E Mackintosh, Jeffrey L Saver, Gary A Ford, Christopher Price, Sidney Starkman, Marc Eckstein, Robin Conwit, Anna Grace and 1 more

Abstract read
In one paragraph

Article in Annals of emergency medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. A systematic review of ambulance service-based randomised controlled trials in stroke.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Exploring paramedic professional identity.British paramedic journal · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. A comparison of direct and two-stage transportation of patients to hospital in Poland.International journal of environmental research and public health · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Duika L Burges WatsonInstitute of Health and Society, Newcastle University, United Kingdom.
Randy Sanoff
Joan E Mackintosh
Jeffrey L Saver
Gary A Ford
Christopher Price
Sidney Starkman
Marc Eckstein
Robin Conwit
Anna Grace
Madeleine J Murtagh

Funding

Field Administration of Stroke Therapy-Magnesium Trial (FAST-MAG)U01NS044364 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SAVER, JEFFREY L · 2003 to 2013
$46.4M
Department of Health RP-PG-0606-1241NINDS NIH HHS U01 NS044364NINDS NIH HHS U01 NS 44364
6 · The paper itself

Abstract

STUDY

objectiveIn the context of calls to develop better systems for out-of-hospital clinical research, we seek to understand paramedics' perceptions of involvement in research and the barriers and facilitators to that involvement.

methodsThis was a qualitative study using semistructured focus groups with 58 United Kingdom paramedics and interviews with 30 US firefighter-paramedics. The study focused on out-of-hospital research (trials of out-of-hospital treatment for stroke), whereby paramedics identified potential study subjects or obtained consent and administered study treatment in the field. Data were analyzed with a thematic and discourse approach.

resultsThree key themes emerged as significant facilitators and barriers to paramedic involvement in research: patient benefit, professional identity and responsibility, and time. Paramedics showed willingness and capacity to engage in research but also some reticence because of the perceived sacrifice of autonomy and challenge to their identity. Paramedics work in a time-sensitive environment and were concerned that research would increase time taken in the field.

conclusionAwareness of these perspectives will help with development of out-of-hospital research protocols and potentially facilitate greater participation.

Indexed as

Biomedical ResearchEmergency Medical ServicesEmergency Medical TechniciansAttitude of Health PersonnelFirefightersFocus GroupsHumansStrokeTime FactorsUnited KingdomUnited StatesWorkforce

Identifiers

PMID22387089
PMCPMC3690919

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.