Evidence map›Paper›PMID 35252975›Full record

ArticleJournal of the American College of Emergency Physicians open2022

State emergency medical services guidance and protocol changes in response to the COVID-19 pandemic: A national investigation.

Sylvia Owusu-Ansah, Matthew Harris, Jennifer N Fishe, Kathleen Adelgais, Ashish Panchal, John W Lyng, Kerry McCans, Rachel Alter, Amanda Perry, Angelica Cercone and 2 more

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Impact of COVID-19 pandemic on the utilization of emergency medical services in Nairobi, Kenya.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024
    Article
  3. Biosafety Issues in Patient Transport during COVID-19: A Case Study on the Portuguese Emergency Services.International journal of environmental research and public health · 2024
    Article
  4. 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

12 authors.

Sylvia Owusu-AnsahDepartment of Pediatrics Division of Emergency Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA.ORCID https://orcid.org/0000-0002-8201-4267
Matthew HarrisDepartment of Pediatrics Section of Emergency Medicine Zucker School of Medicine at Hofstra/Northwell Hempstead New York USA.
Jennifer N FisheDepartment of Emergency Medicine University of Florida College of Medicine - Jacksonville Jacksonville Florida USA.ORCID https://orcid.org/0000-0001-9037-8143
Kathleen AdelgaisDepartment of Pediatrics Section of Pediatric Emergency Medicine University of Colorado School of Medicine Aurora Colorado USA.ORCID https://orcid.org/0000-0002-4405-0769
Ashish PanchalDepartment of Emergency Medicine The Ohio State University Wexner Medical Center Columbus Ohio USA.ORCID https://orcid.org/0000-0001-7382-982X
John W LyngDepartment of Emergency Medicine University of Minnesota School of Medicine Minneapolis Minnesota USA.ORCID https://orcid.org/0000-0001-5191-5700
Kerry McCansLewis Katz School of Medicine at Temple University Philadelphia Pennsylvania USA.
Rachel AlterNational Association of State EMS Officials Falls Church Virginia USA.
Amanda PerryLouisiana Department of Health EMS for Children Baton Rouge Louisiana USA.
Angelica CerconeDepartment of Pediatrics Division of Emergency Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA.
Phyllis HendryDepartment of Emergency Medicine University of Florida College of Medicine - Jacksonville Jacksonville Florida USA.
Mark X CiceroDepartment of Pediatrics Section of Pediatric Emergency Medicine Yale University School of Medicine New Haven Connecticut USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

objectivesThe COVID-19 pandemic has had an impact on emergency medical services (EMS) and its guidelines, which aid in patient care. This study characterizes state and territory EMS office recommendations to EMS statewide operational and clinical guidelines and describes the mechanisms of distribution and implementation during the COVID-19 pandemic.

methodsA mixed-methods study was conducted in 2 phases. In phase 1, changes and development of COVID-19 guidance and protocols for EMS clinical management and operations were identified among 50 states, the District of Columbia, and 5 territories in publicly available online documents and information. In phase 2, structured interviews were conducted with state/territory EMS officials to confirm the protocol changes or guidance and assess dissemination and implementation strategies for COVID-19.

resultsIn phase 1, publicly available online documents for 52 states/territories regarding EMS protocols and COVID-19 guidance were identified and reviewed. Of 52 (33/52) states/territories, 33 had either formal protocol changes or specific guidance for the pandemic. In phase 2, 2 state and territory EMS officials were interviewed regarding their protocols or guidance for COVID-19 and the dissemination and implementation practices they used to reach EMS agencies (response rate = 65%). Of the 34 state/territory officials interviewed, 22 had publicly available online COVID-19 protocols or guidance. Of the 22 officials with online COVID-19 protocols, all reported providing operational direction, and 19 of 22 officials reported providing clinical direction.

conclusionsMost states provided guidance to EMS agencies and/or updated protocols in response to the COVID-19 pandemic.

Indexed as

COVID‐19disseminationEMSguidanceimplementationpandemicprotocolstatewide

Identifiers

PMID35252975
PMCPMC8886181

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.