Evidence map›Paper›PMID 36650041›Full record

ArticleEmergency medicine journal : EMJ2023

Determining the top research priorities in UK prehospital critical care: a modified Delphi study.

Lisa Ramage, Sarah McLachlan, Kristian Williams, PreHOspital Trainee Operated research Network (PHOTON)

Abstract read
In one paragraph

Article in Emergency medicine journal : EMJ, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Prehospital critical care dispatch: a scoping review (PHASE).Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  5. Blood transfusion - moving from what to how.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Refreshing the emergency medicine research priorities.Emergency medicine journal : EMJ · 2023
    Article
  18. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Lisa RamagePre-Hospital Trainee Operated Research Network (PHOTON), London, UK ramagelisa@doctors.org.uk.ORCID http://orcid.org/0000-0003-3017-1882
Sarah McLachlanEssex and Herts Air Ambulance, Earls Colne, Colchester, UK.
Kristian WilliamsWelsh Ambulance Services NHS Trust, Saint Asaph, UK.
PreHOspital Trainee Operated research Network (PHOTON)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrehospital critical care is a rapidly evolving field. There is a paucity of evidence relating to its practice, with limited progress in answering those research questions identified over a decade ago. It is vital that evidence gaps are identified and addressed. This study aimed to define the current research priorities in UK prehospital critical care.

methodsThis modified national Delphi study was coordinated by the Pre-HOspital Trainee Operated research Network and conducted in four rounds between October 2021 and April 2022. Rounds 1 and 2 were conducted online with clinicians involved in prehospital critical care delivery and non-clinical prehospital researchers. Rounds 3 and 4 were completed online by a subject matter expert (SME) panel.

resultsIn round 1, 78 participants submitted 394 research questions relating to prehospital critical care delivery in the UK. These were refined and categorised into 192 questions, which were scored for importance in round 2. Fifty questions were discussed and scored by the SME panel in round 3. Round 4 created a ranked top 20 list. The top research priority was 'Which cardiac arrest patients should critical care teams be dispatched to; how do we identify these patients during the emergency call?'. Other priorities included dispatch optimisation, out-of-hospital medical cardiac arrest management, optimising resuscitation in haemorrhagic shock, improving traumatic brain injury outcomes and optimising management of traumatic cardiac arrest.

conclusionsThis modified Delphi study identified 20 research priorities where efforts should be concentrated to develop collaborative prehospital critical care research within the UK over the next 5 years.

Indexed as

Emergency Medical ServicesHealth Services ResearchDelphi TechniqueHeart ArrestHumansUnited Kingdomadvanced practitionerdoctors in PHCpre-hospital care

Identifiers

PMID36650041
PMCPMC10086275

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.