Early Administration of Steroids in the Ambulance Setting: An Observational Design Trial (EASI-AS-ODT).
Jennifer Noel FisheGerard GarvanAndrew BertrandShannon BurchamPhyllis HendryManish ShahKathryn KothariDavid W AshbyDaniel OstermeyerLauren RineyOlga SemenovaBenjamin AboBenjamin AbesNichole ShimkoEmily MyersMarshall FrankTim TurnerMac KempKim LandryGreg RolandKathryn V BlakePublished in: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine (2023)
In this multicenter study, the addition of an OCS into EMS agency protocols for pediatric asthma exacerbations significantly increased systemic corticosteroid administration but did not significantly decrease hospital admission rates. As overall EMS systemic corticosteroid administration rates were low, further work is required to understand optimal implementation of EMS protocol changes to better assess potential benefits to patients.
Keyphrases
- chronic obstructive pulmonary disease
- emergency medical
- end stage renal disease
- healthcare
- ejection fraction
- randomized controlled trial
- primary care
- emergency department
- cystic fibrosis
- peritoneal dialysis
- prognostic factors
- study protocol
- lung function
- phase iii
- patient reported outcomes
- quality improvement
- young adults
- risk assessment
- air pollution
- cross sectional
- human health
- acute care
- open label