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National EMS Research Agenda.

机译：国家EMS研究议程。

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Now, more than ever before, the spirit of the emergency services professional is recognized by people everywhere. Individuals from every walk of life comprehend the reality of the job these professionals do each day. Placing the safety of others above their own is their acknowledged responsibility. Rescue and treatment of ill and injured patients are their purpose as well as their gratification. The men and women who provide prehospital care are well aware of the unpredictable nature of emergency medical services (EMS). Prehospital care is given when and where it is needed: in urban settings with vertical challenges and gridlock; in rural settings with limited access; in confined spaces; within entrapments; or simply in the street, exposed to the elements. Despite the challenges, EMS professionals rise to the occasion to do their best with the resources available. Despite more than 30 years of dedicated service by thousands of EMS professionals, academic researchers, and public policy makers, the nation's EMS system is treating victims of illness and injury with little or no evidence that the care they provide is optimal. A national investment in the EMS research infrastructure is necessary to overcome obstacles currently impeding the accumulation of essential evidence of the effectiveness of EMS practice. Funding is required to train new researchers and to help them establish their careers. Financial backing is needed to support the development of effective prehospital treatments for the diseases that drive the design of the EMS system, including injury and sudden cardiac arrest. Innovative strategies to make EMS research easier to accomplish in emergency situations must be implemented. Researchers must have access to patient outcome information in order to evaluate and improve prehospital care. New biomedical and technical advances must be evaluated using scientific methodology. Research is the key to maintaining focus on improving the overall health of the community in a competitive and cost-conscious health care market. Most importantly, research is essential to ensure that the best possible patient care is provided in the prehospital setting. The bravery and dedication of EMS professionals cannot be underestimated. Images of firefighters, EMS personnel, and others going into danger while others are evacuating will remain burned in our collective consciousness. These professionals deserve the benefit of research to assist them in providing the best possible care in the challenging circumstances they encounter. With this document, we are seeking support for elevating the science of EMS and prehospital care to the next level. It is essential that we examine innovative ways to deliver prehospital care. Strategies to protect the safety of both the patient and the public safety worker must be devised and tested. There are many questions that remain to be asked, many practices to be evaluated, and many procedures to be improved. Research is the key to obtaining the answers.
机译：现在，紧急服务专业人员的精神比以往任何时候都得到了世界各地人们的认可。各行各业的人们都了解这些专业人员每天所做的工作的现实。将他人的安全置于自己之上是他们公认的责任。拯救和治疗患病和受伤的患者是他们的目标，也是他们的满足。提供院前护理的男女都非常了解紧急医疗服务（EMS）的不可预测性。院前护理在任何时间和地点进行：在垂直挑战和僵局的城市环境中;在交通不便的农村地区;在密闭空间中;陷于内或只是在街上，暴露在元素之下。尽管面临挑战，但EMS专业人士还是想尽一切办法利用可用资源。尽管成千上万的EMS专业人士，学术研究人员和公共决策者提供了30多年的专业服务，但美国的EMS系统仍在治疗疾病和受伤的受害者，几乎没有证据表明他们提供的护理是最佳的。为了克服目前阻碍积累EMS实践有效性的重要证据的障碍，必须在EMS研究基础设施上进行国家投资。需要资金来培训新的研究人员并帮助他们建立职业。需要资金支持，以支持有效的院前治疗方法的开发，这些疾病可驱动EMS系统的设计，包括伤害和心脏骤停。必须实施使紧急情况下的EMS研究更容易完成的创新策略。研究人员必须能够访问患者结果信息，以便评估和改善院前护理。必须使用科学方法来评估新的生物医学和技术进步。在竞争激烈且关注成本的医疗保健市场中，研究是保持专注于改善社区整体健康的关键。最重要的是，研究对于确保在院前环境中提供最佳的患者护理至关重要。 EMS专业人士的英勇和奉献精神不可低估。消防员，EMS人员和其他人正在撤离时处于危险之中的图像将仍然在我们的集体意识中燃烧。这些专业人员应获得研究的好处，以帮助他们在遇到困难的情况下提供最佳的护理。通过此文档，我们正在寻求支持，以将EMS和院前护理的科学水平提高到一个新的水平。我们必须研究创新的方法来提供院前护理。必须设计和测试保护患者和公共安全工作者安全的策略。还有许多问题尚待解决，许多实践需要评估，还有许多程序需要改进。研究是获得答案的关键。

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