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Incorporating Drugs and Devices into Emergency Medical Services Systems

Published online by Cambridge University Press:  28 June 2012

Douglas M. Wolfberg ,
Vincent P. Verdile  and
Richard D. Flinn Jr.
Douglas M. Wolfberg
Affiliation:
Doctor of Juris Prudence candidate, WIDEVER University School of Law, Harrisburg, Pennsylvania
Vincent P. Verdile*
Affiliation:
Associate Professor of Emergency Medicine, Department of Emergency Medicine, Albany Medical College, Albany, New York; (Former) Chairman, Drugs and Devices Subcommittee, Pennsylvania Emergency Health Services Council, Medical Advisory Committee
Richard D. Flinn Jr.
Affiliation:
Executive Director, Pennsylvania Emergency Health Services Council, Mechanicsburg, Pennsylvania
*
Albany Medical College, Albany, NY 12208USA
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Abstract

The proliferation of new medical technology and pharmacology forces the medical community to ensure the efficacy and safety of new drugs and devices before their use in patient care. Although traditional medical practices have a fairly consistent means to achieve this end, prehospital medical practice often does not. In addition, it often appears that the emergency medical services marketplace does not always follow conventional supply/demand and cost/quality paradigms. This article describes a process implemented in Pennsylvania to standardize the mechanism by which new drugs and devices are introduced into prehospital medical practice.

Keywords

devicesdrugsemergency medical services systemsmedical controlproductsprotocolstechnology assessmenttraining
Type
Special Reports
Information
Prehospital and Disaster Medicine , Volume 10 , Issue 3: CJ Shanaberger Memorial Issue , September 1995 , pp. 189 - 194
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1995

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References

1. Wennberg, JE, Barnes, BA, Zubkoff, M: Professional uncertainty and the problem of supplier-induced demand. Soc Sci Med 1982;16:811–824.Google Scholar
2. Wolfberg, DM: Of science and salesmen: Deciphering product research and evaluation. Journal of Emergency Medical Service 1991;16:32–41.Google ScholarPubMed
3. American College of Emergency Physicians: Prehospital advanced life support skills, medications, and equipment. Ann Emerg Med 1988;17:1109–1111.Google Scholar
4. Verdile, VP: Back to the future. Journal of Emergency Services 1990;22:8.Google Scholar
5. Linton, AL, Naylor, CD: Organized medicine and the assessment of technology. N Engl J Med 1990;323:1463–1467.Google Scholar
6. Roper, WL, Winkenwerder, W, Hackbarth, GM, et al. : Effectiveness in health care. N Engl J Med 1988;319:1197–1202.Google Scholar
7. Grimes, DA: Technology follies: The uncritical acceptance of medical innovation. JAMA 1993;269:3030–3033.Google Scholar
8. Fuchs, VR, Garber, AM: The new technology assessment. N Engl J Med 1990;323:673–677.Google Scholar
9. Banta, HD, Thacker, SB: The case for reassessment of health-care technology: Once is not enough. JAMA 1990;264:235–240.Google Scholar
10. Evidence-Based Medicine Working Group: Evidence-based medicine: A new approach to teaching the practice of medicine. JAMA 1992;268:2420–2425.CrossRefGoogle Scholar
11. Stewart, RD: Things are seldom what they seem. Ann Emerg Med 1989;18:1015–1017.Google Scholar
12. Stewart, C: Lore versus science. Emergency Medical Services 1991;20:8.Google Scholar
13. Cummins, RO, Chesemore, K, White, RD and the Defibrillator Working Group: Defibrillator failures: Causes of problems and recommendations for improvement. JAMA 1990;264:1019–1025.Google Scholar
14. White, RD: Maintenance of defibrillator in a state of readiness. Ann Emerg Med 1993;22:302–306.Google Scholar
15. Valenzuela, TD, Criss, EA, Hammargren, WM, et al. : Thermal stability of prehospital medications. Ann Emerg Med 1989;18:173–176.CrossRefGoogle ScholarPubMed
16. Lavery, RF, Doran, J, Tortella, BJ, et al. : A survey of advanced life support practices in the United States. Prehospital and Disaster Medicine 1992;7:144–149.Google Scholar
17. MacLeod, BA, Seaberg, DC, Paris, PM: Prehospital therapy past, present, and future. Emerg Med Clin North Am 1990;8:57–74.Google Scholar
18. Auerbach, PS, Geehr, EC: Inadequate oxygenation and ventilation using the esophageal gastric tube airway in the prehospital setting. JAMA 1983:250:3067–3071.Google Scholar
19. Meislin, HW: The esophageal obturator airway: A study of respiratory effectiveness. Ann Emerg Med 1980;9:54–59.Google Scholar
20. Shea, SR, MacDonald, JR, Gruzinski, G: Prehospital endotracheal tube or esophageal gastric tube airway: A critical comparison. Ann Emerg Med 1985;14:102–112.CrossRefGoogle ScholarPubMed
21. Ayers, RJ: Legal considerations in prehospital care. Emerg Med Clin North Am 1993;11:853–867.Google Scholar
22. Shanaberger, CJ: Legal issues in medical control. In: Kuehl, AE (ed): The National Association of EMS Physicians: EMS Medical Directors Handbook. St. Louis, C.V. Mosby, 1989, pp 393–404.Google Scholar
23. Wuerz, RC, Meador, SA: Effects of prehospital medications on mortality and length of stay in congestive heart failure. Ann Emerg Med 1992;21:669–674.Google Scholar
24. Spaite, DW, Valenzuela, TD, Meislin, EA, et al. : Prospective validation of a new model for evaluating emergency medical services by in-field observation of specific time intervals in prehospital care. Ann Emerg Med 1993;22:638–645.Google Scholar
25. Narad, RA: Emergency medical services system design. Emerg Med Clin North Am 1990;8:1–16.Google Scholar