Decision-Support Tool in Prehospital Care:A Systematic Review of Randomized Trials
2011 (English)In: Prehospital and Disaster Medicine, ISSN 1049-023X, E-ISSN 1945-1938, Vol. 26, no 4, 1-11 p.Article in journal (Refereed)
Objective: The objective of this study was to evaluate the effects of the decision support
tool (DST) on the assessment of the acutely ill or injured out-of-hospital patient.
Methods: This study included systematic reviews of randomized controlled trials (RCT)
where the DST was compared to usual care in and out of the hospital setting. The databases
scanned include: (1) Cochrane Reviews (up to January 2010); (2) Cochrane Controlled
Clinical Trials (1979 to January 2010); (3) Cinahl (1986 to January 2010); and (4) Pubmed/
Medline (1926 to January 2010). In addition, information was gathered from related magazines,
prehospital home pages, databases for theses, conferences, grey literature and ongoing
Results: Use of the DST in prehospital care may have the possibility to decrease “time to
definitive care” and improve diagnostic accuracy among prehospital personnel, but more
studies are needed.
Conclusions: The amount of data in this review is too small to be able to draw any reliable
conclusions about the impact of the use of the DST on prehospital care. The research
in this review indicates that there are very few RCTs that evaluate the use of the DST in
Place, publisher, year, edition, pages
Cambridge University Press , 2011. Vol. 26, no 4, 1-11 p.
prehospital decision support tool, emergency medical services, prehospital care, emergency medical technician
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:hb:diva-3197DOI: 10.1017/S1049023X11006534Local ID: 2320/9532OAI: oai:DiVA.org:hb-3197DiVA: diva2:871294