UK Survey of emergency physicians’ priorities for clinical decision rules


One of the first stages in the development of new clinical decision rules (CDRs) is determination of perceived need because this is the most important predictor of ultimate adoption. This study examined the current use of two common CDRs and the clinical priorities of UK emergency physicians (EPs) for the development of future CDRs. Methods: The authors administered an e-mail and postal survey to a random sample of 350 members of the British Association of Emergency Medicine (total membership n=1700). Results: The total response rate was 44.5% (155/350). The respondents were predominantly male (67.7%), with a mean age of 44.0 years (SD +/- 10), and a mean of 10.8 years experience (SD +/- 7). Regarding the two pre-existing Canadian C-spine and CT head rules, 62% of responders were aware of these rules. Regarding a proposed acute headache CDR, 94.6% of those surveyed indicated that they would consider using a highly sensitive and well-validated decision rule if it was developed. The top priorities in the four main categories were admission with anterior chest pain (42.8%), imaging for suspected transient ischaemic attack (34.5%), management of serious vertigo (29.7%) and investigation of febrile child <36 months (40.6%), respectively. Discussion: This UK survey identified the sampled emergency physicians’ priorities for the future development of CDRs. The top priority was investigation of the febrile child < 36 months. These results will be valuable to researchers for future development of CDRs in emergency medicine in the UK.

Subscribe to get full access to the Journal of Paramedic Practice

Thank you for vising the Journal of Paramedic Practice and reading our archive of expert clinical content. If you would like to read more from the only journal dedicated to those working in emergency care, you can start your subscription today for just £48.

CPD Focus

Reading the Journal of Paramedic Practice counts towards your professional development

Develop your career

We provide professional information dedicated to paramedics covering training, education and jobs

Stay informed

Get the latest clinical information to ensure you are aware of the latest think and best practice in paramedicne

Subscribe now

Already registered? - Sign in here

Keep up to date with Journal of Paramedic Practice!

Sign up to Journal of Paramedic Practice’s regular newsletters and keep up-to-date with the very latest clinical research and CPD we publish each month.