Show me the evidence! Engaging with science in the pre-hospital environment

James M Hancox
July 2016

Scientific insightAs a natural consequence of increased demand for clinical excellence and improved outcomes for patients, there is a related increase in demand for sound academic foundations for pre-hospital treatment. While current guidelines are based on best available evidence, there is a desire to fill gaps in knowledge through further investigation including during clinical trials.Paramedics should be encouraged to engage with the concept of evidence-based practice, and challenge the available evidence base in terms of its quality, source and level. Rather than continuing to blindly use protocols based on limited evidence, the entire pre-hospital community ought to design ways to put these protocols under increased scrutiny and determine the gaps requiring further investigation.Recent trials in the pre-hospital environment such as PARAMEDIC (Perkins et al, 2015), PARAMEDIC2 (Warwick Clinical Trials Unit, 2015), Airways-2 (Clinical Trials and Evaluation Unit Bristol, 2014) and Golden Hour (National Institute for Health Research Surgical Reconstruction and Microbiological Research Centre, 2014) have done precisely that: they have aimed to establish a better evidence-base where one was lacking. The new generation of paramedics ought to say: ‘Show me the evidence!’ when following common procedures based on expert opinion rather than science.

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.