Fatigue in EMS: Presentations and Handouts
Consensus-Derived Research Questions Guiding Systematic Reviews
Members of the Expert Panel and research team reached consensus on seven research questions following a face-to-face meeting on Apr. 26-27, 2016. These questions are intended to guide systematic reviews of the literature/evidence. The Internet links below will take you to PROSPERO, an international database of prospectively registered systematic reviews. The database maintains key information about systematic reviews in a variety of disciplines/fields, including healthcare, public health, education, and other areas. The purpose of our registering research questions with PROSPERO is to help avoid duplication and reduce the likelihood of reporting bias. PROSPERO is supported by funding from the National Institute for Health Research and Centre for Reviews and Dissemination of the University of York. Key information about the searches will be updated/maintained throughout the project period. Click on the links below for detailed information about each research question.
- Question#1: The diagnostic question.
- Question #2: The intervention question regarding shift work and fatigue.
- Question #3: The intervention question regarding fatigue countermeasures.
- Question #4: The intervention question regarding sleep/rest strategies to mitigate fatigue.
- Question #5: The intervention question regarding fatigue education and training.
- Question #6: The intervention question that addresses use of statistical models to mitigate fatigue.
- Question #7: The intervention question regarding task load/workload and fatigue.
Presentations from Expert Panel Meeting, Apr. 26-27, 2016
- Background Presentation on NHTSA Fatigue in EMS Project, Daniel Patterson, PhD, NRP
- Background Slides on Fatigue in EMS, Daniel Patterson, PhD, NRP
- Sleep and Circadian Health: Relevance to EMS Personnel, Daniel J. Buysse, MD, UPMC Professor of Sleep Medicine, Professor of Psychiatry and Clinical and Translational Science, University of Pittsburgh School of Medicine
- PICO Questions Outcomes and GRADE, Eddy Lang, Professor and Chair, Department of Emergency Medicine, Alberta Health Services, University of Calgary
- Clinical Practice Guidelines: Can We Undo Babel? Eddy Lang, Professor and Chair, Emergency Medicine, Alberta Health Services, University of Calgary
- Making Recommendations with GRADE, Eddy Lang, Professor and Chair, Department of EM, University of Calgary, Alberta Health Services
- Fatigue from Sleep Loss and Circadian Misalignment: A Fatigue Risk Management Framework for Emergency Medical Services, Hans P.A. Van Dongen, Ph.D., Director, Sleep and Performance Research Center, Research Professor, Elson S. Floyd College of Medicine, Washington State University Spokane
- Fatigue Management in First Responders, Laura K. Barger, Ph.D., Instructor in Medicine, Harvard Medical School Associate Physiologist, Brigham and Women's Hospital Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology.
Presentations from Public Comments Meeting, Feb. 2, 2016
- Overview Presentation, J. Stephen Higgins, Ph.D., Research and Program Development, Office of Behavioral Safety Research, NHTSA
- Background to the Problem of Fatigue in EMS, Daniel Patterson, PhD, NRP
- Overall Project Structure& Guidelines Dissemination, Kathy Robinson, NASEMSO Program Manager, and Dia Gainor, NASEMSO Executive Director
- The GRADE Methodology& Evaluation of the Guidelines, Daniel Patterson, PhD, NRP
- Developing an EMS Workforce Scheduling Tool Based on a Biomathematical Model of Fatigue, Francine James, PhD, Institutes for Behavior Research, Inc.
- Public Comments and Questions, J. Stephen Higgins, Ph.D., Research and Program Development, Office of Behavioral Safety Research, NHTSA
- Final Comments, J. Stephen Higgins, Ph.D., Research and Program Development, Office of Behavioral Safety Research, NHTSA
- 2014 NHTSA Ground Ambulance Crash Data, NHTSA