the cochrane collaboration
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Michael R. Sayre, MDEmergency MedicineThe Ohio State University
Philips Medical: Consulting, 2004 – present.
Zoll/Revivant: Research funding, 2004 – 2006.
Medtronic Emergency Response Systems: Travel reimbursement, 2004, 2006
National Highway Traffic Safety Administration: Research funding, 1999 – 2007
Medivance: Research funding, 2004 – 2007
Established in 1993 Thousands of
collaborators worldwide Organized in entities Dedicated to ensuring
that accurate, current information is available about the effects of healthcare interventions
Members (usually volunteers) prepare a structured review of a specific health intervention and pledge to maintain that review regularly.
In 2004: > 11,500
contributors 91 countries ~ half working
on reviews
Collaborative Review Groups Focus on
particular area of health
Groups of interest to EMS Airways Bone, joint, and
muscle trauma Heart Infectious
diseases Injuries Stroke
Fields Emerge around
areas of interest which extend across a number of health problems
Example Fields Behavioral
medicine Cancer network Child health Neurological
network Prehospital and
emergency health
Vaccines
Cochrane Centres Geographic
entities
Example Centres Australoasian Canadian German UK US
Central functions funded by royalties from the sales of subscriptions to the Cochrane Library.
Individual entities (Centres, etc) funded by government, institutional, & private sources.
Funds from corporate sponsors are quite limited by policy.
Published electronically at www.TheCochraneLibrary.com
Updated every 3 months Some countries have national
subscriptions, e.g. Australia, allowing anyone in the country free access. The USA does not have such a subscription.
Initiated by Frank Archer, a physician in Melbourne, Australia in 2003 at Cochrane Colloquium in that city.
Formally constituted at Cochrane Colloquium in Ottawa in 2004.
Funded in part by the Australian government
Has more than 3,000 members worldwide
Frank Archer (Convenor) Melbourne, Australia
Erin Smith (Coordinator) Melbourne, Australia
Rhona Macdonald (Trials Search Coordinator) Melbourne, Australia
Mal Boyle Melbourne, Australia
Frederick "Skip" Burkle Jr. Baltimore, Maryland, United States
Mark E. Cooke London, United Kingdom
Matthew Cooke Coventry, United Kingdom
Marica Ferri Rome, Italy
Cameron Glass British Columbia, Canada
Hugh Grantham Adelaide, Australia
Ian Jacobs Perth, Australia
Steve McDonald Melbourne, Australia
Andrew Marsden Edinburgh, Scotland
Brian Rowe Edmonton, Canada
Omer Sakaf Dubai, United Arab Emirates
Arturo Salazar Costa-Rica
Michael SayreColumbus, Ohio, United States
Ayan Sen Manchester, United Kingdom
Reflects references located within the Cochrane CENTRAL register of Controlled Trials, Randomized Controlled Trials, Protocols and Reviews, that are relevant to Prehospital Health
Formalized a search strategy to identify prehospital clinical trials
Found >900 clinical trials relevant to prehospital emergency medicine
Beginning development of a disaster medicine search strategy
Smith E. Ann Emerg Med 2007; 49:344-350.
Smith E. Ann Emerg Med 2007; 49:344-350.
Annals of Emergency Medicine (10.7%) Resuscitation (8.8%) JAMA (5%) Prehospital Emergency Care (4%) New Engl J Med (3.5%) Circulation (3.3%) American Journal Emergency Medicine (3%) Prehospital and Disaster Medicine (2.7%) Journal of Trauma, Injury, Infection and Crit
Care (2.2%)Smith E. Ann Emerg Med 2007; 49:344-350.
Developing EMS professionals skilled in performing evidence-based medicine reviews. Course at Monash University in Australia Proposal for online version of course
Two awards annually of AU$5,000 each to fund reviewers, one of which is prioritized to a EMS professional
Cochrane reviews: Comprehensive Rigorous Well accepted
But…
“Absence of evidence is NOT evidence of absence.” – Carl Sagan
Sethi, D. Kwan, I. Kelly, AM. Roberts, I. Bunn, F. Advanced trauma life support training for ambulance crews. [Systematic Review] Cochrane Injuries Group Cochrane Database of Systematic Reviews. 3, 2008.
Lecky, Fiona. Bryden, Daniele. Little, Rod. Tong, Nam. Moulton, Chris. Emergency intubation for acutely ill and injured patients. [Systematic Review] Cochrane Injuries Group Cochrane Database of Systematic Reviews. 3, 2008.
Kwan, I. Bunn, F. Roberts, I. Timing and volume of fluid administration for patients with bleeding. [Systematic Review] Cochrane Injuries Group Cochrane Database of Systematic Reviews. 3, 2008.
Cochrane Collaboration is the International Standard for evidence-based practice reviews.
The Prehospital and Emergency Health Field is active and willing to help support additional development of evidence-based practice for EMS.
Michael R. Sayre, MDEmergency MedicineThe Ohio State UniversityMichael.Sayre@osumc.edu
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