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dc.contributor.authorGoralnick, Eric
dc.contributor.authorEzeibe, Chibuike
dc.contributor.authorChaudhary, Muhammad Ali
dc.contributor.authorMcCarty, Justin
dc.contributor.authorHerrera-Escobar, Juan P.
dc.contributor.authorAndriotti, Tomas
dc.contributor.authorde Jager, Elzerie
dc.contributor.authorOspina-Delgado, Daniel
dc.contributor.authorGoolsby, Craig
dc.contributor.authorHunt, Richard
dc.contributor.authorWeissman, Joel S.
dc.contributor.authorHaider, Adil
dc.contributor.authorJacobs, Lenworth
dc.contributor.authorAndrade, Erin
dc.contributor.authorBrown, Jeremy
dc.contributor.authorBulger, Eileen M.
dc.contributor.authorButler, Frank K.
dc.contributor.authorCallaway, David
dc.contributor.authorCaterson, Edward J.
dc.contributor.authorChoudhry, Niteesh K.
dc.contributor.authorDavis, Michael R.
dc.contributor.authorEastman, Alex
dc.contributor.authorEastridge, Brian J.
dc.contributor.authorEpstein, Jonathan L.
dc.contributor.authorEvans, Conor L.
dc.contributor.authorGausche-Hill, Marianne
dc.contributor.authorGestring, Mark L.
dc.contributor.authorGoldberg, Scott A.
dc.contributor.authorHanfling, Dan
dc.contributor.authorHolcomb, John Bradley
dc.contributor.authorJonson, Carl-Oscar
dc.contributor.authorKing, David R.
dc.contributor.authorKivlehan, Sean
dc.contributor.authorKotwal, Russ S.
dc.contributor.authorKrohmer, Jon R.
dc.contributor.authorLevy-Carrick, Nomi
dc.contributor.authorLevy, Matthew
dc.contributor.authorMeléndez Lugo, Joan José
dc.contributor.authorMooney, David P.
dc.contributor.authorNeal, Matthew D
dc.contributor.authorNiskanen, Robert
dc.contributor.authorO’Neill, Patrick
dc.contributor.authorPark, Habeeba
dc.contributor.authorPons, Peter T.
dc.contributor.authorPrytz, Erik
dc.contributor.authorRasmussen, Todd E.
dc.contributor.authorRemley, Michael A.
dc.contributor.authorRiviello, Robert
dc.contributor.authorSalim, Ali
dc.contributor.authorShackelfold, Stacy
dc.contributor.authorSmith, E. Reed
dc.contributor.authorStewart, Ronald M.
dc.contributor.authorSwaroop, Mamta
dc.contributor.authorWard, Kevin
dc.contributor.authorUribe-Leitz, Tarsicio
dc.contributor.authorJarman, Molly P.
dc.contributor.authorOrtega, Gezzer
dc.date.accessioned2020-07-27T13:47:01Z
dc.date.available2020-07-27T13:47:01Z
dc.date.issued2020-07-06
dc.identifier.urihttp://hdl.handle.net/10713/13408
dc.description.abstractImportance: Trauma is the leading cause of death for US individuals younger than 45 years, and uncontrolled hemorrhage is a major cause of trauma mortality. The US military's medical advancements in the field of prehospital hemorrhage control have reduced battlefield mortality by 44%. However, despite support from many national health care organizations, no integrated approach to research has been made regarding implementation, epidemiology, education, and logistics of prehospital hemorrhage control by layperson immediate responders in the civilian sector. Objective: To create a national research agenda to help guide future work for prehospital hemorrhage control by laypersons. Evidence Review: The 2-day, in-person, National Stop the Bleed (STB) Research Consensus Conference was conducted on February 27 to 28, 2019, to identify and achieve consensus on research gaps. Participants included (1) subject matter experts, (2) professional society-designated leaders, (3) representatives from the federal government, and (4) representatives from private foundations. Before the conference, participants were provided a scoping review on layperson prehospital hemorrhage control. A 3-round modified Delphi consensus process was conducted to determine high-priority research questions. The top items, with median rating of 8 or more on a Likert scale of 1 to 9 points, were identified and became part of the national STB research agenda. Findings: Forty-five participants attended the conference. In round 1, participants submitted 487 research questions. After deduplication and sorting, 162 questions remained across 5 a priori-defined themes. Two subsequent rounds of rating generated consensus on 113 high-priority, 27 uncertain-priority, and 22 low-priority questions. The final prioritized research agenda included the top 24 questions, including 8 for epidemiology and effectiveness, 4 for materials, 9 for education, 2 for global health, and 1 for health policy. Conclusions and Relevance: The National STB Research Consensus Conference identified and prioritized a national research agenda to support laypersons in reducing preventable deaths due to life-threatening hemorrhage. Investigators and funding agencies can use this agenda to guide their future work and funding priorities.en_US
dc.description.urihttps://doi.org/10.1001/jamanetworkopen.2020.9393en_US
dc.language.isoen_USen_US
dc.publisherAmerican Medical Association (AMA)en_US
dc.relation.ispartofJAMA network openen_US
dc.subjectlaypersonsen_US
dc.subject.meshEmergency Treatmenten_US
dc.subject.meshHemorrhage--prevention & controlen_US
dc.titleDefining a Research Agenda for Layperson Prehospital Hemorrhage Controlen_US
dc.typeArticleen_US
dc.identifier.doi10.1001/jamanetworkopen.2020.9393
dc.source.volume3
dc.source.issue7
dc.source.beginpagee209393


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