Global Health and Emergency Care: A Resuscitation Research AgendaPart 1

At the 2013 Academic Emergency Medicine global health consensus conference, a breakout session on a resuscitation research agenda was held. Two articles focusing on cardiac arrest and trauma resuscitation are the result of that discussion. This article describes the burden of disease and outcomes, issues in resuscitation research, and global trends in resuscitation research funding priorities. Globally, cardiovascular disease and trauma cause a high burden of disease that receives a disproportionately smaller research investment. International resuscitation research faces unique ethical challenges. It needs reliable baseline statistics regarding quality of care and outcomes; data linkages between providers; reliable and comparable national databases; and an effective, efficient, and sustainable resuscitation research infrastructure to advance the field. Research in resuscitation in lowand middle-income countries is needed to understand the epidemiology, infrastructure and systems context, level of training needed, and potential for cost-effective care to improve outcomes. Research is needed on low-cost models of population-based research, ways to disseminate information to the developing world, and finding the most cost-effective strategies to improve outcomes. From the Department of Emergency Medicine, Medical College of Wisconsin (TA), Milwaukee, WI; Anaesthesia and Intensive Care Medicine, Royal United Hospital (JPN), Bath, UK; Pre-Hospital, Resuscitation and Emergency Care Research Unit, Faculty of Health Sciences, Curtin University (IGJ, JF), Perth, Western Australia; the Departments of Biostatistics and Environmental and Occupational Health Sciences Clinical Trial Center, University of Washington (GvB), Seattle, WA; the Department of Emergency Medicine, College of Medicine, University of Arizona, Phoenix Campus, Maricopa Medical Center (BJB), Phoenix, AZ; the Bureau of EMS & Trauma System, Arizona Department of Health Services (BJB), Phoenix, AZ; the Division of General Surgery, St. Michael’s Hospital (JM), Toronto, Ontario, Canada; the School of Public Health and Preventive Medicine, Monash University (JF), Melbourne, Australia; the Department of Emergency Medicine, University of Pennsylvania (LBB), Philadelphia, PA; the Department of Anaesthesiology and Intensive Care Medicine, University Hospital, University of Cologne (BB), Cologne, Germany; the Department of Epidemiology and Preventive Medicine, Monash University (PC), Melbourne, Australia; the Cl ınica de la Esperanza, Universidad Maim onides (SD), Buenos Aires, Argentina; the School of Medicine Emergency Medicine Clinical Programs, Johns Hopkins University (JJJ), Baltimore, MD; the Division of Emergency Medicine, University of the Witwatersrand (WK), Johannesburg, South Africa; the Department of Cardiology, Academic Medical Center, University of Amsterdam (RK), Amsterdam, Netherlands; the Department of Emergency Medicine, National Taiwan University (MHM), Taipei, Taiwan; the Department of Emergency Medicine, Seoul National University College of Medicine (SDS), Seoul, Republic of Korea; the National Heart, Lung, and Blood Institute, National Institutes of Health (GS), Bethesda, MD; the Department of Emergency Medicine, Olive View-University of California (BRT), Los Angeles Medical Center, Sylmar, CA; the Heart Institute, University of Sao Paulo Medical School (ST), Sao Paulo, Brazil; and the Department of Emergency Medicine, Singapore General Hospital, and the Office of Clinical Sciences, Duke-NUS Graduate Medical School (MEHO), Singapore. Received July 15, 2013; revision received August 30, 2013; accepted August 30, 2013. The authors have no relevant financial information or potential conflicts of interest to disclose. This article reports on a breakout session of the May 2013 Academic Emergency Medicine consensus conference in Atlanta, GA: “Global Health and Emergency Care: A Research Agenda.” Breakout session participants: Ryan Arnold, Tom P. Aufderheide, Suzanne Bentley, Connie Boh, Simon Brown, Meena Cherian, Stephen Hargarten, Kate Jacoby, Julianna Jung, Hsuan Lai, Brandon Libby, Ka Ming Ngai, Marcus E. H. Ong, Leila Posaw, Jesse Rideout, Joshua C. Ross, Sang Do Shin, and Breena R. Tiara. Supervising Editor: Mark Hauswald, MD. Address for correspondence and reprints: Tom P. Aufderheide, MD, MS; e-mail: [email protected]. doi: 10.1111/acem.12270 PII ISSN 1069-6563583 1289 © 2013 by the Society for Academic Emergency Medicine ISSN 1069-6563 1289 ACADEMIC EMERGENCY MEDICINE 2013; 20:1289–1296 © 2013 by the Society for Academic