The care that patients receive on ambulances is often based on consensus, and pediatric prehospital evidence is limited to inform optimal care for children. By developing, implementing, and studying evidence-based guidelines on pediatric prehospital seizures, airway management, and pain management, our researchers have identified which strategies are most effective at enhancing guideline adherence, improving care, and mitigating disparities. We have also designed clinical trials to close gaps in knowledge for common pediatric emergency medical services (EMS) conditions, have studied effective ways to educate EMS professionals locally and globally, and have published guidance to enhance pediatric readiness in EMS systems across the United States.
The is one of the 3 sites in PECARN's prehospital EMS research node, forming the along with Charlotte and Milwaukee. Through this node and each of the other 6 PECARN node's EMS affiliate, prospective interventional and observational studies are conducted in the prehospital setting. Our group has collaborated with hospital-based () and prehospital providers to optimize management for children in status epilepticus. We have helped explore optimizing second-line therapy for children with seizures who fail to respond to benzodiazepines as well as standardizing benzodiazepine dosing in the prehospital setting. The latter 20-center study, , is being led by Manish Shah, who has an R01-funded study evaluating age-based dosing to facilitate accurate and timely administration of medications for children in status epilepticus.
Kathryn Kothari is the PI of the Emergency Medical Services for Children Texas State Partnership Program. This program seeks to improve pediatric emergency care by increasing pediatric readiness in EMS systems and increasing disaster preparedness.
Faculty with a research focus on prehospital medicine:
- Kathryn Kothari, M.D.: analgesia in the prehospital setting
- Email: Kathryn.Kothari@bcm.edu
- Manish Shah, M.D., MS: evidence-based guidelines in the prehospital setting, seizure management, pain control
- Email: mxshah@texaschildrens.org
- Twitter: @manishshahtx
Nishijima DK, Tancredi DJ, Adelgais KM, Chadha K, Chang TP, Harris MI, Leonard JC, Lerner EB, Linakis SW, Lowe GS, Magill CF, Schwartz HP, Shah MI, Browne LR. . J Emerg Med. 2023. PMID 36641254.
Zorovich EV, Kothari K, Adelgais K, Alter R, Mojica L, Salinas A, Auerbach M, Adams C. Fishe J. Prehospital management of pediatric behavioral health emergencies: a scoping review. Cureus. 2023.
Powell JR, Browne LR, Guild K, Shah MI, Crowe RP, Lindbeck G, Braithwaite S, Lang ES, Panchal AR; Technical Expert Panel. . Prehosp Emerg Care. 2023; PMID 34928783.
Harris MI, Adelgais KM, Linakis SW, Magill CF, Brazauskas R, Shah MI, et al. . Prehosp Emerg Care. 2023. PMID 34734787.
Hanlin ER, Chan HK, Hansen M, Wendelberger B, Shah MI, Bosson N, Gausche-Hill M, vanBuren J, Wang HE. . Resuscitation. 2022;173:124-133. PMID 35063620.
Lindbeck G, Shah MI, Braithwaite S, Powell JR, Panchal AR, Browne LR, Lang ES, Burton B, Coughenour J, Crowe RP, Degn H, Hedges M, Gasper J, Guild K, Mattera C, Nasca S, Taillac P, Warth M. . Prehosp Emerg Care. 2022; PMID 34928760.
Bosson N, Hansen M, Gausche-Hill M, Lewis RJ, Wendelberger B, Shah MI, VanBuren JM, Wang HE. . Clin Trials. 2022. PMID 34875893.
Lerner EB, Browne LR, Studnek JR, Mann NC, Dai M, Hoffman CK, Pilkey D, Adelgais KM, Brown KM, Gaither JB, Leonard JC, Martin-Gill C, Nishijima DK, Owusu Ansah S, Shah ZS, Shah MI. . Prehospital Emerg Care. 2022. PMID 34232828.
Hansen M, Bosson N, Gausche-Hill M, Shah MI, et al. . Prehosp Emerg Care. 2022. PMID 33886422.
Schmucker KA, Camp EA, Jones JL, Ostermayer DG, Shah MI. . Am J Emerg Med. 2021. PMID 34455256.
Shah MI, Ostermayer DG, Browne LR, Studnek JR, Carey JM, et al. . Prehosp Emerg Care. 2021. PMID 32589502.
Moore B, Shah MI, Owusu-Ansah S, Gross T, Brown K, Gausche-Hill M, Remick K, Adelgais K, Lyng J, Rappaport L, Snow S, Wright-Johnson C, Leonard JC; AMERICAN ACADEMY OF PEDIATRICS, Committee on Pediatric Emergency Medicine and Section on Emergency Medicine EMS Subcommittee; AMERICAN COLLEGE OF EMERGENCY PHYSICIANS, Emergency Medical Services Committee; EMERGENCY NURSES ASSOCIATION, Pediatric Committee; NATIONAL ASSOCIATION OF EMERGENCY MEDICAL SERVICES PHYSICIANS, Standards and Clinical Practice Committee; NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS, Emergency Pediatric Care Committee; Pediatric Readiness in Emergency Medical Services Systems; POLICY STATEMENT; Organizational Principles to Guide and Define the Child Health Care System and/or Improve the Health of All Children. Ann Emerg Med. 2020. PMID: 31866028
Moore B, Shah MI, Owusu-Ansah S, Gross T, Brown K, Gausche-Hill M, Remick K, Adelgais K, Lyng J, Rappaport L, Snow S, Wright-Johnson C, Leonard JC; AMERICAN ACADEMY OF PEDIATRICS COMMITTEE ON PEDIATRIC EMERGENCY MEDICINE AND SECTION ON EMERGENCY MEDICINE EMS SUBCOMMITTEE; AMERICAN COLLEGE OF EMERGENCY PHYSICIANS EMERGENCY MEDICAL SERVICES COMMITTEE; EMERGENCY NURSES ASSOCIATION PEDIATRIC COMMITTEE; NATIONAL ASSOCIATION OF EMERGENCY MEDICAL SERVICES PHYSICIANS STANDARDS AND CLINICAL PRACTICE COMMITTEE; NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS EMERGENCY PEDIATRIC CARE COMMITTEE. Pediatrics. 2020. PMID: 31857380
Owusu-Ansah S, Moore B, Shah MI, Gross T, Brown K, Gausche-Hill M, Remick K, Adelgais K, Rappaport L, Snow S, Wright-Johnson C, Leonard JC, Lyng J, Fallat M; COMMITTEE ON PEDIATRIC EMERGENCY MEDICINE, SECTION ON EMERGENCY MEDICINE; EMS SUBCOMMITTEE, SECTION ON SURGERY. Pediatrics. 2020. PMID: 31857378
Moore B, Shah MI, Owusu-Ansah S, Gross T, Brown K, Gausche-Hill M, Remick K, Adelgais K, Lyng J, Rappaport L, Snow S, Wright-Johnson C, Leonard JC; American Academy of Pediatrics Committee on Pediatric Emergency Medicine, Section on Emergency Medicine EMS Committee and Section on Surgery;; American College of Emergency Physicians Emergency Medical Services Committee;; Emergency Nurses Association Pediatric Committee;; National Association of Emergency Medical Services Physicians Standards and Clinical Practice Committee;; National Association of Emergency Medical Technicians Emergency Pediatric Care Committee. Prehosp Emerg Care. 2020. PMID: 31854223.
Kothari K, Zuger C, Desai N, et al. . AEM Educ Train. 2020. PMID: 34099990.
