• Acad Emerg Med · Jan 2021

    Global Emergency Medicine: A Review of the Literature from 2019.

    • Indi Trehan, Sean M Kivlehan, Kamna S Balhara, Braden J Hexom, Amelia Y Pousson, Nana Serwaa A Quao, Megan M Rybarczyk, Anand Selvam, Joseph Bonney, Nidhi Bhaskar, Torben K Becker, and Global Emergency Medicine Literature Review (GEMLR) Group.
    • From the, Departments of Pediatrics and Global Health, University of Washington, Seattle, WA, USA.
    • Acad Emerg Med. 2021 Jan 1; 28 (1): 117-128.

    ObjectiveThe annual systematic search of the peer-reviewed and gray literature relevant to global emergency medicine (EM) was conducted by the Global Emergency Medicine Literature Review (GEMLR) to screen, evaluate, and review the most rigorously conducted and relevant research in global EM published in 2019.MethodsAfter a broad search of PubMed and websites of organizations publishing relevant gray literature, all articles that were deemed relevant to the fields of disaster and humanitarian response, emergency care in resource-limited settings, and EM development by at least one reviewer, an editor, and the managing editors were then scored by two different reviewers using a 20-point scoring template relevant to either original research (OR) or review (RE) articles. This scoring system rates articles on their clarity, research design, ethics, importance to global EM, and breadth of impact. Articles that then scored in the top 5% were then critiqued in depth.ResultsA total of 23,321 article titles and abstracts were screened by 22 reviewers with a wide swath of clinical and research experience in global EM. From these, a total of 356 articles underwent full-text review and scoring on the 20-point scale; 26% were categorized as disaster and humanitarian response, 58% as emergency care in resource-limited settings, and 15% as EM development. Of these 356 articles, 276 (77.5%) were OR articles and 80 (22.5%) were RE articles. The 16 articles that scored in the top 5% (>17.5 of 20 points) received full in-depth narrative summaries.ConclusionsIn 2019, the overall number of studies relevant to global EM that were identified by our search decreased from the prior year, but more high-scoring articles related to the development of EM clinical practice and as a specialty in resource-constrained settings were identified.© 2020 by the Society for Academic Emergency Medicine.

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