Precision Emergency Medicine: Setting a Research Agenda

项目摘要/摘要 精准急救医疗是有目的地使用大数据和技术，以安全、高效和 真正为个别患者和他们的社区提供急诊护理。这种方法建立在 精准医学的基础，其中临床决策是通过 基因组、生物、环境和公共卫生数据的应用。在这种模式下，急诊医生 可以利用从可穿戴设备和 植入性设备、组学、快速护理点检测以及基于社区和公共卫生的数据库。 机器学习和其他人工智能可以加强对这些数据的分析，并提高 临床决策的准确性。使用技术、多源数据和上下文分析来 当地社区可以更清晰地描绘整个人的情况，并为每个人量身定做紧急护理 他们的特定需求。总而言之，采用精确医学原则将代表一种范例 急诊医学向技术增强型、数据驱动型、更高质量的个性化医疗转变。 然而，大多数急救提供者并不熟悉这些新的数据源，如何解释它们，以及 如何相应地修改他们的临床实践。需要进行研究以了解如何最好地实施 有效、公平的精准急诊医疗。在2023年学术学会 急诊医学(SAEM)共识会议，精确急诊医学：设置研究 议程，我们将召集学术界和科技界的专家和思想领袖研究 精准急诊医疗的关键催化剂，确定实施挑战，并制定 可操作的10年研究议程以及相关的以患者为中心的结果。SAEM共识会议 是一年一度的、为期一天的科学会议，成功地使用了建立共识的方法来制定 20多年来急诊医学开创性和重要课题的研究议程。这个 拟议的SAEM共识会议将介绍精准急救医学作为 以病人为中心的特定的、及时的、紧急的护理的转化科学。我们的会议 结果将刺激进一步的研究，以检验精准的急诊医学是一种更安全、更高质量、 与目前的做法相比，更容易获得、更公平的临床护理模式。为了实现这些目标， 我们将主办一次方法上严格的协商一致会议，以实现以下目标：(1)制定一项 共享精准急诊医学心智模型，(2)建立精准研究议程 未来十年的急救医学，以及(3)确定必须解决的教育差距 急救提供者。

PROJECT SUMMARY / ABSTRACT Precision emergency medicine is the purposeful use of big data and technology to safely, efficiently, and authentically deliver acute care for individual patients and their communities. This approach builds upon the foundation of precision medicine, in which clinical decisions are tailored to individual patients through the application of genomic, biological, environmental, and public health data. In this model, emergency physicians can leverage many emerging sources of patient data derived from technologies such as wearable and implantable devices, -omics, rapid point-of-care testing, and community-based and public health databases. Machine learning and other artificial intelligence can strengthen analyses of these data and improve the accuracy of clinical decision-making. The use of technology, multi-source data, and analyses contextualized to the local community can paint a clearer picture of the whole person and individually tailor emergency care to their specific needs. Taken together, the adoption of precision medicine principles would represent a paradigm shift in emergency medicine towards technology-enhanced, data-driven, higher quality, individualized care. However, most emergency providers are unfamiliar with these new data sources, how to interpret them, and how to modify their clinical practices accordingly. Research is needed to understand how to best implement precision emergency medicine in an effective and equitable manner. In the 2023 Society for Academic Emergency Medicine (SAEM) Consensus Conference, Precision Emergency Medicine: Setting a Research Agenda, we will convene experts and thought leaders from academia and the technology sector to examine the key catalysts of precision emergency medicine, identify implementation challenges, and develop an actionable 10-year research agenda with relevant patient-centered outcomes. SAEM consensus conferences are annual, one-day scientific meetings that have successfully used a consensus-building approach to craft research agendas for groundbreaking and important topics in emergency medicine for over 20 years. The proposed SAEM consensus conference will introduce precision emergency medicine as a conceptualization of translational science that results in specific, timely, patient-centered, emergency care. Our conference outcomes will stimulate further research to examine precision emergency medicine as a safer, higher-quality, more accessible, and more equitable clinical care paradigm than current practices. To accomplish these goals, we will host a methodologically rigorous consensus conference that will meet the following aims: (1) develop a shared mental model of precision emergency medicine, (2) establish a research agenda for precision emergency medicine for the next decade, and (3) identify educational gaps that must be addressed for emergency providers.