{
  "abstract": "Introduction Paediatric emergency medicine (PEM) in India is undergoing a period of rapid growth. A key step in the establishment of successful PEM research networks in high-income countries has been prioritisation of research questions. However, these may be less relevant to India due to differences in epidemiology (higher rates of infectious disease) and limited prehospital care. This gap highlights the importance of context-specific research priorities to address disparities in resource allocation and clinical outcomes.We report on a process to develop a prioritised list of research questions and topics aiming to improve the clinical care of children attending emergency departments across India.Methods A nominal group technique (NGT) approach was used to set research priorities within a 1-day workshop attached to the Society for Emergency Medicine in India conference (EMCON2023) in October 2023. The workshop, which included 30 participants, was facilitated by four members of an established PEM research network from Australia and New Zealand.The priority-setting process included idea generation and recording, open discussion and clarification of ideas and voting. The NGT method facilitated balanced participation and focused discussions, ensuring all participants’ input was equally considered. A final list of 48 prioritised research topics was generated.Results Top-ranking areas included prehospital care, septic shock, envenomation, timing of and physiological optimisation prior to intubation, point-of-care ultrasound, the role of structured clinical assessment and trauma.Conclusions This study has, for the first time, identified multicentre research priorities in PEM for India. The prioritisation of prehospital care reflects the urgent need to address delayed interventions, particularly in rural areas. The presented list of research questions will guide research efforts over the coming years and form the basis for the development of a multicentre research network. This initiative lays the groundwork for long-term collaboration and capacity building in PEM research across India.",
  "authors": [
    {
      "affiliations": [
        "Madras Medical College, Chennai, Tamil Nadu, India"
      ],
      "name": "Indumathy Santhanam"
    },
    {
      "affiliations": [
        "Post Graduate Institute of Medical Education and Research, Chandigarh, India"
      ],
      "name": "Muralidharan Jayashree"
    },
    {
      "affiliations": [
        "Post Graduate Institute of Medical Education and Research, Chandigarh, India"
      ],
      "name": "Suresh Kumar Angurana"
    },
    {
      "affiliations": [
        "BVV Sangha’s S Nijalingappa Medical College, Bagalkot, Karnataka, India"
      ],
      "name": "Raghavendra Narayan Vanaki"
    },
    {
      "affiliations": [
        "All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"
      ],
      "name": "Bharat Choudhary"
    },
    {
      "affiliations": [
        "All India Institute of Medical Sciences, Hyderabad, India"
      ],
      "name": "Mounika V Reddy"
    },
    {
      "affiliations": [
        "Government Dharmapuri Medical College, Dharmapuri, Tamil Nadu, India"
      ],
      "name": "Balaji Jayaraman"
    },
    {
      "affiliations": [
        "BLDEA’s Shri BM Patil Medical College Hospital and Research Centre, Bijapur, Karnataka, India"
      ],
      "name": "Yalaguraswami B Kolkar"
    },
    {
      "affiliations": [
        "BLDEA’s Shri BM Patil Medical College Hospital and Research Centre, Bijapur, Karnataka, India"
      ],
      "name": "Prakash Vemanna J"
    },
    {
      "affiliations": [
        "BLDEA’s Shri BM Patil Medical College Hospital and Research Centre, Bijapur, Karnataka, India"
      ],
      "name": "Siddu Charki"
    },
    {
      "affiliations": [
        "Rainbow Children’s Healthcare Society, Hyderabad, Telangana, India"
      ],
      "name": "Akila Sivakumar"
    },
    {
      "affiliations": [
        "Apollo Children’s Hospital, Chennai, Tamil Nadu, India"
      ],
      "name": "Anita Tarigopula"
    },
    {
      "affiliations": [
        "International Center for Child and Public Health, Coimbatore, Tamil Nadu, India"
      ],
      "name": "Jayanthi Ramesh"
    },
    {
      "affiliations": [
        "Rainbow Children’s Healthcare Society, Hyderabad, Telangana, India"
      ],
      "name": "Arvind Yalamanchili"
    },
    {
      "affiliations": [
        "Navodaya Medical College Hospital and Research Centre, Navodaya Nagar, Karnataka, India"
      ],
      "name": "Pranam Gowdar"
    },
    {
      "affiliations": [
        "Mehta Multispeciality Hospitals India Pvt Ltd, Chennai, Tamil Nadu, India"
      ],
      "name": "Sharada Sathish Sathishkumar"
    },
    {
      "affiliations": [
        "Government Vellore Medical College and Hospital, Vellore, Tamil Nadu, India"
      ],
      "name": "Kalpana Sivasambo"
    },
    {
      "affiliations": [
        "The Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India"
      ],
      "name": "Sridevi Srinivasan"
    },
    {
      "affiliations": [
        "Government Vellore Medical College and Hospital, Vellore, Tamil Nadu, India"
      ],
      "name": "Dhakshayani Ramalingam"
    },
    {
      "affiliations": [
        "Apollo Children’s Hospital, Chennai, Tamil Nadu, India"
      ],
      "name": "Priyavarthini Venkatachalapathy"
    },
    {
      "affiliations": [
        "Madurai Medical College, Madurai, India"
      ],
      "name": "Hemamalini Basker"
    },
    {
      "affiliations": [
        "Government Headquarters Hospital, Cuddalore, India"
      ],
      "name": "Madhan Kumar"
    },
    {
      "affiliations": [
        "All India Institute of Medical Sciences, Hyderabad, India"
      ],
      "name": "Madhusudan Samprathi"
    },
    {
      "affiliations": [
        "Aster Whitefield Hospital, Bangalore, Karnataka, India"
      ],
      "name": "Aravind Anand"
    },
    {
      "affiliations": [
        "Pediatrics, BVV Sangha’s S Nijalingappa Medical College, Bagalkot, Karnataka, India"
      ],
      "name": "Ramesh Veerappa Neelannavar"
    },
    {
      "affiliations": [
        "BVV Sangha’s S Nijalingappa Medical College, Bagalkot, Karnataka, India"
      ],
      "name": "Pallavi Charantimath"
    },
    {
      "affiliations": [
        "The Royal Children’s Hospital Melbourne, Melbourne, Victoria, Australia"
      ],
      "name": "Franz E Babl"
    },
    {
      "affiliations": [
        "Starship Children’s Health, Auckland, New Zealand"
      ],
      "name": "Stuart R Dalziel"
    },
    {
      "affiliations": [
        "The Royal Children’s Hospital Melbourne, Melbourne, Victoria, Australia"
      ],
      "name": "Elliot Long"
    },
    {
      "affiliations": [
        "Department of Paediatrics, Monash University, Clayton, Victoria, Australia"
      ],
      "name": "Simon Craig"
    }
  ],
  "title": "What are the initial research priorities for paediatric emergency medicine in India? A prioritisation study",
  "uid": "4c95aea5-4081-5856-96ef-d5a8dd23c608"
}