What can we really do to give meaning and momentum to equality, diversity and inclusion in EM research?
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A copy of the slides for my talk on how we can meaningfully improve diversity and inclusion in emergency care research, at the Royal College of Emergency Medicine Research Engagement Day in May 2024.
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What can we really do to give meaning and momentum to equality, diversity and inclusion in EM research?
- 1. GIVING MEANING & MOMENTUM TO ED&I IN EMERGENCY CARE RESEARCH ProfRickBody
- 3. 0% 10% 20% 30% 40% 93% 95% 97% 99% What if you're Black? Pulseoximetryislesslikelytorecognise hypoxiainBlackpatientswhencompared withWhitepatients Chance ofoccult hypoxia SpO2observed Valbuenaetal,BMJ2022; 378:e069775
- 4. We should undertake a multi-professional audit of devices used in our field, examining potential racial biases. We can record rashes at Skin Deep: Optical devices We must consider equity in all research proposals Social, economic and health equity impacts must be considered. AI algorithms Royal Colleges should produce guidance on equity and ethical challenges of applying polygenic risk scores in our populations. Polygenic Risk Scores
- 5. https://www.nber.org/system/files/working _papers/w30575/w30575.pdf Black people are significantly under- represented in clinical trials Theyarealsosignificantlylesslikely tobeprescribednewtreatmentsthan Whitepeople
- 7. How about language? Interpretation: verbal Translation: written 01 Ensure adequate qualifications: DPSI level6 02 Budget for translation: 10-15p per word 03
- 10. 100% COVID-19 & Deprivation Deprivation was associated with a higher mortality rate from COVID-19 COVID vaccine uptake Dolbyetal JEpidemiolCommunityHealth2022;76:646-652 75% 50% 25% 0% McGowanetal Lancet2022;7(11):E966-75
- 12. WOMEN
- 13. ONE IN THREE From 325 cardiovascular trials, women accounted for Participants Tobb et al, Am Heart J 2022; 13: 100109
- 15. How can we do better? Recognise specific challenges: e.g., carer responsibilities disproportionately affect women. 01 Regulatory issues: systematic exclusion of women of childbearing age 02 Recognise the role of under-diagnosis. 03
- 16. ANSWER: ZERO In a systematic review of 148 clinical trials in the NIHR journals library, how many recorded the number of transgender participants?
- 17. The normal range for common blood tests (e.g., haemoglobin, troponin, NT-proBNP) is higher for men than women. Q: Which normal range should be used for transgender people?
- 18. The normal range for common blood tests (e.g., haemoglobin, troponin, NT-proBNP) is higher for men than women. Q: Which normal range should be used for transgender people? A: For trans men, use the cisgender male range For trans women, use the cisgender female range
- 20. PAEDIATRICS