Treatment of ventricular fibrillation. Emergency medical technician defibrillation and paramedic services

AbstractObjective:To describe the use of the Automatic External Defibrillation (AED) device in an urban, two-tiered Emergency Medical Service (EMS) response setting with regard to its potential effects on cardiac arrest patient survival and neurologic outcome.Methods:A retrospective and descriptive design was utilized to study all cardiac arrest patients that had resuscitations attempted in the prehospital environment over a 30-month period. The study took place in a two-tiered EMS system serving an urban population of 368,383 persons. The first tier of EMS response is provided by the City Fire Department, which is equipped with a standard AED device. All first-tier personnel are trained to the level of Emergency Medical Technician-Basic. The second tier of EMS response is provided by personnel from one of two ambulance services. All second-tier personnel are trained to the level of Emergency Medical Technician-Paramedic.Results:271 cardiac arrest patients were identified for inclusion. One-hundred nine of these patients (40.2%) had an initial rhythm of either ventricular fibrillation or pulseless ventricular tachycardia and were shocked using the AED upon the arrival of first-tier personnel. Forty-two patients (38.5%) in this group had a return of spontaneous circulation in the field and 22 (20.2%) survived to hospital discharge. Of the survivors, 17 (77.3%) had moderate to good neurologic function at discharge base on the Glasgow-Pittsburgh Cerebral Performance Categories. Faster response times by the first-tier personnel appeared to correlate with better neurologic outcomes.Conclusion:First responder-based AED usage on patients in ventricular fibrillation or pulseless ventricular tachycardia can be applied successfully in an urban setting utilizing a two-tiered EMS response. In this study, a 20.2% survival to hospital discharge rate was obtained. Seventy-seven percent of these survivors had a moderate to good neurologic outcome based on the Glasgow-Pittsburgh Cerebral Performance Categories.

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Emergency Medical Technician-Basic: National Standard Curriculum

PsycEXTRA Dataset ◽

10.1037/e592372009-001 ◽

2013 ◽

Keyword(s):

Emergency Medical Technician ◽

National Standard ◽

Standard Curriculum ◽

Emergency Medical ◽

Medical Technician

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Emergency medical technician dies in ambulance crash - New York.

10.26616/nioshface200112 ◽

2004 ◽

Keyword(s):

New York ◽

Emergency Medical Technician ◽

Emergency Medical ◽

Medical Technician

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Career fire fighter/emergency medical technician dies from injuries sustained in fall from apparatus - California.

10.26616/nioshfffacef200307 ◽

2004 ◽

Keyword(s):

Fire Fighter ◽

Emergency Medical Technician ◽

Emergency Medical ◽

Medical Technician

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Fire fighter-emergency medical technician suffers sudden cardiac death after multiple emergency responses - Massachusetts.

10.26616/nioshfffacef200823 ◽

2008 ◽

Keyword(s):

Sudden Cardiac Death ◽

Cardiac Death ◽

Fire Fighter ◽

Emergency Medical Technician ◽

Emergency Medical ◽

Emergency Responses ◽

Medical Technician

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FEASIBILITY OF STERNAL INTRAOSSEOUS ACCESS BY EMERGENCY MEDICAL TECHNICIAN STUDENTS

Prehospital Emergency Care ◽

10.1080/10903120590891967 ◽

2005 ◽

Vol 9 (1) ◽

pp. 73-78 ◽

Cited By ~ 26

Author(s):

David D. Miller ◽

Guy Guimond ◽

David P. Hostler ◽

Thomas Platt ◽

Henry E. Wang

Keyword(s):

Emergency Medical Technician ◽

Intraosseous Access ◽

Emergency Medical ◽

Medical Technician

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Outside the Box: Contextualizing User Experience Challenges in Emergency Medical Technician (EMT) and Paramedic Workflows

Lecture Notes in Computer Science - HCI International 2020 – Late Breaking Papers: Interaction, Knowledge and Social Media ◽

10.1007/978-3-030-60152-2_11 ◽

2020 ◽

pp. 133-150

Author(s):

Katelynn A. Kapalo ◽

Joseph A. Bonnell ◽

Joseph J. LaViola

Keyword(s):

User Experience ◽

Emergency Medical Technician ◽

Emergency Medical ◽

Medical Technician ◽

Outside The Box

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Are Audience Response Systems Worth the Cost? Comparing Question-Driven Teaching Strategies for Emergency Medical Technician Education

Internet Journal of Allied Health Sciences and Practice ◽

10.46743/1540-580x/2018.1704 ◽

2018 ◽

Author(s):

Lauren Maloney ◽

James Dilger ◽

Paul Werfel ◽

Linda Cimino

Keyword(s):

Teaching Strategies ◽

Controlled Trial ◽

Multiple Choice ◽

Emergency Medical Technician ◽

Audience Response ◽

Multiple Choice Questions ◽

Course Content ◽

Eyes Closed ◽

Emergency Medical ◽

Medical Technician

Purpose: As Emergency Medical Technician educators develop curricula to meet new national educational standards, effective teaching strategies validated for course content and unique student demographics are warranted. Three methods for answering multiple choice questions presented during lectures were compared: a) Audience Response System (ARS, clickers), b) hand-raising-with-eyes-closed (no-cost option), and c) passive response (no-cost option). The purpose was to determine if using the ARS resulted in improved exam scores. Method: 113 Emergency Medical Technician (EMT) students participated in this cross-over, block randomized, controlled trial, which was incorporated into their Cardiac Emergencies and Pulmonary Emergencies course lectures. Students took pretests, immediate post-tests, and delayed post-tests composed of multiple choice questions that targeted either lower or higher order thinking. Results: For both lectures, there were significant improvements on all immediate post-test scores compared to all pretest scores (p Conclusions: In this cohort, incorporation of no-cost question-driven teaching strategies into lectures was as effective as an ARS at encouraging significant, immediate and sustained improvements in answering multiple choice questions.

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Compensation of Emergency Medical Technician (EMT)-Basics and Paramedics

Prehospital and Disaster Medicine ◽

10.1017/s1049023x16001096 ◽

2016 ◽

Vol 31 (S1) ◽

pp. S87-S95 ◽

Cited By ~ 4

Author(s):

Jonathan R. Studnek

Keyword(s):

Mail Survey ◽

Emergency Medical Technician ◽

Publication Type ◽

Factors Associated ◽

Emergency Medical ◽

Number Of Factors ◽

Stratified Sample ◽

And Gender ◽

Annual Earnings ◽

Medical Technician

AbstractObjectivesThe objective of this paper is to identify factors associated with compensation for Emergency Medical Technician (EMT)-Basics and Paramedics and assess whether these associations have changed over the period 1999-2008.MethodsData obtained from the Longitudinal EMT Attributes and Demographic Study (LEADS) surveys, a mail survey of a random, stratified sample of nationally certified EMT-Basics and Paramedics, were analyzed. For the 1999-2003 period, analyses included all respondents providing Emergency Medical Services (EMS). With the addition of a survey in 2004 about volunteers, it was possible to exclude volunteers from these analyses.ResultsOver 60% of EMT-Basics reported being either compensated or noncompensated volunteers in the 2004-2008 period. This was substantially and significantly greater than the proportion of EMT-Paramedic volunteers (<25%). The EMT-Paramedics earned significantly more than EMT-Basics, with differentials of $11,000-$18,000 over the course of the study. The major source of earnings disparity was type of organization: respondents employed by fire-based EMS agencies reported significantly higher earnings than other respondents, at both the EMT-Basic and EMT-Paramedic levels. Males also earned significantly more than females, with annual earnings differentials ranging from $7,000 to $15,000.ConclusionsThere are a number of factors associated with compensation disparities within the EMS profession. These include type of service (ie, fire-based vs. other types of agencies) and gender. The reasons for these disparities warrant further investigation.StudnekJR. Compensation of Emergency Medical Technician (EMT)-Basics and Paramedics. Prehosp Disaster Med. 2016;31(Suppl. 1):s87–s95.

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