NCTSN activities: NCTSN presents at the National Emergency Medical Services Providers Conference in Washington, DC

AbstractIntroduction:Many state and local emergency medical services (EMS) systems may wish to modify provider levels and their scope of practice to align their systems with the recommendations of the National Emergency Medical Services Education and Practice Blueprint. To determine any changes that may be needed in a typical EMS system, the knowledge and skills of EMS providers in one rural area of North Carolina were compared with the knowledge and skills recommended in the National Emergency Medical Services Education and Practice Blueprint.Methods:A survey listing 175 items of patient care-oriented knowledge and skills described in the National Emergency Medical Services Education and Practice Blueprint was developed. EMS providers from five rural eastern North Carolina counties were asked to identify on the survey those items of knowledge and skills they believed they possessed. The skills and knowledge selected by the respondents at the five different North Carolina levels of certification were compared with the knowledge and skills listed for comparable provider levels delineated by the National Emergency Medical Services Education and Practice Blueprint. The proportions of the recommended skills reported to be possessed by the respondents were compared to determine which North Carolina certification levels best correlate with the Blueprint.Results:One hundred forty-five EMS providers completed the survey. The proportion of recommended skills and knowledge reported to be possessed by Emergency Medical Technicians (EMTs) ranked significantly lower than did the skills and knowledge reported to be possessed by respondents at other levels in five of the 10 Blueprint elements. The proportion of recommended skills and knowledge reported to be possessed by EMT-Defibrillator-level personnel ranked lower than did those reported to be possessed by respondents at other levels in seven of the 10 Blueprint elements. The proportion of recommended skills and knowledge reported to be possessed by EMT-Intermediates ranked lower than did those reported to be possessed by respondents at other levels in nine of the 10 Blueprint elements. The proportion of recommended skills and knowledge reported to be possessed by EMT-Advanced Intermediates ranked lower than were the skills and knowledge reported to be possessed by respondents at other levels in two of the 10 Blueprint elements. Finally, the proportion of recommended skills and knowledge reported to be possessed by EMT-Paramedics ranked lower than were those reported to be possessed by respondents at other levels in one of the 10 Blueprint elements.Conclusion:In North Carolina, combining the EMT and EMT-Defibrillator levels and eliminating the EMT-Intermediate level would create three levels of certification, which would be more consistent with levels recommended by the Blueprint. The results of this study should be considered in any effort to revise the levels of EMS certification in North Carolina and in planning the training curricula for bridging those levels. Other states may require similar action to align with the National Emergency Medical Services Education and Practice Blueprint.

Download Full-text

Association between dispatch complaint and critical prehospital time intervals in suspected stroke 911 activations in the National Emergency Medical Services Information System, 2012–2016

Journal of Stroke and Cerebrovascular Diseases ◽

10.1016/j.jstrokecerebrovasdis.2021.106228 ◽

2022 ◽

Vol 31 (3) ◽

pp. 106228

Author(s):

Amena Y. Abbas ◽

Erika C. Odom ◽

Isaac Nwaise

Keyword(s):

Information System ◽

Emergency Medical Services ◽

Medical Services ◽

Time Intervals ◽

Emergency Medical ◽

Suspected Stroke ◽

National Emergency ◽

Prehospital Time

Download Full-text

Policy, Practice, and Research Agenda for Emergency Medical Services Oversight: A Systematic Review and Environmental Scan

Prehospital and Disaster Medicine ◽

10.1017/s1049023x17007129 ◽

2018 ◽

Vol 33 (1) ◽

pp. 89-97 ◽

Cited By ~ 1

Author(s):

Rekar K. Taymour ◽

Mahshid Abir ◽

Margaret Chamberlin ◽

Robert B. Dunne ◽

Mark Lowell ◽

...

Keyword(s):

New York ◽

Emergency Medical Services ◽

Research Agenda ◽

Grey Literature ◽

Quality Measurement ◽

Medical Services ◽

Washington Dc ◽

Environmental Scan ◽

Policy Practice ◽

Emergency Medical

AbstractIntroductionIn a 2015 report, the Institute of Medicine (IOM; Washington, DC USA), now the National Academy of Medicine (NAM; Washington, DC USA), stated that the field of Emergency Medical Services (EMS) exhibits signs of fragmentation; an absence of system-wide coordination and planning; and a lack of federal, state, and local accountability. The NAM recommended clarifying what roles the federal government, state governments, and local communities play in the oversight and evaluation of EMS system performance, and how they may better work together to improve care.ObjectiveThis systematic literature review and environmental scan addresses NAM’s recommendations by answering two research questions: (1) what aspects of EMS systems are most measured in the peer-reviewed and grey literatures, and (2) what do these measures and studies suggest for high-quality EMS oversight?MethodsTo answer these questions, a systematic literature review was conducted in the PubMed (National Center for Biotechnology Information, National Institutes of Health; Bethesda, Maryland USA), Web of Science (Thomson Reuters; New York, New York USA), SCOPUS (Elsevier; Amsterdam, Netherlands), and EMBASE (Elsevier; Amsterdam, Netherlands) databases for peer-reviewed literature and for grey literature; targeted web searches of 10 EMS-related government agencies and professional organizations were performed. Inclusion criteria required peer-reviewed literature to be published between 1966-2016 and grey literature to be published between 1996-2016. A total of 1,476 peer-reviewed titles were reviewed, 76 were retrieved for full-text review, and 58 were retained and coded in the qualitative software Dedoose (Manhattan Beach, California USA) using a codebook of themes. Categorizations of measure type and level of application were assigned to the extracted data. Targeted websites were systematically reviewed and 115 relevant grey literature documents were retrieved.ResultsA total of 58 peer-reviewed articles met inclusion criteria; 46 included process, 36 outcomes, and 18 structural measures. Most studies applied quality measures at the personnel level (40), followed by the agency (28) and system of care (28), and few at the oversight level (5). Numerous grey literature articles provided principles for high-quality EMS oversight.Conclusions:Limited quality measurement at the oversight level is an important gap in the peer-reviewed literature. The grey literature is ahead in this realm and can guide the policy and research agenda for EMS oversight quality measurement.TaymourRK, AbirM, ChamberlinM, DunneRB, LowellM, WahlK, ScottJ. Policy, practice, and research agenda for Emergency Medical Services oversight: a systematic review and environmental scan. Prehosp Disaster Med. 2018;33(1):89–97.

Download Full-text

Morbidity and Mortality in US National Parks: A Review of National Emergency Medical Services Workload from 2007 to 2009

Wilderness and Environmental Medicine ◽

10.1016/j.wem.2011.08.014 ◽

2011 ◽

Vol 22 (4) ◽

pp. 355-356

Author(s):

Matthieu P. DeClerck ◽

Laurie M. Atterton ◽

Thomas Seibert ◽

Tracy A. Cushing

Keyword(s):

Emergency Medical Services ◽

National Parks ◽

Morbidity And Mortality ◽

Medical Services ◽

Emergency Medical ◽

National Emergency ◽

Us National Parks

Download Full-text

Analysis of the Adequacy of Prehospital Emergency Medical Services Use of Patients Who Visited Emergency Departments in Korea from 2016 to 2018: Data from the National Emergency Department Information System

Emergency Medicine International ◽

10.1155/2021/6647149 ◽

2021 ◽

Vol 2021 ◽

pp. 1-10

Author(s):

Sung Joon Park ◽

Jung-Youn Kim ◽

Young-Hoon Yoon ◽

Eu Sun Lee ◽

Hyun-Jin Kim ◽

...

Keyword(s):

Emergency Department ◽

Information System ◽

Emergency Medical Services ◽

Secondary Data ◽

The Other ◽

Limited Resources ◽

Medical Services ◽

Emergency Medical ◽

Prehospital Emergency ◽

National Emergency

Introduction. Proper ambulance use is important not only due to the patient’s transport quality but also because of the need for efficient use of limited resources allotted by the system. Therefore, this study was conducted to check for overuse or underuse of the ambulance system by patients who visited the emergency department (ED). Methods. In this study, a secondary data analysis was conducted using the existing database of the National Emergency Department Information System with all patients who visited EDs over the three-year study period from 2016 to 2018. The study subjects were classified into the following groups: (1) appropriate Emergency Medical Services (EMS) usage; (2) appropriate no EMS usage; (3) underuse; and (4) overuse groups. Results. Of 18,298,535 patients, 11,668,581 (63.77%) were classified under the appropriate usage group, while 6,629,954 (36.23%) were classified under the inappropriate usage group. In the appropriate EMS usage group, there were 2,408,845 (13.16%) patients. In the appropriate no EMS usage group, there were 9,259,706 (50.60%) patients. As for the inappropriate usage group, there were 5,147,352 (28.13%) patients categorized under the underuse group. On the other hand, there were 1,482,602 (8.10%) patients under the overuse group. Conclusion. There are many patients who use ambulances appropriately, but there are still many overuse and underuse. Guidelines on ambulance use are necessary for the efficient use of emergency medical resources and for the safety of patients.

Download Full-text

Demography of the National Emergency Medical Services Workforce: A Description of Those Providing Patient Care in the Prehospital Setting

Prehospital Emergency Care ◽

10.1080/10903127.2020.1737282 ◽

2020 ◽

pp. 1-8

Author(s):

Madison K. Rivard ◽

Rebecca E. Cash ◽

Christopher B. Mercer ◽

Kirsten Chrzan ◽

Ashish R. Panchal

Keyword(s):

Patient Care ◽

Emergency Medical Services ◽

Prehospital Setting ◽

Medical Services ◽

Emergency Medical ◽

National Emergency

Download Full-text

ERRATUM

PEDIATRICS ◽

10.1542/peds.96.3.423 ◽

1995 ◽

Vol 96 (3) ◽

pp. 423-423

Keyword(s):

Emergency Medical Services ◽

Human Services ◽

Medical Services ◽

Institute Of Medicine ◽

Call To Action ◽

Health And Human Services ◽

Department Of Health ◽

Emergency Medical ◽

The Us ◽

National Emergency

The July supplement to Pediatrics, "A Call to Action: the Institute of Medicine Report on Emergency Medical Services for Children," Jane F. Knapp, MD, Editor, was sponsored by the National Emergency Medical Services for Children Resource Alliance, through a grant from the US Department of Health and Human Services. This information was inadvertently omitted from the supplement.

Download Full-text