Analysis of stroke care among 2019-2020 national emergency medical services information system encounters

2022 ◽  
Vol 31 (3) ◽  
pp. 106278
Author(s):  
Layne Dylla ◽  
John D. Rice ◽  
Sharon N. Poisson ◽  
Andrew A. Monte ◽  
Hannah M. Higgins ◽  
...  
Keyword(s):  
Information System ◽  
Emergency Medical Services ◽  
Stroke Care ◽  
Medical Services ◽  
Emergency Medical ◽  
National Emergency

scholarly journals 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

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.

Accuracy of Stroke Identification by EMS Dispatch Units: An Analysis of National Emergency Medical Services Information System Data (NEMSIS) (P02.221)

Neurology ◽  
2012 ◽  
Vol 78 (Meeting Abstracts 1) ◽  
pp. P02.221-P02.221
Author(s):  
V. Jadhav ◽  
S. Pawar ◽  
S. Chaudhry ◽  
A. Hassan ◽  
G. Rodriguez ◽  
...  
Keyword(s):  
Information System ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Emergency Medical ◽  
System Data ◽  
National Emergency

EMS Knowledge and Skills in Rural North Carolina: A Comparison with the National EMS Education and Practice Blueprint

1996 ◽  
Vol 11 (4) ◽  
pp. 254-260 ◽  
Author(s):  
Lawrence H. Brown ◽  
Terry W. Copeland ◽  
John E. Gough ◽  
Herbert G. Garrison ◽  
Kathleen A. Dunn
Keyword(s):  
North Carolina ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Similar Action ◽  
Knowledge And Skills ◽  
Emergency Medical ◽  
State And Local ◽  
Ems Education ◽  
National Emergency ◽  
Eastern North Carolina

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.

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