Research analysis: Using continuous feedback to drive cardiac arrest care improvements

The Municipal Emergency Medical Services of Vienna implemented a standardized post-resuscitation feedback system and performed a two-year evaluation of its impact on performance and patient outcomes. They recently published their results in “Resuscitation.” Within 48 hours of every out-of-hospital cardiac arrest (OHCA) from August 2013 through July 2015 (n = 2466) providers received comprehensive feedback on their performance related to “compression rate, compression ratio, ventilation … Continue reading Research analysis: Using continuous feedback to drive cardiac arrest care improvements

Machine learning as a supportive tool to recognize cardiac arrest in emergency calls

Background Emergency medical dispatchers fail to identify approximately 25% of cases of out of hospital cardiac arrest, thus lose the opportunity to provide the caller instructions in cardiopulmonary resuscitation. We examined whether a machine learning framework could recognize out-of-hospital cardiac arrest from audio files of calls to the emergency medical dispatch center. Methods For all incidents responded to by Emergency Medical Dispatch Center Copenhagen in … Continue reading Machine learning as a supportive tool to recognize cardiac arrest in emergency calls

Research Analysis: More than 1-in-20 EMT deaths are due to suicide

A study out of the University of Arizona College of Medicine was recently published online in Preshospital Emergency Care. The researchers looked at all deaths that occurred in Arizona, as well as the deaths of Arizona residents in another state or country, between 2009 and 2015. Of the 350,998 adult deaths recorded, all were categorized as either suicide or non-suicide via the listed ICD-10 code. The suicides were then further … Continue reading Research Analysis: More than 1-in-20 EMT deaths are due to suicide

Research Analysis: Key takeaways from PART and Airways-2 Trials

JAMA recently published two randomized control trial airway studies comparing endotracheal intubation (ETI) with either a laryngeal tube (LT) or supraglottic airway (SGA) device intubation during out of hospital cardiac arrest (OHCA).  While each study came to a slightly different conclusion, both provide fodder for the ongoing debate around advanced airway management during a cardiac arrest in the prehospital setting. SUMMARY OF THE PART TRIAL … Continue reading Research Analysis: Key takeaways from PART and Airways-2 Trials

Research Analysis: Intubation curriculum increases first pass success

Researchers with Air Methods Corporation recently published the results of their novel airway management curriculum in Prehospital Emergency Care. The curriculum, known as the Helicopter Advanced Resuscitation Training (HeART), focuses on combining critical thinking on the part of providers with established best practices in airway management. This 25-month retrospective observational study includes over 5,000 patients that underwent rapid sequence intubation (RSI) by providers stationed at … Continue reading Research Analysis: Intubation curriculum increases first pass success

Research Analysis: public health and public safety data integration

The Camden Coalition of Healthcare Providers, known for its work focusing on high utilizers within the healthcare setting, teamed up with the Camden County Police Department for one of the most comprehensive evaluations of the crossover between high-utilizing patients and repeat offenders. This collaboration, known as Camden ARISE (Administrative Records Integrated for Service Excellence), looked at arrest data and hospital claims data within Camden, New … Continue reading Research Analysis: public health and public safety data integration

Research Analysis: Airway management better with the bougie

Researchers at Hennepin County Medical Center and the University of Minnesota Department of Emergency Medicine recently published the results of the Bougie Use in Emergency Airway Management (BEAM) randomized clinical trial in the Journal of the American Medical Association (JAMA). The BEAM trial compared intubations done in a Level I trauma center using a Macintosh blade, with and without a bougie. Patients were randomly assigned … Continue reading Research Analysis: Airway management better with the bougie

Research Analysis: Addressing attrition of EMS professionals

**The National Association of EMS Physicians hosted its second Twitter Journal Club on April 17, 2018 under the hashtag #NAEMSPJC, discussing the “Prehospital Emergency Care” publication Exiting the Emergency Medical Services Profession and Characteristics Associated with Intent to Return to Practiceby Cash et al.** This article was co-authored with Jeremiah Escajeda. In October 2013, all 310,000 providers with a National EMS Certification and an active email … Continue reading Research Analysis: Addressing attrition of EMS professionals

Professional Purse Purchasing

I asked #GirlMedTwitter for recommendations on a new work bag, and they did not disappoint. Since I can’t be the only one that wants this information, it seemed reasonable to put it all in one place.  #GirlMedTwitter is typically more oriented towards physicians/clinicians and physicians/clinicians in training, so their needs are a bit different than mine, but I definitely got some great ideas for my … Continue reading Professional Purse Purchasing

Research Analysis: Check and Inject program is safe and cost effective

Inspired by the rising costs of epinephrine auto-injectors, King County Emergency Medical Services decided to implement a “Check and Inject” program in 2014. Recently published research in Prehospital Emergency Carehas shown that this switch was not only safe for patients but saved the region at least $1 million over a three-year period. This research was also presented at the 2018 National Association of EMS Physicians … Continue reading Research Analysis: Check and Inject program is safe and cost effective