scholarly journals Methods for Collecting Paired Observations From Emergency Medical Services and Emergency Department Providers for Pediatric Cervical Spine Injury Risk Factors

2017 ◽  
Vol 24 (4) ◽  
pp. 432-441 ◽  
Author(s):  
Fahd A. Ahmad ◽  
Hamilton Schwartz ◽  
Lorin R. Browne ◽  
Sherry Lassa-Claxton ◽  
Michael Wallendorf ◽  
...  
Keyword(s):  
Risk Factors ◽  
Emergency Department ◽  
Cervical Spine ◽  
Emergency Medical Services ◽  
Cervical Spine Injury ◽  
Injury Risk ◽  
Medical Services ◽  
Spine Injury ◽  
Emergency Medical ◽  
Injury Risk Factors

scholarly journals Cervical Spine Injury Risk Factors in Children With Blunt Trauma

PEDIATRICS ◽  
2019 ◽  
Vol 144 (1) ◽  
pp. e20183221 ◽  
Author(s):  
Julie C. Leonard ◽  
Lorin R. Browne ◽  
Fahd A. Ahmad ◽  
Hamilton Schwartz ◽  
Michael Wallendorf ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cervical Spine ◽  
Blunt Trauma ◽  
Cervical Spine Injury ◽  
Injury Risk ◽  
Spine Injury ◽  
Injury Risk Factors

Feedback to Emergency Medical Services Providers: The Good, the Bad, and the Ignored

1997 ◽  
Vol 12 (2) ◽  
pp. 74-77 ◽  
Author(s):  
Elisabeth F. Mock ◽  
Keith D. Wrenn ◽  
Seth W. Wright ◽  
T. Chadwick Eustis ◽  
Corey M. Slovis
Keyword(s):  
Emergency Department ◽  
Emergency Medical Services ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Service Providers ◽  
Medical Services ◽  
Emergency Medical Service System ◽  
Constructive Feedback ◽  
Emergency Medical ◽  
Emergency Medical Service Provider

AbstractHypothesis:To determine the type and frequency of immediate unsolicited feedback received by emergency medical service (EMS) providers from patients or their family members and emergency department (ED) personnel.Methods:Prospective, observational study of 69 emergency medical services providers in an urban emergency medical service system and 12 metropolitan emergency departments. Feedback was rated by two medical student observers using a prospectively devised original scale.Results:In 295 encounters with patients or family, feedback was rated as follows: 1) none in 224 (76%); 2) positive in 51 (17%); 3) negative in 19 (6%); and 4) mixed in one (<1%). Feedback from 254 encounters with emergency department personnel was rated as: 1) none in 185 (73%); 2) positive in 46 (18%); 3) negative in 21 (8%); and 4) mixed in 2 (1%). Patients who had consumed alcohol were more likely to give negative feedback than were patients who had not consumed alcohol. Feedback from emergency department personnel occurred more often when the emergency medical service provider considered the patient to be critically ill.Conclusion:The two groups provided feedback to emergency medical service providers in approximately one quarter of the calls. When feedback was provided, it was positive more than twice as often as it was negative. Emergency physicians should give regular and constructive feedback to emergency medical services providers more often than currently is the case.

scholarly journals Linking Emergency Medical Services and Emergency Department Data to Improve Overdose Surveillance in North Carolina

2021 ◽  
Vol 136 (1_suppl) ◽  
pp. 54S-61S
Author(s):  
Jonathan Fix ◽  
Amy I. Ising ◽  
Scott K. Proescholdbell ◽  
Dennis M. Falls ◽  
Catherine S. Wolff ◽  
...  
Keyword(s):  
Emergency Department ◽  
North Carolina ◽  
Emergency Medical Services ◽  
Data Linkage ◽  
Medical Services ◽  
Opioid Overdose ◽  
Naloxone Administration ◽  
Emergency Medical ◽  
Diagnosis Codes ◽  
Linkage Methods

Introduction Linking emergency medical services (EMS) data to emergency department (ED) data enables assessing the continuum of care and evaluating patient outcomes. We developed novel methods to enhance linkage performance and analysis of EMS and ED data for opioid overdose surveillance in North Carolina. Methods We identified data on all EMS encounters in North Carolina during January 1–November 30, 2017, with documented naloxone administration and transportation to the ED. We linked these data with ED visit data in the North Carolina Disease Event Tracking and Epidemiologic Collection Tool. We manually reviewed a subset of data from 12 counties to create a gold standard that informed developing iterative linkage methods using demographic, time, and destination variables. We calculated the proportion of suspected opioid overdose EMS cases that received International Classification of Diseases, Tenth Revision, Clinical Modification diagnosis codes for opioid overdose in the ED. Results We identified 12 088 EMS encounters of patients treated with naloxone and transported to the ED. The 12-county subset included 1781 linkage-eligible EMS encounters, with historical linkage of 65.4% (1165 of 1781) and 1.6% false linkages. Through iterative linkage methods, performance improved to 91.0% (1620 of 1781) with 0.1% false linkages. Among statewide EMS encounters with naloxone administration, the linkage improved from 47.1% to 91.1%. We found diagnosis codes for opioid overdose in the ED among 27.2% of statewide linked records. Practice Implications Through an iterative linkage approach, EMS–ED data linkage performance improved greatly while reducing the number of false linkages. Improved EMS–ED data linkage quality can enhance surveillance activities, inform emergency response practices, and improve quality of care through evaluating initial patient presentations, field interventions, and ultimate diagnoses.

scholarly journals Temporal Trends and Risk Factors for Delayed Hospital Admission in Suspected Stroke Patients

2020 ◽  
Vol 9 (8) ◽  
pp. 2376
Author(s):  
Moritz Kielkopf ◽  
Thomas Meinel ◽  
Johannes Kaesmacher ◽  
Urs Fischer ◽  
Marcel Arnold ◽  
...  
Keyword(s):  
Risk Factors ◽  
General Practitioner ◽  
Time Delay ◽  
Emergency Medical Services ◽  
Symptom Onset ◽  
Temporal Trends ◽  
Medical Services ◽  
Factors Associated ◽  
Emergency Medical ◽  
Suspected Stroke

(1) Background: The benefit of acute ischemic stroke (AIS) treatment declines with any time delay until treatment. Hence, factors influencing the time from symptom onset to admission (TTA) are of utmost importance. This study aimed to assess temporal trends and risk factors for delays in TTA. (2) Methods: We included 1244 consecutive patients from 2015 to 2018 with suspected stroke presenting within 24 h after symptom onset registered in our prospective, pre-specified hospital database. Temporal trends were assessed by comparing with a cohort of a previous study in 2006. Factors associated with TTA were assessed by univariable and multivariable regression analysis. (3) Results: In 1244 patients (median [IQR] age 73 [60–82] years; 44% women), the median TTA was 96 min (IQR 66–164). The prehospital time delay reduced by 27% in the last 12 years and the rate of patients referred by Emergency medical services (EMS) increased from 17% to 51% and the TTA for admissions by General Practitioner (GP) declined from 244 to 207 min. Factors associated with a delay in TTA were stroke severity (beta−1.9; 95% CI–3.6 to −0.2 min per point NIHSS score), referral by General Practitioner (GP, beta +140 min, 95% CI 100–179), self-admission (+92 min, 95% CI 57–128) as compared to admission by emergency medical services (EMS) and symptom onset during nighttime (+57 min, 95% CI 30–85). Conclusions: Although TTA improved markedly since 2006, our data indicates that continuous efforts are mandatory to raise public awareness on the importance of fast hospital referral in patients with suspected stroke by directly informing EMS, avoiding contact of a GP, and maintaining high effort for fast transportation also in patients with milder symptoms.

Risk Factors for Cervical Spine Injury in Patients With Mandibular Fractures

2019 ◽  
Vol 77 (1) ◽  
pp. 109-117 ◽  
Author(s):  
Esa M. Färkkilä ◽  
Zachary S. Peacock ◽  
R. John Tannyhill ◽  
Laurie Petrovick ◽  
Alice Gervasini ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Mandibular Fractures
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