AEDR 2017 Vol. 5 Issue 1

Research Spotlight: Implementation of Pit Crew Approach and Cardiopulmonary Resuscitation Metrics for Out-of-Hospital Cardiac Arrest Improves Patient Survival and Neurological Outcome

Q and A with Author Scott Youngquist, MD Q1. What led you to the decision to make system-wide improvements to try to improve Out-of-Hospital Cardiac Arrest (OHCA) survival in Salt Lake City? OHCA is one of the leading causes of untimely death in North America, with approximately 400,000 OHCAs per year. This is one disease where EMS care makes a big difference in outcomes. Other EMS systems had shown that they could drive an improvement in outcomes. I thought we could emulate what others have...

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Applying the American Heart Association’s Recommended Hands-on-Chest Time Performance Measures

lthough it makes up only about 1-2% of all emergency calls for help, sudden cardiac arrest (SCA) remains one of the most deadly1—and one of the most hotly debated—topics in emergency services. Emergency Medical Dispatchers (EMDs) can play a critical role in improving survival rates for victims of SCA. In order to provide the most timely, effective care, EMDs must first identify that an SCA is occurring, then move quickly to provide instructions for bystander CPR. To support the achievement of...

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Effects of a Prehospital Emergency Care System on the Treatment and Prognosis of Stroke Patients

We sought to study a recently implemented prehospital emergency care system and its effects on the treatment level and prognosis of stroke patients. Prior to the introduction of the new system, no dispatch triage or prehospital care was available, and most patients accessed emergency care directly, without calling an emergency number. Methods: From April 2014 to March 2015,, at our associate hospital’s emergency department, 325 first-time acute stroke patients were admitted...

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Comparison of Emergency Medical Dispatcher Stroke Identification and Paramedic On-Scene Stroke Assessment

Some have argued that there is no need for a dispatcher stroke evaluation because emergency medical services (EMS) responders can perform a more detailed, in-person stroke evaluation in the field. In fact, little or no research exists to determine whether dispatch stroke evaluations are actually redundant when compared with EMS field responder assessments. Objective: The purpose of this study is to determine whether some strokes identified by emergency medical...

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Artificial Intelligence for us?

Have you ever wondered how Netflix knows what movies to recommend for you—or realized that if it is suggesting kids’ movies, that means someone else in the house must have been using your account? It turns out that this sort of technology, which relies on what is called “big data,” is also useful for calltaking and emergency response. Consider the size of the data that we collectively work with. Based on some available information, if there were global coverage of emergency numbers, there...

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