Achieving Equity in EMS Care and Patient Outcomes through Quality Management Systems: A Position Statement
Prehosp Emerg Care. 2024 May 10:1-16. doi: 10.1080/10903127.2024.2352582. Online ahead of print.ABSTRACTImproving health and safety in our communities requires deliberate focus and commitment to equity. Inequities are differences in access, treatment, and outcomes between individuals and across populations that are systemic, avoidable, and unjust. Within health care in general, and Emergency Medical Services (EMS) in particular, there are demonstrated inequities in the quality of care provided to patients based on a number of characteristics linked to discrimination, exclusion, or bias. Given the critical role that EMS pla...
Source: Prehospital Emergency Care - May 10, 2024 Category: Endocrinology Authors: Andra M Farcas Remle P Crowe Jamie Kennel Nicola Little Ameera Haamid Mario Andres Camacho Tiffany Pleasant Sylvia Owusu-Ansah Anjni P Joiner Rickquel Tripp Joshua Kimbrell Joseph M Grover Stephanie Ashford Brooke Burton Jeffrey Uribe Johanna C Innes Davi Source Type: research

Development of a Computable Phenotype for Prehospital Pediatric Asthma Encounters
Conclusion: We modified existing and developed new pediatric asthma CPs to retrospectively identify prehospital pediatric asthma exacerbation encounters. We found that machine learning-based models greatly outperformed rule-based models. Given the high performance of the machine-learning models, the development and application of machine learning-based CPs for other conditions and diseases could help accelerate EMS research and ultimately enhance clinical care by accurately identifying patients with conditions of interest.PMID:38713633 | DOI:10.1080/10903127.2024.2352583 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - May 7, 2024 Category: Endocrinology Authors: Ira Harmon Jennifer Brailsford Isabel Sanchez-Cano Jennifer Fishe Source Type: research

Does Single Dose Epinephrine Improve Outcomes for Patients with Out-of-Hospital Cardiac Arrest and Bystander CPR or a Shockable Rhythm?
Conclusion: Adjusting for confounders, the SDEP increased SHD in patients who received bystander CPR and there was a significant interaction between SDEP and bystander CPR. Single dose epinephrine protocol and MDEP had similar SHD rates regardless of rhythm type.PMID:38713769 | DOI:10.1080/10903127.2024.2348663 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - May 7, 2024 Category: Endocrinology Authors: Tyler S George Nicklaus P Ashburn Anna C Snavely Bryan P Beaver Michael A Chado Harris Cannon Casey G Costa James E Winslow R Darrell Nelson Jason P Stopyra Simon A Mahler Source Type: research

Development of a Computable Phenotype for Prehospital Pediatric Asthma Encounters
Conclusion: We modified existing and developed new pediatric asthma CPs to retrospectively identify prehospital pediatric asthma exacerbation encounters. We found that machine learning-based models greatly outperformed rule-based models. Given the high performance of the machine-learning models, the development and application of machine learning-based CPs for other conditions and diseases could help accelerate EMS research and ultimately enhance clinical care by accurately identifying patients with conditions of interest.PMID:38713633 | DOI:10.1080/10903127.2024.2352583 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - May 7, 2024 Category: Endocrinology Authors: Ira Harmon Jennifer Brailsford Isabel Sanchez-Cano Jennifer Fishe Source Type: research

Does Single Dose Epinephrine Improve Outcomes for Patients with Out-of-Hospital Cardiac Arrest and Bystander CPR or a Shockable Rhythm?
Conclusion: Adjusting for confounders, the SDEP increased SHD in patients who received bystander CPR and there was a significant interaction between SDEP and bystander CPR. Single dose epinephrine protocol and MDEP had similar SHD rates regardless of rhythm type.PMID:38713769 | DOI:10.1080/10903127.2024.2348663 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - May 7, 2024 Category: Endocrinology Authors: Tyler S George Nicklaus P Ashburn Anna C Snavely Bryan P Beaver Michael A Chado Harris Cannon Casey G Costa James E Winslow R Darrell Nelson Jason P Stopyra Simon A Mahler Source Type: research

Development of a Computable Phenotype for Prehospital Pediatric Asthma Encounters
Conclusion: We modified existing and developed new pediatric asthma CPs to retrospectively identify prehospital pediatric asthma exacerbation encounters. We found that machine learning-based models greatly outperformed rule-based models. Given the high performance of the machine-learning models, the development and application of machine learning-based CPs for other conditions and diseases could help accelerate EMS research and ultimately enhance clinical care by accurately identifying patients with conditions of interest.PMID:38713633 | DOI:10.1080/10903127.2024.2352583 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - May 7, 2024 Category: Endocrinology Authors: Ira Harmon Jennifer Brailsford Isabel Sanchez-Cano Jennifer Fishe Source Type: research

Does Single Dose Epinephrine Improve Outcomes for Patients with Out-of-Hospital Cardiac Arrest and Bystander CPR or a Shockable Rhythm?
Conclusion: Adjusting for confounders, the SDEP increased SHD in patients who received bystander CPR and there was a significant interaction between SDEP and bystander CPR. Single dose epinephrine protocol and MDEP had similar SHD rates regardless of rhythm type.PMID:38713769 | DOI:10.1080/10903127.2024.2348663 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - May 7, 2024 Category: Endocrinology Authors: Tyler S George Nicklaus P Ashburn Anna C Snavely Bryan P Beaver Michael A Chado Harris Cannon Casey G Costa James E Winslow R Darrell Nelson Jason P Stopyra Simon A Mahler Source Type: research

Prehospital Treatment of Atrial Fibrillation: Infusion Pump for Bolus and Infusion?
Conclusion: Our results show no significant differences in HR control or need for repeat bolus at the ED with the use of a diltiazem infusion following a diltiazem bolus. However, even when administering larger boluses, the use of an infusion pump resulted in less hypotension.PMID:38687280 | DOI:10.1080/10903127.2024.2349745 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 30, 2024 Category: Endocrinology Authors: Michael Berkenbush Nicholas Sherman Nikhil Jain Peter Cosmi Source Type: research