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Introduction

Classification and Frequency of Emergency Medical Services Procedures Performed in the United States. Christopher Karns , DO, Jestin N. Carlson, MD, MS, N . Clay Mann, PhD, MS, Karen E. Jacobson, BA, NREMT- P,Mengtao Dai, MS, Caroline Colleran , DO, Henry E. Wang, MD, MS. Introduction.

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Introduction

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  1. Classification and Frequency of Emergency Medical Services Procedures Performed in the United States Christopher Karns, DO, JestinN. Carlson, MD, MS, N. Clay Mann, PhD, MS, Karen E. Jacobson, BA, NREMT-P,MengtaoDai, MS, Caroline Colleran, DO, Henry E. Wang, MD, MS

  2. Introduction EMS provides a wide range of care. Procedural compentancy is related to frequency Limited data is available relating to the frequency of these procedures Objective: We sought to characterize procedures performed by EMS in the United States.

  3. Methods and Results We conducted an analysis of the 2011 National Emergency Medical Services Information System (NEMSIS) research data set.

  4. Tables A. Critical Procedures B. Procedures involving therapeutic intervention

  5. Discussion/Conclusions References: 1.Mears G, Ornato JP, Dawson DE. Emergency medical services information systems and a future EMS national database. PrehospEmerg Care 2002; 6(1): 123-30. 2.Mittiga MR, Geis GL, Kerrey BT, Rinderknecht AS. The spectrum and frequency of critical procedures performed in a pediatric emergency department: implications of a provider-level view. Ann Emerg Med 2013; 61(3): 263-70. 3.Wang HE, Mann NC, Mears G, Jacobson K, Yealy DM. Out-of-hospital airway management in the United States. Resuscitation 2011; 82(4): 378-85. 4.Wang HE, Abo BN, Lave JR, Yealy DM. How would minimum experience standards affect the distribution of out-of-hospital endotracheal intubations? Ann Emerg Med 2007; 50(3): 246-52. 5.Wang HE, Seitz SR, Hostler D, Yealy DM. Defining the learning curve for paramedic student endotracheal intubation. PrehospEmerg Care 2005; 9(2): 156-62. 6.Seamon MJ, Fisher CA, Gaughan J, et al. Prehospital procedures before emergency department thoracotomy: "scoop and run" saves lives. J Trauma 2007; 63(1): 113-20. 7.Seymour CW, Cooke CR, Hebert PL, Rea TD. Intravenous access during out-of-hospital emergency care of noninjured patients: a population-based outcome study. Ann Emerg Med 2012; 59(4): 296-303. 8.Carcillo JA, Davis AL, Zaritsky A. Role of early fluid resuscitation in pediatric septic shock. JAMA : the journal of the American Medical Association 1991; 266(9): 1242-5. 9.Dawson DE. National Emergency Medical Services Information System (NEMSIS). PrehospEmerg Care 2006; 10(3): 314-6. 10.Morrison LJ, Deakin CD, Morley PT, et al. Part 8: Advanced life support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recomendations. Circulation 2010; 122(16 Suppl 2): S345-421. 11.Neumar RW, Otto CW, Link MS, et al. Part 8: adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122(18 Suppl 3): S729-67. 12.Kumar A. Optimizing antimicrobial therapy in sepsis and septic shock. Critical care clinics 2009; 25(4): 733-51, viii. 13.Wang HE, Mann NC, Jacobson KE, et al. National characteristics of emergency medical services responses in the United States. PrehospEmerg Care 2013; 17(1): 8-14. 14.Barton ED, Epperson M, Hoyt DB, Fortlage D, Rosen P. Prehospital needle aspiration and tube thoracostomy in trauma victims: a six-year experience with aeromedical crews. The Journal of emergency medicine 1995; 13(2): 155-63. 15.Sejersten M, Sillesen M, Hansen PR, et al. Effect on treatment delay of prehospitalteletransmission of 12-lead electrocardiogram to a cardiologist for immediate triage and direct referral of patients with ST-segment elevation acute myocardial infarction to primary percutaneous coronary intervention. The American journal of cardiology 2008; 101(7): 941-6. 16.The Pennsylvania Bulletin. Notices: Prehospital Practitioner Scope of Practice. http://pabulletin.com/secure/data/vol41/41-15/628.html (accessed March 21 2014). 17.Frisch A, Cammarata S, Mosesso VN, Jr., Martin-Gill C. Multivariate analysis of successful intravenous line placement in the prehospital setting. PrehospEmerg Care 2013; 17(1): 46-50. 18.Hubble MW, Brown L, Wilfong DA, Hertelendy A, Benner RW, Richards ME. A meta-analysis of prehospital airway control techniques part I: orotracheal and nasotracheal intubation success rates. PrehospEmerg Care 2010; 14(3): 377-401. 19.Wang HE, Peitzman AB, Cassidy LD, Adelson PD, Yealy DM. Out-of-hospital endotracheal intubation and outcome after traumatic brain injury. Ann Emerg Med 2004; 44(5): 439-50. 20.Wang HE, Simeone SJ, Weaver MD, Callaway CW. Interruptions in cardiopulmonary resuscitation from paramedic endotracheal intubation. Ann Emerg Med 2009; 54(5): 645-52 e1. 21.Ely M, Hyde LK, Donaldson A, Furnival R, Mann NC. Evaluating state capacity to collect and analyze emergency medical services data. PrehospEmerg Care 2006; 10(1): 14-20. These data highlight the frequency with which EMS providers perform procedures across the United States. This may help to guide future EMS training and education efforts by highlighting the relative frequency and infrequency of specific procedures.

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