Document Detail


Base station prehospital care: judgement errors and deviations from protocol.
MedLine Citation:
PMID:  3619166     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During a three-year period 5,944 paramedic runs were reviewed at the King/Drew Medical Center for deviations from prehospital management protocols established by the Los Angeles Paramedic Training Institute, and from standard medical practice. An overall compliance to the prehospital management protocols of 94% was found. Compliance to standard medical care was 97%. The most common deviations were failure to administer prophylactic lidocaine to patients having chest pain suggestive of myocardial ischemia and failure to apply cervical spine precautions in patients with suspected head trauma. Fifty percent of the radio operators who deviated from algorithms also were found to be making errors in judgment in standard medical care.
Authors:
J Wasserberger; G J Ordog; G Donoghue; S Balasubramaniam
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  16     ISSN:  0196-0644     ISO Abbreviation:  Ann Emerg Med     Publication Date:  1987 Aug 
Date Detail:
Created Date:  1987-09-02     Completed Date:  1987-09-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  867-71     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Allied Health Personnel / standards*
Ambulances
California
Craniocerebral Trauma / therapy
Emergency Medical Services / standards*
Emergency Medical Technicians / standards*
Humans
Lidocaine / therapeutic use
Myocardial Infarction / prevention & control
Radio
Retrospective Studies
Chemical
Reg. No./Substance:
137-58-6/Lidocaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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