| Factors Associated with Emergency Medical Services Scope of Practice for Acute Cardiovascular Events. | |
| | |
MedLine Citation:
|
PMID: 21950495 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Abstract Objectives. To examine prehospital emergency medical services (EMS) scope of practice for acute cardiovascular events and characteristics that may affect scope of practice; and to describe variations in EMS scope of practice for these events and the characteristics associated with that variability. Methods. In 2008, we conducted a telephone survey of 1,939 eligible EMS providers in nine states to measure EMS agency characteristics, medical director involvement, and 18 interventions authorized for prehospital care of acute cardiovascular events by three levels of emergency medical technician (EMT) personnel. Results. A total of 1,292 providers responded to the survey, for a response rate of 67%. EMS scope of practice interventions varied by EMT personnel level, with the proportion of authorized interventions increasing as expected from EMT-Basic to EMT-Paramedic. Seven of eight statistically significant associations indicated that EMS agencies in urban settings were less likely to authorize interventions (odds ratios <0.7) for any level of EMS personnel. Based on the subset of six statistically significant associations, fire department-based EMS agencies were two to three times more likely to authorize interventions for EMT-Intermediate personnel. Volunteer EMS agencies were more than twice as likely as nonvolunteer agencies to authorize interventions for EMT-Basic and EMT-Intermediate personnel but were less likely to authorize any one of the 11 interventions for EMT-Paramedics. Greater medical director involvement was associated with greater likelihood of authorization of seven of the 18 interventions for EMT-Basic and EMT-Paramedic personnel but had no association with EMT-Intermediate personnel. Conclusions. We noted statistically significant variations in scope of practice by rural vs. urban setting, medical director involvement, and type of EMS service (fire department-based/non-fire department-based; volunteer/paid). These variations highlight local differences in the composition and capacity of EMS providers and offer important information for the transition towards the implementation of a national scope of practice model. |
| | |
Authors:
|
Ishmael Williams; Amy L Valderrama; Patricia Bolton; April Greek; Sophia Greer; Davis G Patterson; Zefeng Zhang |
Related Documents
:
|
6526825 - The use of color in anatomical and surgical illustration. 20467825 - 3d printing based on imaging data: review of medical applications. 15458095 - Realtime textured 3d-models for medical applications. 20718285 - From goya to afghanistan--an essay on the ratio and ethics of medical war pictures. 3128295 - Xenobiotic mediated inhibition of hepatic uroporphyrinogen decarboxylase activity in 17... 12654115 - Doctors' reasons for rejecting initial choices of specialties as long-term careers. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-9-27 |
Journal Detail:
|
Title: Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors Volume: - ISSN: 1545-0066 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
|
Created Date: 2011-9-28 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9703530 Medline TA: Prehosp Emerg Care Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
From the Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention (IW, ALV, SG, ZZ), Atlanta, Georgia; Battelle, Seattle Research Center (PB, AG), Seattle, Washington; and WWAMI Rural Health Research Center, University of Washington Department of Family Medicine (DP), Seattle, Washington. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Variant screening of the RHD gene in a large cohort of subjects with D phenotype ambiguity: report o...
Next Document: The role of mitochondria in energy production for human sperm motility.