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Ems qa

Novneet Sahu, Patrick Matthews, Kathryn Groner, Mia A Papas, Ross Megargel
Introduction Continuous positive airway pressure (CPAP) improves outcomes in patients with respiratory distress. Additional benefits are seen with CPAP application in the prehospital setting. Theoretical safety concerns regarding Basic Life Support (BLS) providers using CPAP exist. In Delaware's (USA) two-tiered Emergency Medical Service (EMS) system, BLS often arrives before Advanced Life Support (ALS). Hypothesis This study fills a gap in literature by evaluating the safety of CPAP applied by BLS prior to ALS arrival...
December 2017: Prehospital and Disaster Medicine
John William Hafner, Michael Downs, Kelly Cox, Joy E Johncox, Timothy J Schaefer
BACKGROUND: Medical transport using helicopter emergency medical services (HEMS) has rapidly proliferated over the past decade. Because of issues of cost and safety, appropriate utilization is of increasing concern. OBJECTIVE: This study sought to describe the medical appropriateness of HEMS transports, using established guidelines, in a large national patient cohort. METHODS: A review was performed of all flights designated as inappropriate by a large national air medical company, Air Evac EMS Inc...
October 2012: Prehospital Emergency Care
Stephen Rashford
No abstract text is available yet for this article.
September 2007: JEMS: a Journal of Emergency Medical Services
Thomas R Calkins, Ken Miller, Mark I Langdorf
INTRODUCTION: Previous studies have proven the success of the Esophageal-Tracheal Combitube (ETC) as a primary airway, but not as a rescue airway. OBJECTIVE: The object of this study was to observe success and complication rates of paramedic placement of an ETC as a rescue airway, and to compare success rates with endotracheal tube (ETT) intubation. The primary outcome indicator was placement with successful ventilation. Complication rates, esophageal placement, and return of spontaneous circulation (ROSC) were secondary measures...
March 2006: Prehospital and Disaster Medicine
M S Villarreal
INTRODUCTION AND BACKGROUND: Quality management (QM) principles generally have not been applied to multi-casualty and disaster situations. Quality management incorporates quality assurance (QA) and quality improvement (QI) supported by a management information system (MIS). Since responders to disasters and multi-casualty incidents generally operate on standing orders and/or protocols, the character of the responses lends itself to quality management methods. Standards and indicators of performance readily can be developed for these situations...
July 1997: Prehospital and Disaster Medicine
E A Davis, A J Billitier
OBJECTIVE: The concept of the necessity of a good quality assurance (QA) plan for emergency medical services (EMS) is well-accepted; guidelines as how best to achieve this and how current systems operate have have not been defined. The purpose of this study was to survey EMS systems to discover current methods used to perform medical control and QA and to examine whether the existence of an emergency medicine residency affected these components. METHODS: A survey was mailed in 1989 to the major teaching hospitals associated with all of the emergency medicine residency programs (n = 79) and all other hospitals with greater than 350 beds within the 50 largest United States metropolitan areas (n = 172)...
April 1993: Prehospital and Disaster Medicine
E J Gabriel
EMS administrators and staff must focus as much attention as possible on effective delivery of patient care. In the past, much of our time and many of our resources were spent on administrative activities, neglecting the most basic purpose of EMS organizations: patient care. We, as a nation, already have policies, indicators and procedures to evaluate the care provided in the hospital setting. The development of an EMS QA program will help you set--and meet--those same standards in the field.
August 1992: Emergency Medical Services
S M Joyce, K L Dutkowski, T Hynes
OBJECTIVE: Change from quality assurance (QA) to quality improvement (QI) in EMS has been adopted by many systems. This study sought to determine whether QI is effective in this setting. METHODS: A QI program comprised of prospective, concurrent, and retrospective components was instituted in 1994 by the Salt Lake City Fire Department. The retrospective component of the program consisted of monthly random audits of approximately 6% of EMS patient care reports (PCRs), both ALS and BLS...
July 1997: Prehospital Emergency Care
R A Swor
QA activities in EMS systems are severely hampered unless a central agency exists to coordinate data collection, funding, and communication between agencies and field providers. EMS systems must address these issues successfully to maximize their efforts. Some regions (San Francisco, King County, Washington, Burbank, California) have developed dedicated organizations for the evaluation of prehospital care. These organizations can greatly reduce the logistic impediments to evaluating EMS care and initiating improvements...
August 1992: Emergency Medicine Clinics of North America
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