Objectives: Emergency medical services (EMS) professionals often work long hours at multiple jobs and endure frequent exposure to traumatic events. The stressors inherent the prehospital setting may increase likelihood of experiencing burnout lead providers exit profession, representing a serious workforce public health concern. Our objectives were estimate prevalence burnout, identify characteristics associated with quantify its relationship factors that negatively impact EMS stability,...

As the opioid epidemic in United States has continued since early 2000s (1,2), most descriptions have focused on misuse and deaths. Increased cooperation with state local partners enabled more rapid comprehensive surveillance of nonfatal overdoses (3).* Naloxone administrations obtained from emergency medical services (EMS) patient care records served as a useful proxy for overdose individual communities might be previously unused data source to describe epidemic, including fatal events,...

Background: Workforce diversity can reduce communication barriers and inequalities in healthcare delivery, especially settings where time pressure incomplete information may exacerbate the effects of implicit biases. Emergency medical services (EMS) professionals represent a critical entry point into system for diverse populations, yet little is known regarding changes demographic composition this workforce. Our primary objective was to describe gender racial/ethnic emergency technicians...

Abstract Objective Although burnout has been linked to negative workplace‐level effects, prior studies have primarily focused on individuals rather than job‐related characteristics. This study sought evaluate variation in between agencies and quantify the relationship demands/resources among emergency medical services (EMS) professionals. Methods An electronic questionnaire was sent all licensed, practicing EMS professionals South Carolina. Work‐related measured using Copenhagen Burnout...

We sought to determine whether the association between physical activity and 10-year cardiovascular disease (CVD) risk varies among normal weight, overweight, obese adults in a nationally-representative sample of United States.

Background The emergency medical services (EMS) workforce is a key component of healthcare in the U.S. Characteristics active EMS professionals who are treating patients prehospital setting unclear. purpose this study was to describe roles and settings which nationally certified providing patient care evaluate similarities differences demographics practice three major certification levels.Methods We conducted cross-sectional evaluation all that recertified between October 1, 2017 March 31,...

Abstract Objective To evaluate the impact of coronavirus disease 2019 (COVID‐19) on emergency medical services (EMS) use for time‐sensitive conditions. We examined EMS cardiac arrest, stroke, and other emergencies across Massachusetts during peak COVID‐19 pandemic, evaluating their relationship to statewide incidence a declaration. Methods A retrospective analysis all calls between February 15 May 15, 2020 same time period 2019. call volumes were compared before after March 10, date Results...

Stroke centers are essential for the optimal care of patients with acute stroke. However, there is no universally applied standard stroke center certification/designation and unified list confirmed US centers. Multiple national organizations, some state governments, certify/designate hospitals as various levels, but discrepancies exist between these systems. We aimed to create a unified, easily accessible, database.

Highlights From the International Stroke Conference 2022—Thrombectomy and Alteplase, Access to Centers, Warfarin vs Direct Oral Anticoagulants

Abstract Objective There is growing concern with the strength and stability of emergency medical services (EMS) workforce reports challenges in many communities United States. Our objective was to estimate changes EMS by evaluating number clinicians who enter, stay, leave. Methods A 4‐year retrospective cohort evaluation all certified at technician (EMT) level or higher conducted for 9 states that require national certification obtain maintain licensure. The study spanned 2 recertification...

Social media has significantly impacted how healthcare professionals access health education, news, and communication. However, Emergency Medical Services (EMS) clinicians' professional use of social remains unclear. Our objective was to characterize current EMS explore the potential for future use. This a cross-sectional survey nationally-certified clinicians. Data were collected from November December 2018. Respondents surveyed regarding demographics, use, preferences accessing...

OBJECTIVES Motorcycle helmets save lives and reduce serious injury after motorcycle collisions (MCC). In 2022, 18 states had laws requiring helmet use by motorcyclists aged ≥21 years. Our objective was to compare head trauma in emergency medical services (EMS) patients involved MCC with without laws.

Introduction: The disproportionate impact of coronavirus 2019 (COVID-19) on Black and Hispanic communities has been widely reported. Many studies have used neighborhood racial/ethnic composition to study such disparities, but less is known about the interplay between individual race/ethnicity racial composition. Therefore, our goal in this was assess relative contributions risk disparities COVID-19 incidence outcomes. Methods: We performed a cross-sectional patients with emergency department...

Abstract Background Emergency department (ED) visits may serve as opportunities for firearm injury prevention and intervention efforts. Our objective was to determine ED utilization by youth before after injury. Methods We performed a retrospective cohort study of encounters (0–18 years old) with from eight states using the 2019 State Inpatient Databases. primary outcome an encounter (1) 90 days or (2) index used generalized estimating equations, accounting hospital clustering, associations...

Emergency department (ED) capabilities, such as trauma center or stroke designation, are key to understanding the effects of emergency medical services (EMS) transport destination decisions on patient outcomes. In current EMS datasets, ED capabilities self-reported by clinician agency. The reliability and validity EMS-reported is unknown. Our objective was link destinations with verified capability data develop a novel national dataset better understand prehospital routing practices. We...

Background Children represent fewer than 10% of emergency medical services (EMS) encounters in the USA. We evaluated whether agency-level paediatric volume is associated with quality prehospital care provided. Methods conducted a retrospective analysis 7104 agencies that contributed data consistently to 2022–2023 National Emergency Medical Services Information System database, including children (<18 years) from an out-of-hospital EMS encounter. assessed outcomes based on adherence...

Importance Emergency medical services (EMS) clinicians commonly care for patients with behavioral health emergencies (BHEs), including acute agitation. There are known racial and ethnic disparities in the use of physical restraint chemical sedation BHEs emergency department settings, but less is about prehospital or sedation. Objective To investigate association patient race ethnicity during EMS encounters BHEs. Design, Setting, Participants This nationwide retrospective cohort study used...

Feedback to EMS professionals is a critical component for optimizing patient care and outcomes in the prehospital setting. There paucity of data concerning feedback received by providers.The objective this study was describe prevalence past 30 days including types, sources, modes, utility feedback. The secondary identify factors associated with receiving any and, specifically, regarding medical provided.This cross-sectional survey examining currently practicing nationally certified providers...

Rural prehospital care settings are underrepresented in the out-of-hospital cardiac arrest (OHCA) literature. This study aimed to describe treatment patterns and odds of a favorable patient outcome (e.g., return spontaneous circulation (ROSC) or being presumptively alive at end incident) among rural OHCA patients U.S.Using 2018 National Emergency Medical Services Informational System (NEMSIS) dataset, we analyzed incidents where an emergency medical services (EMS) unit provided...

Incivility, defined as negative interpersonal acts that violate workplace and social norms, has been linked to outcomes in healthcare settings. A minimal amount is known regarding incivility among emergency medical services (EMS) professionals. Our objectives were (1) evaluate the prevalence of factors associated with experiencing incivility; (2) describe association between workforce-reducing (stress, career satisfaction, turnover intentions, absences); (3) quantify organizational culture...