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...

This cohort study examines the association of social risk and need with emergency department use by patients within a Medicaid accountable care organization who were screened for adverse determinants health in primary care.

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...

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,...

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.

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

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.

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...

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...

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...

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...

Background: EMS professionals frequently work more than a standard 40-hour week. For some professionals, working overtime or multiple jobs may be necessary to make ends meet. Our objective was evaluate the association between job satisfaction, intention leave EMS, and financial dependence on jobs.Methods: We conducted cross-sectional analysis of nationally-certified who completed an online questionnaire after submitting their recertification application (22,626/101,363, response rate = 22%)...

Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Prevention and Health Promotion. PCD provides an open exchange of information knowledge among researchers, practitioners, policy makers, others who strive to improve health public through chronic disease prevention.

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...

Health-related social needs (HRSN) are associated with higher chronic disease prevalence and healthcare utilization. Health systems increasingly screen for HRSN during routine care. In this study, we compare the differential of risk factors in a Medicaid Accountable Care Organization (ACO) identify patient practice characteristics reporting different domain from risks.Cross-sectional study responses to screening February 2019-February 2020. occurred as part primary care assessed eight...

Vital signs are frequently used in pediatric prehospital assessments and guide protocol utilization. Common vital sign classification criteria identify >80% of children the setting as having abnormal signs, though few receive lifesaving interventions (LSIs). We sought to data-driven thresholds for by evaluating their association with LSIs.

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...

Importance Regulatory agencies have begun incentivizing screening for adverse social determinants of health (SDOH) and responses in inpatient settings, missing a crucial safety net: the emergency department (ED). Little is known about prevalence ED-based SDOH response practices nationally. Objective To describe policies to identify associated hospital characteristics. Design, Setting, Participants This survey study utilized 5% random sample from National Emergency Department Inventory–USA,...

Use of ketamine in the prehospital setting may be advantageous due to its potent analgesic and sedative properties favorable risk profile. military has demonstrated both efficacy safety for pain relief. The purpose this study was assess training, use, perceptions civilian among nationally certified paramedics (NRPs) United States.A cross-sectional survey NRPs performed. electronic questionnaire assessed paramedic authorization, ketamine. Included analysis were completed surveys who held one...