Comparing emergency medical service systems-A project of the European Emergency Data (EED) Project

Matthias Fischer; Johannes Kamp; Luis Garcia-Castrillo Riesgo; Iain Robertson-Steel; Jerry Overton; Alexandra Ziemann; Thomas Krafft

doi:10.1016/j.resuscitation.2010.11.001

Comparing emergency medical service systems-A project of the European Emergency Data (EED) Project

Matthias Fischer^*, Johannes Kamp, Luis Garcia-Castrillo Riesgo, Iain Robertson-Steel, Jerry Overton, Alexandra Ziemann, Thomas Krafft

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

64 Citations (Web of Science)

Abstract

Aim: The aim of this prospective study was the comparison of four emergency medical service (EMS) systems emergency physician (EP) and paramedic (PM) based and the impact of advanced live support (ALS) on patients status in preclinical care. Methods: The EMS systems of Bonn (GER, EP), Cantabria (ESP, EP), Coventry (UK, PM) and Richmond (US, PM) were analysed in relation to quality of structure, process and performance when first diagnosis on scene was cardiac arrest (OHCA), chest pain or dyspnoea. Data were collected prospectively between 01.01.2001 and 31.12.2004 for at least 12 month. Results: Over all 6277 patients were included in this study. The rate of drug therapy was highest in the EP-based systems Bonn and Cantabria. Pain relief was more effective in Bonn in patients with severe chest pain. In the group of patients with chest pain and tachycardia >= 120 beats/min, the heart rate was reduced most effective by the EP-systems. In patients with dyspnoea and SpO2

Original language	English
Pages (from-to)	285-293
Journal	Resuscitation
Volume	82
Issue number	3
DOIs	https://doi.org/10.1016/j.resuscitation.2010.11.001
Publication status	Published - Mar 2011

Keywords

Emergency medical service (EMS) system performance
Advance live support (ALS)
Intervention rate
Emergency physician
Paramedic
Chest pain
Dyspnoea
Out of hospital cardiac arrest (OHCA)

Access to Document

10.1016/j.resuscitation.2010.11.001

Cite this

@article{79c7d72201ea449886eacea89890c4f8,

title = "Comparing emergency medical service systems-A project of the European Emergency Data (EED) Project",

abstract = "Aim: The aim of this prospective study was the comparison of four emergency medical service (EMS) systems emergency physician (EP) and paramedic (PM) based and the impact of advanced live support (ALS) on patients status in preclinical care. Methods: The EMS systems of Bonn (GER, EP), Cantabria (ESP, EP), Coventry (UK, PM) and Richmond (US, PM) were analysed in relation to quality of structure, process and performance when first diagnosis on scene was cardiac arrest (OHCA), chest pain or dyspnoea. Data were collected prospectively between 01.01.2001 and 31.12.2004 for at least 12 month. Results: Over all 6277 patients were included in this study. The rate of drug therapy was highest in the EP-based systems Bonn and Cantabria. Pain relief was more effective in Bonn in patients with severe chest pain. In the group of patients with chest pain and tachycardia >= 120 beats/min, the heart rate was reduced most effective by the EP-systems. In patients with dyspnoea and SpO2 ",

keywords = "Emergency medical service (EMS) system performance, Advance live support (ALS), Intervention rate, Emergency physician, Paramedic, Chest pain, Dyspnoea, Out of hospital cardiac arrest (OHCA)",

author = "Matthias Fischer and Johannes Kamp and {Garcia-Castrillo Riesgo}, Luis and Iain Robertson-Steel and Jerry Overton and Alexandra Ziemann and Thomas Krafft",

year = "2011",

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doi = "10.1016/j.resuscitation.2010.11.001",

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T1 - Comparing emergency medical service systems-A project of the European Emergency Data (EED) Project

AU - Fischer, Matthias

AU - Kamp, Johannes

AU - Garcia-Castrillo Riesgo, Luis

AU - Robertson-Steel, Iain

AU - Overton, Jerry

AU - Ziemann, Alexandra

AU - Krafft, Thomas

PY - 2011/3

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N2 - Aim: The aim of this prospective study was the comparison of four emergency medical service (EMS) systems emergency physician (EP) and paramedic (PM) based and the impact of advanced live support (ALS) on patients status in preclinical care. Methods: The EMS systems of Bonn (GER, EP), Cantabria (ESP, EP), Coventry (UK, PM) and Richmond (US, PM) were analysed in relation to quality of structure, process and performance when first diagnosis on scene was cardiac arrest (OHCA), chest pain or dyspnoea. Data were collected prospectively between 01.01.2001 and 31.12.2004 for at least 12 month. Results: Over all 6277 patients were included in this study. The rate of drug therapy was highest in the EP-based systems Bonn and Cantabria. Pain relief was more effective in Bonn in patients with severe chest pain. In the group of patients with chest pain and tachycardia >= 120 beats/min, the heart rate was reduced most effective by the EP-systems. In patients with dyspnoea and SpO2

AB - Aim: The aim of this prospective study was the comparison of four emergency medical service (EMS) systems emergency physician (EP) and paramedic (PM) based and the impact of advanced live support (ALS) on patients status in preclinical care. Methods: The EMS systems of Bonn (GER, EP), Cantabria (ESP, EP), Coventry (UK, PM) and Richmond (US, PM) were analysed in relation to quality of structure, process and performance when first diagnosis on scene was cardiac arrest (OHCA), chest pain or dyspnoea. Data were collected prospectively between 01.01.2001 and 31.12.2004 for at least 12 month. Results: Over all 6277 patients were included in this study. The rate of drug therapy was highest in the EP-based systems Bonn and Cantabria. Pain relief was more effective in Bonn in patients with severe chest pain. In the group of patients with chest pain and tachycardia >= 120 beats/min, the heart rate was reduced most effective by the EP-systems. In patients with dyspnoea and SpO2

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KW - Advance live support (ALS)

KW - Intervention rate

KW - Emergency physician

KW - Paramedic

KW - Chest pain

KW - Dyspnoea

KW - Out of hospital cardiac arrest (OHCA)

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