Another study done in 2008 showed an approximate 10-minute decrease in doorto-drug time and 15 to 20 minutes in doorto-balloon time for patients who used an EMS system versus those patients who arrived in the emergency department on their own.
EMS >>> By GARY LUDWIG Yes, We Make A Difference! EMS and Paramedics Add Tremendous Benefit to the Community T hrough the years, I have sat lumbus Fire Department a basic life support gist was able to interpret EKGs transmitted through countless ceremonies (BLS) system. Unfortunately, these civilians by EMS in the field, there was an advantage honoring those who have saved had no fire or EMS background and thank- to the patient. In that study, door-to-balloon lives while performing EMS. Usually, the fully their recommendation did not fly. times decreased from 101 minutes to 50 ceremonies center on those who have Now there is mounting evidence in minutes. A study in Newark, NJ, saw door- suffered cardiac arrest and were brought the form of the studies that to-balloon times reduced back from the brink of death, and then go on to lead a normal life. prove that EMS is valuable in STEMIs, stroke man- There is mounting from an average of 146 minutes to 80 minutes. What is really emotional is when vic- agement, respiratory and In more aggressive tims are reunited with their rescuers for trauma emergencies, and evidence in and well-trained EMS the first time. There is usually not a dry sudden cardiac arrest. systems, paramedics who eye in the place. I remember a ceremony Let’s look at STEMIs, the form of do in-field interpretations in St. Louis, where a high school-age vic- or ST elevated myocardial of EKGs are bypassing tim and his parents met the paramedics for the first time. Even the mayor of St. infarctions. A 2007 study found that STEMIs account studies proving the closest hospital and taking the patient to the Louis needed some tissues to dry his eyes. It continues to vex me since more and for 4% to 5% of all chest pain calls and a majority of the value of EMS. closest most-appropriate facility. In the case of STE- more it appears that the naysayers contin- STEMI deaths occur within MIs, it is usually a hospital ue to advocate going back to the scoop- two hours. That is why there is a benchmark that has a cardiac cath lab and can do percu- and-run days of yesteryear because, they of inserting a balloon in a blocked artery taneous coronary interventions (PCIs). contend, providing advanced life support within 90 minutes. In a study done in Medford, OR, pro- (ALS) care in the field has no benefit and A study done in 2008 clearly demon- tocols were created to direct all STEMI pa- can be costly. The scoop-and-run theory strated benefits to patients in EMS systems tients to a single PCI hospital. In total, 233 relied on
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