EMS World

JUN 2013

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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PERFORMANCE BENCHMARKS One stroke, second heart attack or death is prevented for every 15 STEMI patients who receive a prehospital 12-lead ECG, aspirin, direct transport to a PCI center and activation of an interventional cardiology team.1 In addition to universal response time reporting, it is reasonable to expect EMS systems to adopt universal "apples-toapples" clinical performance measures that apply to every community and delivery model. Studies about cardiac arrest, pain management, sepsis, sedation and transport destinations can be used with the 2008 Eagles benchmark paper to measure clinical performance. Cardiac Arrest Cardiac arrest survival rates vary dramatically across the country. Published survival rates of patients whose arrests were witnessed and were in ventricular fbrillation when EMS arrived are above 50% in Seattle,6 above 40% in Raleigh,7 3% in Chicago and less than 1% in Detroit.3 Where patients live often determines if they live. Like response time reporting, not every system measures survival the same way. The temporary return of a pulse is much EMS1306 For More Information Circle 30 on Reader Service Card 36 JUNE 2013 | EMSWORLD.com

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