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3. Paramedic Clinical Consults with a Paramedic or Nurse in an EMS Communications Center Compared to Traditional Online Physician Consults.

Author

Jensen, Jan L., Al-Dhalaan, Fahd, Rose, Jennifer, Carter, Alix, McVey, Jennifer, Butts, Francine, Hawco, Terence, Rose, Peter, and Travers, Andrew H.

Subjects
MEDICAL consultation, SOCIAL support, RESEARCH methodology, EMERGENCY medical technicians, PEER relations, RETROSPECTIVE studies, ACQUISITION of data, EMERGENCY medical services communication systems, HUMAN services programs, INTERPROFESSIONAL relations, MEDICAL records, SOUND recordings, DESCRIPTIVE statistics, PHYSICIAN practice patterns, EMERGENCY nurses, PATIENT safety, TELEMEDICINE, LONGITUDINAL method
Abstract

In many emergency medical services (EMS) systems, a direct medical oversight physician is available to paramedics for mandatory and/or elective consultations. At the time of this study, a clinical support desk (CSD) was being implemented within the medical communications center of a provincial EMS system in addition to the physician resource. The CSD was initially staffed with a registered nurse or an advanced care paramedic. The objective of the current study was to compare CSD "peer to peer" consults versus physician consults with regards to consultation patterns, transport dispositions, and patient safety measures. This retrospective cohort study analyzed 2 months before (September 1 to October 31, 2012) and 2 months after (September 1 to October 31, 2013) implementation of the CSD. In the before period, all clinical consults were fielded by the direct medical oversight physician. In the after period, consults were fielded by the physician, CSD or both. EMS databases were queried, and manual chart review and abstraction of audio recordings were done. Relapses back to EMS within 48 hours of non-transport were measured. 1621 consults were included, with 764 consults in the before period and 857 after (p = 0.02). The number of physician consults decreased from 764 before to 464 after (39.2%, p < 0.001), with the CSD taking 325 (37.9%) consults. The CSD was consulted more for police custody and trip destination. The physician was consulted more for cease resuscitation and clinical consults prior to medication administration. Overall non-transport rates were 595/764 before (77.9%), and 646/857 after (75.4%) (p = 0.2). Non-transports were 233/325 (71.7%) via the CSD, 364/464 (78.4%) via the physician, and 49/68 (72.1%) when both were involved (p = 0.07). Rate of relapse to EMS was similar before (25/524, 4.8%) and after (26/568, 4.6%) (p = 0.76), and between CSD (12/216, 5.5%) and physician consults (13/325, 4.0%) in the after period (p = 0.41). The introduction of a novel "peer-to-peer" consult program was associated with an increased total number of consults made and reduced call volume for direct medical oversight physicians. There was no change in the patient safety measure studied. [ABSTRACT FROM AUTHOR]

Published
2024
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5. Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest: A Statement for Healthcare Professionals From a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation

Author

Perkins, Gavin D., Jacobs, Ian G., Nadkarni, Vinay M., Berg, Robert A., Bhanji, Farhan, Biarent, Dominique, Bossaert, Leo L., Brett, Stephen J., Chamberlain, Douglas, de Caen, Allan R., Deakin, Charles D., Finn, Judith C., Gräsner, Jan-Thorsten, Hazinski, Mary Fran, Iwami, Taku, Koster, Rudolph W., Lim, Swee Han, Ma, Matthew Huei-Ming, McNally, Bryan F., Morley, Peter T., Morrison, Laurie J., Monsieurs, Koenraad G., Montgomery, William, Nichol, Graham, Okada, Kazuo, Ong, Marcus Eng Hock, Travers, Andrew H., and Nolan, Jerry P.

Published
2015
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6. Part 3: Adult basic life support and automated external defibrillation: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations

Author

Bierens, Joost J.L.M., Bourdon, Emmanuelle, Brugger, Hermann, Buick, Jason E., Charette, Manya L., Chung, Sung Phil, Couper, Keith, Daya, Mohamud R., Drennan, Ian R., Gräsner, Jan-Thorsten, Idris, Ahamed H., Lerner, E. Brooke, Lockhat, Husein, Løfgren, Bo, McQueen, Carl, Monsieurs, Koenraad G., Mpotos, Nicolas, Orkin, Aaron M., Quan, Linda, Raffay, Violetta, Reynolds, Joshua C., Ristagno, Giuseppe, Scapigliati, Andrea, Vadeboncoeur, Tyler F., Wenzel, Volker, Yeung, Joyce, Perkins, Gavin D., Travers, Andrew H., Berg, Robert A., Castren, Maaret, Considine, Julie, Escalante, Raffo, Gazmuri, Raul J., Koster, Rudolph W., Lim, Swee Han, Nation, Kevin J., Olasveengen, Theresa M., Sakamoto, Tetsuya, Sayre, Michael R., Sierra, Alfredo, Smyth, Michael A., Stanton, David, and Vaillancourt, Christian

Published
2015
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7. Part 2: Evidence evaluation and management of conflicts of interest: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations

Author

Morley, Peter T., Lang, Eddy, Aickin, Richard, Billi, John E., Eigel, Brian, Ferrer, Jose Maria, Finn, Judith C., Gent, Lana M., Griffin, Russell E., Hazinski, Mary Fran, Maconochie, Ian K., Montgomery, William H., Morrison, Laurie J., Nadkarni, Vinay M., Nikolaou, Nikolaos I., Nolan, Jerry P., Perkins, Gavin D., Sayre, Michael R., Travers, Andrew H., Wyllie, Jonathan, and Zideman, David A.

Published
2015
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8. Part 1: Executive summary: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations

Author

Nolan, Jerry P., Hazinski, Mary Fran, Aickin, Richard, Bhanji, Farhan, Billi, John E., Callaway, Clifton W., Castren, Maaret, de Caen, Allan R., Ferrer, Jose Maria E., Finn, Judith C., Gent, Lana M., Griffin, Russell E., Iverson, Sandra, Lang, Eddy, Lim, Swee Han, Maconochie, Ian K., Montgomery, William H., Morley, Peter T., Nadkarni, Vinay M., Neumar, Robert W., Nikolaou, Nikolaos I., Perkins, Gavin D., Perlman, Jeffrey M., Singletary, Eunice M., Soar, Jasmeet, Travers, Andrew H., Welsford, Michelle, Wyllie, Jonathan, and Zideman, David A.

Published
2015
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11. 2017 American Heart Association Focused Update on Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

Author

Kleinman, Monica E., Goldberger, Zachary D., Rea, Thomas, Swor, Robert A., Bobrow, Bentley J., Brennan, Erin E., Terry, Mark, Hemphill, Robin, Gazmuri, Raúl J., Hazinski, Mary Fran, and Travers, Andrew H.

Published
2018
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12. Part 2: International collaboration in resuscitation science: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations

Author

Nolan, Jerry P., Nadkarni, Vinay M., Billi, John E., Bossaert, Leo, Boettiger, Bernd W., Chamberlain, Douglas, Drajer, Saul, Eigel, Brian, Hazinski, Mary Fran, Hickey, Robert W., Jacobs, Ian, Kloeck, Walter, Montgomery, William H., Morley, Peter T., O’Connor, Robert E., Okada, Kazuo, Shuster, Michael, Travers, Andrew H., and Zideman, David

Published
2010
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14. Part 1: Executive summary: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Author

Nolan, Jerry P., Hazinski, Mary Fran, Billi, John E., Boettiger, Bernd W., Bossaert, Leo, de Caen, Allan R., Deakin, Charles D., Drajer, Saul, Eigel, Brian, Hickey, Robert W., Jacobs, Ian, Kleinman, Monica E., Kloeck, Walter, Koster, Rudolph W., Lim, Swee Han, Mancini, Mary E., Montgomery, William H., Morley, Peter T., Morrison, Laurie J., Nadkarni, Vinay M., O’Connor, Robert E., Okada, Kazuo, Perlman, Jeffrey M., Sayre, Michael R., Shuster, Michael, Soar, Jasmeet, Sunde, Kjetil, Travers, Andrew H., Wyllie, Jonathan, and Zideman, David

Published
2010
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16. Comparison of tracheal intubation and alternative airway techniques performed in the prehospital setting by paramedics: a systematic review

Author

Jensen, Jan L., Cheung, Ka Wai, Tallon, John M., and Travers, Andrew H.

Subjects
Analysis, Research, Medical research -- Analysis, Medicine, Experimental -- Analysis
Abstract

INTRODUCTION With widespread support, (1,2) prehospital tracheal intubation (TI) by paramedics has rapidly expanded among North American emergency medical services (EMS) systems. Indeed, prehospital TI has been associated with improved [...], This systematic review included controlled clinical trials comparing tracheal intubation (TI) with alternative airway techniques (AAT) (bag-mask ventilation and use of extraglottic devices) performed by paramedics in the prehospital setting. A priori outcomes to be assessed were survival, neurologic outcome, airway management success rates and complications. We identified trials using EMBASE, MEDLINE, CINAHL, The Cochrane Library, Web of Science, author contacts and hand searching. We included 5 trials enrolling a total of 1559 patients. No individual study showed any statistical difference in outcomes between the TI and AAT groups. Because of study heterogeneity, we did not pool the data. This is the most comprehensive review to date on paramedic trials. Owing to the heterogeneity of prehospital systems, administrators of each system must individually consider their airway management protocols. Keywords: paramedic, prehospital, airway, tracheal intubation, extraglottic, supraglottic, bag-mask ventilation Cette analyse systematique portait sur les essais cliniques controles comparant l'intubation tracheale aux techniques alternatives de prise en charge des voies respiratoires (ventilation avec masque et ballon et utilisation de dispositifs extraglottiques) realisees par le personnel paramedical en prehospitalier. Les resultats a priori a evaluer etaient la survie, les resultats neurologiques, les taux de reussite de la prise en charge des voies respiratoires et les complications. Les essais ont ete recenses en interrogeant les bases de donnees EMBASE, MEDLINE, CINAHL, la Bibliotheque Cochrane, Web of Science, en communiquant avec les auteurs et en effectuant une recherche manuelle. Nous avons inclus 5 essais auxquels ont participe 1559 patients en tout. Il n'y avait pas de difference statistique entre les resultats des groupes d'intubation tracheale et de techniques alternatives de prise en charge des voies respiratoires dans aucun des essais. En raison de l'heterogeneite de l'etude, les donnees n'ont pas ete mises en commun. C'est l'analyse la plus detaillee a ce jour sur les etudes relatives aux interventions paramedicales. En raison de l'heterogeneite des systemes prehospitaliers, les administrateurs de chaque systeme doivent examiner leur propre protocole de prise en charge des voies respiratoires.

Published
2010

21. Methodology for the development of a canadian national EMS research agenda

Author

Craig Alan M, Brown Lawrence H, Carter Alix, Socha Doug, Dainty Katie N, Bigham Blair L, Blanchard Ian E, Jensen Jan L, Travers Andrew H, Brown Ryan, Cain Ed, and Morrison Laurie J

Subjects
Special situations and conditions, RC952-1245, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract Background Many health care disciplines use evidence-based decision making to improve patient care and system performance. While the amount and quality of emergency medical services (EMS) research in Canada has increased over the past two decades, there has not been a unified national plan to enable research, ensure efficient use of research resources, guide funding decisions and build capacity in EMS research. Other countries have used research agendas to identify barriers and opportunities in EMS research and define national research priorities. The objective of this project is to develop a national EMS research agenda for Canada that will: 1) explore what barriers to EMS research currently exist, 2) identify current strengths and opportunities that may be of benefit to advancing EMS research, 3) make recommendations to overcome barriers and capitalize on opportunities, and 4) identify national EMS research priorities. Methods/Design Paramedics, educators, EMS managers, medical directors, researchers and other key stakeholders from across Canada will be purposefully recruited to participate in this mixed methods study, which consists of three phases: 1) qualitative interviews with a selection of the study participants, who will be asked about their experience and opinions about the four study objectives, 2) a facilitated roundtable discussion, in which all participants will explore and discuss the study objectives, and 3) an online Delphi consensus survey, in which all participants will be asked to score the importance of each topic discovered during the interviews and roundtable as they relate to the study objectives. Results will be analyzed to determine the level of consensus achieved for each topic. Discussion A mixed methods approach will be used to address the four study objectives. We anticipate that the keys to success will be: 1) ensuring a representative sample of EMS stakeholders, 2) fostering an open and collaborative roundtable discussion, and 3) adhering to a predefined approach to measure consensus on each topic. Steps have been taken in the methodology to address each of these a priori concerns.

Published
2011
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22. Paramedic clinical decision making during high acuity emergency calls: design and methodology of a Delphi study

Author

Croskerry Pat, Jensen Jan L, and Travers Andrew H

Subjects
Special situations and conditions, RC952-1245, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract Background The scope of practice of paramedics in Canada has steadily evolved to include increasingly complex interventions in the prehospital setting, which likely have repercussions on clinical outcome and patient safety. Clinical decision making has been evaluated in several health professions, but there is a paucity of work in this area on paramedics. This study will utilize the Delphi technique to establish consensus on the most important instances of paramedic clinical decision making during high acuity emergency calls, as they relate to clinical outcome and patient safety. Methods and design Participants in this multi-round survey study will be paramedic leaders and emergency medical services medical directors/physicians from across Canada. In the first round, participants will identify instances of clinical decision making they feel are important for patient outcome and safety. On the second round, the panel will rank each instance of clinical decision making in terms of its importance. On the third and potentially fourth round, participants will have the opportunity to revise the ranking they assigned to each instance of clinical decision making. Consensus will be considered achieved for the most important instances if 80% of the panel ranks it as important or extremely important. The most important instances of clinical decision making will be plotted on a process analysis map. Discussion The process analysis map that results from this Delphi study will enable the gaps in research, knowledge and practice to be identified.

Published
2009
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25. Adult basic life support and automated external defibrillation 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations

Author

Perkins, Gavin D., Travers, Andrew H., Berg, Robert A., Castren, Maaret, Considine, Julie, Escalante, Raffo, Gazmuri, Raul J., Koster, Rudolph W., Lim, Swee Han, Nation, Kevin J., Olasveengen, Theresa M., Sakamoto, Tetsuya, Sayre, Michael R., Sierra, Alfredo, Smyth, Michael A., Stanton, David, Vaillancourt, Christian, and Cardiology

Published
2015

27. What is new in the 2015 American Heart Association guidelines, what is recycled from 2010, and what is relevant for emergency medicine in Canada

Author

Morrison, Laurie J., primary, de Caen, Allan, additional, Bhanji, Farhan, additional, Bigham, Blair L., additional, Blanchard, Ian E., additional, Brooks, Steven C., additional, Guerguerian, Anne-Marie, additional, Jensen, Jan L., additional, Travers, Andrew H., additional, Vaillancourt, Christian, additional, Welsford, Michelle, additional, and Woolfrey, Karen, additional

Published
2016
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29. Part 3: adult basic life support and automated external defibrillation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations

Author

Travers, Andrew H., Perkins, Gavin D., Berg, Robert A., Castren, Maaret, Considine, Julie, Escalante, Raffo, Gazmuri, Raul J., Koster, Rudolph W., Lim, Swee Han, Nation, Kevin J., Olasveengen, Theresa M., Sakamoto, Tetsuya, Sayre, Michael R., Sierra, Alfredo, Smyth, Michael A., Stanton, David, Vaillancourt, Christian, Basic Life Support Chapter Collaborators, Travers, Andrew H., Perkins, Gavin D., Berg, Robert A., Castren, Maaret, Considine, Julie, Escalante, Raffo, Gazmuri, Raul J., Koster, Rudolph W., Lim, Swee Han, Nation, Kevin J., Olasveengen, Theresa M., Sakamoto, Tetsuya, Sayre, Michael R., Sierra, Alfredo, Smyth, Michael A., Stanton, David, Vaillancourt, Christian, and Basic Life Support Chapter Collaborators

Abstract

This review comprises the most extensive literature search and evidence evaluation to date on the most important international BLS interventions, diagnostics, and prognostic factors for cardiac arrest victims. It reemphasizes that the critical lifesaving steps of BLS are (1) prevention, (2) immediate recognition and activation of the emergency response system, (3) early high-quality CPR, and (4) rapid defibrillation for shockable rhythms. Highlights in prevention indicate the rational and judicious deployment of search-and-rescue operations in drowning victims and the importance of education on opioid-associated emergencies. Other 2015 highlights in recognition and activation include the critical role of dispatcher recognition and dispatch-assisted chest compressions, which has been demonstrated in multiple international jurisdictions with consistent improvements in cardiac arrest survival. Similar to the 2010 ILCOR BLS treatment recommendations, the importance of high quality was reemphasized across all measures of CPR quality: rate, depth, recoil, and minimal chest compression pauses, with a universal understanding that we all should be providing chest compressions to all victims of cardiac arrest. This review continued to focus on the interface of BLS sequencing and ensuring high-quality CPR with other important BLS interventions, such as ventilation and defibrillation. In addition, this consensus statement highlights the importance of EMS systems, which employ bundles of care focusing on providing high-quality chest compressions while extricating the patient from the scene to the next level of care. Highlights in defibrillation indicate the global importance of increasing the number of sites with public-access defibrillation programs. Whereas the 2010 ILCOR Consensus on Science provided important direction for the “what” in resuscitation (ie, what to do), the 2015 consensus has begun with the GRADE methodology to provide direction for the quality of

Published
2015

32. Part 1: Executive Summary

Author

Neumar, Robert W., primary, Shuster, Michael, additional, Callaway, Clifton W., additional, Gent, Lana M., additional, Atkins, Dianne L., additional, Bhanji, Farhan, additional, Brooks, Steven C., additional, de Caen, Allan R., additional, Donnino, Michael W., additional, Ferrer, Jose Maria E., additional, Kleinman, Monica E., additional, Kronick, Steven L., additional, Lavonas, Eric J., additional, Link, Mark S., additional, Mancini, Mary E., additional, Morrison, Laurie J., additional, O’Connor, Robert E., additional, Samson, Ricardo A., additional, Schexnayder, Steven M., additional, Singletary, Eunice M., additional, Sinz, Elizabeth H., additional, Travers, Andrew H., additional, Wyckoff, Myra H., additional, and Hazinski, Mary Fran, additional

Published
2015
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33. Part 4: Systems of Care and Continuous Quality Improvement

Author

Kronick, Steven L., primary, Kurz, Michael C., additional, Lin, Steve, additional, Edelson, Dana P., additional, Berg, Robert A., additional, Billi, John E., additional, Cabanas, Jose G., additional, Cone, David C., additional, Diercks, Deborah B., additional, Foster, James (Jim), additional, Meeks, Reylon A., additional, Travers, Andrew H., additional, and Welsford, Michelle, additional

Published
2015
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34. Part 1: Executive Summary

Author

Hazinski, Mary Fran, primary, Nolan, Jerry P., additional, Aickin, Richard, additional, Bhanji, Farhan, additional, Billi, John E., additional, Callaway, Clifton W., additional, Castren, Maaret, additional, de Caen, Allan R., additional, Ferrer, Jose Maria E., additional, Finn, Judith C., additional, Gent, Lana M., additional, Griffin, Russell E., additional, Iverson, Sandra, additional, Lang, Eddy, additional, Lim, Swee Han, additional, Maconochie, Ian K., additional, Montgomery, William H., additional, Morley, Peter T., additional, Nadkarni, Vinay M., additional, Neumar, Robert W., additional, Nikolaou, Nikolaos I., additional, Perkins, Gavin D., additional, Perlman, Jeffrey M., additional, Singletary, Eunice M., additional, Soar, Jasmeet, additional, Travers, Andrew H., additional, Welsford, Michelle, additional, Wyllie, Jonathan, additional, and Zideman, David A., additional

Published
2015
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35. Part 2: Evidence Evaluation and Management of Conflicts of Interest

Author

Morley, Peter T., primary, Lang, Eddy, additional, Aickin, Richard, additional, Billi, John E., additional, Eigel, Brian, additional, Ferrer, Jose Maria E., additional, Finn, Judith C., additional, Gent, Lana M., additional, Griffin, Russell E., additional, Hazinski, Mary Fran, additional, Maconochie, Ian K., additional, Montgomery, William H., additional, Morrison, Laurie J., additional, Nadkarni, Vinay M., additional, Nikolaou, Nikolaos I., additional, Nolan, Jerry P., additional, Perkins, Gavin D., additional, Sayre, Michael R., additional, Travers, Andrew H., additional, Wyllie, Jonathan, additional, and Zideman, David A., additional

Published
2015
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36. Part 3: Adult Basic Life Support and Automated External Defibrillation

Author

Travers, Andrew H., primary, Perkins, Gavin D., additional, Berg, Robert A., additional, Castren, Maaret, additional, Considine, Julie, additional, Escalante, Raffo, additional, Gazmuri, Raul J., additional, Koster, Rudolph W., additional, Lim, Swee Han, additional, Nation, Kevin J., additional, Olasveengen, Theresa M., additional, Sakamoto, Tetsuya, additional, Sayre, Michael R., additional, Sierra, Alfredo, additional, Smyth, Michael A., additional, Stanton, David, additional, Vaillancourt, Christian, additional, Bierens, Joost J.L.M., additional, Bourdon, Emmanuelle, additional, Brugger, Hermann, additional, Buick, Jason E., additional, Charette, Manya L., additional, Chung, Sung Phil, additional, Couper, Keith, additional, Daya, Mohamud R., additional, Drennan, Ian R., additional, Gräsner, Jan-Thorsten, additional, Idris, Ahamed H., additional, Lerner, E. Brooke, additional, Lockhat, Husein, additional, Løfgren, Bo, additional, McQueen, Carl, additional, Monsieurs, Koenraad G., additional, Mpotos, Nicolas, additional, Orkin, Aaron M., additional, Quan, Linda, additional, Raffay, Violetta, additional, Reynolds, Joshua C., additional, Ristagno, Giuseppe, additional, Scapigliati, Andrea, additional, Vadeboncoeur, Tyler F., additional, Wenzel, Volker, additional, and Yeung, Joyce, additional

Published
2015
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37. Part 3: Adult basic life support and automated external defibrillation

Author

Perkins, Gavin D., primary, Travers, Andrew H., additional, Berg, Robert A., additional, Castren, Maaret, additional, Considine, Julie, additional, Escalante, Raffo, additional, Gazmuri, Raul J., additional, Koster, Rudolph W., additional, Lim, Swee Han, additional, Nation, Kevin J., additional, Olasveengen, Theresa M., additional, Sakamoto, Tetsuya, additional, Sayre, Michael R., additional, Sierra, Alfredo, additional, Smyth, Michael A., additional, Stanton, David, additional, Vaillancourt, Christian, additional, Bierens, Joost J.L.M., additional, Bourdon, Emmanuelle, additional, Brugger, Hermann, additional, Buick, Jason E., additional, Charette, Manya L., additional, Chung, Sung Phil, additional, Couper, Keith, additional, Daya, Mohamud R., additional, Drennan, Ian R., additional, Gräsner, Jan-Thorsten, additional, Idris, Ahamed H., additional, Lerner, E. Brooke, additional, Lockhat, Husein, additional, Løfgren, Bo, additional, McQueen, Carl, additional, Monsieurs, Koenraad G., additional, Mpotos, Nicolas, additional, Orkin, Aaron M., additional, Quan, Linda, additional, Raffay, Violetta, additional, Reynolds, Joshua C., additional, Ristagno, Giuseppe, additional, Scapigliati, Andrea, additional, Vadeboncoeur, Tyler F., additional, Wenzel, Volker, additional, and Yeung, Joyce, additional

Published
2015
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38. Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest

Author

Perkins, Gavin D., primary, Jacobs, Ian G., additional, Nadkarni, Vinay M., additional, Berg, Robert A., additional, Bhanji, Farhan, additional, Biarent, Dominique, additional, Bossaert, Leo L., additional, Brett, Stephen J., additional, Chamberlain, Douglas, additional, de Caen, Allan R., additional, Deakin, Charles D., additional, Finn, Judith C., additional, Gräsner, Jan-Thorsten, additional, Hazinski, Mary Fran, additional, Iwami, Taku, additional, Koster, Rudolph W., additional, Lim, Swee Han, additional, Huei-Ming Ma, Matthew, additional, McNally, Bryan F., additional, Morley, Peter T., additional, Morrison, Laurie J., additional, Monsieurs, Koenraad G., additional, Montgomery, William, additional, Nichol, Graham, additional, Okada, Kazuo, additional, Eng Hock Ong, Marcus, additional, Travers, Andrew H., additional, Nolan, Jerry P., additional, Aikin, Richard P., additional, Böttiger, Bernd W., additional, Callaway, Clifton W., additional, Castren, Maaret K., additional, Eisenberg, Mickey S., additional, Kleinman, Monica E., additional, Kloeck, David A., additional, Kloeck, Walter G., additional, Mancini, Mary E., additional, Neumar, Robert W., additional, Ornato, Joseph P., additional, Paiva, Edison F., additional, Peberdy, Mary Ann, additional, Soar, Jasmeet, additional, Rea, Thomas, additional, Sierra, Alfredo F., additional, Stanton, David, additional, and Zideman, David A., additional

Published
2015
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43. 2010 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations, part 5: adult basic life support

Author

Sayre, Michael R, Koster, Rudolph W, Botha, Martin, Cave, Diana M, Cudnik, Michael T, Handley, Antony J, Hatanaka, Tetsuo, Hazinski, Mary Fran, Jacobs, Ian, Monsieurs, Koenraad, Morley, Peter T, Nolan, Jerry P, and Travers, Andrew H

Subjects
SPONTANEOUSLY BREATHING CHILDREN, SMALLER TIDAL VOLUMES, emergency department, resuscitation, HOSPITAL CARDIAC-ARREST, cardiac arrest, RANDOMIZED CONTROLLED-TRIAL, arrhythmia, cardiopulmonary resuscitation, CONTINUOUS CHEST COMPRESSIONS, PROLONGED VENTRICULAR-FIBRILLATION, UPPER AIRWAY PATENCY, DISPATCHER-ASSISTED CPR, Medicine and Health Sciences, AUTOMATED EXTERNAL DEFIBRILLATORS, VALVE-MASK VENTILATION
Published
2010

50. Contemporary evidence-based practice in Canadian emergency medical services: a vision for integrating evidence into clinical and policy decision-making

Author

Jensen, Jan L. and Travers, Andrew H.

Abstract

AbstractNationally, emphasis on the importance of evidence-based practice (EBP) in emergency medicine and emergency medical services (EMS) has continuously increased. However, meaningful incorporation of effective and sustainable EBP into clinical and administrative decision-making remains a challenge. We propose a vision for EBP in EMS: Canadian EMS clinicians and leaders will understand and use the best available evidence for clinical and administrative decision-making, to improve patient health outcomes, the capability and quality of EMS systems of care, and safety of patients and EMS professionals.This vision can be implemented with the use of a structure, process, system, and outcome taxonomy to identify current barriers to true EBP, to recognize the opportunities that exist, and propose corresponding recommended strategies for local EMS agencies and at the national level. Framing local and national discussions with this approach will be useful for developing a cohesive and collaborative Canadian EBP strategy.

Published
2017
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