Objectives: Elderly adults are the demographic most likely to utilize emergency medical services (EMS). This study aimed to examine the difference in EMS utilization in subgroups of the elderly population by assessing the predictors for using EMS.
Methods: Using both descriptive and logistic regression analyses, this study analyses data from the 2014 Korean Health Panel Survey ( = 3,175).
Results: It was observed that certain predisposing factors such as age, sex, and marital status were significant predictors of EMS utilization. However, differences in EMS need do not fully account for the original differences observed between subgroups of elderly Koreans. While health status and disability were important predictors of elderly Koreans using EMS, place of residence did not account for subgroup differences. Nonetheless, place of residence remained particularly important predictors of EMS utilization for the elderly.
Conclusion: Emergency needs and resource availability are 2 main determinants for elderly Koreans using EMS. In addition, it was observed that the demographic subgroup profile of unmarried/divorced/separated/widowed men who were aged 75 and older was least likely to utilize EMS. Improving their resource availability to meet their EMS needs should be a top priority for national policy making to narrow elderly population subgroup differences.
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http://dx.doi.org/10.24171/j.phrp.2020.11.4.10 | DOI Listing |
Acad Emerg Med
January 2025
Department of Emergency and Critical Care Medicine, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
Background: This study aimed to clarify the appropriate timing for epinephrine administration in adults with out-of-hospital cardiac arrest (OHCA), particularly those cases with nonshockable rhythms, by addressing resuscitation time bias.
Methods: We performed a retrospective observational study utilizing a multicenter OHCA registry involving 95 hospitals in Japan between June 2014 and December 2020. We included patients with OHCA and nonshockable rhythms who received epinephrine during resuscitation.
Objectives: The Screening, Brief Intervention, and Referral to Treatment (SBIRT) framework is a validated process that is used to identify individuals with substance use disorders (SUDs) and then encourage them to engage in and facilitate entry into treatment. It is not known how well SBIRT can be incorporated into prehospital practice and what barriers to Emergency Medical Services (EMS) implementation of an SBIRT program might arise. The aim of this project was to implement a pilot EMS based SBIRT program.
View Article and Find Full Text PDFPrehosp Emerg Care
January 2025
Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa.
Objectives: Emergency medical services (EMS) clinicians express dissatisfaction with the quality and quantity of clinical feedback received from hospitals, which is exacerbated by the absence of standardized feedback processes. A reported lack of regular feedback impedes their ability to learn and improve care. We evaluated a newly implemented feedback tool's utilization and perceived impact on EMS clinicians and our health system.
View Article and Find Full Text PDFPrehosp Emerg Care
January 2025
Institute for Pharmaceutical Outcomes & Policy, Department of Pharmacy Practice and Science, College of Pharmacy, University of Kentucky, Lexington KY 40508, USA.
Objectives: Structured data fields, including medication fields involving naloxone, are routinely used to identify opioid overdoses in emergency medical services (EMS) data; between January 2021 and March 2024, there were approximately 1.2 million instances of naloxone administration. in the United States.
View Article and Find Full Text PDFJ Trauma Acute Care Surg
January 2025
From the Department of Surgery (J.H., K.S., G.S.C., C.T., L.R., G.B.); School of Public Health (A.B., O.H., A.S., S.M.); Hennepin Healthcare (S.K.); Department of Emergency Medicine (S.K., M.A.P.); and Hennepin Healthcare, Department of Emergency Medicine (M.A.P.), Minneapolis, Minnesota.
Background: There is conflicting evidence regarding emergency medical service (EMS) provider level of training and outcomes in trauma. We hypothesized that advanced life support (ALS) provider transport is associated with lower mortality compared with basic life support transport.
Methods: We performed secondary analysis of a combined prehospital and in-hospital database of trauma patients utilizing ESO electronic medical records from 2018 to 2022.
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