The November EMS Roundup

“Whenever I find myself growing grim about the mouth; whenever it is a damp drizzly November in my soul … then, I account it high time to get me to the sea.”

Herman Melville

When the cold November finds me grim about the mouth I find myself drawn to a warm fireplace and the click of my laptop’s keyboard. Lucky you. In November we kicked off with the idea that details matter. We discussed the importance of determination and I reminded you to ask the patient. I also pointed out ten things you can’t learn about EMS sitting in front of your computer and I made the polite request; don’t be a jerk. Chris Framstead took a walk down memory lane and talked about how things were back in the day. I told you about the ultimate EMS protocol and the controversy over c-spine immobilization. And we even found time to explore podcasting and the sternal rub. (Insert deep breath here.)

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Chest Pain: Is EMS Really Best?

Short answer: Yes.

Score one for EMS. A study published last January in the American Heart Journal evaluated transport and treatment times of patients who called 911 for their chest pain and patients who sought private transportation.

They found that patients who transported themselves to the emergency room arrived at the hospital in 35 minutes while patients who called 911 arrived in 39 minutes. (On average.)

Hold the phone. Before you tell grampa to forget the phone call and jump in the car, consider this; The study also concluded that the patients who dialed 911 received initial stabilizing treatments faster AND definitive treatments faster as well.

Those who called the ambulance received initial care like oxygen, aspirin and nitro in approximately six minutes as opposed to the self transporters who took 32 minutes to receive these interventions.

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