Evidence-based optimization of urban firefighter first response to emergency medical services 9-1-1 incidents

Prehospital Emergency Care

Volumn 14, Issue 1, 2010, Pages 109-117

  Craig, Alan M ^a   Verbeek, P Richard ^b   Schwartz, Brian ^b  

^a Toronto Emergency Medical Services   (Canada)

^b Sunnybrook Osler Centre For Prehospital Care   (Canada)

Author keywords

Cardiopulmonary resuscitation; Dispatch policy; Emergency medical services communications systems; Firefighter first responders; Risk?benefit; Sudden cardiac arrest

Indexed keywords

ARTICLE; DEFIBRILLATOR; ELECTRONIC MEDICAL RECORD; EMERGENCY HEALTH SERVICE; EVIDENCE BASED MEDICINE; FIRE FIGHTER; HEALTH CARE POLICY; HEALTH PROGRAM; HUMAN; MAJOR CLINICAL STUDY; MEDICAL RECORD REVIEW; METHODOLOGY; RECEIVER OPERATING CHARACTERISTIC; RESUSCITATION; RETROSPECTIVE STUDY; RISK BENEFIT ANALYSIS; SENSITIVITY AND SPECIFICITY; URBAN AREA;

EMERGENCY MEDICAL SERVICE COMMUNICATION SYSTEMS; EMERGENCY MEDICAL SERVICES; EMERGENCY MEDICAL TECHNICIANS; EMPLOYMENT; EVIDENCE-BASED PRACTICE; FIRES; HUMANS; RETROSPECTIVE STUDIES; URBAN POPULATION;

EID: 71449111731     PISSN: 10903127     EISSN: 15450066     Source Type: Journal    
DOI: 10.3109/10903120903349754     Document Type: Article

References (34)

1. Weaver WD, Hill D, Fahrenbruch CE, et al. Use of the automatic external defibrillator in the management of out-of-hospital cardiac arrest. N Engl J Med. 1988;319:661-666
2. Shuster M, Keller JL. Effect of fire department first-responder automated defibrillation. Ann Emerg Med. 1993;22:721-727
3. De Maio V, Stiell IG, Wells GA, Spaite, DW. Optimal defibrillation response intervals for maximum out-of-hospital cardiac arrest survival rates. Ann Emerg Med. 2003;42:242-250
4. Smith KL, Peeters A, McNeil J. Results from the first 12 months of a fire first-responder program in Australia. Resuscitation. 2001;49:143-150
5. Stiell IG, Wells GA, DeMaio VJ, et al. Modifiable factors associated with improved cardiac arrest survival in a multicenter basic life support/defibrillation system: OPALS study phase I results. Ann Emerg Med. 1999;33:44-50.
6. Use of warning lights and siren in emergency medical vehicle response and patient transport [position paper]. National Association of Emergency Medical Services Physicians/National Association of State EMS Directors, 1993. Available at: http://www.naemsp.org/documents/UseWarnLightsSirens.pdf. Accessed July 24, 2007.
7. Clawson JJ, Robert LM, Cody GA, Maio RF. The wake effect: emergency vehicle-related collision. Prehosp Disaster Med. 1997;12:1-4.
8. Emergency Vehicle and Roadway Scene Safety.Washington, DC: International Association of Fire Fighters/US Department of Homeland Security, 2004.
9. Becker LR, Zaloshnja E, Levick N, Li G, Miller TR. Relative risk of injury and death in ambulances and other emergency vehicles. Accid Anal Prev. 2003;35:941-948
10. Stout J, Pepe PE, Mosesso VN. All-advanced life support vs tiered-response ambulance systems. Prehosp Emerg Care. 2000;4:1-6.
11. Lerner EB, Hinchey PR, Billittier AJ. A survey of first-response firefighters' attitudes, opinions and concerns about their automated external defibrillation program. Prehosp Emerg Care. 2003;7:120-124
12. Lerner EB, Billittier AJ, Moscati RM, Adolf JE. The time firstresponse fire fighters have to initiate care in a midsize city. J Emerg Med. 2003;25:171-174
13. Cone DC, Galante N, MacMillan DS. Can emergency medical dispatch systems safely reduce first-responder call volume? Prehosp Emerg Care. 2008;12:479-485
14. Berringer R, Christenson J, Blitz M, et al. Medical role of first responders in an urban prehospital setting. Can J Emerg Med. 1999;1:93-98
15. Cone DC, Galante N, Macmillan DS, Perez MM, Parwani V. Is there a role for first responders in EMS responses to medical facilities? Prehosp Emerg Care. 2007;11:14-18
16. Michael GE, Sporer KA. Validation of low-acuity emergency medical services dispatch codes. Acad Emerg Med. 2005;9:429-433
17. Sporer KA, Youngblood GM, Rodriguez RM. The ability of emergency medical dispatch codes of medical complaints to predict ALS prehospital interventions. Prehosp Emerg Care. 2007;11:192-198
18. Sporer KA, Johnson NJ, Yeh CC, Youngblood GM. Can emergency medical dispatch codes predict prehospital interventions in common 9-1-1 call types? Prehosp Emerg Care. 2008;12:470-478
19. Dale B, Patterson B. Right on target: resource allocation and the PDS. Emerg Dispatch. 2006;8(2):1,32-44.
20. Clawson J, Olola CH, Heward A, Scott G, Patterson B. Accuracy of emergency medical dispatchers' subjective ability of identify when higher dispatch levels are warranted over a Medical Priority Dispatch System automated protocol's recommended coding based on paramedic outcome data. Emerg Med J. 2007;24:560-563
21. Shah MN, Bishop P, Lerner EB, Czapranski T, Davis EA. Derivation of emergency medical services dispatch codes associated with low-acuity patients. Prehosp Emerg Care. 2003;7: 434-439
22. Hinchey P, Meyers B, Zalkin J, Lewis R, Garner D. Low acuity EMS dispatch criteria can reliably identify patientswithout highacuity illness or injury. Prehosp Emerg Care. 2007;11:42-48
23. Bailey ED, O'Connor RE, Ross RW. The use of emergency medical dispatch protocols to reduce the number of inappropriate scene responses made by advanced life support personnel. Prehosp Emerg Care. 2000;4:186-189
24. Murray, M, Bullard, M, Grafstein E. Revisions to the Canadian Emergency Department Triage andAcuity Scale Implementation Guidelines. Can J Emerg Med. 2004;6(6):421-427
25. Base Hospital Program Statistical Report, Paramedic Defibrillation Program, July 2003-October 2003. Toronto, ON, Canada: Sunnybrook and Women's College Health Science Centre, 2004.
26. Campbell KL. Traffic Collisions Involving Fire Apparatus in the United States. Ann Arbor, MI: Center for National Truck Statistics, University of Michigan Transportation Research Institute, 1999.
27. Rimington JD, Trbojevic VM. Determination of ALARP in Conditions of Uncertainty. Edinburgh, Scotland: ESREL Conference Proceedings, European Safety and Reliability Association, May 2000;1:1-5.
28. The Tolerability of Risk from Nuclear Power Stations. London, UK: Health and Safety Executive, Government of the United Kingdom, Office of Public Sector Information, 1988.
29. Kunreuther H, Meyer R, Van den Bulte C. Risk Analysis for Extreme Events: Economic Incentives for Reducing Future Losses. Gaithersburg, MD: National Institute of Standards and Technology, US Department of Commerce, 2004.
30. Reducing Risks, Protecting People. Norwich, UK: Health and Safety Executive, Her Majesty's Stationery Office, 2001.
31. Van Alem AP, Vrenken RH, De Vos R, Tijssen JCP, Koster RW. Use of automated external defibrillator by first responders in out of hospital cardiac arrest: prospective controlled trial. BMJ. 2003;327:1312.
32. Smith K, Rich D, Pastoriza Pinol J, Hankin J, McNeil J. Acceptance of a medical first-responder role by fire fighters. Resuscitation. 2001;51:33-38
33. Prina LD, White RD, Atkinson EJ. Automated external defibrillators and first responders: a satisfaction survey. Resuscitation. 2002;53:171-177
34. Lerner EB, Billittier AJ, Newman MM, Groh WJ. Automated external defibrillator (AED) utilization rates and reasons fire and police first responders did not applyAEDs. Prehosp Emerg Care. 2002;6:378-382