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High Risk, High Stakes: Utilization of Hospital Outcome Data to Evaluate Care for Critical EMS Patients

Tuesday, Nov. 17, 2020 | 1 p.m. Central

Anecdotal reports of individual patient outcomes in the media have focused attention on EMS interventions without the benefit of the larger context. Join this interactive session to first learn how linked hospital data have been utilized to predict outcomes for EMS patients. The association of risk stratification scores, patient complaints, and EMS interventions will be reviewed in relation to desired outcomes. Particular attention will be paid to the effects of out-of-hospital use of physical restraints and chemical sedation.

Attendees will learn:

1. The patterns of utilization for out-of-hospital sedation, including ketamine, benzodiazepine, and anti-psychotics.
2. Association of prehospital patient characteristics with hospital outcomes
3. Differences in outcomes for patients treated with ketamine based upon indication for treatment (e.g., pain vs. altered mental status vs. respiratory).
4. Describe challenges with defining and evaluating patients with excited delirium vs. other behavioral health emergencies.
5. Describe risks associated with treatment for excited delirium, including physical restraints, conductive electrical device, and chemical sedation.

About the Presenters

Brent Myers, MD, MPH, FACEP, FAEMS is an internationally recognized expert in the area of Emergency Medical Services (EMS), particularly as it relates to systems of care, performance improvement, and population management. In his role at ESO, he is responsible for fostering a culture of medical rigor and practical application in development of ESO software and services; leading the research and performance initiative; and applying medical expertise and scientific rigor to support customers. He served as co-editor of the 2nd Edition of Emergency Medical Services, Clinical Practice and Systems Overnight, serves on the editorial board of numerous peer-reviewed journals, has numerous peer-review publications, and has provided invited lectures in numerous locations around the world.

Remle Crowe, Ph.D., NREMT is an expert in quality improvement and research. From truck clutches to clinical care, she has shown how improvement science and research work to solve problems across fields. As an EMT with a passion for advancing the EMS evidence base, she earned her PhD in Epidemiology. Now, as a research scientist at ESO and faculty member of the NAEMSP Quality and Safety Course, Dr. Crowe routinely uses data to improve community health and safety.

Sponsored By:

The Pinnacle Webinar Series is produced in cooperation with Pinnacle Premier Media Partner EMS1.
Ninth Brain is Fitch & Associates’ Education Partner and Host of this webinar.

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