A community intervention by firefighters to increase 911 calls and aspirin use for chest pain

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
H MeischkeM S Eisenberg

Abstract

To test the effectiveness of an intervention, delivered face-to-face by local firefighters, designed to increase utilization of 911 and self-administration of aspirin for seniors experiencing chest pain. King County, Washington was divided into 126 geographically distinct areas that were randomized to intervention and control areas. A mailing list identified households of seniors within these areas. More than 20,000 homes in the intervention areas were contacted by local firefighters. Data on all 911 calls for chest pain and self-administration of aspirin were collected from the medical incident report form (MIRF). The unit of analysis was the area. Firefighters delivered a heart attack survival kit (that included an aspirin) and counseled participants on the importance of aspirin and 911 use for chest pain. Main outcome measures were 911 calls for chest pain and aspirin ingestion for a chest pain event, obtained from the MIRFs that are collected by emergency medical services personnel for 2 years after the intervention. There were significantly more calls (16%) among seniors on the mailing list in the intervention than control areas in the first year after the intervention. Among the seniors who were not on the mailing list, t...Continue Reading

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Citations

Nov 1, 2007·Advances in Health Sciences Education : Theory and Practice·Kayla N CytrynVimla L Patel
Jul 31, 2012·The Journal of Pain : Official Journal of the American Pain Society·Lucia GaglieseMichael W Salter
Apr 15, 2008·American Journal of Preventive Medicine·James M PribbleStephen W Hargarten
Sep 7, 2016·Safety Science·Brenna M Keller, Thomas R Cunningham
Dec 19, 2016·Frontiers in Public Health·Elizabeth A PhelanHendrika Meischke
Apr 1, 2017·Frontiers in Public Health·Matthew Lee SmithMarcia G Ory

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