Description of Medication Administration by Emergency Medical Services during Mass-casualty Incidents in the United States

Prehospital and Disaster Medicine
Mazen El SayedN Clay Mann

Abstract

Emergency Medical Services (EMS) preparedness and availability of essential medications are important to reduce morbidity and mortality from mass-casualty incidents (MCIs). This study describes prehospital medication administration during MCIs by different EMS service levels. The US National EMS Public-Release Research Dataset maintained by the National Emergency Medical Services Information System (NEMSIS) was used to carry out the study. Emergency Medical Services activations coded as MCI at dispatch, or by EMS personnel, were included. The Center for Medicare and Medicaid Services (CMS) service level was used for the level of service provided. A descriptive analysis of medication administration by EMS service level was carried out. Among the 19,831,189 EMS activations, 53,334 activations had an MCI code, of which 26,110 activations were included. There were 8,179 (31.3%) Advanced Life Support (ALS), 5,811 (22.3%) Basic Life Support (BLS), 399 (1.5%) Air Medical Transport (AMT; fixed or rotary), and 38 (0.2%) Specialty Care Transport (SCT) activations. More than 80 different medications from 18 groups were reported. Seven thousand twenty-one activations (26.9%) had at least one medication administered. Oxygen was most common ...Continue Reading

References

Jun 28, 2006·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Drew E Dawson
Dec 29, 2012·Respiratory Care·Thomas C Blakeman, Richard D Branson
Nov 28, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Stephen H ThomasEddy S Lang
Mar 29, 2014·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Ellen SchenkDrew Dawson
Oct 8, 2014·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·N Clay MannKaren Jacobson

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Citations

May 4, 2017·Prehospital and Disaster Medicine·Steven G SchauerRobert A Delorenzo
Dec 7, 2019·Prehospital and Disaster Medicine·Tatiana Holanda Pereira de Souza, Elaine Silva Miranda

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