Impact of ambulance crew configuration on simulated cardiac arrest resuscitation

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Ryan BayleyCorey Slovis

Abstract

Despite the widespread use of both two paramedic and single paramedic ambulance crews, there is little evidence regarding differences between these two staffing configurations in the delivery of patient care. To determine potential differences in care provided by each of these ambulance configurations in the resuscitation of a cardiac arrest victim in ventricular fibrillation. Fifteen paramedic-paramedic and 15 paramedic-EMT crews were recruited to perform resuscitation on a high-fidelity human simulator (Laerdal SimMan). Errors and their nature, time to critical interventions, and compliance with continuous cardiopulmonary resuscitation (CPR) were captured by the simulator and videotape. Two paramedic crews averaged 0.7 +/- 0.5 more errors of commission, 0.5 +/- 0.4 more errors of sequence, and 0.8 +/- 0.8 more total errors per resuscitation (+/- 95% CI; p = 0.008, 0.017, and 0.036, respectively). For all interventions analyzed, only time required to achieve intubation differed between the two configurations, with two paramedic crews intubating 63.9 +/- 45.8 seconds more quickly (p = 0.009). CPR compliance was highly variable, and a meaningful statistical difference could not be determined, although performance overall was poo...Continue Reading

References

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Citations

Apr 1, 2014·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Anna AbelssonLillemor Lindwall
Aug 10, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Timothy J MaderRichard A Misiaszek
Sep 20, 2011·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Vicki R LeBlancSteven K Howard
Apr 13, 2010·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Matthew B Weinger
Apr 27, 2010·Anesthesia and Analgesia·Ryan C Pouliot
Mar 20, 2020·International Journal of Environmental Research and Public Health·Pin-Hui FangChih-Hao Lin
Feb 5, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Christian Martin-GillJon C Rittenberger

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