Clinical Algorithms for Prehospital Cardiac Care
Bibliographic Data
| ID | 9102444 |
|---|---|
| Authors | C Gene Cayten (University of Pennsylvania), Jacqueline Oler (University of Pennsylvania), Rudolf Staroscik, Rudolf N Staroscik (University of Pennsylvania), Joel Morganroth (University of Pennsylvania), Kathleen Walker (0000-0003-1910-0055), Kathleen A Walker (University of Pennsylvania), Linda Cole (0000-0003-2952-1654, University of Pennsylvania), William Evans (0000-0002-8916-2684), William J Evans (0000-0001-6757-1471, University of Pennsylvania), Jane Murphy (0000-0003-3531-5566), Jane G Murphy (University of Pennsylvania) |
| Year | 1983 |
| Volume | 21 |
| Issue | 2 |
| Pages | 147-156 |
| Publication date | 1983-02-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198302000-00003 |
| PMID | 6827869 |
| OpenAlex | W2028835660 |
| Language | EN |
| Citations received | 1 |
Algorithms for the prehospital management of cardiac arrhythmias were developed and their use by and value to paramedics evaluated. The algorithms, in booklet form, were distributed to half of the Philadelphia paramedic platoons; paramedics in the other platoons followed a narrative protocol that reflected identical contents. An arrhythmia recognition test given 18 months after the algorithm booklets were introduced showed that paramedics who received the booklets scored significantly higher in identifying life-threatening arrhythmias (p = 0.029) than did their counterparts without the booklets. Survival data for 459 patients in ventricular fibrillation treated by paramedics were collected 1 year before and 7 months after the introduction of the algorithm booklets. The paramedics using the algorithms improved their survival rate from 11.25 to 15.1 per cent, while the survival rate for patients treated by paramedics using the narrative protocols decreased from 12.4 to 7.7 per cent. The likelihood of obtaining a ratio of survival odds of this magnitude when there is no true difference is 0.092. Time-to-death was significantly different (p = 0.04) for the two groups of patients. Thus, the use of algorithm booklets as an inexpensive educational aid for paramedics is recommended
Algorithm · Cardiology · Medical emergency · Narrative · Odds ratio · Ventricular fibrillation · Cardiac Arrest and Resuscitation · Computer Science · Emergency and Acute Care Studies · Emergency Medical Services · Emergency Medicine · Internal Medicine · Medicine · Trauma and Emergency Care Studies
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,03 |
| Citation span | 1989 - 1989 (1) |
| Citation velocity | historical |
| Highly cited | No |