Introduction

1. Allegheny Health Network Classification and Frequency of Emergency Medical Services Procedures Performed in the United States Christopher Karns, DO1,Jestin N. Carlson, MD, MS1,2,N. Clay Mann, PhD, MS3,Karen E. Jacobson, BA, NREMT-P3, Mengtao Dai, MS3, Caroline Colleran, DO1, Henry E. Wang, MD, MS4 1.Department of Emergency Medicine, Allegheny Health Network, Erie, PA 2.Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 3.NEMSIS Technical Assistance Center, Department of Pediatrics, University of Utah School of Medicine 4.Department of Emergency Medicine, University of Alabama Birmingham Introduction Results Emergency Medical Services (EMS) personnel in the United States have performed interventions for critical conditions for over 50 years. Examples of essential skills include defibrillation and airway management. Mastery of these skills requires sufficient initial training as well as ongoing education, especially if infrequently performed.The clinical effectiveness of these interventions remains unclear. While prehospital intravenous catheter insertion is associated with a reduction in mortality, Seamon, et al. found that trauma patients are 2.63 times more likely to die for every procedure completed in the prehospital setting. There are no national assessments of the frequency of procedures performed in prehospital environment. This information is vital to maximize procedural training opportunities and to optimize training curricula. B. Procedures involving therapeutic intervention A. Critical Procedures . Objectives Emergency medical services (EMS) must provide a wide range of care for patients in the out-of-hospital setting. While previous work has detailed that EMS providers rarely perform certain procedures, (e.g. endotracheal intubation) there are limited data detailing the frequency of procedures across the breadth of EMS providers’ scope of practice. We sought to characterize procedures performed by EMS in the United States. Conclusion Methods This study characterizes the frequency with which EMS providers perform procedures across the United States. This information may help to guide future EMS training and education efforts highlighting the relative frequency of specific procedures. We conducted an analysis of the 2011 National Emergency Medical Services Information System (NEMSIS) research data set, encompassing EMS emergency response data from 40 states and two territories. From these data, we report the number and incidence of EMS procedures. We also characterize procedures performed. Limitations -Convenience Sample -30% of the U.S. population not included -Did not compare complications related to procedures -Only Focused on Adult Population