Measuring Cardiac Arrest USING MEDS to send data to CARES
Out of Hospital Sudden Cardiac Arrest • AMR cares for about 25,000 SCA victims a year. • In the US, the Overall survival is 10% • Witnessed VF survival is 30% • AMR participates in CARES; the Cardiac Arrest Registry to Enhance Survival • As a Partner in the HeartRescue Project • MEDS 3.10 e-PCRs includes mandatory CARES fields • CARES data allows us to know survival in our communities and provides data to guide improvement
CARES Registry Data • CARES began collecting data in 2004 • Links outcomes to prehospital data ***** • Currently includes: • 400 EMS agencies • 2600 First Responder Agencies • 1000 hospitals providing outcome data • Provides annual SCA survival statistics • 2012 data will be released in March • AMR has committed to measuring SCA survival in all of our practices/communities
Cardiac Arrest Documentation • Cardiac Arrest Fields in MEDS are linked to CARES • Once your practice is in CARES, data can be transmitted directly to CARES from the MEDS ePCR (no hand entry) • Accurate data is essential for measurement and improvement • Still need a contact person to ensure data validity in each site
MEDS 3.10 Misc. • There are new fields for the CARDIAC ARREST primary impression • Mandatory Fields • Only patients with Resuscitation Attempted are considered Cardiac Arrest Patients • If not a resuscitation attempt
Important Documentation for Cardiac Arrest • Demographic Info and History • Incident address, name, age, DOB, gender, race/ethnicity, past med hx, date of arrest, fire/first responder agency, destination hospital • Location • Vitals • Pulse (ROSC) and Respiration • PETCo2
Important Documentation • Procedures • Shocks • Defib by others (PAD, Police) • Time of first shock • Airway Management & devices • Vascular Access (IO, IV, No IV) • Field hypothermia (TTM- targeted temperature management) • Medication Administration • 12 lead ECG performed • STEMI or Not
Documentation Excellence • If you must use a narrative for arrest details, keep it to the minimum. • Don’t duplicate info already in dropdown fields • You must complete the data fields even if you put the info into the narrative.