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State emergency medical services guidance and protocol changes in response to the COVID‐19 pandemic: A national investigation

OBJECTIVES: The COVID‐19 pandemic has had an impact on emergency medical services (EMS) and its guidelines, which aid in patient care. This study characterizes state and territory EMS office recommendations to EMS statewide operational and clinical guidelines and describes the mechanisms of distribu...

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Autores principales: Owusu‐Ansah, Sylvia, Harris, Matthew, Fishe, Jennifer N., Adelgais, Kathleen, Panchal, Ashish, Lyng, John W., McCans, Kerry, Alter, Rachel, Perry, Amanda, Cercone, Angelica, Hendry, Phyllis, Cicero, Mark X.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8886181/
https://www.ncbi.nlm.nih.gov/pubmed/35252975
http://dx.doi.org/10.1002/emp2.12687
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author Owusu‐Ansah, Sylvia
Harris, Matthew
Fishe, Jennifer N.
Adelgais, Kathleen
Panchal, Ashish
Lyng, John W.
McCans, Kerry
Alter, Rachel
Perry, Amanda
Cercone, Angelica
Hendry, Phyllis
Cicero, Mark X.
author_facet Owusu‐Ansah, Sylvia
Harris, Matthew
Fishe, Jennifer N.
Adelgais, Kathleen
Panchal, Ashish
Lyng, John W.
McCans, Kerry
Alter, Rachel
Perry, Amanda
Cercone, Angelica
Hendry, Phyllis
Cicero, Mark X.
author_sort Owusu‐Ansah, Sylvia
collection PubMed
description OBJECTIVES: The COVID‐19 pandemic has had an impact on emergency medical services (EMS) and its guidelines, which aid in patient care. This study characterizes state and territory EMS office recommendations to EMS statewide operational and clinical guidelines and describes the mechanisms of distribution and implementation during the COVID‐19 pandemic. METHODS: A mixed‐methods study was conducted in 2 phases. In phase 1, changes and development of COVID‐19 guidance and protocols for EMS clinical management and operations were identified among 50 states, the District of Columbia, and 5 territories in publicly available online documents and information. In phase 2, structured interviews were conducted with state/territory EMS officials to confirm the protocol changes or guidance and assess dissemination and implementation strategies for COVID‐19. RESULTS: In phase 1, publicly available online documents for 52 states/territories regarding EMS protocols and COVID‐19 guidance were identified and reviewed. Of 52 (33/52) states/territories, 33 had either formal protocol changes or specific guidance for the pandemic. In phase 2, 2 state and territory EMS officials were interviewed regarding their protocols or guidance for COVID‐19 and the dissemination and implementation practices they used to reach EMS agencies (response rate = 65%). Of the 34 state/territory officials interviewed, 22 had publicly available online COVID‐19 protocols or guidance. Of the 22 officials with online COVID‐19 protocols, all reported providing operational direction, and 19 of 22 officials reported providing clinical direction. CONCLUSIONS: Most states provided guidance to EMS agencies and/or updated protocols in response to the COVID‐19 pandemic.
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spelling pubmed-88861812022-03-04 State emergency medical services guidance and protocol changes in response to the COVID‐19 pandemic: A national investigation Owusu‐Ansah, Sylvia Harris, Matthew Fishe, Jennifer N. Adelgais, Kathleen Panchal, Ashish Lyng, John W. McCans, Kerry Alter, Rachel Perry, Amanda Cercone, Angelica Hendry, Phyllis Cicero, Mark X. J Am Coll Emerg Physicians Open Emergency Medical Services OBJECTIVES: The COVID‐19 pandemic has had an impact on emergency medical services (EMS) and its guidelines, which aid in patient care. This study characterizes state and territory EMS office recommendations to EMS statewide operational and clinical guidelines and describes the mechanisms of distribution and implementation during the COVID‐19 pandemic. METHODS: A mixed‐methods study was conducted in 2 phases. In phase 1, changes and development of COVID‐19 guidance and protocols for EMS clinical management and operations were identified among 50 states, the District of Columbia, and 5 territories in publicly available online documents and information. In phase 2, structured interviews were conducted with state/territory EMS officials to confirm the protocol changes or guidance and assess dissemination and implementation strategies for COVID‐19. RESULTS: In phase 1, publicly available online documents for 52 states/territories regarding EMS protocols and COVID‐19 guidance were identified and reviewed. Of 52 (33/52) states/territories, 33 had either formal protocol changes or specific guidance for the pandemic. In phase 2, 2 state and territory EMS officials were interviewed regarding their protocols or guidance for COVID‐19 and the dissemination and implementation practices they used to reach EMS agencies (response rate = 65%). Of the 34 state/territory officials interviewed, 22 had publicly available online COVID‐19 protocols or guidance. Of the 22 officials with online COVID‐19 protocols, all reported providing operational direction, and 19 of 22 officials reported providing clinical direction. CONCLUSIONS: Most states provided guidance to EMS agencies and/or updated protocols in response to the COVID‐19 pandemic. John Wiley and Sons Inc. 2022-02-28 /pmc/articles/PMC8886181/ /pubmed/35252975 http://dx.doi.org/10.1002/emp2.12687 Text en © 2022 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Emergency Medical Services
Owusu‐Ansah, Sylvia
Harris, Matthew
Fishe, Jennifer N.
Adelgais, Kathleen
Panchal, Ashish
Lyng, John W.
McCans, Kerry
Alter, Rachel
Perry, Amanda
Cercone, Angelica
Hendry, Phyllis
Cicero, Mark X.
State emergency medical services guidance and protocol changes in response to the COVID‐19 pandemic: A national investigation
title State emergency medical services guidance and protocol changes in response to the COVID‐19 pandemic: A national investigation
title_full State emergency medical services guidance and protocol changes in response to the COVID‐19 pandemic: A national investigation
title_fullStr State emergency medical services guidance and protocol changes in response to the COVID‐19 pandemic: A national investigation
title_full_unstemmed State emergency medical services guidance and protocol changes in response to the COVID‐19 pandemic: A national investigation
title_short State emergency medical services guidance and protocol changes in response to the COVID‐19 pandemic: A national investigation
title_sort state emergency medical services guidance and protocol changes in response to the covid‐19 pandemic: a national investigation
topic Emergency Medical Services
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8886181/
https://www.ncbi.nlm.nih.gov/pubmed/35252975
http://dx.doi.org/10.1002/emp2.12687
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