DwayneEMTP Posted September 26, 2007 Share Posted September 26, 2007 I recently had my fall CME which included (amoung other things) one of our physicians commenting on the ROC study and our involvement in it. Seattle (Medic 1 or whatever), along with us and several other North American systems are involved in this study. One of the sections of the study involves the ROSC outcome amoung systems and specifically with the shock "early" or "late" study monitors. The physician told us the reason why Seattle's numbers are so high. It is because they only include those in the study who INITIALLY PRESENTED in a SHOCKABLE RHYTHM. All other systems involved base it on the TOTAL NUMBER of cardiac arrests involved REGARDLESS of the initial rhythm. Obviously, that is going to play with the numbers. From a "survivability" standpoint alone, a patient who initially presents in a shockable rhythm (regardless of first provider contact) will likely be "fresher" with a much greater likelihood of a ROSC. Obviously stacking the deck in your favour by eliminating PEA/asystolic cardiac arrest patients, who generally will have a significantly reduced likelihood of a ROSC (all things being equal). Carrying on with the topic, people will know my opinion. Take a page (yet again) from Ontario's book of standards of prehospital education for BLS providers. There is your minimum folks. EMT-B and I education by comparison is a joke, and would not be allowed on an ambulance here. What study(ies) are being referenced here. My apologies if I missed the reference before. Who would allow, or take seriously such a poorly designed study? Can you show us a reference (other than the Docs hearsay) for the fact that they allow one system, out of the whole study, to compile their data differently? I'm curious how this is allowed, when it obviously invalidates the entire study... Perhaps I got lost somewhere... Dwayne Quote Link to comment Share on other sites More sharing options...
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