1

1
Instructor Notes:
Note that NNT (numbers needed to treat ) = 20 doses administered to save 1 life for ASA. This means that potentially, we could have missed a life saved……
2
Instructor Notes:
The purpose of this slide is to reinforce the importance of administering ASA to patients even if they have taken ASA prior to EMS arrival. It is commonly noted on the ACR that no ASA was given due to the patient taking it prior to EMS arrival. This is not correct, and the research shows that there is a benefit of EMS agencies giving ASA even if the patient has just taken a dose. Studies have been done to show benefits with doses up to 1300 mg. By EMS agencies giving ASA to all patient who qualify for it under medical directives, there will be an system wide increase of protocol adherence and inversely improve care to patient who may have been missed. 1 The cited research articles are the articles that were used to develop the 2010 AHA ACLS guidelines.
1. Woollard M, Shith A, Elwood P. Ore‐hospital aspirin for suspected myocardial infarction and acute coronary syndromes: a headache for paramedics? Emerg Med J. 2001; 18:478‐
81.
3
Instructor Notes:
The purpose of this slide is to reinforce the importance of administering ASA to patients even if they have taken ASA prior to EMS arrival. It is commonly noted on the ACR that no ASA was given due to the patient taking it prior to EMS arrival. This is not correct, and the research shows that there is a benefit of EMS agencies giving ASA even if the patient has just taken a dose. Studies have been done to show benefits with doses up to 1300 mg. By EMS agencies giving ASA to all patient who qualify for it under medical directives, there will be an system wide increase of protocol adherence and inversely improve care to patient who may have been missed. 1 The cited research articles are the articles that were used to develop the 2010 AHA ACLS guidelines.
1. Woollard M, Shith A, Elwood P. Ore‐hospital aspirin for suspected myocardial infarction and acute coronary syndromes: a headache for paramedics? Emerg Med J. 2001; 18:478‐
81.
4
Instructor Notes:
The purpose of this slide is to reinforce the importance of administering ASA to patients even if they have taken ASA prior to EMS arrival. It is commonly noted on the ACR that no ASA was given due to the patient taking it prior to EMS arrival. This is not correct, and the research shows that there is a benefit of EMS agencies giving ASA even if the patient has just taken a dose. Studies have been done to show benefits with doses up to 1300 mg. By EMS agencies giving ASA to all patient who qualify for it under medical directives, there will be an system wide increase of protocol adherence and inversely improve care to patient who may have been missed. 1 The cited research articles are the articles that were used to develop the 2010 AHA ACLS guidelines.
1. Woollard M, Shith A, Elwood P. Ore‐hospital aspirin for suspected myocardial infarction and acute coronary syndromes: a headache for paramedics? Emerg Med J. 2001; 18:478‐
81.
5
Instructor Notes:
Reinforce that although these numbers appear low, the risks to the medics, service and base hospital are significant should there be a negative outcome to a patient that was cancelled of and the documentation does not reflect that a care plan was discussed with the patient as required by the ACR documentation standards.
6
Instructor Notes:
Emphasize that the “Document all findings related to the assessment and the proposed treatment and all findings with respect to the patient’s capacity” refers to a detailed follow‐up care plan that indicates “what was discussed with the patient in regards to what he or she should do after the paramedic leaves the scene”
Example: Document ‐ The patient states that they will be contacting their family physician today to set up an appointment. I informed the patent to contact EMS should they feel SOB again or feel anything concerning with their health”
7
Instructor Notes:
Example: Document ‐ The patient states that they will be contacting their family physician today to set up an appointment. I informed the patent to contact EMS should they feel SOB again or feel anything concerning with their health”
8
Instructor Notes:
The QA audit process that looks at all ACR’s that are submitted by paramedics have identified that paramedics are either not performing proper blood pressure checks or not documenting them properly
9
Instructor Notes:
The QA audit process that looks at all ACR’s that are submitted by paramedics have identified that paramedics are either not performing proper blood pressure checks or not documenting them properly
10
`