Cost-effectiveness of defibrillation by emergency medical technicians
| Autor: | Mary M. Newman, Barbara K. McClung, A Randolph Garnett, Edward J. Craren, Edgar R. Gonzalez, Joseph P. Ornato |
|---|---|
| Rok vydání: | 1988 |
| Předmět: |
medicine.medical_specialty
Time Factors Cost effectiveness Defibrillation Cost-Benefit Analysis medicine.medical_treatment Allied Health Personnel Electric Countershock Survival data medicine Humans Emergency medical system Medical systems business.industry General Medicine medicine.disease United States Emergency Medical Technicians Initial training Initial cost Ventricular Fibrillation Ventricular fibrillation Emergency medicine Emergency Medicine Medical emergency business |
| Zdroj: | The American Journal of Emergency Medicine. 6:108-112 |
| ISSN: | 0735-6757 |
| DOI: | 10.1016/0735-6757(88)90045-9 |
| Popis: | Effective emergency systems using emergency medical technicians (EMTs) trained to defibrillate or paramedics can save more lives from out-of-hospital cardiac arrest due to ventricular fibrillation than can emergency systems staffed with basic EMTs who cannot defibrillate. This article focuses on the cost-effectiveness of systems staffed with each type of EMT. Data were collected from all 50 states and from the District of Columbia to determine the number of hours and estimated cost of initial training for the three types of EMTs in the United States in 1986. The median initial training hours for basic EMTs, EMTs trained in defibrillation, and paramedics were 110, 129, and 700, respectively. Median costs for initial training at each EMT level were +123, +150, and +1580/student. According to published survival data for emergency medical systems staffed with EMTs at each level, the total initial training personnel and equipment cost per life saved from ventricular fibrillation was +7687, +2126, and +2289 for systems staffed by the respective EMTs. The initial cost per life saved from ventricular fibrillation is more than three times greater in systems staffed by basic EMTs than in systems staffed by EMTs trained in defibrillation or paramedics. From a medical and a cost-effective standpoint, all communities served by basic EMTs should consider upgrading them to at least the defibrillation-trained EMT level. |
| Databáze: | OpenAIRE |
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