Findings from the 2019 ESO EMS Index

Insights and Best Practices for EMS Agencies

ESO Staff

Today we announced the findings of the “2019 ESO EMS Index!” Now in its second year, the Index tracks the performance of more than 1,200 EMS agencies nationwide and examines seven key metrics.

Highlights from the Index

  • In 65 percent of situations, a complete stroke assessment was documented when the EMS provider’s primary impression indicated stroke. This is up from 50 percent as measured in the 2018 ESO EMS Index.
  • Overdose encounters outpaced cases where stroke was the primary impression. There were nearly 40 percent more encounters related to overdose in 2018 than stroke-related encounters, aligning with trends reported by the CDC.
  • EMS encounters for overdose more frequently involved men than women. Men accounted for 32 percent more overdose encounters than women.
  • Only four percent of opioid overdoses involved prescription opioids. 94 percent of opioid overdoses involved illicit drugs.
  • EMS providers recognize the value of end-tidal CO2 monitoring after advanced airway placement. In 96 percent of cases, ETCO2 monitoring was initiated and documented after an advanced airway was performed.
  • Aspirin administration is hit or miss. Just more than half of reported cases of patients over the age of 35 experiencing chest pain had appropriately documented administration of aspirin.
  • Not surprisingly, flu is very seasonal and hit hardest in January and February.

In addition to findings, the “2019 ESO EMS Index” provides insights as to why some of these measures are the way they are as well as best practices for EMS providers. For example, the ESO data team found that for a majority of the stroke assessments not complete, two reasons can explain why: partial completion and narrative-only inclusion.

To learn more, download the Index or join our webinar featuring Dr. Brent Myers, Dr. Remle Crowe, and JEMS on February 27.

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