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    Dallas Fire Department EMS Care - Quality

    Sorry. That makes sense now. Thank you, Veneficus.
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    Dallas Fire Department EMS Care - Quality

    Does it really matter how healthy, how rich, and how educated a population is when comparing arrest saver rates if you're comparing them against another city using the SAME reporting criteria? Are you saying that in Ohio/NJ, a poorer person who is less educated is going to have a lower chance...
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    Dallas Fire Department EMS Care - Quality

    Veneficus, I'm not really sure where the whole FD based EMS vs non-FD based EMS thing came into play here. I didn't say that FD based EMS systems have higher survival rates. I simply said that systems that have higher survival rates are generally better systems, assuming these systems are...
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    Dallas Fire Department EMS Care - Quality

    Cardiac arrest survival rates can be one sign of the quality of care a system provides, provided a system is compared to another system that uses the same reporting criteria. A system that has a 40% save rate vs a system with a 5% save rate can be concluded that they are more effective...
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    Dallas Fire Department EMS Care - Quality

    "If the data does not reflect reality, then it is useless because all conclusions drawn from it are flawed." What part of reality doesn't it reflect? The Utstein criteria simply reflects the survival rate for cardiac arrest victims who have a witnessed arrest and present in a shockable rhtyhm.
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    Dallas Fire Department EMS Care - Quality

    I don't see anything wrong with comparing survival rates amongst different agencies provided they use the same standard. But yes, you are correct. A quick google on the utstein criteria shows that not all agencies use it. It seems to only apply to a very specific group of patients...witnessed...
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    Dallas Fire Department EMS Care - Quality

    Veneficus, Do you have a link to that study by any chance? Just curious...what are some concerns about using the Utstein criteria? Isn't this the standard for reporting survival rates?
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    Dallas Fire Department EMS Care - Quality

    http://crimeblog.dallasnews.com/2012/12/dallas-fire-rescue-investigates-handling-of-asthma-attack-patient.html/ Friend of mine at nearby department sent this to me. Maybe I didn't have an abnormally bad experience.
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    Dallas Fire Department EMS Care - Quality

    Interesting, Fish! How are the survival rates looking?
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    Most Aggressive/Progressive EMS Systems

    What are some of the most advanced, progressive, and overall best EMS systems in the nation? We've all heard about KCM1, Boston, etc. What are some other ones? I know here in Texas that ATCEMS, Williamson County, and Wise County are considered pretty top notch. With these...
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    Dallas Fire Department EMS Care - Quality

    Successful intubation with DFD? :rofl: DFD will use, from what I've heard, a King (no Combitubes carried) for nearly all airways. Although arguments could be made that this is "progressive"...I think it's clear and evident that ETI is still the way to go for most cases...including arrests...
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    Dallas Fire Department EMS Care - Quality

    Aidey, the uniform issues were during patient contact. I agree with solid black shoes are no problem and arguably more comfortable than some boots. These were shoes with logos and colors on them. There were some pts that clearly needed to be evaluated at the hospital...but..the vibe I got was...
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    Dallas Fire Department EMS Care - Quality

    I just wanted to open this thread to generate some conversation on something I haven't been able to get off my mind. Just a quick intro...I'm a FF/EMT-LP for a small department here in Texas. We run what most would consider an advanced EMS system (aggressive anaglesia, RSI, field hypothermia...
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