Date of Award
January 2015
Degree Type
Open Access Thesis
Document Type
Master Thesis
Degree Name
Master of Science (MS)
Department
Safety, Security, and Emergency Management
First Advisor
Sandy L. Hunter
Department Affiliation
Safety, Security, and Emergency Management
Second Advisor
Sarah Morris
Department Affiliation
Safety, Security, and Emergency Management
Third Advisor
Nancye Davis
Department Affiliation
Safety, Security, and Emergency Management
Abstract
Many variances in prehospital Paramedic treatment protocols exist amongst Emergency Medical Service (EMS) Providers in the State of Kentucky. These differences lead to inconsistencies in quality of patient care delivered, reduce ease of mobility of providers and result in a decreased oversight from the Kentucky Board of EMS (KBEMS). To investigate the impact of protocol variances on patient care, a mixed methods study consisting of a convenience sample of Kentucky EMS prehospital Paramedic treatment protocols was collected and compared to the Kentucky state-wide treatment protocols. A literature review of best practices regarding EMS protocols was conducted. Of all protocols 81.9% average compliance was achieved to the state standard; of the custom protocols (e.g. Stanford and Rural Metro EMS) only 41.9% average compliance was achieved. Lapses in compliance result in deviation from both KBEMS and national standards of patient care. The markedly low compliance to state standards demonstrates the need for a mandated state-wide treatment protocol. When compared to national standards such as the American Heart Association, the Kentucky protocol was consistent in content, with opportunity for improvement in design and minor adjustments available to satisfy both national standards and local needs. An interview panel of Kentucky Paramedics supports these conclusions and suggests that the lack of a mandated protocol had clinically significant impacts on patient outcomes. With mandated adoption of a renovated statewide prehospital Paramedic treatment protocol, KBEMS would be able to ensure the highest quality of patient care throughout Kentucky while simultaneously supporting the national EMS vision and needs of local EMS providers.
Copyright
Copyright 2015 Zachary Ryan Charest
Recommended Citation
Charest, Zachary Ryan, "Prehospital Emergency Medical Services Treatment Protocols: Aligning With National Best Practices" (2015). Online Theses and Dissertations. 246.
https://encompass.eku.edu/etd/246