How EMS leaders can increase 12-lead capture frequency
Make a strategy and pick the tactics for your agency to improve its 12-lead EKG use for patients with non-traumatic chest pain
How often do your patients with a primary impression of non-traumatic chest pain have a 12-lead EKG captured during assessment? (answer an EMS1 poll question)
The ESO EMS Index, a retrospective examination of ePCR data from more 1,000 EMS agencies, reported metrics for stroke, opioid overdose, capnography use, 12-lead EKG performance and aspirin administration. In 2017, 209,390 (4.17 percent) of 5.02 million patient encounters had a primary impression of non-traumatic chest pain. Three-quarters (75.9 percent) of those patients had a 12-lead documented. There was little month-to-month variability in the 2017 data.
Watching increases 12-lead use
In the 2018 mid-year update, embedded at the end of the article, the ESO EMS Index reported 12-lead EKG use had increased to 82 percent. It’s plausible that the Hawthorne Effect – telling paramedics that 12-lead use is being studied – is the cause of the 7 percent increase. It’s also likely more can be done to increase the frequency of 12-lead capture.