ArticlePrehospital emergency care
National Characteristics of Emergency Medical Services Responses for Older Adults in the United States.
Article in Prehospital emergency care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
36 citing papers in PubMed, 75 citations in OpenAlex.
- Postimplementation Evaluation in Assisted Living Facilities of an eHealth Medical Device Developed to Predict and Avoid Unplanned Hospitalizations: Pragmatic Trial.Journal of medical Internet research · 2024Trial
- Effectiveness of the community paramedicine at home (CP@home) program for frequent users of emergency medical services in Ontario: a randomized controlled trial.BMC health services research · 2024Trial
- Pharmacists and transitions of care from emergency department to home.The American journal of managed care · 2023Trial
- Qualitative Evaluation of the Coach Training within a Community Paramedicine Care Transitions Intervention.Prehospital emergency careTrial
- Research and Knowledge Translation Priorities for the Prehospital Care of Older Adults: A Modified Delphi Study.Prehospital emergency care · 2026Article
- Exploring Current Emergency Medical Services Approaches to Manage Agitated Older Adult Patients: An Analysis of Statewide Protocols.Journal of the American Geriatrics Society · 2026Article
- Differences in emergency ambulance use between older and younger individuals in Denmark: a nationwide register-based study.Scientific reports · 2026Article
- A European paramedic curriculum for geriatric emergency medicine developed via a modified Delphi technique.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Communication Surrounding Treatment Preferences for Older Adults With Dementia During Emergency Medical Services Response.Journal of the American Geriatrics Society · 2026Article
- Decision-Making for Older Patients in Acute Prehospital Situations: A Scoping Review.Scandinavian journal of caring sciences · 2025Article
- Cost-Effectiveness Analysis of a Machine Learning-Based eHealth System to Predict and Reduce Emergency Department Visits and Unscheduled Hospitalizations of Older People Living at Home: Retrospective Study.JMIR formative research · 2025Article
- Impact of socioeconomic status on utilisation of a Virtual Emergency Department: An exploratory analysis.Emergency medicine Australasia : EMA · 2025Article
- Paramedics and emergency medical technicians' perceptions of geriatric trauma care in Saudi Arabia.BMC emergency medicine · 2025Article
- The impacts of ageing-related changes on prehospital trauma care for older adults: challenges and future directions.Frontiers in medicine · 2025Review
- Elder Mistreatment Documentation by Prehospital Clinicians: An Analysis of the National Emergency Medical Services Information System Database.Prehospital emergency care · 2025Article
- The current status of trauma care for older adults in Saudi Arabia.Frontiers in medicine · 2024Review
- Challenges in Emergency Medical Services in Mega Cities: A Qualitative Study in Iran.Bulletin of emergency and trauma · 2024Article
- Real-world Implementation of an eHealth System Based on Artificial Intelligence Designed to Predict and Reduce Emergency Department Visits by Older Adults: Pragmatic Trial.Journal of medical Internet research · 2022Article
- Caregiver Perceptions Regarding Alternative Emergency Medical Services Dispositions for Children: A Cross-Sectional Survey Analysis.The western journal of emergency medicine · 2022Article
- Epidemiology of Emergency Medical Services Activations for Sport-Related Injuries in the United States.Cureus · 2022Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveOlder adults, those aged 65 and older, frequently require emergency care. However, only limited national data describe the Emergency Medical Services (EMS) care provided to older adults. We sought to determine the characteristics of EMS care provided to older adults in the United States.
methodsWe used data from the 2014 National Emergency Medical Services Information System (NEMSIS), encompassing EMS response data from 46 States and territories. We excluded EMS responses for children <18 years, interfacility transports, intercepts, non-emergency medical transports, and standby responses. We defined older adults as age ≥65 years. We compared patient demographics (age, sex, race, primary payer), response characteristics (dispatch time, location type, time intervals), and clinical course (clinical impression, injury, procedures, medications) between older and younger adult EMS emergency 9-1-1 responses.
resultsDuring the study period there were 20,212,245 EMS emergency responses. Among the 16,116,219 adult EMS responses, there were 6,569,064 (40.76%) older and 9,547,155 (59.24%) younger adults. Older EMS patients were more likely to be white and the EMS incident to be located in healthcare facilities (clinic, hospital, nursing home). Compared with younger patients, older EMS patients were more likely to present with syncope (5.68% vs. 3.40%; OR 1.71; CI: 1.71-1.72), cardiac arrest/rhythm disturbance (3.27% vs. 1.69%; OR 1.97; CI: 1.96-1.98), stroke (2.18% vs. 0.74%; OR 2.99; CI: 2.96-3.02) and shock (0.77% vs. 0.38%; OR 2.02; CI: 2.00-2.04). Common EMS interventions performed on older persons included intravenous access (32.02%), 12-lead ECG (14.37%), CPR (0.87%), and intubation (2.00%). The most common EMS drugs administered to older persons included epinephrine, atropine, furosemide, amiodarone, and albuterol or ipratropium.
conclusionOne of every three U.S. EMS emergency responses involves older adults. EMS personnel must be prepared to care for the older patient.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.