Evidence map›Paper›PMID 31637682›Full record

ArticleJournal of opioid management

"We get tunnel vision": Emergency medical service providers' views on the opioid epidemic in Baltimore City.

Allysha C Maragh-Bass, Julie C Fields, Zachary Catanzarite, Amy R Knowlton

Open access · greenAbstract read
In one paragraph

Article in Journal of opioid management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 83% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Allysha C Maragh-BassDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Julie C FieldsDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland.
Zachary CatanzariteDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Amy R KnowltonDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Johns Hopkins University · USUniversity of Maryland, Baltimore · US

Funding

Informal Caregiving & Medical Adherence Among HIV+ IDUsR01DA019413 · NIDA · JOHNS HOPKINS UNIVERSITY · PI KNOWLTON, AMY · 2006 to 2009
$2.2M
Enhanced brief Intervention for linking opiate abusing EMS patients to treatmentR34DA034314 · NIDA · JOHNS HOPKINS UNIVERSITY · PI KNOWLTON, AMY · 2012 to 2013
$680k
NIDA NIH HHS R01 DA019413NIDA NIH HHS R34 DA034314
6 · The paper itself

Abstract

objectiveTo understand the needs of Emergency Medical Service (EMS) providers caring for substance users in an urban setting.

designQualitative interviews with EMS providers regarding perceptions of substance users and treatment programs.

settingBaltimore City.

participantsTwenty-two Baltimore City Fire Department EMS providers.

interventionsSemistructured in-depth interviews were conducted with 22 EMS providers. Topics included experiences caring for substance-using patients and attitudes about local harm reduction approaches.

main outcome measureProviders were asked their views on receiving training to deliver a brief motivational intervention to encourage patients to enter drug treatment. Interviews were transcribed and analyzed using constant comparison.

resultsParticipants were mostly Male (68.2 percent), White (66.6 percent), and had Advanced Life Skills training (90.9 percent). Mean experience was 8.7 years. Many providers described EMS misusers as mostly male and middle-aged, although there were variations in substance use patterns among all races and income levels. Most stated that repeated care provision to a small number of substance-users negatively impacted care quality. Provider demands included departmental policies and resource limitations. Many expressed willingness to deliver motivational messages to substance-using patients to consider drug treatment. Other stated that behavioral interventions were beyond their job duties and most reported having little-to-no knowledge of local treatment programs.

conclusionsEMS providers may be uniquely positioned to deliver substance use treatment messages to substance users. This could be a life- and cost-saving improvement to EMS in Baltimore City with incentivized training. More research is needed to inform opioid use preparedness in urban settings, which remain at the center of the opioid epidemic.

Indexed as

Analgesics, OpioidEmergency Medical ServicesSubstance-Related DisordersAdultBaltimoreEmergency Medical TechniciansEpidemicsFemaleHumansMaleMiddle AgedAnalgesics, Opioid

Identifiers

PMID31637682
PMCPMC11502992
OpenAlexW2979214521

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.