Evidence map›Paper›PMID 40623213›Full record

ArticlePrehospital emergency care2026

Factors Associated with EMS Clinician Preparedness to Provide Care for Patients with Limited English Proficiency.

Esmeralda Melgoza, Andra Farcas, Jonathan R Powell, Christopher B Gage, Remle Crowe, Nichole Bosson, Anjni Joiner, Ameera Haamid, Shira Schlesinger, Ashish R Panchal

Abstract read
In one paragraph

Article in Prehospital emergency care, 2026. 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
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. 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

10 authors.

Esmeralda MelgozaDepartment of Emergency Medicine, Stanford University, Palo Alto, California.ORCID 0000-0001-9202-4939
Andra FarcasDepartment of Emergency Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado.ORCID 0000-0002-7229-447X
Jonathan R PowellCollege of Public Health, The Ohio State University, Columbus, Ohio.ORCID 0000-0003-3443-0247
Christopher B GageCollege of Public Health, The Ohio State University, Columbus, Ohio.ORCID 0000-0001-5150-0740
Remle CroweESO, Austin, Texas.ORCID 0000-0001-9733-9294
Nichole BossonLos Angeles County EMS Agency, Los Angeles, California.ORCID 0000-0001-8356-0772
Anjni JoinerDepartment of Emergency Medicine, Duke University, Durham, North Carolina.ORCID 0000-0002-8907-182X
Ameera HaamidDepartment of Emergency Medicine, University of Chicago, Chicago, Illinois.ORCID 0000-0003-3408-8285
Shira SchlesingerLos Angeles County EMS Agency, Los Angeles, California.ORCID 0000-0002-6793-2609
Ashish R PanchalCollege of Public Health, The Ohio State University, Columbus, Ohio.ORCID 0000-0001-7382-982X

Funding

An Analysis Of The Multi-Level Factors That Impact Provision Of Emergency Medical Services To Hispanic Older AdultsR36AG087312 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MELGOZA, ESMERALDA · 2024 to 2025
$84k
NIA NIH HHS R36 AG087312
6 · The paper itself

Abstract

objectivesEmergency medical services (EMS) clinicians report challenges in providing care to patients with limited English proficiency (LEP); however, associated factors are not well defined. The objective of this study was to examine EMS clinicians' self-reported preparedness to provide emergency care to patients with LEP in the prehospital setting.

methodsWe conducted a cross-sectional survey between October 10 and December 3, 2024, to assess the education and training received by nationally certified EMS clinicians on providing care to patients with LEP. We analyzed the data using univariate and bivariate analyses, including Pearson's chi-square and analysis of variance tests. We used least absolute shrinkage and selection operator to identify key predictors and logistic regression models (Odds Ratio (OR), 95% Confidence Interval (CI)) to determine associations with preparedness.

resultsOf the 986 EMS clinicians who responded to the survey, 58.3% reported providing care to one or more patients with LEP over the past month. Although provision of EMS care to patients with LEP was common, only 28.8% of clinicians reported receiving initial education on delivering care to patients with LEP and 29.5% reported additional education. Among respondents, 44.3% reported access to professional interpreter services. Of these, 64.9% reported that it was easy or very easy to access services, 88.0% reported that the services were effective or very effective, but 64.9% reported using interpreter services less than 25% of the time or never. Respondents with initial (OR 1.96, 95% CI (1.46-2.63)) or additional (OR 1.54, 95% CI (1.15-2.06)) education on the provision of care for patients with LEP reported feeling more prepared when delivering care to this population, compared to clinicians who did not receive education on this topic.

conclusionsPrehospital clinicians commonly provide care to patients with LEP; however, EMS education or training on delivering care to this population is uncommon and interpreter use is rare. Clinicians felt more prepared in delivering care when provided any LEP education. Future efforts in EMS should consider incorporating LEP-related content in initial and additional education efforts and create strategies to overcome the low use of professional interpreter services.

Indexed as

Clinical CompetenceCommunication BarriersEmergency Medical ServicesEmergency Medical TechniciansLimited English ProficiencyAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnaires

Identifiers

PMID40623213
PMCPMC12236438

What OpenQuestion holds

Textmetadata
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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.