Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-04T16:52:53.214Z Has data issue: false hasContentIssue false

The Demographics and Education of Emergency Medical Services (EMS) Professionals: A National Longitudinal Investigation

Published online by Cambridge University Press:  08 December 2016

Melissa A. Bentley*
Affiliation:
Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio, USA
Abigail Shoben
Affiliation:
Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, Ohio, USA
Roger Levine
Affiliation:
Consultant, Redwood City, California, USA
*
Correspondence: Remle P. Crowe, MS, NREMT National Registry of Emergency Medical Technicians 6610 Busch Blvd Columbus, Ohio 43229 USA E-mail: [email protected]

Abstract

Objectives

The objectives of this study were to assess longitudinal and cross-sectional changes in Emergency Medical Technician (EMT)-Basics and Paramedics: (1) demographics, (2) employment characteristics, and (3) initial Emergency Medical Services (EMS) education.

Methods

These data were collected between 1999 and 2008 employing survey techniques aimed at collecting valid data. A random, stratified sample was utilized to allow results to be generalizable to the nationally certified EMS population. Survey weights that were adjusted for each stratum’s response were estimated. Weighted percentages, averages for continuous variables, and 95% confidence intervals (CIs) were calculated. Significant changes over time were noted when the CIs did not overlap.

Results

In all 10 years of data collection, the proportion of EMT-Paramedics who were male was greater than the proportion of EMT-Basics who were male. A substantial proportion of respondents performed EMS services for more than one agency: between 39.8% and 43.5% of EMT-Paramedics and 18.4% and 22.4% of EMT-Basic respondents reported this. The most common type of employer for both EMT-Basics and EMT-Paramedics was fire-based organizations. About one-third of EMT-Basics (32.3%-40.1%) and almost one-half of EMT-Paramedics (43.1%-45.3%) reported that these organizations were their main EMS employer. Rural areas (<25,000 residents) were the most common practice settings for EMT-Basics (52.1%-63.7%), while more EMT-Paramedics worked in urban settings (65.2%-77.7%).

Conclusions

This analysis serves as a useful baseline to measure future changes in the EMS profession. This study described the demographic and work-life characteristics of a cohort of nationally certified EMT-Basics and Paramedics over a 10-year period. This analysis also summarized initial EMS education changes over time.

BentleyMA, ShobenA, LevineR. The Demographics and Education of Emergency Medical Services (EMS) Professionals: A National Longitudinal Investigation. Prehosp Disaster Med. 2016;31(Suppl. 1):s18–s29.

Type
Research Article
Copyright
© World Association for Disaster and Emergency Medicine 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Conflicts of interest: none

References

1. Chapman, SA, Linder, V, Kaiser, JA, et al. EMS Workforce for the 21st Century: A National Assessment. Washington, DC: U.S. Department of Transportation, National Highway Traffic Safety Administration; 2008.Google Scholar
2. Federal Interagency Committee on EMS. National EMS Assessment. Washington, DC: U.S. Department of Transportation; 2012.Google Scholar
3. National Fire Protection Association. Third Needs Assessment of the U.S. Fire Service. Quincy, MA: National Fire Protection Association; 2011.Google Scholar
4. Minnesota Department of Health. A quiet crisis: Minnesota’s rural ambulance service at risk. www.health.state.mn.us/divs/orhpc/pubs/ambulancerpt.pdf. Published 2002. Accessed October 14, 2013.Google Scholar
5. Mueller, K, Zhang, W, Lucas, W. Current Issues and New Approaches: The EMS Survey in Nebraska. Omaha, NE: Nebraska Center for Rural Health Research, University of Nebraska Medical Center, Department of Preventive and Societal Medicine; 2001.Google Scholar
6. Freeman, VA, Patterson, D, Slifkin, R. Issues in Staffing Emergency Medical Services: A National Survey of Local Rural and Urban EMS Directors. Chapel Hill, NC: University of North Carolina, Sheps Center, Rural Health Research and Policy Centers; 2008.Google Scholar
7. Mears, G. 2003 Survey and Analysis of EMS Scope of Practice and Practice Setting Impacting EMS Services in Rural America: Executive Brief and Recommendations. Chapel Hill, NC: University of North Carolina at Chapel Hill, Department of Emergency Medicine; 2004.Google Scholar
8. Ruple, JA, Frazer, GH, Hsieh, AB, Bake, W, Freel, J. The state of EMS education research project. Prehosp Emerg Care. 2005;9(2):203-212.Google Scholar
9. Glaeser, PW, Linzer, J, Tunik, MG, Henderson, DP, Ball, J. Survey of nationally registered emergency medical services providers: pediatric education. Ann Emerg Med. 2000;36(1):33-38.Google Scholar
10. Stevens, SL, Alexander, JL. The impact of training and experience on EMS providers’ feelings toward pediatric emergencies in a rural state. Pediatr Emerg Care. 2005;21(1):12-17.Google Scholar
11. Wood, D, Kalinowski, EJ, Miller, DR. Pediatric continuing education for EMTs: recommendations for content, method, and frequency. The National Council of State Emergency Medical Services Training Coordinators. Pediatr Emerg Care. 2004;20(4):269-272.Google Scholar
12. Funk, D, Groat, C, Verdile, VP. Education of paramedics regarding aspirin use. Prehosp Emerg Care. 2000;4(1):62-64.Google Scholar
13. Hale, D, Sipprell, K. Ability of EMT-Bs to determine which wounds can be repaired in the field. Prehosp Emerg Care. 2000;4(3):245-249.Google Scholar
14. Mencl, F, Birkle, M, Blanda, M, Gerson, LW. EMTs’ knowledge regarding transmission of infectious disease. Prehosp Emerg Care. 2000;4(1):57-61.Google Scholar
15. Weiss, SJ, Ernst, AA, Blanton, D, Sewell, D, Nick, TG. EMT domestic violence knowledge and the results of an educational intervention. Am J Emerg Med. 2000;18(2):168-171.Google Scholar
16. Ruple, JA, Frazer, GH, Bake, W. Commonalities of the EMS Education Workforce (2004) in the United States. Prehosp Emerg Care. 2006;10(2):229-238.Google Scholar
17. Ruple, JA. The State of EMS Education Research Project. EMS Mag. 2007;36(7):72-76.Google Scholar
18. Cason, D, Robinson, K. EMS Education Agenda: changes that will affect you. JEMS. 2011;36(9):66-67, 69-71.Google Scholar
19. Dickison, P, Hostler, D, Platt, TE, Wang, HE. Program accreditation effect on paramedic credentialing examination success rate. Prehosp Emerg Care. 2006;10(2):224-228.Google Scholar
20. Becknell, J, Ostrow, LS. EMS in rural America. Emerg Med Serv. 2002;31(11):41-42.Google Scholar
21. Deakin, CD, King, P, Thompson, F. Prehospital advanced airway management by ambulance technicians and paramedics: is clinical practice sufficient to maintain skills? Emerg Med J. 2009;26(12):888-891.Google Scholar
22. Stevenson, AG, Graham, CA, Hall, R, Korsah, P, McGuffie, AC. Tracheal intubation in the emergency department: the Scottish district hospital perspective. Emerg Med J. 2007;24(6):394-397.Google Scholar
23. Wang, HE, Mann, NC, Mears, G, Jacobson, K, Yealy, DM. Out-of-hospital airway management in the United States. Resuscitation. 2011;82(4):378-385.Google Scholar
24. Centers for Disease Control and Prevention. 2004-2005 nursing assistant tables—estimates. http://www.cdc.gov/nchs/nnhs/nursing_assistant_tables_estimates.htm. Published 2005. Accessed October 14, 2013.Google Scholar
25. American Society of Radiologic Technologists. Radiologic Technologist Wage and Salary Survey 2010. Essential Research; https://media.asrt.org/pdf/research/r10_wagesalarysurvey.pdf. Accessed October 15, 2013.Google Scholar
26. American Academy of Physician Assistants. Physician Assistant Census Report: Results from the 2010 AAPA Census. Alexandria, VA: American Academy of Physician Assistants; 2011.Google Scholar
27. U.S. Department of Health and Human Services Health Resources and Services Administration. Registered Nurse Population. Washington, DC: U.S. Department of Health and Human Services Health Resources and Services Administration; 2010.Google Scholar
28. Hulett, DM, Bendick, M, Thomas, SY, Moccio, F. A National Report Card on Women in Firefighting. Washington, DC: International Association of Women in Fire and EMS; 2008.Google Scholar
29. Lonsway, K, Carrington, S, Aguirre, P, et al. Equality denied: the status of women in policing: 2001. National Center for Women and Policing. http://womenandpolicing.com/PDF/2002_Status_Report.pdf. Published 2002. Accessed October 15, 2013.Google Scholar
30. Grayson, K. Joining EMS? Here’s what you’re really getting into…. www.ems1.com/ems-advocacy/articles/894089-Welcome-to-EMS/. Published 2010. Accessed October 15, 2013.Google Scholar
31. Rainone, P. Emergency workers at risk. http://www.emsvillage.com/articles/article.cfm?ID=176. Published 2013. Accessed December 3, 2013.Google Scholar
32. Fernandez, AR, Studnek, JR, Margolis, GS, Mac Crawford, J, Bentley, MA, Marcozzi, D. Disaster preparedness of nationally certified emergency medical services professionals. Acad Emerg Med. 2011;18(4):403-412.Google Scholar
33. Lerner, EB, Fernandez, AR, Shah, MN. Do emergency medical services professionals think they should participate in disease prevention? Prehosp Emerg Care. 2009;13(1):64-70.Google Scholar
34. Studnek, JR, Bentley, M, Crawford, JM, Fernandez, AR. An assessment of key health indicators among emergency medical services professionals. Prehosp Emerg Care. 2010;14(1):14-20.Google Scholar
35. Langhelle, A, Lossius, HM, Silfvast, T, et al. Emergency medical service system in the Nordic countries. Scand J Trauma Resusc Emerg Med. 2004;12:212-228.Google Scholar
36. Emergency Medical Services Chiefs of Canada. The future of EMS in Canada: defining the new road ahead. http://www.semsa.org/images/stories/committee/EMSCC-Primary_Health_Care.pdf. Published 2006. Accessed October 14, 2013.Google Scholar
37. Victorian Ambulance Cardiac Arrest Registry. Victorian Ambulance Cardiac Arrest Registry: annual report 2011-2012. http://www.ambulance.vic.gov.au/Media/docs/vacar-annual-report2011-12-910ad17b-3f51-4418-8bf7-351beb8f9f84-0.pdf. Published 2012. Accessed October 16, 2013.Google Scholar
38. National Health Service. Ambulance Service. http://web.archive.org/web/20070611151034/http://www.nhsdirect.nhs.uk/articles/article.aspx?articleId=529. Published 2006. Accessed October 24, 2013.Google Scholar
39. U.S. Department of Transportation, National Highway Traffic Safety Administration, Office of EMS. Education. http://www.ems.gov/EducationStandards.htm. Accessed October 24, 2013. Published 2009.Google Scholar