A Community Intervention by Firefighters to Increase 911 Calls and Aspirin Use for Chest Pain

Meischke, Hendrika; Diehr, Paula; Rowe, Sharon; Cagle, Anthony; Eisenberg, Mickey S.

doi:10.1111/j.1553-2712.2006.tb00315.x

Cited by 9 publications

(8 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Community educational programs (e.g., providing information), as well as mass media interventions (Caldwell and Miaskowski 2002) have been implemented to increase use of 911 and ingestion of aspirin (Meischke et al 2006) and to reduce the amount of time to arrive at a hospital for an individual experiencing symptoms of AMI. Unfortunately, even though these programs have had some success, they have not had the anticipated results in terms of substantial, widespread, and long-lasting reduction in the latency between the onset of symptoms and receiving treatment (Kainth et al 2004).…”

Section: Introductionmentioning

confidence: 99%

Lay public’s knowledge and decisions in response to symptoms of acute myocardial infarction

Cytryn

Yoskowitz

Cimino

et al. 2007

Adv in Health Sci Educ

View full text Add to dashboard Cite

Despite public health initiatives targeting rapid action in response to symptoms of myocardial infarction (MI), people continue to delay in going to a hospital when experiencing these symptoms due to lack of recognition as cardiac-related. The objective of this research was to characterize lay individuals' knowledge of symptoms of acute myocardial infarction (AMI) and associated decision processes for timely action. Thirty participants were interviewed about their knowledge of AMI, then presented with unrelated, unfamiliar and familiar scenarios of AMI symptoms and instructed to "think aloud" as they made decisions in response to the scenarios in order to capture the decision process directly. Data were analyzed using qualitative and quantitative methods to identify the semantic relationships between knowledge and decisions. Results showed that most participants (80%) identified three symptoms or less (e.g., chest pain: 93%; dyspnea: 53%). All participants identified urgent actions (calling 911, going to ED) as the appropriate response to AMI symptoms. Urgent action decisions increased with familiarity of symptoms (57% for unrelated symptoms to 83% for most familiar symptoms), and was highest for the cardiac group. Lay knowledge of AMI is necessary, but not sufficient for people to develop required heuristics for timely action. This ineffective decision increases as a function of ambiguous and unfamiliar situations. Health education interventions should focus on teaching clusters of problems with varying levels of familiarity and complexity to increase flexibility in making decisions.

show abstract

Section: Introductionmentioning

confidence: 99%

Lay public’s knowledge and decisions in response to symptoms of acute myocardial infarction

Cytryn

Yoskowitz

Cimino

et al. 2007

Adv in Health Sci Educ

View full text Add to dashboard Cite

show abstract

“…11 Although acknowledging the import of educational efforts to facilitate better symptom recognition and earlier 911 call, 12 the current project focuses on the portion of the STEMI timeline falling between ALS arrival and patient dropoff at the receiving CCL.…”

Section: Methodsmentioning

confidence: 99%

Prehospital Electrocardiogram and Early Helicopter Dispatch to Expedite Interfacility Transfer for Percutaneous Coronary Intervention

Thomas¹,

Kociszewski²,

Hyde³

et al. 2006

Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine

View full text Add to dashboard Cite

Care provision and benchmarking for patients with ST-elevation myocardial infarction (STEMI) have focused on streamlining time between initial hospital presentation and opening of theinfarct-related artery. In a Boston-area regional system already characterized by expedited advanced life support (ALS) dispatch and paramedic performance of prehospital electrocardiogram (EKG), a critical pathway was designed that allows for helicopter dispatch based on ground ALS providers' STEMI diagnosis. The pathway dictates that as soon as ALS crews make the diagnosis of STEMI from their 12-lead EKG, they will contact Boston MedFlight (BMF) and a helicopter will be immediately dispatched to the participating community hospital (Lawrence General Hospital [LGH]). Based on historical and predicted time patterns, it is expected that BMF will arrive at LGH soon after the ALS ambulance delivers the patient to the LGH emergency department (ED). The patient will then undergo BMF transport from the ED into central Boston with direct transfer into an awaiting cardiac catheterization suite (ie, bypassing the receiving hospital ED). The pathway minimizes the delay between patient arrival at LGH and BMF arrival for transport to the catheterization laboratory. It is hoped that implementation of the critical pathway will allow the region's patients with STEMI to achieve coronary arterial patency within 90 minutes of LGH presentation. If the pathway proves effective, it can serve as a model for other regions and programs with similar clinical and logistic situations and advance the concept of "diagnosis-to-balloon" time.

show abstract

“…Fire departments are trusted community organizations, or intermediaries, especially in regard to safety. Interventions using firefighters in community education have demonstrated success, including a face-to-face intervention to increase 911 calls and aspirin use in older adults experiencing chest pain (Meischke et al, 2006). Fire departments typically conduct annual inspections of all businesses within their service area, which could provide an opportunity for a trusted intermediary to provide small businesses with OSH materials.…”

Section: Introductionmentioning

confidence: 99%

Firefighters as distributors of workplace safety and health information to small businesses

Keller

Cunningham

2016

Safety Science

View full text Add to dashboard Cite

Background Small businesses bear a large burden of injury and death, and are difficult to reach with occupational safety and health (OSH) information. The National Institute for Occupational Safety and Health (NIOSH) developed a pilot study testing the feasibility of fire departments disseminating OSH information to small businesses during fire inspections. Methods Two sets of postcards were developed with unique, trackable URLs for the NIOSH Small Business Resource Guide. One set was distributed by firefighters, the other was mailed to small businesses. Participating inspectors were met with to discuss their experience. Results Neither distribution method resulted in a substantial number of site visits. Inspectors believed distributing postcards was an easy addition to their duties, and saw value in safety information. Conclusions There are barriers beyond awareness of availability that prevent small business owners from seeking OSH information. Research should focus on identifying barriers and developing better OSH information diffusion mechanisms.

show abstract

A Community Intervention by Firefighters to Increase 911 Calls and Aspirin Use for Chest Pain

Abstract: A community-based firefighter intervention can be effective in increasing appropriate response to symptoms of a heart attack among elders.

Cited by 9 publications

References 27 publications

Lay public’s knowledge and decisions in response to symptoms of acute myocardial infarction

Lay public’s knowledge and decisions in response to symptoms of acute myocardial infarction

Prehospital Electrocardiogram and Early Helicopter Dispatch to Expedite Interfacility Transfer for Percutaneous Coronary Intervention

Firefighters as distributors of workplace safety and health information to small businesses

Contact Info

Product

Resources

About