Jems emt practice test3/1/2023 3 It is estimated that by 2030, older adults will comprise approximately one-half of EMS transports. Older adults used EMS at a rate of 167 uses/ 1000 population, a rate four times greater than younger adults. A recent analysis of EMS use in the United States found that between 19, older adults comprised 38% of the EMS transports to an ED. This lack of training is a concern due to the large number of older adult patients cared for by EMS providers. 2 Furthermore, the National Standard Curriculum for EMT training does not include any sections that specifically focus on the care of older adults. However, these comprise only a small proportion of the overall training. 1 2 The National Standard Curriculum for paramedic training includes some sections that focus on caring for older adults (age≥65), such as a section on physiology across the lifespan and a section on geriatrics. The impact of the training on patient outcomes needs to be identified.Įmergency medical services (EMS) providers such as emergency medical technicians (EMTs) and paramedics receive very little geriatrics specific education. Providing the GEMS course to EMS providers in a rural community resulted in students achieving a pre-established level of knowledge regarding caring for older adults and an increase in their comfort level for the care of older adults. Median comfort scores significantly increased for the following domains: communications, medical care, abuse evaluation, and falls evaluation. No significant change in attitude score was identified (p=0.09). All passed the course and were very satisfied with the course. We used the Geriatric Attitude Scale, the GEMS knowledge post-test, a class satisfaction survey, and a survey evaluating EMS providers’ comfort in caring for older adults to measure the classes’ impact. This study evaluates the impact of the course on EMS providers in a rural county by performing a prospective cohort study using a pre-/post- survey design. The Geriatrics Education for EMS (GEMS) course provides continuing education for emergency medical service (EMS) providers.
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