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ESO Launches Index to Track Nationwide EMS Performance

Feb. 15—ESO Solutions, Inc., a software company serving emergency medical services, hospitals and fire departments, today announced the findings of its inaugural report, the 2018 ESO EMS Index. The Index tracks performance of EMS agencies nationwide across five metrics: Stroke assessment and documentation, overdose events, end-tidal carbon dioxide (ETCO2) monitoring, 12-lead electrocardiogram (EKG) use and aspirin administration for chest pain. Data used for the Index are from January 1, 2017 through December 31, 2017.

“There are changes on the horizon for EMS agencies across the country,” said Dr. Brent Myers, Chief Medical Officer for ESO. “In particular, we are seeing new data and research emerge around the increased importance of stroke assessment and documentation that could improve patient outcomes. Additionally, the opioid crisis continues to be an issue that will have an effect on EMS providers. This newly launched Index is part of our ongoing commitment to the smart use of data to help agencies across the country assess their performance across a handful of metrics.”

Key Findings Include: 

  • In only 50 percent of situations was a complete stroke assessment documented for a primary impression of stroke. The data show that EMS providers are not completing the entire stroke assessment or failing to document the assessment after a primary impression of stroke is identified.
  • Overdose encounters outpaced cases where stroke was the primary impression. There were nearly 12 percent more overdose cases reported in 2017 than strokes, aligning with much of what paramedics are reporting the last few years.
  • More men than women overdosed: Men accounted for 28 percent more overdose encounters than women.
  • EMS providers recognize the value of end-tidal CO2 monitoring after advanced airway placement. In 94.5 percent of cases, ETCO2 monitoring was initiated after advanced airway insertion.
  • Aspirin administration is hit or miss. Just more than half (55.3 percent) of the reported cases of non-traumatic chest pain patients over the age of 35 had appropriately documented administration of aspirin for chest pain.

The full Index can be downloaded at:


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