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December 1, 1995Prehospital and Disaster Medicine

Paramedic Diagnostic Accuracy for Patients Complaining of Chest Pain or Shortness of Breath

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Why the study?

Does paramedic diagnosis accurately match emergency physician diagnosis in patients with chest pain or shortness of breath?

Population

99 patients complaining of chest pain or shortness of breath transported to study centers by Denver paramedics

Comparison

Paramedic diagnosis vs Final emergency physician diagnosis

Design

Cross-sectional

Authors

JSJeffrey SchaiderRush UniversityJRJohn RiccioPorter Adventist HospitalRRRobert J. RydmanJohn H. Stroger, Jr. Hospital of Cook County

Discussion

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Implication

Paramedics demonstrate good diagnostic accuracy and concordance with emergency physicians when evaluating patients with chest pain or shortness of breath.

Structured PICO

Does paramedic diagnosis accurately match emergency physician diagnosis in patients with chest pain or shortness of breath?

P
Population
99 patients complaining of chest pain or shortness of breath transported to study centers by Denver paramedics
I
Intervention
Paramedic diagnosis
C
Comparator
Final emergency physician diagnosis
O
Outcome
Diagnostic concordance by organ system and specific diagnoses

Paramedics demonstrate good diagnostic accuracy and concordance with emergency physicians when evaluating patients with chest pain or shortness of breath.

Cite This Study

Schaider et al. (1995) studied this question.

synapsesocial.com/papers/6a7277aa87f921057128941fhttps://doi.org/10.1017/s1049023x00042114
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Also Consider

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  1. 1Diagnostic agreement between prehospital and in-hospital diagnoses for dyspnea: a retrospective study in a French prehospital emergency medical service2026
  2. 2ERRORS OF OMISSION IN THE TREATMENT OF PREHOSPITAL CHEST PAIN PATIENTS2005 · 53 citations
  3. 3Prehospital Diagnosis and Treatment of Patients With Acute Heart Failure2022 · 6 citations
  4. 4Measuring Quality in the Prehospital Care of Chest Pain Patients2009 · 13 citations
  5. 5Symptoms of Myocardial Infarction: Concordance between Paramedic and Hospital Records2014 · 22 citations