Expanding Paramedicine in the Community (EPIC)
The goal of EPIC is to determine whether the rate of acute care hospitalization and emergency department visits can be reduced by training paramedics in chronic disease management and having them conduct home visits to assess and treat patients under medical delegation of the patients’ primary care physicians. Our objective is to perform a randomized controlled trial to answer this question in a rigorous and standardized way.
Paramedics are highly trained healthcare practitioners who can be utilized to better address the needs of patients and reduce the burden placed on hospitals and primary care providers.
Consenting patients were randomized to one of two groups: control or treatment. The control group received usual care from their family health team (FHT). The intervention group patients will were assessed and treated in their homes by community paramedics working closely with their primary care physicians. Community paramedics ensured that appropriate appointments are scheduled and helped to improve coordinated patient care by working closely with Community Care Access Centres (CCAC) and FHT physicians. If this study proves to be both feasible and effective, this care model could be expanded to cover other regions and medical conditions to better manage our medical resources and time.
Update- February 24, 2016: Enrollment is complete! Manuscript in progress.
A special thank you goes out to York and Grey County paramedics for their continuing support with EPIC!
TORIT – Basic Life Support Termination of Resuscitation in the Prehospital Environment for Primary Care Paramedics
SCORE – Standardized Comparison of Triage in EMS
SAFEMS – Patient Safety study in EMS
PADLOC – Public Access Defibrillator LOCation
PERIL – Paramedics assessing elders at risk for independence loss