registration—and without the clinical team
providing vital signs, lab results, or having to
study a patient through observation.
One Intermedix hospital subscriber
reported that, out of 1,535 patients entering
their ED, the system identified 26 patients
who had sepsis. Their positive predictive value
(i.e., where they correctly identified sepsis)
was 96.3%. This meant that patients weren’t
missed or discharged inappropriately.
Equally significant was their 99.7% negative predictive value. This means that the software correctly identified those patients who
didn’t have sepsis (before they were physically
assessed by someone in the hospital), allowing
that hospital to avoid costly tests and possibly admission.
With 1. 5 million sepsis cases occurring in
the United States, causing 285,000 deaths
and resulting in $24 billion in hospitaliza-
tion costs, 6 one can easily see the cost benefit
for a hospital that subscribes to this type of
technology. If they’re smart, these hospitals
will work with their EMS systems to inte-
grate and correlate their records and prehos-
pital radio reports.
AI and ML are a reality and hold great promise
to impact our lives and the lives of our patients.
Both will expand our capabilities in the future.
Built upon a wealth of preprogrammed information processes through new neural networks
and specialty chips, AI systems can now gather
and process information, question and trends
in an instant.
EMS managers and communications center directors need to learn about them at the
JEMS/EMS Today Conference and watch for
more on this amazing technology in JEMS
and jems.com. JEMS
1. Heightman AJ. (July 23, 2017.) EMS community honors Jack
and Todd Stout at Pinnacle. JEMS. Retrieved Sept. 28, 2017,
2. Marr B. (Dec. 6, 2016.) What is the difference between
artificial intelligence and machine learning? Forbes.
Retrieved Sept. 28, 2017, from www.forbes.com/sites/
3. Metz C. (Sept. 16, 2017.) Chips off the old block: Computers are taking design cues from human brains. The New York
Times. Retrieved Sept. 28, 2017, from www.nytimes.com/
4. A. I. on the brink of changing the world. (Oct. 22, 2016.) 60
Minutes. Retrieved Sept. 28, 2017, from www.youtube.com/
5. Barrett B. (Oct. 5, 2017.) Google takes its assistant’s fate into its
own hands. Wired. Retrieved Oct. 6, 2017, from www.wired.
6. Sepsis fact sheet. (Nov. 9, 2016.) Sepsis Alliance. Retrieved
Sept. 29, 2017, from www.sepsis.org/downloads/2016_