Rhode Island medical journal (2013), 2013

PLoS Currents, 2015

Objectives: The aim of this study was to evaluate the procedures adopted by the staff of the Shiraz Emergency Medical Services (EMS) and the outcome of the patients discharged from the scene over a one-year period.

2021

BackgroundAmbulance missions do not always result in the patient being transported to a doctor or hospital after evaluation at the scene by ambulance personnel. Sometimes a patient is discharged at the scene but should have been transported for further examination and treatment. In this study, we aimed to identify and describe this group, and to investigate subsequent hospital admission within 72 hours and 30-day mortality, which may indicate the safety of leaving a patient at the scene after examination. MethodThis retrospective study was carried out in the Bergen health trust in western Norway and included ambulance missions from 2018. For each mission, we recorded the patient’s demographic information (age, gender, time of day), initial reason for contacting the emergency medical service (EMS), hospital admissions after non-transport, and time of death if within 30 days, in addition to some other variables. ResultsAmong 33,183 included acute and urgent ambulance missions, 7.3% of...

2016

Reed: Rurality as a factor in ambulance use in health emergencies

Emergency Medicine Journal, 1998

Recent years have seen a change in the role of emergency ambulance crews, from essentially providing transport to hospital for sick and injured people, to delivering basic and advanced life support skills to patients before they reach hospital. This has involved an expansion in training and in the range of skills that all emergency ambulance personnel, and in particular paramedics, now hold. All UK ambulance services aimed to place a paramedic on every front line vehicle by the end of 1996, although some services did not meet this. Nevertheless, most 999 calls across the UK are now responded to by the dispatch of a paramedically crewed vehicle.

Accident and Emergency Nursing, 2007

Aims: To explore patients' and staffs' perceptions of a pilot service which dispatched a nurse and paramedic to low-priority ambulance calls. Methods. Patients' opinions of both pilot and standard service groups were obtained through qualitative questionnaire data and individual interviews. Staffs' perceptions were explored via two focus groups. Study participants. Questionnaires were sent to a convenience sample of 128 patients attended by the pilot service and 128 patients receiving the standard service. Initially 19 questionnaire participants agreed to be interviewed. Focus group participants (n=11) included nurses and paramedics involved in the pilot service. Results: Sixty-four questionnaires were returned and 11 interviews were conducted. Patients receiving the pilot service were enthusiastic about opportunities for care to be provided in their home. Involvement in the pilot service was a positive experience for staff. They felt confident in managing calls effectively because of their combined knowledge and skills, and believed that the quality of patient care had been improved. They also experienced increased job satisfaction and skills development. 3 Conclusion: Both patients and staff expressed positive views about the pilot service. Patients appreciated being treated at home and staff believed that working together provided more appropriate care for patients and enhanced interprofessional development. BACKGROUND AND LITERATURE Demand for emergency ambulance services both nationally and internationally has increased in recent years (Victor et al 1999; Department of Health 2001; National Audit Office 2004). Currently in the UK, ambulance service demand is rising 6-7% annually (approximately an extra 250,000 calls a year) (Department of Health 2005). However, research has shown that a significant proportion of calls do not warrant an emergency response (Gardner 1990; Snooks et al 2002). The UK Department of Health has reported that only 10% of patients phoning 999 have a life-threatening condition and considers that 50% of patients transported to hospital could be cared for on-scene (Department of Health 2005). Traditionally, the emergency ambulance service has focused on resuscitation, trauma and acute care but, in-line with policy initiatives (Department of Health 2001, 2004, a? 2004a, 2005), interventions to provide more appropriate responses to low-priority calls are being investigated. These include; prioritising 999 calls; giving telephone advice; using alternative vehicles; consideration of onscene alternatives (Snooks et al 2002), and implementation of new roles within Denzin NK, Lincoln Y, eds. 1998 Collecting and Interpreting Qualitative Materials.

2019

Emergency Health Services refers to the urgent care. Ambulance abuse threaten the 15 provision of proper health services and at the same time it affects the country's economy negatively. 16 It was aimed to determine ambulance abuse level. This was a retrospective cohort research. In order 17 to carry out our study, we analyzed 12,207 cases who called to the 112 Emergency Ambulance 18 Services between 01.01.2016 and 31.12.2016. The data of the study has been obtained from the 19 Emergency Health Automation System of the Provincial Health Directorate. According to 20 preliminary diagnoses, traumatic cases were found to be 19.4% and cardiovascular cases were 12%. 21 According to the World Health Organization 32 Critical Code List 59.6% of the cases who called to 22 the 112 Emergency Ambulance Services in 2016 were inappropriate. Ambulance abuse rate was 23 59.6%. The high rate of misuse of 112 emergency ambulances affects the service flow and motivation 24 of the staff negatively a...

JEMS : a journal of emergency medical services, 2013

Annals of Emergency Medicine, 2010

patients who arrived by ambulance or personal transport. We performed bivariate analysis to assess the extent to which all patients and a subset of critically ill patients use ambulance transport relative to self-transport.

Annals of Emergency Medicine, 1997

presented at the 5ociety for Study objective: To determine patient-specific socioeconomic and health status characteristics for patients arriving by ambulance at an emergency department.