scholarly journals Association between dispatch complaint and critical prehospital time intervals in suspected stroke 911 activations in the National Emergency Medical Services Information System, 2012–2016

2022 ◽  
Vol 31 (3) ◽  
pp. 106228
Author(s):  
Amena Y. Abbas ◽  
Erika C. Odom ◽  
Isaac Nwaise
Keyword(s):  
Information System ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Time Intervals ◽  
Emergency Medical ◽  
Suspected Stroke ◽  
National Emergency ◽  
Prehospital Time

scholarly journals Analysis of the Adequacy of Prehospital Emergency Medical Services Use of Patients Who Visited Emergency Departments in Korea from 2016 to 2018: Data from the National Emergency Department Information System

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Sung Joon Park ◽  
Jung-Youn Kim ◽  
Young-Hoon Yoon ◽  
Eu Sun Lee ◽  
Hyun-Jin Kim ◽  
...  
Keyword(s):  
Emergency Department ◽  
Information System ◽  
Emergency Medical Services ◽  
Secondary Data ◽  
The Other ◽  
Limited Resources ◽  
Medical Services ◽  
Emergency Medical ◽  
Prehospital Emergency ◽  
National Emergency

Introduction. Proper ambulance use is important not only due to the patient’s transport quality but also because of the need for efficient use of limited resources allotted by the system. Therefore, this study was conducted to check for overuse or underuse of the ambulance system by patients who visited the emergency department (ED). Methods. In this study, a secondary data analysis was conducted using the existing database of the National Emergency Department Information System with all patients who visited EDs over the three-year study period from 2016 to 2018. The study subjects were classified into the following groups: (1) appropriate Emergency Medical Services (EMS) usage; (2) appropriate no EMS usage; (3) underuse; and (4) overuse groups. Results. Of 18,298,535 patients, 11,668,581 (63.77%) were classified under the appropriate usage group, while 6,629,954 (36.23%) were classified under the inappropriate usage group. In the appropriate EMS usage group, there were 2,408,845 (13.16%) patients. In the appropriate no EMS usage group, there were 9,259,706 (50.60%) patients. As for the inappropriate usage group, there were 5,147,352 (28.13%) patients categorized under the underuse group. On the other hand, there were 1,482,602 (8.10%) patients under the overuse group. Conclusion. There are many patients who use ambulances appropriately, but there are still many overuse and underuse. Guidelines on ambulance use are necessary for the efficient use of emergency medical resources and for the safety of patients.

Accuracy of Stroke Identification by EMS Dispatch Units: An Analysis of National Emergency Medical Services Information System Data (NEMSIS) (P02.221)

Neurology ◽  
2012 ◽  
Vol 78 (Meeting Abstracts 1) ◽  
pp. P02.221-P02.221
Author(s):  
V. Jadhav ◽  
S. Pawar ◽  
S. Chaudhry ◽  
A. Hassan ◽  
G. Rodriguez ◽  
...  
Keyword(s):  
Information System ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Emergency Medical ◽  
System Data ◽  
National Emergency

Analysis of stroke care among 2019-2020 national emergency medical services information system encounters

2022 ◽  
Vol 31 (3) ◽  
pp. 106278
Author(s):  
Layne Dylla ◽  
John D. Rice ◽  
Sharon N. Poisson ◽  
Andrew A. Monte ◽  
Hannah M. Higgins ◽  
...  
Keyword(s):  
Information System ◽  
Emergency Medical Services ◽  
Stroke Care ◽  
Medical Services ◽  
Emergency Medical ◽  
National Emergency

scholarly journals Prehospital time and mortality in polytrauma patients: a retrospective analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
E. Berkeveld ◽  
Z. Popal ◽  
P. Schober ◽  
W. P. Zuidema ◽  
F. W. Bloemers ◽  
...  
Keyword(s):  
Patient Outcome ◽  
Emergency Medical Services ◽  
Trauma Center ◽  
Total Mortality ◽  
Medical Services ◽  
Severely Injured ◽  
Emergency Medical ◽  
Polytrauma Patients ◽  
Level I ◽  
Prehospital Time

Abstract Background The time from injury to treatment is considered as one of the major determinants for patient outcome after trauma. Previous studies already attempted to investigate the correlation between prehospital time and trauma patient outcome. However, the outcome for severely injured patients is not clear yet, as little data is available from prehospital systems with both Emergency Medical Services (EMS) and physician staffed Helicopter Emergency Medical Services (HEMS). Therefore, the aim was to investigate the association between prehospital time and mortality in polytrauma patients in a Dutch level I trauma center. Methods A retrospective study was performed using data derived from the Dutch trauma registry of the National Network for Acute Care from Amsterdam UMC location VUmc over a 2-year period. Severely injured polytrauma patients (Injury Severity Score (ISS) ≥ 16), who were treated on-scene by EMS or both EMS and HEMS and transported to our level I trauma center, were included. Patient characteristics, prehospital time, comorbidity, mechanism of injury, type of injury, HEMS assistance, prehospital Glasgow Coma Score and ISS were analyzed using logistic regression analysis. The outcome measure was in-hospital mortality. Results In total, 342 polytrauma patients were included in the analysis. The total mortality rate was 25.7% (n = 88). Similar mean prehospital times were found between the surviving and non-surviving patient groups, 45.3 min (SD 14.4) and 44.9 min (SD 13.2) respectively (p = 0.819). The confounder-adjusted analysis revealed no significant association between prehospital time and mortality (p = 0.156). Conclusion This analysis found no association between prehospital time and mortality in polytrauma patients. Future research is recommended to explore factors of influence on prehospital time and mortality.

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