Trends of pre-hospital emergency medical services activity over 10 years: a population-based registry analysis

This research study aimed to investigate the association between demographic and operational factors and emergency medical services (EMS) missions ending in non-conveyance (NC) due to patient-initiated refusal (PIR). We conducted a retrospective population-based registry study by analyzing 67,620 EMS missions dispatched to the scene during 2018 in the Riyadh province. First, the number and percentages of conveyances statuses were calculated. Then, using crude and adjusted linear and logistic regression analysis, we determined which characteristics were predictors of NC due to PIR. We found that 23,991 (34.4%) of missions ended in NC due to PIR, and 5969 ended in EMS-initiated refusal (8.6%). NC rates due to PIR were higher for women, adults, for missions in Riyadh city, during nighttime, for medical emergencies, and for advanced life support (ALS) crews. We also found the following additional predictors significantly associated with the odds of NC due to PIR in crude regression analyses: age category, geographical location, EMS-shift, time of call, emergency type, and response time. We conclude that the NC rate represents half of all missions for patients requesting EMS, and the rate in Riyadh city has increased compared to previous studies. Most NC cases occur for the highest urgency level of medical emergency type in Riyadh city during the nighttime with ALS crews. NC due to PIR involves younger patients more than elderly, and females more than males. This study’s findings have provided empirical evidence that indicate that conducting further studies involving EMS providers, patients, and the public to identify precise and detailed reasons is required.

Download Full-text

Relationship of knowledge about and attitudes towards violence with recognition of violence against women among health staff in pre-hospital emergency medical services

International Emergency Nursing ◽

10.1016/j.ienj.2021.100975 ◽

2021 ◽

Vol 56 ◽

pp. 100975

Author(s):

Süreyya Gümüşsoy ◽

Sevgül Dönmez ◽

Ali Ekşi ◽

Nursel Alp Dal

Keyword(s):

Emergency Medical Services ◽

Violence Against Women ◽

Medical Services ◽

Health Staff ◽

Hospital Emergency ◽

Emergency Medical ◽

Relationship Of

Download Full-text

03 The prehospital 12 lead electrocardiogram is associated with improved outcomes in patients with acute coronary syndromes presenting to emergency medical services: a nationwide linked cohort study

Emergency Medicine Journal ◽

10.1136/emermed-2021-999.3 ◽

2021 ◽

Vol 38 (9) ◽

pp. A2.1-A2

Author(s):

Tom Quinn ◽

Timothy Driscoll ◽

Lucia Gavalova ◽

Mary Halter ◽

Chris P Gale ◽

...

Keyword(s):

Cohort Study ◽

Emergency Medical Services ◽

Population Based ◽

Medical Services ◽

St Segment Elevation ◽

Coronary Syndrome ◽

Emergency Medical ◽

St Segment ◽

Coronary Syndromes ◽

Audit Project

BackgroundUse of the Pre-Hospital 12-lead Electrocardiogram (PHECG) is recommended in patients presenting to emergency medical services (EMS) with suspected acute coronary syndrome (ACS).ObjectivesTo investigate differences in mortality between those who did/did not receive PHECG.MethodsPopulation-based, linked cohort study using Myocardial Ischaemia National Audit Project (MINAP) data from 2010-2017.ResultsOf 330,713 patients, 263,420 (79.6%) had PHECG, 67,293 (20.3%) did not. 30-day mortality was 7.8% overall, 7.1% with PHECG vs 10.9% without PHECG (adjusted Odds Ratio [aOR] 0.772, 95% confidence interval [CI] 0.748-0.795, p<0.001). 1 year mortality was 16.1% overall, 14.2% with PHECG vs 23.2% without (aOR 0.692, 95% CI 0.676-0.708, p<0.001). 144,254 patients had ST segment elevation myocardial infarction (STEMI); 130,240 (90.2%) had PHECG, 30 day mortality 8.8% overall, 8.0% with PHECG vs 15.9% without (aOR 0.588, 95% CI 0.557-0.622, p<0.001), 1 year mortality 13.1% overall, 12.1% with PHECG vs 22.8% without (aOR 0.585, 95% CI 0.557-0.614, p<0.001). 186,459 patients had non-STEMI; 133,180 (71.4%) had PHECG. 30-day mortality 7.1% overall, 6.1% with PHECG vs 9.6% without (aOR 0.677, 95%CI 0.652-0.704, p<0.001), 1 year mortality 18.3% overall, 16.3% with PHECG vs 23.3% without (aOR 0.694, 95% CI 0.676-0.713, p<0.001). 110,571 STEMI patients received primary PCI, 103,741 (93.8%) had PHECG. 30 day mortality 5.4% overall, 5.3% with PHECG vs 7.0% without (aOR 0.739, 95% CI 0.667-0.829, p<0.001). 1 year mortality 8.5% overall, 8.4% with PHECG vs 9.8% without (aOR 0.833, 95% CI 0.762-0.911, p<0.001). 26,127 (18.1%) STEMI patients received no reperfusion; 19,873 (76%) had PHECG. Mortality at 30 days 22.1% overall, 21.3% with PHECG vs 24.7% without (aOR 0.911, 95% CI 0.847-0.980, p=0.013), 1 year mortality 32.2% overall, 30.9% with PHECG, 36.4% without (aOR 0.865, 95% CI 0.810-0.925, p<0.001).ConclusionPHECG was associated with lower mortality at 30 days and 1 year in both STEMI and non-STEMI patients.

Download Full-text

Effect of Patient Transfer Training on Low Back Pain in Pre-hospital Emergency Medical Services Personnel

Journal of Clinical and Basic Research ◽

10.29252/jcbr.3.4.31 ◽

2019 ◽

Vol 3 (4) ◽

pp. 31-36

Author(s):

Kiomars Yahyaei ◽

Khadijeh Yazdi ◽

Shohreh Kolagari ◽

Hosein Rahmani ◽

◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Emergency Medical Services ◽

Patient Transfer ◽

Medical Services ◽

Low Back ◽

Hospital Emergency ◽

Emergency Medical ◽

Emergency Medical Services Personnel ◽

Transfer Training

Download Full-text

Comparison of Emergency Medical Services and Trauma Care Systems Among Pan-Asian Countries: An International, Multicenter, Population-Based Survey

Prehospital Emergency Care ◽

10.1080/10903127.2016.1241325 ◽

2016 ◽

Vol 21 (2) ◽

pp. 242-251 ◽

Cited By ~ 6

Author(s):

Kyong Min Sun ◽

Kyoung Jun Song ◽

Sang Do Shin ◽

Hideharu Tanaka ◽

Goh E. Shaun ◽

...

Keyword(s):

Emergency Medical Services ◽

Trauma Care ◽

Population Based ◽

Medical Services ◽

Asian Countries ◽

Emergency Medical ◽

Care Systems ◽

International Multicenter ◽

Population Based Survey

Download Full-text

Rationale, development and implementation of the ReACanROC registry for out-of-hospital cardiac arrests in France and Canada

Emergency Medicine Journal ◽

10.1136/emermed-2020-211073 ◽

2021 ◽

pp. emermed-2020-211073

Author(s):

Matthieu Heidet ◽

Hervé Hubert ◽

Brian E Grunau ◽

Sheldon Cheskes ◽

Valentine Baert ◽

...

Keyword(s):

North America ◽

Emergency Medical Services ◽

Care Delivery ◽

Steering Committee ◽

Population Based ◽

Research Network ◽

Medical Services ◽

Emergency Medical ◽

Utstein Style ◽

Wide Population

France and Canada prehospital systems and care delivery in out-of-hospital cardiac arrests (OHCAs) show substantial differences. This article aims to describe the rationale, design, implementation and expected research implications of the international, population-based, France-Canada registry for OHCAs, namely ReACanROC, which is built from the merging of two nation-wide, population-based, Utstein-style prospectively implemented registries for OHCAs attended to by emergency medical services. Under the supervision of an international steering committee and research network, the ReACanROC dataset will be used to run in-depth analyses on the differences in organisational, practical and geographic predictors of survival after OHCA between France and Canada. ReACanROC is the first Europe-North America registry ever created to meet this goal. To date, it covers close to 80 million people over the two countries, and includes approximately 200 000 cases over a 10-year period.

Download Full-text