Dispatch and prehospital transport for acute septic patients: an observational study

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Peter Bank PedersenA T Lassen

Abstract

In order to dispatch ambulances with the correct level of urgency, the dispatch center has to balance the perceived urgency and traffic safety considerations with the available resources. As urgency is not clear in all clinical situations, some high urgency patients may end up with a suboptimal mode of transport. Patients with severe sepsis or septic shock suffer from highly time dependent conditions but they present with a wide range of symptoms, which might be difficult to identify in the dispatch system. The aim of the study is to investigate the modes of prehospital transport among acute admitted patients with sepsis, severe sepsis and septic shock. We included all adult patients (≥15 years) presenting to an acute medical unit at Odense University Hospital with a first-time admission of community-acquired sepsis between September 2010-August 2011. Cases and prehospital ambulance transport were identified by structured manual chart review. In all cases it was registered, whether the ordinary ambulance was assisted by the mobile emergency care unit (MECU), manned by anesthesiologists. We included 1,713 patients median age 72 years (IQR 57-81), 793 (46.3%) male, 621 (36.3%) had sepsis, 1,071 (62.5%) severe sepsis, and 21 (1.2%...Continue Reading

References

Jan 17, 2002·The New England Journal of Medicine·E RiversUNKNOWN Early Goal-Directed Therapy Collaborative Group
Jun 18, 2005·Stroke; a Journal of Cerebral Circulation·Anne W Wojner-AlexandrovJames C Grotta
Oct 30, 2010·The American Journal of Emergency Medicine·Jonathan R StudnekAlan E Jones
Aug 4, 2011·Scandinavian Journal of Public Health·Carsten Bøcker Pedersen
Sep 3, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Roger A BandZachary F Meisel
Jun 29, 2012·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Johan HerlitzLars Ljungström
Jan 31, 2013·Intensive Care Medicine·R P DellingerUNKNOWN Surviving Sepsis Campaign Guidelines Committee including The Pediatric Subgroup
Jul 10, 2013·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Mikkel S AndersenErika Frischknecht Christensen
Nov 5, 2013·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Maaike GroenewoudtPatricia M Stassen
Apr 11, 2014·PloS One·Daniel Pilsgaard HenriksenAnnmarie Touborg Lassen
Jun 10, 2014·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Therese DjärvLisa Kurland
Sep 2, 2014·International Journal of Cardiology·Araz RawshaniJohan Herlitz
Sep 25, 2014·Critical Care Medicine·Daniel Pilsgaard HenriksenAnnmarie Touborg Lassen
Apr 22, 2015·PloS One·Daniel Pilsgaard HenriksenAnnmarie Touborg Lassen
May 1, 2015·BMC Medicine·Donald M YealyTim Nutbeam
May 15, 2015·BMC Emergency Medicine·Maaret CastrénTherese Djärv
Jun 3, 2015·International Emergency Nursing·Katarina BohmMaaret Castrèn
Sep 19, 2015·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·David W RossDavid Bar-Or
Nov 5, 2015·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Thea Palsgaard MøllerFreddy Lippert
Nov 26, 2015·Clinical Epidemiology·Morten SchmidtHenrik Toft Sørensen
Feb 24, 2016·JAMA : the Journal of the American Medical Association·Mervyn SingerDerek C Angus
May 4, 2016·Journal of the American Heart Association·Tuukka PuolakkaPerttu J Lindsberg

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Citations

Jan 7, 2021·Acta Anaesthesiologica Scandinavica·Vibe S MikkelsenSøren Mikkelsen

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