PMID: 9660285Jul 11, 1998Paper

Gatekeepers: a missed opportunity for safe transport

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
S M SchneiderN F Leahey

Abstract

To assess whether contact with a health care provider or gatekeeper increases the use of an ambulance for patients with acute chest pain. A convenience sample of adults > or =40 years of age presenting with a chief complaint of chest pain were interviewed by trained personnel regarding transport used to come to the ED. The study was performed at the ED of an urban university hospital. Patients with hemodynamic instability and those receiving thrombolytics or emergency angioplasty were excluded. Patients were asked about access to a primary health care provider and contact with a provider regarding this ED visit, including instructions given for transportation. Of the 450 interviewed patients, 42% arrived by ambulance. Those who had contact with a health care provider prior to the ED visit were less likely to come by ambulance than those without contact, 31% vs 51% (p < 0.001). Of the patients who had cardiac enzymes obtained to work up for their chest pain, 34% with health provider contact vs 57% without health provider contact arrived by ambulance (p < 0.001). Of those with acute myocardial infarction, 30% with health provider contact vs 66% without health provider contact came by ambulance (p < 0.03). Patients who recalled tr...Continue Reading

References

Oct 2, 1976·Lancet·I Lund, A Skulberg
Mar 1, 1976·The Medical Clinics of North America·L A CobbM K Kopass
Sep 1, 1992·The American Journal of Emergency Medicine·J HerlitzS Holmberg
Feb 1, 1990·Annals of Emergency Medicine·M S EisenbergT R Hearne
Oct 1, 1972·British Journal of Anaesthesia·L J Dunkin
Oct 8, 1973·JAMA : the Journal of the American Medical Association·W S GrafB L Paegel
Aug 15, 1974·The New England Journal of Medicine·R R LiberthsonS R Nussenfeld
May 1, 1972·Archives of Internal Medicine·A J Moss, S Goldstein
Jun 1, 1972·Chest·S L Tjoe, M H Luria
Jul 1, 1972·British Journal of Anaesthesia·J A WildsmithK W Myers
Nov 1, 1969·The American Journal of Cardiology·A J MossS Goldstein
Apr 30, 1983·British Medical Journal·M O'DohertyD A Chamberlain
Jan 1, 1995·Annals of Emergency Medicine·J HerlitzS Holmberg
Feb 1, 1995·Annals of Emergency Medicine·H MeischkeM P Larsen
Aug 1, 1994·Annals of Emergency Medicine·E EpplerM P Larson
Nov 1, 1993·Annals of Emergency Medicine·M P LarsenA P Hallstrom
Mar 1, 1997·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·D J CobaughS M Schneider

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Citations

Feb 29, 2008·Health Care Analysis : HCA : Journal of Health Philosophy and Policy·Daniel Simonet
Feb 3, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R E O'ConnorS J Davidson
Nov 3, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S SchneiderE Davis
Jul 11, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·K W Neely

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