Is it Appropriate for Patients to be Discharged at the Scene by Paramedics?

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Hideo TohiraJudith Finn

Abstract

Outcomes of patients who are discharged at the scene by paramedics are not fully understood. We aimed to describe the risk of re-presentation and/or death in prehospital patients discharged at the scene. We conducted a retrospective cohort study using linked ambulance, emergency department (ED), and death data. We compared outcomes in patients who were discharged at the scene by paramedics with those who were transported to ED by paramedics and then discharged from ED between January 1 and December 31, 2013 in metropolitan Perth, Western Australia. Occurrences of subsequent ambulance requests, ED attendance, hospital admission and death were compared between those discharged at the scene and those discharged from ED. There were 47,330 patients during the study period, of whom 19,732 and 27,598 patients were discharged at the scene and from ED, respectively. Compared to those discharged from ED, those discharged at the scene were more likely to subsequently: request an ambulance (6.1% vs. 1.8%, adjusted odds ratio [adj OR] 3.4; 95% confidence interval [CI] 3.0-3.9), attend ED (4.6% vs. 1.4%, adj OR 3.3; 95% CI 2.8-3.8), be admitted to hospital (3.3% vs. 0.8%, adj OR 4.2; 95% CI 3.4-5.1). Those discharged at the scene tended towa...Continue Reading

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Citations

Nov 1, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Kevin G MunjalLynne D Richardson
Jul 21, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Linda RossBrett Williams
Sep 16, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·K K LehmI S Riddervold
Jul 30, 2016·Emergency Medicine Australasia : EMA·Patrick Aboagye-SarfoDaniel M Fatovich
Dec 2, 2017·Prehospital and Disaster Medicine·Karl A Sporer
Jul 26, 2018·Emergency Medicine Australasia : EMA·Elizabeth BrownJudith Finn
Jul 18, 2018·Journal of Clinical Nursing·Erik HöglundEmma Ohlsson-Nevo
Feb 21, 2019·Advances in Simulation·Hanna Maurin SöderholmBengt Arne Sjöqvist
May 31, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Jani PaulinTimo Iirola
Jul 19, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Remco H A EbbenSivera A A Berben
Jan 27, 2019·BMC Emergency Medicine·Magnus Andersson HagiwaraLena Nilsson
Dec 26, 2018·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Joanne CosterJanette Turner
Sep 20, 2019·World Journal of Emergency Medicine·Remco H A EbbenLilian C M Vloet
Dec 16, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Verity F ToddBridget Dicker
Oct 11, 2021·BMC Emergency Medicine·Jani PaulinTimo Iirola

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