Lagos state ambulance service: a performance evaluation.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Chinmayee VenkatramanFiemu E Nwariaku

Abstract

The mortality rate from road traffic accidents (RTAs) in Nigeria is almost double that of the USA. In Nigeria, the first emergency medical services (EMS) system was established in March 2001, The Lagos State Ambulance Service (LASAMBUS). The objectives of this study are to (1) determine the burden of RTAs in Lagos, (2) assess RTA call outcomes, and (3) analyze LASAMBUS's response time and causes for delay. We reviewed completed LASAMBUS intervention forms spanning December 2017 to May 2018. We categorized the call outcomes into five groups: I. Addressed Crash, II. No Crash (False Call), III. Crash Already Addressed, IV. Did Not Respond, and V. Other. We further explored associations between the (1) causes for delay and outcomes and (2) response times and the outcomes. Overall, we analyzed 1352 intervention forms. We found that LASAMBUS did not address 53% of the RTA calls that they received. Of this, Outcome II. No Crash (False Call) accounted for 26% and Outcome III. Crash Already Addressed accounted for 22%. Self-reported causes for delay were recorded in 180 forms, representing 13.7% of the RTA burden. Traffic congestion accounted for 60% of this distribution. LASAMBUS response rates are significantly lower than response rat...Continue Reading

References

May 6, 2010·Accident; Analysis and Prevention·Rocío Sánchez-MangasAntonio Martín Arroyo
May 18, 2012·Prehospital and Disaster Medicine·Mudhafar Karim MuradHans Husum
Jan 8, 2014·Archives of Trauma Research·Mohammad ParavarAzadeh Sadat Mirzadeh
Jul 20, 2016·Bulletin of the World Health Organization·Davies AdeloyeCharles K Ayo
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Jul 21, 2017·JAMA Surgery·Howard K MellJason Stopyra
Jun 11, 2019·International Journal of Emergency Medicine·Amber MehmoodAdnan A Hyder

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