Language disparities in patients transported by emergency medical services

The American Journal of Emergency Medicine
N R WeissAmy A Ernst

Abstract

The population of the United States continues to diversify with an increasing percentage of residents with limited English proficiency (LEP). A major concern facing emergency medical services (EMS) providers is increasing scene and transport times. We hypothesized that there would be a significant difference in EMS scene and transport times when comparing LEP and English-speaking (ES) patients and there would be a difference in care, both in and out of hospital. This is a retrospective case-control study with patient data extracted from hospital records and EMS run reports from a 911 emergency ambulance service. Patients were only included if they were transported to our level I trauma center. Inclusion in the LEP group was based on a field in EMS run reports that claimed language barrier as the sole reason for no patient signature. All LEP patients from July 1, 2012, to November 1, 2012, were reviewed. A random comparison sampling of ES patients from the same period was evaluated. The patients' demographic data, pain scores, interventions, medications, transport times, and scene times were analyzed. Patients were followed up from emergency department (ED) management through to disposition. Percentages were compared using 95% c...Continue Reading

References

Mar 8, 2000·Medical Care Research and Review : MCRR·K P Derose, D W Baker
May 18, 2000·JAMA : the Journal of the American Medical Association·K FiscellaC M Clancy
Nov 5, 2003·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Janice C BlanchardCarol Scott
Feb 16, 2006·American Journal of Preventive Medicine·C Annette DuBardZiya Gizlice
Sep 20, 2006·Emergency Medicine Clinics of North America·Sheryl L HeronLeon L Haley
Sep 20, 2006·Pediatric Emergency Care·Ran D GoldmanAlison Macpherson
Feb 6, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Chandrika DiviJerod M Loeb
May 13, 2008·Journal of Health Care for the Poor and Underserved·Dorian RamirezTricia S Tang
Jun 7, 2008·The American Journal of Emergency Medicine·Kevin M TakakuwaJudd E Hollander
Dec 17, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Chu-Lin Tsai, Carlos A Camargo
Feb 28, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M PinesJudd E Hollander
Jun 23, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Andrew HerringCarlos A Camargo
Jan 26, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Hendrika MeischkeMickey Eisenberg
Jun 12, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Sudeep J KarveDeborah A Levine
Sep 3, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Mydili R SubramaniamNirupama Kannikeswaran
Jan 26, 2011·Archives of Internal Medicine·Amelia M HavilandNicole Lurie
Nov 15, 2011·Journal of Health Care for the Poor and Underserved·Lisa Ross DeCampMatthew M Davis
Dec 5, 2013·Pediatric Emergency Care·Ramsey C Tate, Maureen C Kelley
Feb 26, 2014·The Journal of Pediatrics·Michael N LevasUNKNOWN Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics
Jun 1, 2014·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Tiffani J JohnsonFrancis X Guyette
Sep 10, 2014·Academic Pediatrics·Kimberly C ArthurJulie C Brown
Dec 17, 2014·International Journal of Environmental Research and Public Health·Anika L HinesRosanna M Coffey
Mar 10, 2015·Journal of Immigrant and Minority Health·Vamsi BalakrishnanRebecca Jeanmonod
Apr 2, 2015·The Journal of Pain : Official Journal of the American Pain Society·Adam T HirshKurt Kroenke

❮ Previous
Next ❯

Citations

Apr 5, 2017·Quality Management in Health Care·Nazima AllaudeenSteven M Asch
Apr 22, 2018·Journal of Clinical Nursing·Annika B Alm-PfrunderVeronica Lindström
Mar 3, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Thea Palsgaard MøllerFreddy K Lippert
Sep 3, 2020·International Journal of Environmental Research and Public Health·Frank MüllerEva Maria Noack
Jan 2, 2021·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Marta Prats ArimonTeresa Lluch-Canut
Feb 13, 2021·International Journal of Environmental Research and Public Health·Ching-Fang TzengChih-Hao Lin

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.