Prehospital triage, discrepancy in priority-setting between emergency medical dispatch centre and ambulance crews

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Amir Khorram-ManeshPer Örtenwall

Abstract

The timely provision of emergency medical services might be influenced by discrepancies in triage-setting between emergency medical dispatch centre and ambulance crews (ACR) on the scene resulting in overloaded emergency departments (ED) and ambulance activities. The aim of this study was to identify such discrepancies by reviewing ambulance transports within a metropolitan city in the western region of Sweden. All data regarding ambulance transports in Gothenburg, Sweden, during a 6-month period were obtained and analyzed by reviewing the available registry. There was a discrepancy between emergency medical dispatch centre and ACR in priority setting, which may result in a number of unnecessary transports to the hospital with consequent overloading of ED and a negative impact on ambulance availability. Appropriate ambulance use is one important part of emergency preparedness. Overuse results in decreased emergency medical services (EMS) availability and ED-overcrowding. Several factors, such as an imprecise triage system and increased public demands, may influence such overutilization. Improving the triage system and comprehensive public education on appropriate use of ambulances are two important steps toward a better use of ...Continue Reading

References

Jul 1, 1992·Annals of Emergency Medicine·G R StrangeA B Sanders
Nov 1, 1996·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·A J BillittierD Olsson
Dec 31, 1997·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·K Camasso-RichardsonE M Petrack
Mar 28, 1998·The American Journal of Emergency Medicine·J BrokawD Sklar
Feb 3, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J R Richards, S J Ferrall
Jul 29, 1999·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·E T DickinsonC C Mechem
May 16, 2003·Emergency Medicine Journal : EMJ·A O'CathainE Knowles
Mar 6, 2004·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Adrian MarinovichElizabeth MacNamara
Oct 22, 2004·Emergency Medicine Journal : EMJ·J P Squires, S Mason
Nov 30, 2005·Air Medical Journal·Akkie N RingburgInger B Schipper
Jul 11, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jennifer Prah RugerLawrence M Lewis
Dec 16, 2006·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Paul HincheyDonald Garner
May 3, 2007·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Lena HjälteIngvar Karlberg
May 3, 2007·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Lena HjälteIngvar Karlberg
Jul 28, 2007·BMC Health Services Research·Chihiro KawakamiOsamu Tochikubo
Sep 29, 2007·Emergency Medicine Journal : EMJ·J T Gray, J Wardrope
Feb 29, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kenji Ohshige
May 3, 2008·BMC Emergency Medicine·Robert A Cherry, Marcia Trainer
Jun 28, 2008·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Prasanthi RamanujamJames V Dunford
Jun 6, 2009·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Amir Khorram-ManeshPer Ortenwall

❮ Previous
Next ❯

Citations

Oct 17, 2015·International Emergency Nursing·Carl MagnussonChrister Axelsson
May 15, 2015·BMC Emergency Medicine·Maaret CastrénTherese Djärv
Jan 24, 2007·Resuscitation·Matthew Huei-Ming MaWen-Jone Chen
Oct 29, 2015·BMC Emergency Medicine·Fabrice DamiOlivier Hugli
Jul 20, 2017·Emergency Medicine Journal : EMJ·Li-Heng TsaiChip-Jin Ng
Dec 30, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Klara TorlénKatarina Bohm
Apr 13, 2019·The International Journal of Health Planning and Management·Ingela WennmanAmir Khorram-Manesh
Oct 3, 2014·Journal of Clinical Nursing·Bosse Ek, Marianne Svedlund
Jan 7, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Kasper AndersenStine Thorhauge Zwisler
Mar 13, 2014·Iranian Red Crescent Medical Journal·Mahmoudreza PeyraviAmir Khorram-Manesh
May 19, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Ellen CeklicJudith Finn
Dec 4, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Marko HoikkaTero I Ala-Kokko
Oct 21, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Carl MagnussonChrister Axelsson
May 31, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Jani PaulinTimo Iirola
Apr 15, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Alexandre MoserFabrice Dami
Dec 14, 2019·PloS One·Douglas SpanglerHans Blomberg
Dec 14, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Amir Khorram-Manesh
May 22, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Job F WaalwijkUNKNOWN Pre-hospital Trauma Triage Research Collaborative (PTTRC)

❮ 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.

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.

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.

Epigenetics Insights from Twin Studies

Find the latest research on epigenetics and twin studies 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.

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.

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.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.

Myocardial Stunning

Myocardial stunning is a mechanical dysfunction that persists after reperfusion of previously ischemic tissue in the absence of irreversible damage including myocardial necrosis. Here is the latest research.

Related Papers

Archives of Emergency Medicine
K Porter
Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Jason D KennedyRobert E O'Connor
© 2021 Meta ULC. All rights reserved