Article
Economics
Marcos Colla, Gilson Ditzel Santos, Gilson Adamczuk Oliveira, Renata Braga Berenguer de Vasconcelos
Summary: Research on ambulance response times for EMS calls has been conducted for decades, primarily in developed countries. However, there is limited scientific research on this topic in Brazil, a developing country, which mainly focuses on cities with a population of over one million. This highlights the need to extend research to small and medium-sized cities.
SOCIO-ECONOMIC PLANNING SCIENCES
(2023)
Article
Health Care Sciences & Services
Lizbet Todorova, Anders Johansson, Bodil Ivarsson
Summary: This study aimed to evaluate a prehospital emergency psychiatric unit from the perspective of prehospital emergency nurses (PENs). The results showed that there was a transition from limited and insufficient care to improved and adequate care for psychiatric patients in the unit. The study also found a lack of knowledge and skills about mental illnesses in general ambulance care, while the PAP concept opened new avenues for the care of patients with mental illness.
Article
Medicine, General & Internal
Gabby Elbaz-Greener, Shemy Carasso, Elad Maor, Lior Gallimidi, Merav Yarkoni, Harindra C. Wijeysundera, Yitzhak Abend, Yinon Dagan, Amir Lerman, Offer Amir
Summary: This study analyzed clinical parameters gathered during prehospital emergency medical services calls, identifying age over 80 years, a systolic blood pressure below 130 mm Hg, dyspnea, and chest pain with ischemic ECG changes as strong predictors for all-cause mortality at 1, 3, and 12 months post emergency call. Conversely, a history of hypertension and a prehospital SBP above 160 mm Hg were associated with decreased mortality risk at all three time points.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Operations Research & Management Science
Sondes Hammami, Aida Jebali
Summary: This paper investigates the design of a two-tiered emergency medical service system, proposing a novel approach that considers ambulance trips and busy fractions. Compared to traditional approaches, the proposed method shows superior performance with cost savings of 3% and reduction in ambulance round-trip time.
OPERATIONAL RESEARCH
(2021)
Article
Environmental Sciences
Rebecca Hirschhorn, Oluwagbemiga DadeMatthews, JoEllen Sefton
Summary: Despite years of experience and some providers having treated EHS patients before, the study found that EMS providers have poor knowledge regarding exertional heat stroke. Additionally, few EMS providers reported having access to appropriate methods for assessing or cooling patients with EHS. Updated training and ensuring access to necessary equipment are necessary for improving EMS capabilities in managing EHS.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Emergency Medicine
Patrick Schober, Sebastiaan M. Bossers, Jasper Koolwijk, Maartje Terra, Lothar A. Schwarte
Summary: The study tested the feasibility of prehospital PT/INR coagulation measurements in helicopter emergency medical services, revealing potential benefits of using a portable blood analyzer for PT/INR measurements but also limitations such as a narrow operational temperature range.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
Verity F. Todd, Andy Swain, Graham Howie, Bronwyn Tunnage, Tony Smith, Bridget Dicker
Summary: This large-scale EMS study aimed to identify factors associated with ambulance reattendance within 48 hours in low acuity patients who were not transported by ambulance. The study found significant associations between reattendance and patient demographics, such as age, sex, ethnicity, and deprivation, as well as event location. Shorter on-scene times were associated with a decreased likelihood of reattendance, while longer on-scene times were associated with an increased likelihood.
PREHOSPITAL EMERGENCY CARE
(2022)
Article
Critical Care Medicine
Ana Kowark, Marc Felzen, Sebastian Ziemann, Stephanie Wied, Michael Czaplik, Stefan K. Beckers, Jorg C. Brokmann, Ralf-Dieter Hilgers, Rolf Rossaint
Summary: Through analysis, we found that the routine use of tele-emergency medical service is not inferior to conventional physician-based emergency medical service in terms of the occurrence of intervention-related adverse events.
Article
Medicine, General & Internal
Feng Xie, Jiajun Yan, Gina Agarwal, Richard Ferron
Summary: This study compared the time on task and cost between Mobile integrated health care (MIH) and ambulance services provided by Niagara emergency medical services (NEMS). The results showed that MIH was associated with a shorter service time, lower proportion of patients transported to the emergency department, and lower total costs compared to regular ambulance responses.
Article
Biophysics
Ho Ting Wong
Summary: This study compares the effectiveness of biometeorological indexes and typical weather factors in the development of a daily emergency ambulance service demand forecast system in Taipei City, Taiwan. The study found that the model with average temperature as the only predictor performed the best consistently from 1 to 7-day forecasts. Surprisingly, the model with both average temperature and relative humidity as predictors only ranked fourth. These findings suggest the need to develop updated locational-specific biometeorological indexes to fully utilize their benefits.
INTERNATIONAL JOURNAL OF BIOMETEOROLOGY
(2023)
Review
Health Care Sciences & Services
Abdullah Alruwaili, Ahmed Ramdan M. Alanazy
Summary: The aim of this study was to compare pre-hospital time intervals between rural and urban communities in terms of emergency medical services. The study found that response time, transport time, and on-scene time were all shorter in urban communities compared to rural communities.
Article
Anesthesiology
Anssi Saviluoto, Paivi Laukkanen-Nevala, Lasse Raatiniemi, Helena Jantti, Jouni O. Nurmi
Summary: This study aimed to investigate the frequency and distribution of critical care events encountered by physicians in emergency helicopter medical services (HEMS). The results showed that HEMS exposure was associated with differences in practice patterns and may affect mortality rates. Physicians with limited exposure to prehospital critical care had higher mortality rates.
EUROPEAN JOURNAL OF ANAESTHESIOLOGY
(2021)
Article
Public, Environmental & Occupational Health
Jessica N. Jeruzal, Lori L. Boland, Diana Jin, Christie L. Traczyk, Nathan D. Shippee, Hannah T. Neprash, Andrew C. Stevens
Summary: This study examined trends in fall-related EMS utilization among adult patients from 2010 to 2018, described incident characteristics by age, and identified factors associated with non-transport following a fall. Factors such as location of the incident, previous fall history, and lack of apparent illness or injury upon assessment were found to be strongly associated with non-transport decisions.
HEALTH & SOCIAL CARE IN THE COMMUNITY
(2022)
Article
Emergency Medicine
I. E. Blanchard, T. S. Williamson, P. Ronksley, B. Hagel, D. Niven, S. Dean, M. N. Shah, E. S. Lang, C. J. Doig
Summary: Linking EMS data to ED outcomes through an optimized sequential deterministic strategy improved linkage rates without increasing false positive links and reduced bias potential. Some records may not be linked to their ED visit even with adequate information.
PREHOSPITAL EMERGENCY CARE
(2022)
Article
Chemistry, Multidisciplinary
Peter Jankovic, Ludmila Janosikova
Summary: This study focuses on optimizing the location of ambulance stations in an urban environment, proposing a new modification of the modular capacitated location model and evaluating it through computer simulation. The findings show that spreading ambulances across the city territory significantly reduces average response time and improves service availability for high-priority patients.
APPLIED SCIENCES-BASEL
(2021)
Article
Public, Environmental & Occupational Health
Christoffer R. Ericsson, Hilla Nordquist, Veronica Lindstrom, Ann Rudman
Summary: This study found that Finnish paramedics who experienced more social emergencies, traumatic events, and threats directed at paramedics were associated with higher levels of secondary traumatic stress and burnout. The need for defusing was related to secondary traumatic stress, and paramedics participated in informal defusing.
Article
Health Care Sciences & Services
Christoffer R. Ericsson, Veronica Lindstrom, Ann Rudman, Hilla Nordquist
Summary: Finnish paramedics face job demands including high workload, environmental factors, and emotional burden. Their job resources consist of pressure management strategies, a psychologically safe work community, professional pride, and an internal drive towards professional development.
BMC HEALTH SERVICES RESEARCH
(2022)