Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Initial emergency medical dispatching and prehospital needs assessment: a prospective study of the Swedish ambulance service
University of Borås, School of Health Science.
University of Borås, School of Health Science.
University of Borås, School of Health Science.
2007 (English)In: European journal of emergency medicine, ISSN 0969-9546, E-ISSN 1473-5695, Vol. 14, no 3, 134-141 p.Article in journal (Refereed)
Abstract [en]

OBJECTIVES: To evaluate the setting of priorities and patients' need for the ambulance service. METHODS: A prospective, consecutive study was conducted during a 6-week period. The ambulance staff completed a questionnaire assessing each patient's need for prehospital care. In addition to the questionnaire, data were extracted from the ambulance medical records for each case. RESULTS: The study included 1977 ambulance assignments. The results show that there is a substantial safety margin in the priority assessments made by the emergency medical dispatch operators, where the ambulance staff support the safety margin for initial priorities, despite the lack of at-the-scene confirmation. At-the-scene assessments indicated that 10% of all patients had potentially life-threatening conditions or no signs of life, but the advanced life support units were not systematically involved in these serious cases. The results even showed that one-third of the patients for whom an ambulance was assigned did not need the ambulance service according to the assessment made by the ambulance staff. CONCLUSION: Using the criteria-based dispatch protocol, the personnel at the emergency medical dispatch centres work with a safety margin in their priority assessments for ambulance response. Generally, this 'overtriage' and safety margin for initial priority settings were supported as appropriate by the ambulance staff. According to the judgement of the ambulance staff, one-third of all the patients who were assigned an ambulance response did not require ambulance transport.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, Ltd. , 2007. Vol. 14, no 3, 134-141 p.
Keyword [en]
Prehospital care
National Category
Nursing
Identifiers
URN: urn:nbn:se:hb:diva-2161DOI: 10.1097/MEJ.0b013e32801464cfLocal ID: 2320/2324OAI: oai:DiVA.org:hb-2161DiVA: diva2:870242
Available from: 2015-11-13 Created: 2015-11-13

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Hjälte, LenaSuserud, Björn-OveHerlitz, Johan
By organisation
School of Health Science
In the same journal
European journal of emergency medicine
Nursing

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 236 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf