I S I T P OSSIBLE TO S AFELY T RIAGE C ALLERS TO EMS D ISPATCH C ENTERS TO A LTERNATIVE R ESOURCES ?

Autor:	Terri A. Schmidt, Annette L. Adams, Keith W. Neely, Craig D. Newgard, Lynn Wittwer, Marc D. Muhr, Robert L. Norton
Rok vydání:	2003
Předmět:	Program evaluation medicine.medical_specialty business.industry MEDLINE Emergency department EMS dispatch Emergency Nursing medicine.disease Triage Emergency medicine Severity of illness Emergency Medicine Emergency medical services Medicine Medical emergency business Risk assessment
Zdroj:	Prehospital Emergency Care. 7:368-374
ISSN:	1545-0066 1090-3127
Popis:	Objective. To develop guidelines allowing emergency medical services (EMS) dispatchers to safely match callers to an EMS response or, alternatively, to a nontraditional resource. Methods. This was a prospective cohort study of callers to an urban EMS dispatch center and an associated review of EMS patient care forms and emergency department (ED) patient care records. The following five “nature codes” (patient chief complaints) were included: back pain, fall, bleeding or laceration, sick, and trauma. Callers included in the study had been assigned the lowest severity level (Alpha), according to existing dispatch criteria. An a priori list of EMS and ED “important findings,” indicating need for an EMS response, was used as the outcome variable. Classification and regression tree (CART) analysis was used to develop a decision rule to further identify a low-risk subgroup of patients who could potentially be served by alternative resources. Results. From November 1, 1998, to May 31, 1999, 656 subjects were ent...
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::301a1fe9c3be96f3562219fac72c12e5 https://doi.org/10.1080/10903120390936590 Zobrazit plný text záznamu