Analysis of changes in the profile of calls to Emergency Medical Teams at Regional Ambulance Station in 2010–2013

Authors

  • Jan Gawełko Uniwersytet Rzeszowski Wydział Medyczny Instytut Pielęgniarstwa i Nauk o Zdrowiu
  • Konrad Wilk Wojewódzki Szpital Specjalistyczny w Rzeszowie im. Fryderyka Chopina, Podkarpackie Centrum Onkologii Zakład Epidemiologii i Podkarpacki Rejestr Nowotworów

DOI:

https://doi.org/10.15584/przmed.2015.2.7

Keywords:

Rapid response and Urgent Transfer Emergency Medical Teams, time of arrival, the classification of emergency patients according to ICD-10 groups

Abstract

Introduction: The task of Emergency Medical Teams is to provide health assistance in the event of an accident, injury, childbirth, sudden illness or sudden deterioration of health and transport of a victim. The State System of Emergency Medicine is intended to implement these tasks.

Aim: The aim of this study was to analyze the changes in the structure of calls and trips of Emergency Medical Teams at Regional Ambulance Station in Rzeszów in 2010–2013.

Material and Methods: Retrospective analysis of 87580 emergency logs of Emergency Medical Teams at Regional Ambulance Station in Rzeszów in 2010–2013. The frequency of urgent transfer vehicle and rapid response vehicle, place and time of the event, time since accepting the order to the arrival at the scene, conduct of the rescue team and the qualification of trip reasons were analyzed.

Results: In the analyzed period urgent calls constituted 88% of all calls. Emergency Medical Teams were most frequently called to the place of patient’s residence – 59%. The largest percentage of patients (69%) were transferred to general hospitals. The most common causes of emergency calls according to ICD-10 were: breathing disorders (R06), pain in the throat and chest (R07), pain in the abdomen and pelvis (R10), malaise, fatigue (R53), syncope and collapse (R55). The proportion of deaths of patients to which Emergency Medical Teams were called amounted to 2%, including 77% of deaths before the arrival of Emergency Medical Teams, 22% in the course of the first aid, and 1% of deaths occurred during the transport.

Conclusions: The profile of trips by Emergency Medical Teams in 2010-–2013 was in line with legal and statutory objectives, arrival times of Emergency Medical Teams varied in different regions of the country, time of arrival at the scene was in line with the objectives of the Act, and the percentage of traveling time longer than 20 minutes resulted from a distance from the call (30–40 km). The percentage of patients’ death in the course of the first aid was low and during transport was very low and amounted to 1%. Increasing proportion of patients transferred to hospital requires further research to assess the number of patients admitted or sent back home from A&E.

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Published

2015-06-30

How to Cite

Gawełko, J., & Wilk, K. (2015). Analysis of changes in the profile of calls to Emergency Medical Teams at Regional Ambulance Station in 2010–2013. European Journal of Clinical and Experimental Medicine, 13(2), 142–152. https://doi.org/10.15584/przmed.2015.2.7

Issue

Vol. 13 No. 2 (2015): Medical Journal of the Rzeszow University and the National Medicines Institute, Warsaw

Section

ORIGINAL PAPERS

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Copyright (c) 2015 Medical Journal of the Rzeszow University and the National Medicines Institute, Warsaw

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