Mistriaged Advanced Life Support Patients in a Two-Tiered, Suburban Emergency Medical Services System
| العنوان: | Mistriaged Advanced Life Support Patients in a Two-Tiered, Suburban Emergency Medical Services System |
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| المؤلفون: | Joshua Bucher, David Feldman, Joselyn Joseph |
| المصدر: | Western Journal of Emergency Medicine Western Journal of Emergency Medicine, Vol 21, Iss 2 (2020) |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Emergency Medical Services, medicine.medical_treatment, Critical Illness, lcsh:Medicine, Suburban Health Services, law.invention, 03 medical and health sciences, Wound care, 0302 clinical medicine, law, medicine, Emergency medical services, Humans, 030212 general & internal medicine, Cardiopulmonary resuscitation, Cardiac catheterization, Retrospective Studies, Original Research, business.industry, lcsh:R, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Basic life support, 030208 emergency & critical care medicine, Retrospective cohort study, lcsh:RC86-88.9, General Medicine, Middle Aged, Intensive care unit, Cardiopulmonary Resuscitation, United States, Advanced life support, Emergency medicine, Emergency Medicine, Female, Triage, business |
| الوصف: | Author(s): Bucher, Joshua; Feldman, David; Joseph, Joselyn | Abstract: Introduction: Emergency medical services (EMS) systems exist to provide prehospital care in diverse environments throughout the world. Advanced Life Support (ALS) services can provide advanced care including 12-lead electrocardiogram (ECG), endotracheal intubation and parenteral medication administration. Basic Life Support (BLS) can provide basic care such as splinting, wound care and cardiopulmonary resuscitation. ALS can release patients to BLS for transport to the hospital, and this is an area of high risk. Our study examines patients who were triaged and admitted to a critical care location, including an intensive care unit (ICU), cardiac catheterization laboratory, or operating room (OR).Methods: The analysis included data from 2007–2015 of all patients who were triaged. We evaluated demographics, admission diagnoses, and dispositions using descriptive statistics. Diagnoses were grouped into categories based on the system.Results: We found that 372/17,639 (2%) of patients were mistriaged to BLS and admitted to a critical care location. The average age was 64. The most common diagnosis categories were neurological (24%), gastrointestinal (GI)/abdominal pain (15%), respiratory (12%), and cardiac (12%).Conclusion: It is uncommon for patients triaged from ALS to BLS to be admitted to an ICU, catheterization lab or OR, with a rate of 2%. Neurological, GI, sepsis, and trauma diagnoses were the most frequent categories of patient complaints that were mistriaged. This study should lead to further studies to examine this patient population. |
| تدمد: | 1936-9018 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::edc3c1ecf8fb31c9e472a06de1abf996Test https://pubmed.ncbi.nlm.nih.gov/32191203Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....edc3c1ecf8fb31c9e472a06de1abf996 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19369018 |
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