The demand for prehospital advanced life support and the appropriateness of dispatch in Taipei

Tsung Chien Lu, Ying Ta Chen, Patrick Chow In Ko, Chih-Hao Lin, Fuh Yuan Shih, Zui Shen Yen, Matthew Huei Ming Ma, Shyr Chyr Chen, Wen Jone Chen, Fang Yue Lin

研究成果: Article

8 引文 (Scopus)

摘要

Introduction: Implementing prehospital advanced life support (ALS) services requires more medical and societal resources in training and equipment. The actual demand for ALS services in our communities was not clear. To ensure good use of expensive resources, it is important to evaluate the demand and appropriateness of ALS services before full-scale implementation takes place. Objective: To evaluate the rate and characteristics of demand for ALS, and the appropriateness of ALS dispatch of the emergency medical service (EMS) system in metropolitan Taipei City. Methods: A retrospective, cross-sectional analysis of the EMS records of Taipei City Fire Department from April 1999 to December 2000 was conducted. Stratified random sampling of all EMS records in the second week of January, April, July and October of 2000 were obtained, along with the corresponding ALS dispatch records. Retrospective ALS demand criteria, including the chief complaints, mechanisms of injury/illness, initial vital signs and types of care rendered, were developed to estimate the rate of ALS demand. ALS demand is expressed as the percentage of cases fulfilling ALS criteria over the total number of EMS cases. Appropriate ALS dispatches were those ALS dispatches determined as fulfilling the ALS demand criteria. Results: Among the sampled 5433 EMS cases, 490 (9.02%) were determined as a demand for ALS care. ALS demands varied from region to region, and were higher during winter months and afternoon rush hours. There were 175 actual ALS dispatches, accounting for 3.22% of the sampled EMS services. The triage performance was suboptimal: the appropriateness of ALS dispatch was 37.14%; the overtriage rate was 72.86%. Conclusion: Around nine percent of EMS calls demand ALS services. The current triage performance for proper ALS dispatch was suboptimal. A correct ALS dispatch protocol and more dispatcher training programmes should be established in the communities to ensure best use of valuable ALS resources.

原文English
頁(從 - 到)171-179
頁數9
期刊Resuscitation
71
發行號2
DOIs
出版狀態Published - 2006 十一月 1

指紋

Emergency Medical Services
Triage
Medical Records
Life Support Care
Vital Signs
Cross-Sectional Studies
Education
Equipment and Supplies
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Emergency Medicine
  • Emergency
  • Cardiology and Cardiovascular Medicine

引用此文

Lu, Tsung Chien ; Chen, Ying Ta ; Ko, Patrick Chow In ; Lin, Chih-Hao ; Shih, Fuh Yuan ; Yen, Zui Shen ; Ma, Matthew Huei Ming ; Chen, Shyr Chyr ; Chen, Wen Jone ; Lin, Fang Yue. / The demand for prehospital advanced life support and the appropriateness of dispatch in Taipei. 於: Resuscitation. 2006 ; 卷 71, 編號 2. 頁 171-179.
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title = "The demand for prehospital advanced life support and the appropriateness of dispatch in Taipei",
abstract = "Introduction: Implementing prehospital advanced life support (ALS) services requires more medical and societal resources in training and equipment. The actual demand for ALS services in our communities was not clear. To ensure good use of expensive resources, it is important to evaluate the demand and appropriateness of ALS services before full-scale implementation takes place. Objective: To evaluate the rate and characteristics of demand for ALS, and the appropriateness of ALS dispatch of the emergency medical service (EMS) system in metropolitan Taipei City. Methods: A retrospective, cross-sectional analysis of the EMS records of Taipei City Fire Department from April 1999 to December 2000 was conducted. Stratified random sampling of all EMS records in the second week of January, April, July and October of 2000 were obtained, along with the corresponding ALS dispatch records. Retrospective ALS demand criteria, including the chief complaints, mechanisms of injury/illness, initial vital signs and types of care rendered, were developed to estimate the rate of ALS demand. ALS demand is expressed as the percentage of cases fulfilling ALS criteria over the total number of EMS cases. Appropriate ALS dispatches were those ALS dispatches determined as fulfilling the ALS demand criteria. Results: Among the sampled 5433 EMS cases, 490 (9.02{\%}) were determined as a demand for ALS care. ALS demands varied from region to region, and were higher during winter months and afternoon rush hours. There were 175 actual ALS dispatches, accounting for 3.22{\%} of the sampled EMS services. The triage performance was suboptimal: the appropriateness of ALS dispatch was 37.14{\%}; the overtriage rate was 72.86{\%}. Conclusion: Around nine percent of EMS calls demand ALS services. The current triage performance for proper ALS dispatch was suboptimal. A correct ALS dispatch protocol and more dispatcher training programmes should be established in the communities to ensure best use of valuable ALS resources.",
author = "Lu, {Tsung Chien} and Chen, {Ying Ta} and Ko, {Patrick Chow In} and Chih-Hao Lin and Shih, {Fuh Yuan} and Yen, {Zui Shen} and Ma, {Matthew Huei Ming} and Chen, {Shyr Chyr} and Chen, {Wen Jone} and Lin, {Fang Yue}",
year = "2006",
month = "11",
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doi = "10.1016/j.resuscitation.2006.03.016",
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Lu, TC, Chen, YT, Ko, PCI, Lin, C-H, Shih, FY, Yen, ZS, Ma, MHM, Chen, SC, Chen, WJ & Lin, FY 2006, 'The demand for prehospital advanced life support and the appropriateness of dispatch in Taipei', Resuscitation, 卷 71, 編號 2, 頁 171-179. https://doi.org/10.1016/j.resuscitation.2006.03.016

The demand for prehospital advanced life support and the appropriateness of dispatch in Taipei. / Lu, Tsung Chien; Chen, Ying Ta; Ko, Patrick Chow In; Lin, Chih-Hao; Shih, Fuh Yuan; Yen, Zui Shen; Ma, Matthew Huei Ming; Chen, Shyr Chyr; Chen, Wen Jone; Lin, Fang Yue.

於: Resuscitation, 卷 71, 編號 2, 01.11.2006, p. 171-179.

研究成果: Article

TY - JOUR

T1 - The demand for prehospital advanced life support and the appropriateness of dispatch in Taipei

AU - Lu, Tsung Chien

AU - Chen, Ying Ta

AU - Ko, Patrick Chow In

AU - Lin, Chih-Hao

AU - Shih, Fuh Yuan

AU - Yen, Zui Shen

AU - Ma, Matthew Huei Ming

AU - Chen, Shyr Chyr

AU - Chen, Wen Jone

AU - Lin, Fang Yue

PY - 2006/11/1

Y1 - 2006/11/1

N2 - Introduction: Implementing prehospital advanced life support (ALS) services requires more medical and societal resources in training and equipment. The actual demand for ALS services in our communities was not clear. To ensure good use of expensive resources, it is important to evaluate the demand and appropriateness of ALS services before full-scale implementation takes place. Objective: To evaluate the rate and characteristics of demand for ALS, and the appropriateness of ALS dispatch of the emergency medical service (EMS) system in metropolitan Taipei City. Methods: A retrospective, cross-sectional analysis of the EMS records of Taipei City Fire Department from April 1999 to December 2000 was conducted. Stratified random sampling of all EMS records in the second week of January, April, July and October of 2000 were obtained, along with the corresponding ALS dispatch records. Retrospective ALS demand criteria, including the chief complaints, mechanisms of injury/illness, initial vital signs and types of care rendered, were developed to estimate the rate of ALS demand. ALS demand is expressed as the percentage of cases fulfilling ALS criteria over the total number of EMS cases. Appropriate ALS dispatches were those ALS dispatches determined as fulfilling the ALS demand criteria. Results: Among the sampled 5433 EMS cases, 490 (9.02%) were determined as a demand for ALS care. ALS demands varied from region to region, and were higher during winter months and afternoon rush hours. There were 175 actual ALS dispatches, accounting for 3.22% of the sampled EMS services. The triage performance was suboptimal: the appropriateness of ALS dispatch was 37.14%; the overtriage rate was 72.86%. Conclusion: Around nine percent of EMS calls demand ALS services. The current triage performance for proper ALS dispatch was suboptimal. A correct ALS dispatch protocol and more dispatcher training programmes should be established in the communities to ensure best use of valuable ALS resources.

AB - Introduction: Implementing prehospital advanced life support (ALS) services requires more medical and societal resources in training and equipment. The actual demand for ALS services in our communities was not clear. To ensure good use of expensive resources, it is important to evaluate the demand and appropriateness of ALS services before full-scale implementation takes place. Objective: To evaluate the rate and characteristics of demand for ALS, and the appropriateness of ALS dispatch of the emergency medical service (EMS) system in metropolitan Taipei City. Methods: A retrospective, cross-sectional analysis of the EMS records of Taipei City Fire Department from April 1999 to December 2000 was conducted. Stratified random sampling of all EMS records in the second week of January, April, July and October of 2000 were obtained, along with the corresponding ALS dispatch records. Retrospective ALS demand criteria, including the chief complaints, mechanisms of injury/illness, initial vital signs and types of care rendered, were developed to estimate the rate of ALS demand. ALS demand is expressed as the percentage of cases fulfilling ALS criteria over the total number of EMS cases. Appropriate ALS dispatches were those ALS dispatches determined as fulfilling the ALS demand criteria. Results: Among the sampled 5433 EMS cases, 490 (9.02%) were determined as a demand for ALS care. ALS demands varied from region to region, and were higher during winter months and afternoon rush hours. There were 175 actual ALS dispatches, accounting for 3.22% of the sampled EMS services. The triage performance was suboptimal: the appropriateness of ALS dispatch was 37.14%; the overtriage rate was 72.86%. Conclusion: Around nine percent of EMS calls demand ALS services. The current triage performance for proper ALS dispatch was suboptimal. A correct ALS dispatch protocol and more dispatcher training programmes should be established in the communities to ensure best use of valuable ALS resources.

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