|
Usage of Emergency Medical Services by Emergent and Resuscitation Patients in an Urban Area |
|---|---|
| รหัสดีโอไอ | |
| Creator | 1. Adisak Nithimathachoke 2. Chulanee Sanketchon 3. Pattra Surijamorn |
| Title | Usage of Emergency Medical Services by Emergent and Resuscitation Patients in an Urban Area |
| Publisher | Text and Journal Publication |
| Publication Year | 2561 |
| Journal Title | Vajira Medical Journal |
| Journal Vol. | 62 |
| Journal No. | 2 |
| Keyword | Ambulance, Emergency Medical Services, EMS, Utilization, Emergent, Resuscitation |
| URL Website | https://tci-thaijo.org/index.php/VMED |
| Website title | Vajira Medical Journal (วชิรเวชสาร) |
| ISSN | 0125-1252 |
| Abstract | Objective: To examine the current usage of emergency medical services (EMS) vehicles and to ascertain factors that may be associated with their use by emergent and resuscitative patients in an urban setting Methods: A prospective study of 210 patients who were 18 years old or more and categorized in both resuscitation and emergent levels at one urban teaching hospital in Bangkok, Thailand from July 1 to December 31, 2015. Mode of transportation to the Emergency Department and other information about the patients was collected by a structured interview and from medical records. Those transferred in, or who had trauma as an etiology were excluded. Results: Of the 210 patients with emergency and resuscitation triage level, only 31 patients (15%) arrived at the hospital via an EMS vehicle, while the remaining 179 (85%) were non-users. Those in the EMS utilizing group tended to be older (p=0.001), had used EMS services in the past (p=0.006), knew about the EMS and its contact number(s) (p<0.001), had a higher level of education (p<0.01), and had a first-responder in their neighborhood (p<0.001). Conclusions: Most of emergency patients in urban area rely on self-transport. Ignorance of the EMS and its telephone number, lack of a first-responder in the neighborhood, and lower education levels may be correlated with self-transport to the emergency department. |
