Time Indicators of Pre-hospital Emergency Missions in Qazvin Province in 2021-2022

Overview

Journal J Inj Violence Res

Date 2023 Oct 25

PMID 37877194

Authors

Najmeh Chegini

Sajad Noorian

Mojtaba Senmar

Soheil Soltani

Mostafa Amiri

Fatemeh Rashvand

Mohadese Aliakbari

Affiliations

Soon will be listed here.

Abstract

Background: Pre-hospital emergency has a crucial role in providing timely care for patients. In this system, seconds and minutes mean the difference between life and death. Considering the importance of the role of pre-hospital emergency in providing services to different patients and the necessity of continuous evaluation of this system, the present study was conducted to investigate time indicators in pre-hospital emergency missions.

Methods: This cross-sectional study was conducted in 2022 in Qazvin province, Iran. The research population was all the calls made to pre-hospital emergency bases in Qazvin province The required information, including time indicators and demographic characteristics of the patient, was obtained using the electronic registration system (Asayar). Data were Analysis using descriptive statistics and SPSS 20 software.

Results: Out of the 35,943 patients admitted to the hospital, 20,915 were male while the remaining were female. The mean age of the patients was 44.09 ± 21.82 years. Accidents (29.41%) were the most common reason for contacting the pre-hospital emergency. In all transfer missions, the mean delay time (0:02:23 ± 0:03:33), response time (0:15:02 ± 0:09:42), the time on the scene (0:18:33 ± 0:11:10), total run time (0:54:02 ± 0:25:20), transport time (0:20:25 ± 0:16:49), round trip time (1:32:43 ± 1:08: 43).

Conclusions: The findings of the present study provided valuable information about the variety and number of missions in a pre-hospital emergency. The results showed that some indicators are within the standard range and some indicators are far from other regions of the country and the world. Increasing the number of bases, increasing the number of ambulances, and Implementation of continuous training courses for personnel can improve time indicators and increase the quality of service to different types of patients.

Citing Articles

Urban traffic accidents in Isfahan city: a study of prehospital response time intervals.

Nasr Isfahani M, Emadi N, Heydari F, Fatemi N, Sheibani Tehrani D Int J Emerg Med. 2024; 17(1):201.

PMID: 39731008 PMC: 11673912. DOI: 10.1186/s12245-024-00800-4.

References

Azami-Aghdash S, Moosavi A, Gharaee H, Sadeghi G, Mousavi Isfahani H, Ghasemi Dastgerdi A . Development of quality indicators to measure pre-hospital emergency medical services for road traffic injury. BMC Health Serv Res. 2021; 21(1):235. PMC: 7970773. DOI: 10.1186/s12913-021-06238-1. View

Murphy D, Barnard L, Drucker C, Yang B, Emert J, Schwarcz L . Occupational exposures and programmatic response to COVID-19 pandemic: an emergency medical services experience. Emerg Med J. 2020; 37(11):707-713. PMC: 7507417. DOI: 10.1136/emermed-2020-210095. View

Khorasani-Zavareh D, Mohammadi R, Bohm K . Factors influencing pre-hospital care time intervals in Iran: a qualitative study. J Inj Violence Res. 2018; 10(2):83-90. PMC: 6101227. DOI: 10.5249/jivr.v10i2.953. View

Ningwa A, Muni K, Oporia F, Kalanzi J, Bayiga Zziwa E, Biribawa C . The state of emergency medical services and acute health facility care in Uganda: findings from a National Cross-Sectional Survey. BMC Health Serv Res. 2020; 20(1):634. PMC: 7346654. DOI: 10.1186/s12913-020-05508-8. View

Ashburn N, Hendley N, Angi R, Starnes A, Nelson R, McGinnis H . Prehospital Trauma Scene and Transport Times for Pediatric and Adult Patients. West J Emerg Med. 2020; 21(2):455-462. PMC: 7081873. DOI: 10.5811/westjem.2019.11.44597. View

Jarvis S, Salottolo K, Berg G, Carrick M, Caiafa R, Hamilton D . Examining emergency medical services' prehospital transport times for trauma patients during COVID-19. Am J Emerg Med. 2021; 44:33-37. PMC: 7857109. DOI: 10.1016/j.ajem.2021.01.091. View

Osteras O, Heltne J, Vikenes B, Assmus J, Brattebo G . Factors influencing on-scene time in a rural Norwegian helicopter emergency medical service: a retrospective observational study. Scand J Trauma Resusc Emerg Med. 2017; 25(1):97. PMC: 5609050. DOI: 10.1186/s13049-017-0442-5. View

Jafari M, Mahmoudian P, Ebrahimipour H, Vafaee-Nezhad R, Vafaee-Najar A, Hosseini S . Response Time and Causes of Delay in Prehospital Emergency Missions in Mashhad, 2015. Med J Islam Repub Iran. 2022; 35:142. PMC: 8840853. DOI: 10.47176/mjiri.35.142. View

Bijani M, Abedi S, Karimi S, Tehranineshat B . Major challenges and barriers in clinical decision-making as perceived by emergency medical services personnel: a qualitative content analysis. BMC Emerg Med. 2021; 21(1):11. PMC: 7815282. DOI: 10.1186/s12873-021-00408-4. View

10.

Vuilleumier S, Fiorentino A, Denereaz S, Spichiger T . Identification of new demands regarding prehospital care based on 35,188 missions in 2018. BMC Emerg Med. 2021; 21(1):63. PMC: 8142491. DOI: 10.1186/s12873-021-00456-w. View

11.

Hegenberg K, Trentzsch H, Gross S, Pruckner S . Use of pre-hospital emergency medical services in urban and rural municipalities over a 10 year period: an observational study based on routinely collected dispatch data. Scand J Trauma Resusc Emerg Med. 2019; 27(1):35. PMC: 6444540. DOI: 10.1186/s13049-019-0607-5. View

12.

Cabral E, Castro W, de Medeiros Florentino D, de Araujo Viana D, da Costa Junior J, Souza R . Response time in the emergency services. Systematic review. Acta Cir Bras. 2019; 33(12):1110-1121. DOI: 10.1590/s0102-865020180120000009. View

13.

Fok P, Teubner D, Purdell-Lewis J, Pearce A . Predictors of Prehospital On-Scene Time in an Australian Emergency Retrieval Service. Prehosp Disaster Med. 2019; 34(3):317-321. DOI: 10.1017/S1049023X19004394. View

14.

Dehghan-Nayeri N, Nouri-Sari H, Bahramnezhad F, Hajibabaee F, Senmar M . Barriers and facilitators to cardiopulmonary resuscitation within pre-hospital emergency medical services: a qualitative study. BMC Emerg Med. 2021; 21(1):120. PMC: 8515705. DOI: 10.1186/s12873-021-00514-3. View