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Impact of trauma dispatch algorithm software on the rate of missions of emergency medical services.

Alizadeh R, Panahi F, Saghafinia M, Alizadeh K, Barakati N, Khaje-Daloee M - Trauma Mon (2012)

Bottom Line: The "trauma dispatch algorithm" was significantly effective in reducing the unnecessary missions of EMS by 16% (from 42% to 26%) (P = 0.005).This program was effective in reducing unnecessary missions.We propose the usage of this system in all EMS centers.

View Article: PubMed Central - PubMed

Affiliation: Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran ; Department of Ophthalmology, Khatam-al-Anbia Eye Hospital , Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.

ABSTRACT

Background: Trauma still stands atop of the list of emergencies. Transfer of these patients via Emergency Medical Services (EMS) dispatch is critical with regard to importance of timing. This aspect has achieved greater importance due to population increase and telephone triage.

Objectives: We aimed to decrease unnecessary Emergency Medical Services (EMS) missions via a computer program designed for an algorithmic approach for trauma care by nurses involved in EMS, to help them evaluate the case more accurately. We named our program "Trauma Dispatch Algorithm".

Materials and methods: First, the most common chief complaints regarding traumatic events were chosen from searching all the calls in December 2008 recorded in Tehran, Iran's EMS center; and then an algorithm approach was written for them. These algorithms were revised by three traumatologists and emergency medicine specialists, after their approval the algorithms were evaluated by EMS dispatch center for their practicality. Finally all data were turned into computer software. The program was used at the Tehran EMS center; 100 recorded calls assessed with each system were selected randomly. They were evaluated by another traumatologist whether it was necessary to send a team to the site or not.

Results: The age average was 26 years in both groups. The "trauma dispatch algorithm" was significantly effective in reducing the unnecessary missions of EMS by 16% (from 42% to 26%) (P = 0.005).

Conclusions: This program was effective in reducing unnecessary missions. We propose the usage of this system in all EMS centers.

No MeSH data available.


Related in: MedlinePlus

Gender Distribution Between Groups
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fig392: Gender Distribution Between Groups

Mentions: Two hundred calls were assessed in this study. Mean age of the cases were 26 ± 5 years ( range of 12-36); 80 cases were male (Figure 1). Mean age was 26 ± 4.5 in the control group (range 15 to 38). 78.4% were male in this group. Call duration was 80 ± 10 seconds for the new system and 100±15 for the current system (P < 0.001). No serious or life threatening health problems were observed in all the subjects of our study (Table 1 and 2). Due to the evaluation of the traumatologist, the unnecessary missions had decrease from 42% in control group to 26% in thecase group, which means a 16% decrease (P = 0.005). No call lasted more than 100 seconds, as a result there was no unit mission due to longer than usual emergency call and no call was omitted from the survey.


Impact of trauma dispatch algorithm software on the rate of missions of emergency medical services.

Alizadeh R, Panahi F, Saghafinia M, Alizadeh K, Barakati N, Khaje-Daloee M - Trauma Mon (2012)

Gender Distribution Between Groups
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860621&req=5

fig392: Gender Distribution Between Groups
Mentions: Two hundred calls were assessed in this study. Mean age of the cases were 26 ± 5 years ( range of 12-36); 80 cases were male (Figure 1). Mean age was 26 ± 4.5 in the control group (range 15 to 38). 78.4% were male in this group. Call duration was 80 ± 10 seconds for the new system and 100±15 for the current system (P < 0.001). No serious or life threatening health problems were observed in all the subjects of our study (Table 1 and 2). Due to the evaluation of the traumatologist, the unnecessary missions had decrease from 42% in control group to 26% in thecase group, which means a 16% decrease (P = 0.005). No call lasted more than 100 seconds, as a result there was no unit mission due to longer than usual emergency call and no call was omitted from the survey.

Bottom Line: The "trauma dispatch algorithm" was significantly effective in reducing the unnecessary missions of EMS by 16% (from 42% to 26%) (P = 0.005).This program was effective in reducing unnecessary missions.We propose the usage of this system in all EMS centers.

View Article: PubMed Central - PubMed

Affiliation: Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran ; Department of Ophthalmology, Khatam-al-Anbia Eye Hospital , Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.

ABSTRACT

Background: Trauma still stands atop of the list of emergencies. Transfer of these patients via Emergency Medical Services (EMS) dispatch is critical with regard to importance of timing. This aspect has achieved greater importance due to population increase and telephone triage.

Objectives: We aimed to decrease unnecessary Emergency Medical Services (EMS) missions via a computer program designed for an algorithmic approach for trauma care by nurses involved in EMS, to help them evaluate the case more accurately. We named our program "Trauma Dispatch Algorithm".

Materials and methods: First, the most common chief complaints regarding traumatic events were chosen from searching all the calls in December 2008 recorded in Tehran, Iran's EMS center; and then an algorithm approach was written for them. These algorithms were revised by three traumatologists and emergency medicine specialists, after their approval the algorithms were evaluated by EMS dispatch center for their practicality. Finally all data were turned into computer software. The program was used at the Tehran EMS center; 100 recorded calls assessed with each system were selected randomly. They were evaluated by another traumatologist whether it was necessary to send a team to the site or not.

Results: The age average was 26 years in both groups. The "trauma dispatch algorithm" was significantly effective in reducing the unnecessary missions of EMS by 16% (from 42% to 26%) (P = 0.005).

Conclusions: This program was effective in reducing unnecessary missions. We propose the usage of this system in all EMS centers.

No MeSH data available.


Related in: MedlinePlus