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- Peyravi, Mahmoudreza, et al.
(författare)
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An Overview of Shiraz Emergency Medical Services, Dispatch to Treatment.
- 2013
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Ingår i: Iranian Red Crescent Medical Journal. - : DoNotEdit. - 1561-4395 .- 2074-1804 .- 2074-1812. ; 15:9, s. 823-8
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Tidskriftsartikel (refereegranskat)abstract
- Background: Advanced ambulance service (Emergency Medical Services/EMS) is considered to be an integral part of emergency medical care as the first assets responding to emergencies and disasters in the prehospital setting in most developed countries. Objectives: The aim of this study was to evaluate the current situation of Shiraz’s EMS by comparing data obtained during two different time periods. Materials and Methods: This is a retrospective analytic and comparative study in which data obtained from Shiraz EMS during two one-year periods (21st of March 2011 to 20th of March 2012 and 22nd of September 1999 to 21st of September 2000) were compared. Furthermore, these data were also compared with available data from Gothenburg’s EMS (2010). Results: Of 84084 missions performed by Shiraz EMS during one year trauma cases were the most common [39282 (46.7%)]. The most common cause of trauma was road traffic accidents (RTA) (27257; 76.5%). Near 56% of all patients were transported to hospitals; some 47% by ambulances and 8.8% by private cars. Around 36.2% of patients received definitive medical treatment at the scene. While there was an increase in response and evacuation times, the number of deaths at scene before ambulance arrival decreased. Conclusions: Although Shiraz’s EMS has expanded during last decade and the mortality rate at scene has decreased, the number of RTA-related trauma cases, along with the response and evacuation time, has increased. More than one third of the patients received definitive treatment and could be dismissed directly from the scene. Standardized triage and treatment protocols are needed to improve the EMS activity.
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- Peyravi, Mahmoudreza, et al.
(författare)
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Prehospital Assessment of Non-Traumatic Abdominal Pain
- 2021
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Ingår i: Iranian Red Crescent Medical Journal. - : DoNotEdit. - 2074-1804 .- 2074-1812. ; 23:6
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Tidskriftsartikel (refereegranskat)abstract
- Background: Non-traumatic abdominal pain may have several causes and often needs physicians’ consultation. In a pilot study, a template was used to assist ambulance nurses and technicians to assess this medical condition.Objectives: This study aimed to evaluate the use of the template and the outcome of the pilot study.Methods:A prehospital template (protocol) consisting of validated physiological and clinical scales, such as “Rapid Emergency Triage and Treatment Scale-Ambulances”, “Patient Behavioral Pain Scale”, and “Visual Analog Scale” were used to assist the ambulance crew in Shiraz, Iran, to assess all cases with non-traumatic abdominal pain. The outcome of the evaluation in this group was compared with a control group using the normal routine of assessment.Results:Of 200 prehospital patients, 170 cases were eligible for evaluation. The majority of the patients in the protocol (n=88) and control groups (n=82) were males (n=46 and n=43, respectively). There was a slight but statistically significant difference between the two groups in favor of the protocol group concerning the need for ambulance transport and direct admission to the hospital (P<0.02).Conclusion:Although prehospital assessment and management of non-traumatic abdominal pain continue to be challenging for emergency medical staff, educational initiatives together with prehospital guidelines may improve the accuracy of prehospitaldecision-making and open up for new fast-track diagnosis and direct admission to the hospital.
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