https://scholars.lib.ntu.edu.tw/handle/123456789/534371
標題: | The demand for prehospital advanced life support and the appropriateness of dispatch in Taipei | 作者: | TSUNG-CHIEN LU Chen Y.-T. PATRICK CHOW-IN KO Lin C.-H. FUH-YUAN SHIH ZUI-SHEN YEN MATTHEW HUEI-MING MA SHYR-CHYR CHEN WEN-JONE CHEN Lin F.-Y. |
公開日期: | 2006 | 卷: | 71 | 期: | 2 | 起(迄)頁: | 171-179 | 來源出版物: | Resuscitation | 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. ? 2006 Elsevier Ireland Ltd. All rights reserved. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/534371 | ISSN: | 0300-9572 | DOI: | 10.1016/j.resuscitation.2006.03.016 | SDG/關鍵字: | article; emergency care; emergency health service; evaluation; medical record; medical service; patient assessment; patient care; priority journal; randomization; resuscitation; retrospective study; Taiwan; vital sign; Advanced Cardiac Life Support; Cross-Sectional Studies; Emergency Medical Services; Health Services Needs and Demand; Humans; Retrospective Studies; Seasons; Taiwan; Time Factors; Triage |
顯示於: | 醫學院附設醫院 (臺大醫院) |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。