The Pattern of Pre-hospital Medical Service Delivery in Iran; a Cross Sectional Study
Archives of Academic Emergency Medicine,
Vol. 5 No. 1 (2017),
1 January 2017
,
Page e57
https://doi.org/10.22037/aaem.v5i1.182
Abstract
Introduction: Pre-hospital emergency systems provide service by Franco-German and Anglo American models. This study was carried out to compare the Iranian emergency medical service (EMS) with the two models regarding timing and equipment. Methods: In this cross sectional study, response time, scene time, and transport time to hospital as well as ambulance equipment of five hundred thousand Tehran EMS recorded missions, during one year, were compared with Franco-German and Anglo American models, trying to determine the pattern of EMS delivery in Iran.  Results: The mean response time, scene time, and transport time to hospital were 15.00 ±10.88, 18 ±11.48, and 15.00 ±11.20 minutes, respectively. The mean response time (p<0.035), scene time (p<0.033), and transport time to hospital (p<0.015) were more than the standard time. Percentage of ambulances quipped with automated external defibrillator (45%, p<0.001), ventilator (2%, p<0.001), disposable splint (0%, p<0.001), and wheelchair (0%, p<0.001) were very far from standards. Conclusion: The pattern of EMS delivery in Iran was a combination of Anglo American and Franco-German system.- Equipment safety
- emergency medical service
- response latency
- ambulances
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References
Al-Shaqsi S. Models of international emergency medical service (EMS) systems. Oman Med J. 2010;25(4):320-3.
Moradi S, Khademi A, Jarotani M. Victims of car accidents looks at the statistics in eighties of Tehran: Institute of Legal Medicine; 2002.
Calland V. Extrication of the seriously injured road crash victim. Emergency Medicine Journal. 2005;22(11):817-21.
Sminkey ML. Global Plan for the Decade of Action for Road Safety 2011-2020. World Health Organization www who int/roadsafety/decade_of_action. 2011.
Al-Shaqsi S. Current challenges in the provision of ambulance services in New Zealand. International journal of emergency medicine. 2010;3(4):213-7.
Toroyan T, Peden MM, Iaych K. WHO launches second global status report on road safety. Injury prevention. 2013;19(2):150-.
Roudsari BS, Nathens AB, Arreola-Risa C, Cameron P, Civil I, Grigoriou G, et al. Emergency Medical Service (EMS) systems in developed and developing countries. Injury. 2007;38(9):1001-13.
Dick WF. Anglo-American vs. Franco-German emergency medical services system. Prehospital and disaster medicine. 2003;18(01):29-37.
Sittichanbuncha Y, Prachanukool T, Sarathep P, Sawanyawisuth K. An Emergency Medical Service System in Thailand: Providers’ Perspectives. Journal of the Medical Association of Thailand= Chotmaihet thangphaet. 2014;97(10):1016-21.
Blackwell TH, Kaufman JS. Response time effectiveness: comparison of response time and survival in an urban emergency medical services system. Academic Emergency Medicine. 2002;9(4):288-95.
Slovis CM, Carruth TB, Seitz WJ, Thomas CM, Elsea WR. A priority dispatch system for emergency medical services. Annals of emergency medicine. 1985;14(11):1055-60.
de Segura Nieva JLG, Boncompte MM, Sucunza AE, Louis CLJ, SeguÃ-Gómez M, Otano TB. Comparison of mortality due to severe multiple trauma in two comprehensive models of emergency care: Atlantic Pyrenees (France) and Navarra (Spain). The Journal of emergency medicine. 2009;37(2):189-200.
Grossman DC, Kim A, Macdonald SC, Klein P, Copass MK, Maier RV. Urban-rural differences in prehospital care of major trauma. Journal of Trauma and Acute Care Surgery. 1997;42(4):723-9.
Adnet F, Jouriles NJ, Le Toumelin P, Hennequin B, Taillandier C, Rayeh F, et al. Survey of out-of-hospital emergency intubations in the French prehospital medical system: a multicenter study. Annals of emergency medicine. 1998;32(4):454-60.
Sethi D, Aljunid S, Sulong SB, Zwi AB. Injury care in low-and middle-income countries: identifying potential for change. Injury Control and Safety Promotion. 2000;7(3):153-64.
Lerner EB, Moscati RM. The golden hour: scientific fact or medical “urban legend� Academic Emergency Medicine. 2001;8(7):758-60.
Minville V, Pianezza A, Asehnoune K, Cabardis S, Smail N. Prehospital intravenous line placement assessment in the French emergency system: a prospective study. European journal of anaesthesiology. 2006;23(07):594-7.
Platz E, Bey T, Walter FG. International report: current state and development of health insurance and emergency medicine in Germany. The influence of health insurance laws on the practice of emergency medicine in a European country. The Journal of emergency medicine. 2003;25(2):203-10.
Pozner CN, Zane R, Nelson SJ, Levine M. International EMS systems: The United States: past, present, and future. Resuscitation. 2004;60(3):239-44.
Symons P, Shuster M. International EMS Systems: Canada. Resuscitation. 2004;63(2):119-22.
Trevithick S, Flabouris A, Tall G, Webber C. International EMS systems: New South Wales, Australia. Resuscitation. 2003;59(2):165-70.
Hay H. EMS in New Zealand. Emerg Med Serv. 2000;29(7):95-7,109.
Page C. Analysis of Emergency Medical Systems Across the World: Worcester Polytechnic Institute; 2013.
Pons PT, Haukoos JS, Bludworth W, Cribley T, Pons KA, Markovchick VJ. Paramedic response time: does it affect patient survival? Academic Emergency Medicine. 2005;12(7):594-600.
Swaroop M, Straus DC, Agubuzu O, Esposito TJ, Schermer CR, Crandall ML. Pre-hospital transport times and survival for hypotensive patients with penetrating thoracic trauma. Journal of emergencies, trauma, and shock. 2013;6(1):16.
Eckstein M, Alo K. The Effect of a Quality Improvement Program on Paramedic Onâ€scene Times for Patients with Penetrating Trauma. Academic Emergency Medicine. 1999;6(3):191-5.
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