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KMID : 1140520180220030047
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Korean Journal of Emergency Medical Services
2018 Volume.22 No. 3 p.47 ~ p.54
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Evaluation of patient transportation and response intervals among emergency medical squads
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Park Sang-Kyu
Uhm Tai-Hwan
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Abstract
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Purpose: The purpose of this study was to present evidence for quality management based on analysis of patient transportation and response intervals among emergency medical squads.
Methods: The chi-square test was used to determine whether mental status and patient as- sessment affected direct medical control and hospital destination. One way analysis of var- iance was used to compare response intervals depending on mental status and patient as- sessment using data drawn from 1172 prehospital care reports.
Results: There was a statistically significant relationship between mental status and direct medical control (p<.001); there was a statistically significant relationship between patient assessment and hospital destination (p=.011). However, there was no statistically significant relationship between mental status and hospital destination. The interval from arrival at the patient’s side to departure from the scene showed a statistically significant difference (p<.001, p<.001), however, it took the longest time (16.8 minutes) in unresponsive patients. It showed a statistically significant difference (p<.001) in the interval from arrival at patient’s side to departure from the scene depending on patient assessment; however, it took the longest time (9.6 minutes) in emergency patients.
Conclusion: There was call for direct medical control based on patient assessment; however, patient transportation and response intervals were not appropriate.
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KEYWORD
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Mental status, Patient assessment, Direct medical control, Hospital destination, Prehospital care report
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