INCREASING THE EFFICIENCY OF EMERGENCY MEDICAL-SERVICES BY USING CRITERIA-BASED DISPATCH
INCREASING THE EFFICIENCY OF EMERGENCY MEDICAL-SERVICES BY USING CRITERIA-BASED DISPATCH
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DOI：
10.1016/s0196-0644(54)00223-5
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发表时间：
1994-11-01
影响因子：
6.2
通讯作者：
HORTON, C
中科院分区：
文献类型：
--
作者：
CULLEY, LL;HENWOOD, DK;HORTON, C
研究目的：为了确定基于标准的调度（CBD）是否提高了急诊医疗服务系统的效率。设计：一个前后设计被用来衡量CBD的效果。 资料来源于1986年1月至1992年6月的医疗报告。地点：华盛顿的金郡，不包括西雅图。参与者：拨打911报告医疗紧急情况的居民。干预措施：紧急医疗调度（EMD）、基本生命支持（BLS）和高级生命支持（ALS）。结果：研究结果显示，两种示踪剂条件下，医疗控制医生确定不需要ALS干预的ALS反应减少。 护理人员对热性惊厥有反应的比例从41%下降到21%（P
Study objectives: To determine whether criteria based dispatch (CBD) improved the efficiency of the emergency medical services system.Design: A before and after design was used to measure effects of CBD. Data were reviewed from medical reports from January 1986 through June 1992.Setting: King County, Washington, excluding the city of Seattle.Participants: Residents who called 911 to report a medical emergency.Interventions: Emergency medical dispatching (EMD), basic life support (BLS), and advanced life support (ALS).Results: Findings show a decrease in ALS responses for two tracer conditions that medical control physicians determined not require ALS intervention. The percentage of febrile seizures in which paramedics responded decreased from 41% to 21% (P