Volume 4, Issue 1 (Autumn 2018)                   HDQ 2018, 4(1): 23-28 | Back to browse issues page


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Beiramijam M, Salawati Ghasemi S, Khaleghverdi M, Bizhani K, Afshari A, Nabavian M. A Comparative Study of Prehospital Emergency Services Over the Urban and Road Areas in Hamedan Province. HDQ. 2018; 4 (1) :23-28
URL: http://hdq.uswr.ac.ir/article-1-197-en.html
1- Research Center in Emergency & Disaster Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2- Department of Midwifery Information Management, School of Nursing and Midwifery, Kurdestan University of Medical Sciences, Sanandaj, Iran.
3- Department of Internal Medicine, School of Nursing and Midwifery, Hamadam University of Medical Sciences, Hamadan, Iran.
4- Department of Medical Emergencies, Faculty of Nursing and Midwifery, Hamadam University of Medical Sciences, Hamadan, Iran.
5- Department of Internal Medicine, School of Nursing and Midwifery, Hamadam University of Medical Sciences, Hamadan, Iran. , ali.ems77@gmail.com
Abstract:   (100 Views)
Background: Prehospital emergency care services are one of the vital health services in many countries that provide first and immediate medical care to the patients and injured people at the scene and during transfer to healthcare centers. This study was conducted to investigate and compare the use of prehospital emergency services in urban and road emergency bases of Hamadan University of Medical Sciences.
Materials and Methods: In a descriptive-analytic study, all missions (ambulance requests) conducted at urban and road emergency bases were studied and compared over three years. The study tool was a checklist compiled of questions from PCR (Patient Care Report). PCR contains written information about the patient's demographic characteristics, mission time, mission address, mission reasons, emergency base and mission code (ambulance identification code), and so on. Finally, the collected data were analyzed using descriptive (mean and variance) and inferential statistics (t test and Chi-square). 
Results: The results of the study indicated that every year, urban bases missions increased about 600 and rural bases missions about 450. Road traffic incidents, falls, cardiac emergencies and poisoning were the most common causes for ambulance call at urban and road emergency bases. In addition, urban and road bases missions were significantly different with regard to the cause of missions in all cases (except heat stroke) (P<0.01). 
Conclusion: Understanding the number and pattern of prehospital emergency services in urban and rural areas plays a significant role in the proper planning of prehospital emergency care. The study showed that the need for emergency prehospital emergency services is increasing and policymakers should be considered this issue.
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Type of Study: Research | Subject: Special
Received: 2018/04/10 | Accepted: 2018/08/23 | Published: 2018/10/1

References
1. Eagle DJ, Rideout E, Price P, McCann C, Wonnacott E. Misuse of the emergency department by the elderly population: Myth or reality? Journal of Emergency Nursing. 1993; 19(3):212-8. [PMID] [PMID]
2. Bahadori M, Nasiripur A, Tofighi S, Gohari M. Emergency medical services in Iran: An Overview. Australasian Medical Journal. 2010; 3(6):335-9. [DOI:10.4066/AMJ.2010.218] [DOI:10.4066/AMJ.2010.218]
3. Bahadori M, Ravangard R, Nejati M. Development of Emergency Medical Services (EMS) in Iran: Component of transportation. Journal of Society for Development in New Net Environment in B&H. 2012; 3(6):826-31.
4. Khankeh H. Hospital preparedness in disaster & emergencies (National Plan). Tehran: University of Social Welfare and Rehabilitation Sciences; 2013.
5. Emergency Medicine Management of Hamadan University of Medical Sciences. [The history of Hamadan province Emergency services (Persian)] [Internet]. 2017 [Updated 2017 August 4]. Available from: http://ems.umsha.ac.ir/index.aspx?siteid=42&pageid=2927
6. Emergency Medicine Management of Hamadan University of Medical Sciences. [Air ambulance (Persian)] [Internet]. 2017 [Update 2017 August 4]. Available from: http://mbohumshaacir/indexaspx?fkeyid=&siteid=14&pageid=7975&newsview=18785
7. Lishner DM, Rosenblatt RA, Baldwin LM, Hart LG. Emergency department use by the rural elderly 22. Journal of Emergency Medicine. 2000; 18(3):289-97. [DOI:10.1016/S0736-4679(99)00217-6] [DOI:10.1016/S0736-4679(99)00217-6]
8. Mann NC, Schmidt TA, Cone DC. Defining research criteria to characterize medical necessity in emergency medical services: A consensus among experts at the Neely conference. Prehospital Emergency Care. 2004; 8(2):138-53. [DOI:10.1016/j.prehos.2003.12.005] [PMID] [DOI:10.1016/j.prehos.2003.12.005]
9. Snooks H, Wrigley H, George S, Thomas E, Smith H, Glasper A. Appropriateness of use of emergency ambulances. Journal of Accident & Emergency Medicine. 1998; 15(4):212-8. [DOI:10.1136/emj.15.4.212] [DOI:10.1136/emj.15.4.212]
10. Beillon LM, Susrud B, Kalberg I, Heriltz J. Dose ambulance use difference between geographic aria? A survey of ambulance use in sparsely and densely populated areas. American Journal of Emergency Medicine. 2009; 27(2):202-11. [DOI:10.1016/j.ajem.2008.01.012] [PMID] [DOI:10.1016/j.ajem.2008.01.012]
11. Kavosi Z, Ahmadzadeh M, Moradi R. [Study of the ambulance use in hospital of Shiraz University of Medical Sciences (Persian)]. Journal of Healthcare Management. 2015; 6(4):19-28.
12. Stripe SC, Susman J. A rural-urban comparison of prehospital emergency medical services in Nebraska. The Journal of the American Board of Family Practice. 1991; 4(5):313-18. [PMID] [PMID]
13. Huang CH, Chen WJ, Ma MHM, Lai CL, Lin FY, Lee YT. Ambulance utilization in metropolitan and rural areas in Taiwan. Journal of The Formosan Medical Association. 2001; 100(9):581-6. [PMID] [PMID]
14. Al-Shaqsi SZK. Response time as a sole performance indicator in EMS: Pitfalls and solutions. Open Access Emergency Medicine. 2010; 2(3):1-6. [DOI:10.2147/OAEM.S8510] [PMID] [DOI:10.2147/OAEM.S8510]
15. Murphy A, Wakai A, Walsh C, Cummins F, O'sullivan R. Development of key performance indicators for prehospital emergency care. Emergency Medicine Journal. 2016; 7(2):15-27. [DOI:10.1136/emermed-2015-204793] [DOI:10.1136/emermed-2015-204793]
16. Peyravi M R, Moradian M J, Ettehadi R, Pourmohammadi K. [Studying the time of response and results of delay in emergency medical systems (Persain)]. Quarterly Scientific Journal of Rescue and Relief. 2013; 5(2):30-9.
17. Nasiripur AA, Bahadori MK, Tofighi SH, Gohari MR. Prehospital emergency performance in Iran view of comprehensive coverage plan. Journal of Critical Care Nursing. 2010; 2(4):3-4.
18. Campbell JP, Kroshus KS, Lindholm DJ, Watson WA. Measuring the call-receipt-to-defibrillation interval: Evaluation of prehospital methods. Annals of Emergency Medicine. 1995; 26(6):697-701. [DOI:10.1016/S0196-0644(95)70040-4] [DOI:10.1016/S0196-0644(95)70040-4]
19. Fitch J. Response times: Myths, measurement & management. Journal of Emergency Medical Services. 2005; 30(9):47-56. [DOI:10.1016/S0197-2510(05)70201-1] [DOI:10.1016/S0197-2510(05)70201-1]
20. Momeni M, Zand Parsa A, Salari A, Ghanbari Khanghah A, Moghadas T. [Comparison of ambulance use in urban and rural patients with acute myocardial infarction (Persian)]. Journal of Holistic Nursing and Midwifery. 2014; 24(2):59-67.

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