Scholarlink

Background <p>Paramedics, rescue coordination centers, and acute-care hospitals feel burdened by rescue operations (RO) which are often classified as nonurgent. However, a&#xa0;systematic evaluation of the indication of ROs directly on site has not yet been carried out in Germany. The aim of this pilot study was to record all ROs in a&#xa0;defined period, with a&#xa0;focus on those classified as nonurgent by paramedics, as well as indications of alternative care pathways. The initial focus was on the question of feasibility.</p> Methods <p>The exploratory, multicenter pilot study was performed from September&#xa0;18 to December&#xa0;31, 2023. A&#xa0;specially designed online questionnaire was completed by paramedics after each RO to capture urgency ratings and alternative care pathways. Descriptive and logistic regression analyses were performed to examine correlations between age, gender, region of deployment, and disease type.</p> Results <p>In all, 634 complete datasets, around 3% of all RO, were analyzed. The 10&#xa0;most common intervention codes—mainly falls, cardiac and respiratory diseases—accounted for 35% of all interventions. Almost 64% of RO were classified as not medically indicated. Recording proved to be feasible in principle but requires better integration into everyday working life.</p> Conclusion <p>Urgent care assessment and documentation by paramedics using an online questionnaire is feasible in principle, but was hampered by time pressure, lack of integration and inconsistent assessment. Larger studies with consistent recording of telephone and preclinical assessment are needed to assess low priority RO more accurately and minimize potential bias.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Ersteinschätzung der Dringlichkeit von Rettungseinsätzen – Erkenntnisse nach einer Pilotstudie

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年8月19日

查看全文
  • Rüdiger Leutgeb,
  • Lara Maria Nau,
  • Attila Altiner,
  • Gunter Laux

摘要

Background

Paramedics, rescue coordination centers, and acute-care hospitals feel burdened by rescue operations (RO) which are often classified as nonurgent. However, a systematic evaluation of the indication of ROs directly on site has not yet been carried out in Germany. The aim of this pilot study was to record all ROs in a defined period, with a focus on those classified as nonurgent by paramedics, as well as indications of alternative care pathways. The initial focus was on the question of feasibility.

Methods

The exploratory, multicenter pilot study was performed from September 18 to December 31, 2023. A specially designed online questionnaire was completed by paramedics after each RO to capture urgency ratings and alternative care pathways. Descriptive and logistic regression analyses were performed to examine correlations between age, gender, region of deployment, and disease type.

Results

In all, 634 complete datasets, around 3% of all RO, were analyzed. The 10 most common intervention codes—mainly falls, cardiac and respiratory diseases—accounted for 35% of all interventions. Almost 64% of RO were classified as not medically indicated. Recording proved to be feasible in principle but requires better integration into everyday working life.

Conclusion

Urgent care assessment and documentation by paramedics using an online questionnaire is feasible in principle, but was hampered by time pressure, lack of integration and inconsistent assessment. Larger studies with consistent recording of telephone and preclinical assessment are needed to assess low priority RO more accurately and minimize potential bias.