UNSPECIFIED (2004) On-scene alternatives for emergency ambulance crews attending patients who do not need to travel to the accident and emergency department: a review of the literature. EMERGENCY MEDICINE JOURNAL, 21 (2). pp. 212-215. ISSN 1472-0205

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Abstract

With rising demand and recognition of the variety of cases attended by emergency ambulance crews, services have been considering alternative ways of providing non-urgent care. This paper describes and appraises the research literature concerning on-scene alternatives to conveyance to an emergency department, focusing on the: (1) profile and outcomes of patients attended but not conveyed by emergency crews; (2) triage ability of crews; (3) effectiveness and safety of protocols that allow crews to convey patients to alternative receiving units or to self care. The literature search was conducted through standard medical databases, supplemented with manual searches. Very few "live'' studies were identified, and fewer still that included a control group. Findings indicated a complex area, with the introduction of protocols allowing crews to leave patients at scene carrying clinical risk. Robust research evidence concerning alternatives to current emergency care models is needed urgently to inform service and practice development.

Item Type:	Journal Item
Subjects:	R Medicine > RC Internal medicine
Journal or Publication Title:	EMERGENCY MEDICINE JOURNAL
Publisher:	B M J PUBLISHING GROUP
ISSN:	1472-0205
Date:	1 March 2004
Volume:	21
Number:	2
Number of Pages:	4
Page Range:	pp. 212-215
Identification Number:	10.1136/emj.2003.005199
Publication Status:	Published
URI:	http://wrap.warwick.ac.uk/id/eprint/8725

Data sourced from Thomson Reuters' Web of Knowledge

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