Relevant bibliographies by topics / Ambulance transport

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Ambulance transport'

Author: Grafiati
Published: 4 June 2021
Last updated: 5 February 2022

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Journal articles on the topic "Ambulance transport"

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Meites, Elissa, and John F. Brown. "Ambulance Need at Mass Gatherings." Prehospital and Disaster Medicine 25, no. 6 (December 2010): 511–14. http://dx.doi.org/10.1017/s1049023x00008682.

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AbstractIntroduction:Scant evidence exists to guide policy-making around public health needs during mass gatherings. In 2006, the City and County of San Francisco began requiring standby ambulances at all mass gatherings with attendance of >15,500 people. The objectives were to evaluate needs for ambulances at mass gatherings, and to make evidence-based recommendations for public health policy-makers. The hypothesis was that the needs for ambulances at mass gatherings can be estimated using community baseline data.Methods:Emergency medical services plans were reviewed for all public events with an anticipated attendance of >1,000 people in San Francisco County during the 12-month period 01 August 2006 through 31 July 2007. Ambulance transport data were confirmed by event coordinators and ambulance company records, and the rate was calculated by dividing ambulance transports by event attendance. Baseline ambulance transport rate was calculated by dividing the annual ambulance transports in the county's computer-aided dispatch system by the census population estimate. The risk ratio was calculated using the risk of transport from a mass gathering compared with the baseline risk of ambulance transport for the local community. Significance testing and confidence intervals were calculated.Results:Descriptive information was available for 100% of events and ambulance transport data available for 97% of events. The majority of the mass gatherings (47 unique events; 59 event days) were outdoor, weekend festivals, parades, or concerts, though a large proportion were athletic events. The ambulance transport rate from mass gatherings was 1 per 59,000 people every six hours. Baseline ambulance transport rate in San Francisco was 1 per 20,000 people every six hours. The transport rate from mass gatherings was significantly lower than the community baseline (risk ratio [RR] = 0.15, 95% CI = 0.10–0.22, p <0.001). At events reserving a standby ambulance, 46% of ambulances were unused.Discussion:San Francisco mass gatherings appear to present a lower risk of ambulance transports compared to the community baseline, suggesting that the community baseline sets an appropriate standard for requiring standby ambulances at mass gatherings. The initial ambulance requirement policy in San Francisco may have been overly conservative.Conclusions:Local baseline data is a recommended starting point when setting policy for public health needs at mass gatherings.
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Brismar, Bo. "The Alarm Center in Stockholm County Council." Prehospital and Disaster Medicine 1, S1 (1985): 131–32. http://dx.doi.org/10.1017/s1049023x00044125.

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During the last ten years, both in Western Europe and in the USA, the attitude towards medical transport activities has radically changed. From being a purely transportation vehicle the ambulance is now increasingly regarded as an extended arm of medical care. At the same time as ambulance crews have received more qualified medical training, the equipment of the ambulances themselves has been improved. In several countries such as the USA, France and West Germany, a differentiated ambulance organization has been built up, with specially equipped emergency ambulances manned by paramedics, and standard ambulances with emergency technicians for planned transports. During this time helicopters have been put into increasing use as a supplement to ambulances for emergency long distance transport to units such as trauma and burn centers.
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Sookram, Sunil, Kent Riddle, Eddie Chang, and Terry Sosnowski. "Description of Ambulance Diversions in the Edmonton Region." Prehospital and Disaster Medicine 17, no. 2 (June 2002): 91–95. http://dx.doi.org/10.1017/s1049023x00000236.

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AbstractBackground:Diversion of ambulances by hospital emergency departments has become a day-to-day occurrence in many jurisdictions within Canada. Yet, despite the increasing prevalence of this phenomenon, its impact on transported patients, on the EMS system, and on the health care system overall has not, to date, been well quantified. Despite the increasing sophistication and capabilities of North American EMS systems, it is difficult to argue with the principle that unstable or potentially unstable patients are best served by expeditious transport for definitive care to acute care facilities. T o this end, this study represents an effort to assess the systemic and patient care impacts of ambulance diversions.Methods:Patient-care and corresponding ambulance trip records for all patients transported by this EMS system for a five week period were abstracted to identify those patients in which an ambulance was diverted from its initial destination. Adverse events include hypotensive episodes, airway compromise, changes in level of consciousness, and the onset of violent behavior. Response and transport times also were abstracted, comparisons utilized student's t-test and 95% Confidence Intervals. Results: Ambulance diversions increased EMS response times and prehospital transport times. Adverse medical events occurred during 4.3% of diverted ambulance runs. Patients, when faced with the prospect of transport to other than their hospital of choice, not infrequently cancelled EMS transport and sought other means of transport. Subsequent interfacility transport was required for 4.3% of the diverted patients.Conclusions:Diversion of ambulances impacts the EMS system by increasing response and transport times; the region, by generating subsequent interfacility transports; and patients, as adverse medical events can occur during the diverted transport.
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Pniewski, Roman, Daniel Pietruszczak, and Michał Ciupak. "Logistics in collective transport of emergency medical services." AUTOBUSY – Technika, Eksploatacja, Systemy Transportowe 19, no. 12 (December 31, 2018): 955–58. http://dx.doi.org/10.24136/atest.2018.531.

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The paper discusses the subject of logistics in ambulance transport based on the example of an ambulance service. When discussing this subject, it is worth noting that an interesting issue related to its functioning is that relating to its relationship with transport logistics regarding travel time to the patient. Discussing this topic will be the subject of this paper. A logistics process will be presented on the example of logistics in the transport of ambulances.
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Sy, Eric, and Terrance Ross. "Air ambulance transport." Canadian Medical Association Journal 193, no. 37 (September 19, 2021): E1462. http://dx.doi.org/10.1503/cmaj.210354.

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Pniewski, Roman, Daniel Pietruszczak, and Michał Ciupak. "Medical transport of ambulances. Analysis of travel time." AUTOBUSY – Technika, Eksploatacja, Systemy Transportowe 19, no. 6 (June 30, 2018): 1092–96. http://dx.doi.org/10.24136/atest.2018.235.

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The paper discusses medical transport in Poland. An ambulance was defined and the way in which emergency medical services in Poland were operated. In the further part of the paper an analysis of the research related to the registration of travel times of specialized vehicles such as ambulances was shown.
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Wijngaarden, Van, R. Lafreniere, R. Cunningham, E. Joughin, R. Yim, Donna York, and J. Kortbeek. "Air Ambulance Trauma Transport." Journal of Trauma Nursing 5, no. 2 (April 1998): 46. http://dx.doi.org/10.1097/00043860-199804000-00007.

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van Wijngaarden, Mary, John Kortbeek, Rene Lafreniere, Randy Cunningham, Elaine Joughin, and Rita Yim. "Air Ambulance Trauma Transport." Journal of Trauma: Injury, Infection, and Critical Care 41, no. 1 (July 1996): 26–31. http://dx.doi.org/10.1097/00005373-199607000-00006.

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Yazaki, Hiroshi, and Hiroshi Nishiura. "Ambulance Transport of Patients with Mild Conditions in Hokkaido, Japan." International Journal of Environmental Research and Public Health 17, no. 3 (February 2, 2020): 919. http://dx.doi.org/10.3390/ijerph17030919.

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Understanding the epidemiological distributions of ambulance transport for patients with mild conditions according to age, disease, and geographic region could help in achieving optimal use of ambulance services. In the present study, we explored the descriptive epidemiology of ambulance transports in Hokkaido, the northernmost prefecture of Japan, identifying potential factors that determine the frequency of transports for mild diseases. Of the total 153,667 ambulance transports in Hokkaido during 2016, we found that two-thirds were for older people, of which about 60% resulted in hospital admission. There were 74,485 transports for mild cases, which were most commonly for psychiatric disorders among working-age adults (n = 4805), heart diseases among older people (n = 4246), and sensory organ diseases among older people (n = 3589). Examining the ecological correlations over 58 geographic units of ambulance services, the total unemployment rate and distance to the nearest tertiary care hospital were, respectively, positively and negatively correlated with the standardized transport ratio for multiple mild diseases. The proportion of working-age adults was uniquely identified as a possible positive predictor in mild cases of psychiatric disorders. As the identified potential predictors could be helpful in considering countermeasures, the causal links should be examined in future studies.
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Lehman, Eric J. "ETs Dislodged During Ambulance Transport." Emergency Medicine News 24, no. 3 (March 2002): 49. http://dx.doi.org/10.1097/00132981-200203000-00031.

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Dissertations / Theses on the topic "Ambulance transport"

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Lindgren, Raimo. "Does the use of ambulance helicopter shorten the transport time for trauma patients in Arvika Hospitals catchment area in comparison with land-based ambulance transport?" Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-70089.

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Introduction: The ambulance helicopter has been an established part of the trauma care in Värmland since 2014. European studies comparing the ambulance helicopters with land-based ambulance often show reduced mortality among patients handled by helicopter. A factor often considered as a risk reducer is shortened transport time. As a step to evaluate trauma care in Swedish rural areas, a study of pre-hospital transport times is required. Aim: The aim of this pilot study was to compare the transport times of the ambulance helicopter with the ground ambulance for trauma patients in the Arvika Hospital catchment area. Methods: Retrospective data from the ambulance register in Värmland and the ambulance helicopter register in Värmland from September to December in 2017 were compared. The transport time of trauma patients from alarm to the start of medical care in hospital was compared between ground- and airborne ambulances. Results: 9 ground ambulance transports were compared with 4 airborne. All helicopter transports in the study were faster than land-based ambulance services with comparable transport distances. No helicopter transport for shorter transports than 134 km was included in the study. Conclusion: In our study, it is shown that for a total transport distance of more than 134 km the transport with helicopter of trauma patients from Arvika Hospital's catchment area to the nearest healthcare facility is faster than by regular ambulance.This study includes only a few transports, and to ensure statistical significance, a larger sample and a more accurate analysis of the complex trauma care are required.
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Dahlström, Elin, and Janina Sundman. "Patienters uppfattning av delaktighet i beslutet att lämnas kvar hemma av ambulansen i Uppsala län." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-295955.

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Introduktion: Vid ca 10 % av alla ambulansuppdrag i Uppsala län åker patienten inte med till sjukhus. Trots att det är viktigt att patienten känner sig delaktig i beslut som tas inom vården finns få studier som undersöker patienters uppfattning av delaktighet i beslutet att lämnas hemma av ambulanspersonalen. Syfte: Att undersöka patienters uppfattningar av delaktighet i mötet med ambulanspersonalen och i beslutet att lämnas kvar hemma av ambulansen i Uppsala län. Metod: En retrospektiv enkätstudie med kvantitativ ansats där svaren samlades in per telefon. Totalt 84 patienter deltog (svarsfrekvens 64 %). Resultat: Majoriteten av patienterna svarade att de kände sig delaktiga under mötet med ambulanspersonalen och i beslutet att lämnas kvar hemma. De patienter som svarat att ambulanspersonalen tog beslutet att de skulle stanna kvar hemma svarade i signifikant lägre grad att de känt sig delaktiga i beslutet att stanna kvar hemma (p<0,001). De patienter som uppsökt vård inom 24 timmar efter mötet med ambulanspersonalen svarade i signifikant lägre grad att de känt sig delaktiga jämfört med de som inte uppsökt vård (p=0,002). Slutsats: Patienter som inte känner sig delaktiga under mötet med ambulanspersonalen uppsöker i högre grad ny vårdinstans inom ett dygn. Det är viktigt att tillräcklig tid tas av ambulanspersonalen för att göra korrekta bedömningar och få patienterna att känna sig delaktiga. Fler studier om situationer där patienter lämnas hemma och sedan söker ny vårdinstans av samma orsak inom ett dygn behövs för att få ökade kunskaper, och därmed kunna minska det antal situationer där patienter i onödan söker ny vård eller undvika att rätt vård fördröjs vid akuta tillstånd.
Introduction: In 10 % of all ambulance missions in Uppsala the patients are left at home by the ambulance staff. There are few studies made that investigates patients participation in the decision to be left at home. Aim: To study patients' perceptions of participation in the meeting with the ambulance staff and in the decision to be left at home by the ambulance staff in Uppsala county. Method: A retrospective questionnaire survey with quantitative approach in which the answers were collected by telephone. A total of 84 patients participated (answering frequency 64 %). Result: The majority of patients responded that they felt they participated in the meeting with the ambulance staff and in the decision to be left at home. The patients who responded that the ambulance staff took the decision that they would stay at home responded, to a significantly lower degree, that they felt involved in the decision to stay at home (p<0.001). The patients who sought care within 24 hours after the meeting with the ambulance staff responded, to a significantly lower degree, that they felt they participated compared to those who had not sought care (p=0.002). Conclusion: The patients who don’t feel involved in the meeting with the ambulance staff seeks in higher extent new healthcare within a day. Sufficient time must be taken to make accurate assessments and get the patients to feel involved. More studies of situations where patients are left at home and then seek new care instance of the same cause within a day is needed to get better understanding, and thereby reduce situations where patients unnecessarily seek new healthcare or avoid the right care is delayed in urgent conditions.
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Symons, Andy. "Is the treatment and transport of asystolic cardiac arrest patients to hospital by ambulance services appropriate?" Connect to thesis, 2007. http://portal.ecu.edu.au/adt-public/adt-ECU2007.0031.html.

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Tavares, Tabata Luna Garavazzo. "Caracterização e avaliação do impacto prognóstico das intercorrências clínicas observadas durante o transporte pré-hospitalar e inter-hospitalar de crianças gravemente enfermas." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/17/17157/tde-29032017-155055/.

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Introdução: O transporte médico de crianças gravemente enfermas envolve particularidades que aumentam o risco de complicações, que podem contribuir para o aumento no tempo de internação e mortalidade. Objetivos: Avaliar a frequência e os tipos de complicações observadas durante o transporte pré- hospitalar e inter-hospitalar de crianças gravemente enfermas, assim como o impacto dessas complicações na mortalidade, no tempo de internação hospitalar e nos custos hospitalares. Pacientes e Métodos: Estudo realizado em duas etapas: a primeira foi um estudo transversal, no qual, por meio de entrevista padronizada com o médico que admitiu as crianças gravemente enfermas que necessitaram de transporte pré-hospitalar ou inter-hospitalar, foram identificadas e caracterizadas possíveis complicações ocorridas durante esse transporte. Estes dados foram auditados por três médicos independentes que definiram a presença ou ausência de complicações durante o transporte. A segunda etapa constituiu-se de uma coorte prospectiva, na qual os pacientes, divididos em dois grupos distintos (com e sem complicações durante o transporte), foram seguidos, prospectivamente, por 60 dias, observando-se a ocorrência de morte ou alta hospitalar. Resultados: Foram incluídas 143 crianças no estudo. Pelo menos uma complicação durante o transporte foi observada em 74 pacientes (52%). As complicações mais frequentes foram relacionadas com as vias aéreas (69%), seguidas por distúrbios metabólicos (47%), alterações cardiovasculares (40%) e falhas relacionadas aos dispositivos e à monitorização (37%). Na análise univariada, os seguintes preditores para ocorrência de complicações durante o transporte foram observados: peso <10Kg (risco relativo - RR: 1,52; intervalo de confiança (IC 95%: 1,11-2,09); distância >100Km (RR: 1,67; IC 95%: 1,16-2,40); presença de doença respiratória (RR: 1,46; IC 95%: 1,06-1,95) e comorbidades (RR: 1,68; IC 95%: 1,23-2,30). Já na análise multivariada, não foram observados preditores independentes para ocorrência de complicações. A ocorrência de complicações durante o transporte foi associada com maior taxa de mortalidade hospitalar (hazard ratio - HR: 5,668; IC 95%: 1,26-26,65; p=0,0130) e menor taxa de alta hospitalar (HR: 0,48; IC 95%: 0,31-0,74; p=0,0007). Após a aplicação da regressão de Cox para ajuste de potenciais fatores de confusão, a presença de complicação durante o transporte permaneceu associada com o índice de mortalidade hospitalar (HR: 6,74; IC 95%: 1,40-32,34; p=0,017), contudo deixou de ser associada com o tempo para a alta hospitalar (HR: 0,76; IC 95%: 0,49- 1,16; p=0,213). Conclusões: As complicações foram frequentes durante o transporte pediátrico. A presença de doenças respiratórias, peso <10Kg, presença de comorbidades e a distância >100 Km foram preditores de risco para a ocorrência dessas complicações. As complicações ocorridas durante o transporte foram associadas com o aumento nas taxas de mortalidade hospitalar.
Introduction: The medical transport of critically ill children involves characteristics that increase the risk of complications, which can contribute to an increase in length of stay and mortality. Objectives: To evaluate the frequency and type of complications observed during the pre-hospital and inter-hospital transport of critically ill children, as well as the impact of these complications on mortality, length of hospital stay and hospital costs. Patients and Methods: A study carried out in two stages: the first was a cross-sectional study where through a standardized interview with the doctor who admitted the critically ill children requiring pre-hospital or inter-hospital transport identified and characterized possible complications during this transport. These data were audited by three independent doctors who defined the presence or absence of complications during transport. The second stage consists of a prospective cohort study, where patients divided into two groups (with and without complications during transportation) were followed prospectively for 60 days observing the occurrence of death or hospital discharge. Results: We included 143 children in the study. At least one complication during transportation was observed in 74 patients (52%). The most frequent complications have been associated with airway (69%), followed by metabolic disorders (47%), cardiovascular disorders (40%) and failure in the device and monitoring (37%). In the uni-variate analysis, the following predictors for the occurrence of complications during transport were observed: weight <10 kg (relative risk - RR: 1.52; 95% confidence interval - CI: 1.11-2.09); distance greater than 100 km (RR: 1.67; 95% CI: 1.16-2.40); presence of respiratory disease (RR: 1.46; 95% CI: 1.06-1.95) and associated comorbidity (RR: 1.68; 95% CI: 1.23- 2.30). In the multivariate analysis, no independent predictors were observed for the occurrence of complications. The occurrence of complications during transport was associated with higher hospital mortality (hazard ratio - HR: 5.668; 95% CI: 1.26-26.65; p=0.0130) and a lower hospital discharge rate (HR: 0.48; 95% CI: 0.31-0.74; p=0.0007). After Cox regression to adjust for potential confounding factors, the presence of complications during transport remained associated with hospital mortality (HR: 6.74; IC 95%: 1.40-32.34; p=0.017), however, was not associated with hospital discharge rates (HR: 0.76; 95% CI: 0.49-1.16; p=0.213). Conclusions: The complications were common during pediatric transport. Distance greater than 100 km, presence of respiratory disease, associated comorbidity and weight <10 kg were risk predictors for occurrence of complications. Complications during pediatric transport were associated with increased hospital mortality rates.
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Eriksson, Ingela, and Christina Werner. "Ambulanspersonalens upplevelser av trafiksäkerheten i vårdutrymmet i vägburna ambulanser." Thesis, Karlstad University, Faculty of Social and Life Sciences, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-1312.

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Ambulanssjukvård bedrivs både på hämtplats och under transporten till mottagande enhet. Detta medför att personalen utför vårdåtgärder i vårdutrymmet under transporten enligt tidigare forskning sker detta ofta utan att personalen använder sig av bilbältet.

Syftet med denna studie var att undersöka ambulanspersonalens upplevelser av trafiksäkerheten i vägburna ambulanser.

Metoden har varit intervjuer med semistrukturerade frågor samt en öppen fråga. Intervjuerna har genomförts med ambulanspersonalen i deras arbetsmiljö, det vill säga ambulansens vårdutrymme. Intervjuerna har sammanställts och en innehållsanalys har gjorts på den öppna frågan.

Resultatet visar att personalen inte använder säkerhetsutrustningen i den utsträckning som de borde och vill göra. Arbetsmiljön och patientens tillstånd var helt avgörande. Personalen satte sin egen säkerhet åt sidan och fokuserade helt på patienten och dennes behov. Personalen upplevde dock att patienterna var trygga i vårdutrymmet.

Enligt flera forskare så har problemet med bilbältesanvändning i vårdutrymmet uppmärksammats under flera år. Men inga nya metoder eller idéer har anammats. Denna studies resultat förväntas öka förståelsen för den problematik som finns med att arbeta i ambulansens vårdutrymme på ett för personalen säkert sätt.


Prehospital care is carried out on the scene and during transport to a reciving unit. Thus, the ambulance staff is performing care assignment in the patient compartment during transport. According to prior research, the care is often made by the attending personal not using the seatbelts.

The aim of this study was to examine the ambulance staff´s experiences of traffic saftey in the patient compartment in a road ambulance.

The method used was semi structured interviews and one open question. The interviews have been carried out in the ambulance staff own working environment, the patient compartment. The interviews were put together and the open question was analysed by means of a qualitative content analysis.

The result shows that the ambulance staff did not use the saftey equipment in the patient compartment to the extent they should and whished to do. The working environment and the patient´s condition were the reason for not using seatbelts. The ambulance staff put their own saftey a side, and focused completley on the patient and his or her needs. However, the ambulance staff felt that the patient was safe in the patient compartment.

Several studies have previously shown that there is a problem with the lack of use of seatbelts in the patient compartment. However, no new ideas or method for consistent use of seatbelts has been adopted. The result of this study should increase awareness for the complex problems concerning work saftey for ambulance staff in the patient compartment.

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Insulander, Ahnmark Kajsa, and Jonny Wennberg. "Då patienten inte åker med ambulansen för fortsatt vård, en studie med aspekt på patientsäkerheten : En retrospektiv journalgranskningsstudie av 137 utlarmningar." Thesis, Sophiahemmet Högskola, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-990.

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ABSTRACT   Introduction: During the past 40 years the ambulance service in Sweden has evolved from mainly being a source of transport to today’s high-tech caring facilities that enable qualified care to start already in the patient’s home. This first level of care is now provided by registered nurses and registered nurses with specialist training in pre hospital care. At the same time as the care provided is becoming more advanced, results from studies demonstrate that the amount of dispatches to patients that lack the need for ambulance care and transport is increasing. Nurses in pre-hospital care possess the knowledge, training and authority to perform an initial assessment of patients and also treat patients according to local and national guidelines. After the treatment it would sometimes be possible for the patients to remain at home without having to use ambulance transport to an emergency department or in other cases find other means of transport to hospital. Today this is, in Sweden, an accepted standard for by district nurses who are mandated to refer, even after only telephone consulting, the patients to self-care. Ambulance nurses lack this according to present guidelines. If a patient is to remain on-scene or home, a strict protocol of documentation has to be filled-in as well as the ambulance crew being in contact with a doctor. In this study, the authors visualize what patient categories stay on-scene or home, what types of examinations was performed and if the patient safety is ensured.   Objective: The aim of this study was to visualize patient safety when the patient is not transported to hospital by ambulance.   Method: A quantitative, descriptive and retrospective design and analysis of 137 ambulance medical records where the patient was left at home after the initial assessment.   Results: The results demonstrate that the patients who wish to remain on-scene have various different conditions. The majority stayed home at their own request and without any further treatment being performed by the pre hospital care provider. In 28 per cent the patients received some kind of treatment, and in some of the cases patients refused ambulance transport even when the ambulance nurse strongly recommended this. This study also demonstrated that, in many cases, the patients´ history as well as the patients´ status were incomplete documented. The ambulance nurse performed, in median, four different examinations on the patients. In more than half of the cases the nurses had documented that the patient had some kind of attendance. Counseling was given both to patients and sometimes to the patients’ family member.  A lack of sufficient documentation in the patients’ medical record was found and also that consultation of a doctor only has been completed in 15 per cent. Of a total of 137 patients there were three patients who called for an ambulance within the following 24 hours. One of these became aggressive during the first time of visit, and therefore the nurse wasn´t able to examine her thoroughly.  The two other patients do not differ regarding the extent of the examination compared to those who didn´t call for ambulance again.   Conclusion:  Although this paper demonstrates that patients´ safety has not been compromised in the examined records, the authors recommend further studies on patient safety when patient remain on-scene. There is also a need for more specific and valid indicators. Documentation and adherence to guidelines were, however, in this study found to be insufficient.  Key words: patient safety, ambulance, patient, specialist nurse in pre hospital care science, nurse, transport, journal.
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Lind, Rose-Marie, and Pär Lindblad. "Från prio ett larm enligt medicinskt index till bedömning av egenvård enligt RETTS : En kvantitativ granskning av ambulansjournaler." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-62508.

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Bakgrund: Enligt statistiken har ambulansutryckningarna ökat men ambulanstätheten minskat. Det behövs därför en väl fungerande prioritering av patienterna som söker akut vård från larmcentralen. De som inte är i akut behov av ambulanstransport till sjukhus ska kunna omdirigeras till att söka annan vård som vårdcentral eller stanna hemma med egenvård.   Syfte: är att jämföra patienter med samma ESS kod i ambulansjournalerna som endera transporterades till sjukhus eller kvarstannande med egenvård vid prio ett larm. Metod: En retrospektiv fallkontroll studie med en kvantitativ ansats. En journalgranskning med 139 inkluderade ambulansjournaler från södra Sverige.   Resultat: Andelen prio ett uppdrag där patienten lämnades hemma med egenvård i föreliggande studie var 193 stycken, 7,2 procent. Utifrån resultatet fanns det inga skillnader i åldern mellan patienter som stannade kvar respektive transporterades med ambulans till akuten på respektive sjukhus. Det fanns heller inga signifikanta skillnader mellan könen utifrån tid på dygnet. Dock fanns det en signifikant skillnad då det gällde avstånd till sjukhus. För patienterna som bodde ≤ 8 km radie från ett sjukhus stannade 83st (59,7%) kvar i hemmet med egenvård. För patienter med ≥ 8 km ifrån ett sjukhus stannade 106 (76,3 %) kvar i hemmet med egenvård. Totalt för patienter som transporterades överensstämde larmcentralens index med ambulanssjuksköterskans ESS-kod vid 52%. För patienter som kunde kvarstanna i hemmet var överensstämmelsen 42% mellan larmcentralens index och ambulanssjuksköterskans ESS.   Slutsats: Studien kunde inte påvisa någon skillnad mellan kön och tidpunkt av de som transporterades mot de som kunde stanna hemma, dock fanns det en signifikant skillnad på antal patienter som transporterades och kunde stanna hemma beroende på avstånd mellan deras boende och sjukhus. Även fanns det en förbättringspotential mellan SOS index och ambulanssjuksköterskans ESS kod, att denna skulle stämma mer överens. För ambulanssjuksköterskan är det viktigt att behandla alla patienter lika oberoende på yttre faktorer, i denna studie framkom att avståndet hade en betydelse. Detta får vi som ambulanssjuksköterskor ta till oss och inte låta ha en avgörande betydelse för den vård vi beslutar oss för att ge patienten.
Background: According to statistics, ambulance emergency were increased but the density decreases, which requires a well-functioning prioritization of patients seeking emergency care from the central station. Those who are not in need of urgent ambulance transport to the hospital to be redirected to seek other care medical center or stay at home with self-care.   Purpose: is to compare patients with the same ESS Code of ambulance records that are either transported to a hospital or keeping people with self-care at priority alarm. Method: A retrospective case-control study with a quantitative approach. A medical record review of 139 included ambulance records from southern Sweden.   Results: The proportion of priority a mission in which the patient was at home with self-care in this study were 193 pieces, 7.2 per cent. Based on the results, there were no differences in age between patients who remained and was transported by ambulance to the emergency room and hospital. There were also no significant differences between the sexes based on time of day. However, there was a significant difference as regards the distance to the hospital. For patients who lived ≤ 8 km radius of a hospital stayed 83st (59.7%) remain in the home with self-care. For patients with ≥ 8 km from the hospital stayed 106 (76.3%) remain in the home with self-care. Total of patients transported consistent monitoring center index with the ambulance nurse ESS Code at 52%. For patients who were able to remain in the home was the consistency 42% between the central station's index and the ambulance nurse ESS. Conclusion: The study did not demonstrate a difference between gender and time of the transported toward those who could stay at home, however, there was a significant difference in the number of patients who were transported and could stay home, depending on the distance between their accommodation and hospitals. Although there was an improvement in potential between SOS Index and the ambulance nurse ESS code. For ambulance nurse, it is important to treat all patients equally regardless of external factors, in this study revealed that the distance had a meaning. This we get that ambulance nurses bring to us and not let be crucial for the care we decide to give.
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Moore, Simon Peter. "Delays in the emergency department and their effects on the ambulance provider." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2067.

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Axelsson, Isabelle, and Kyander Christina Bolin. "Ambulanssjuksköterskans upplevelser och uppfattningar av säkerhetsbältets användning på patienten under ambulanstransport : En intervjustudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-85270.

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Bakgrund: Det prehospitala arbetet är utmanande i avseende att kombinera ett patientsäkert vårdarbete och yrkesmässig bilkörning. Vårdutrymmet i en ambulans är en riskfylld miljö både då bilen står parkerad på en olycksplats samt när den är i rullning. Trafiksäkerhet i ambulanssjukvård är därav en avgörande faktor för patientsäkerheten och ambulanssjuksköterskans arbetsmiljö. Brister denna säkerhet riskerar patienten att bli utsatt för ett vårdlidande och ambulanssjuksköterskan för en arbetsmiljöskada. Syfte: Syftet med studien är att beskriva ambulanssjuksköterskans upplevelser och uppfattningar av säkerhetsbältets användning på patienten under ambulanstransport och på så vis öka följsamheten gällande säkerhetsbältes användning. Metod: En kvalitativ intervjustudie genomfördes med enskilda intervjuer. Kvalitativ innehållsanalys med induktiv ansats användes som analysmetod. Resultat: Analysen resulterade i 5 kategorier som bildade resultatets rubriker “bältets betydelse”, “svagheter och brister”, “hinder för säkerhetsbälte”, “arbetsmiljö och säkerhet” samt “samverkan mellan förare och vårdare”. Slutsats: Av studiens resultat kunde slutsatsen dras att säkerhetsbältesanvändningen i ambulansen har stor förbättringspotential samt att upplevelse och uppfattning går i sär med hur verkligheten ser ut. Resultatet visar även vilka orsaker till en bristande bältesanvändning som är vanligast och förslag på hur man kan komma till rätta med dessa. Att säkerhetsbältesanvändningen för patienterna i ambulansen förs upp till diskussion är av stor vikt för att främja patientsäkerheten och ambulanssjuksköterskans Arbetsmiljö̈. För att öka följsamheten gällande säkerhetsbältesanvändningen är det av värde att flera studier utöver denna genomförs utifrån olika synvinklar, exempelvis patientens upplevelse
Background: The pre-hospital work is challenging in terms of combining apatient-safe care work and professional driving. The care room in an ambulance is a risky environment both when the car is parked on an accident site and when it is rolling. Traffic safety in ambulance care is therefore a crucial factor for patient safety and the ambulance nurse's work environment. If this safety fails, the patient risks being exposed to a suffering patient and the ambulance nurse for a work environment injury. Purpose: The purpose of the study is to describe the ambulance nurses experiences and perceptions of the safety belts use on the patient during ambulance transport and in this way increase compliance with seat belt use. Method: A qualitative interview study was conducted with individual interviews. Qualitative content analysis with inductive approach was used as analysis method. Result: The analysis resulted in 5 categories that formed the results headings “the importance of the belt”, “weaknesses and deficiencies”, “obstacles to safety belts”, “work environment and safety” and “collaboration between driver and carer”. Conclusion: From the results of the study, it could be concluded that the seat belt use in the ambulance has great improvement potential and that experience and perception go in particular with the reality. The result also shows the reasons for a lack of belt use that is most common and suggestions for how to deal with these. The fact that the safety belt use for the patients in the ambulance is brought up for discussion is of great importance for promoting patient safety and the ambulance nurses working environment. In order to increase adherence to seat belt use, it is of value that several studies in addition to this are carried out on the basis of different perspectives, forexample the
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Gaute, Gilles. "Evaluation et perspectives de restructuration du système des transports ambulanciers intrahospitaliers au C. H. U. De Bordeaux." Bordeaux 2, 2001. http://www.theses.fr/2001BOR2M041.

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Books on the topic "Ambulance transport"

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American Medical Association. Commission on Emergency Medical Services, ed. Air ambulance guidelines. [Washington, D.C.?]: U.S. Dept. of Transportation, National Highway Traffic Safety Administration, 1986.

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American Academy of Orthopaedic Surgeons. Critical care transport. Edited by American College of Emergency Physicians. Sudbury, Mass: Jones and Bartlett Publishers, 2011.

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Rametta, Thomas P. Update assessment of the use of helicopters for emergency medical transport in the metropolitan Washington area. [Washington, D.C.]: The Council, 1985.

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(Organization), MAS. Review of non-ambulance transport services within a district. Cheltenham: MAS, 1985.

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Barkley, Katherine Traver. The ambulance: The story of emergency transportation of sick and wounded through the centuries. Kiamesha Lake, N.Y: Load N Go Press, 1990.

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Commission for Health Improvement (Great Britain). Clinical governance review Lincolnshire Ambulance and Health Transport Service NHS Trust, December 2003. London: Stationery Office, 2003.

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Executive, NHS Management. Ambulance and other patient transport services: Operation, use and performance standards. [London]: NHS Management Executive, 1991.

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Farmcarts to Fords: A history of the military ambulance, 1790-1925. Carbondale: Southern Illinois University Press, 1992.

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Battlefield medicine: A history of the military ambulance from the Napoleonic Wars through World War I. Carbondale: Southern Illinois University Press, 2011.

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Great Britain. Department of Health and Social Services, Northern Ireland. Health and Personal Social Services Management Executive. Emergency ambulance services and non-emergency patient transport services in Northern Ireland: Strategic objectives and good practice guidance. Belfast: Department of Health andSocial Services, 1992.

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Book chapters on the topic "Ambulance transport"

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Isgrò, Stefano, Roberto Rona, and Nicolò Patroniti. "Ground Transport: Ambulance." In ECMO-Extracorporeal Life Support in Adults, 455–60. Milano: Springer Milan, 2014. http://dx.doi.org/10.1007/978-88-470-5427-1_39.

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Ryan, Dawn M., Adam Lokeh, David Hirschman, June Spector, Rob Parker, and Peter W. Johnson. "The Characterization and Evaluation of an Intervention to Reduce Neonate Whole Body Vibration Exposures During Ambulance Transport." In Advances in Intelligent Systems and Computing, 670–77. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-96083-8_84.

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Gärtner, Rudolf. "Die Versicherung museumseigener Bestände gegen Transport- und Ausstellungsrisiken (ambulante Risiken)." In Handbuch des Museumsrechts X, 177–223. Wiesbaden: VS Verlag für Sozialwissenschaften, 2002. http://dx.doi.org/10.1007/978-3-663-12433-7_6.

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Andersen, Bjørg Marit. "Ambulances, Emergency Medical Service (EMS) and Other Transports of Patients." In Prevention and Control of Infections in Hospitals, 973–83. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99921-0_75.

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Wilde, Elizabeth T. "Ambulance and Patient Transport Services." In Encyclopedia of Health Economics, 67–70. Elsevier, 2014. http://dx.doi.org/10.1016/b978-0-12-375678-7.01009-9.

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Galatioto, F., V. Parisi, E. McCormick, and C. Goves. "Modelling ambulance and traffic behaviour using microsimulation: The LIFE project application." In Transport Infrastructure and Systems, 705–12. CRC Press, 2017. http://dx.doi.org/10.1201/9781315281896-91.

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Hoogmartens, Olivier, Michiel Stiers, Koen Bronselaer, and Marc Sabbe. "The emergency medical system." In The ESC Textbook of Intensive and Acute Cardiovascular Care, edited by Marco Tubaro, Pascal Vranckx, Eric Bonnefoy-Cudraz, Susanna Price, and Christiaan Vrints, 65–75. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198849346.003.0008.

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The mission of the emergency medical services is to promote and support a system that provides timely, professional and state-of-the art emergency medical care, including ambulance services, to anyone who is victim of a sudden injury or illness, at any time and any location. A medical emergency has five different phases, namely: population awareness and behaviour, occurrence of the problem and its detection, alarming of trained responders and help rendered by bystanders and trained pre-hospital providers, transport to the nearest or most appropriate hospital, and, if necessary, admission or transfer to a tertiary care centre which provides a high degree of subspecialty expertise. In order to meet these goals, emergency medical services must work aligned with local, state officials; with fire and rescue departments; with other ambulance providers, hospitals, and other agencies to foster a high performance network. The term emergency medical service evolved to reflect a change from a straightforward system of ambulances providing nothing but transportation, to a complex network in which high-quality medical care is given from the moment the call is received, on-scene with the patient and during transportation. Medical supervision and/or participation of emergency medicine physicians (EP) in the emergency medical service systems contributes to the quality of medical care. This emergency medical services network must be capable to respond instantly and to maintain efficacy around the clock, with well-trained, well-equipped personnel linked through a strong communication system. Research plays a pivotal role in defining necessary resources and in continuously improving the delivery of high-quality care. This chapter gives an overview of the different aspects of emergency medical services and calls for high quality research in pre-hospital emergency care in a true partnership between cardiologists and emergency physicians.
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Shocket, Daniel. "Blunt Chest Trauma." In Acute Care Casebook, edited by Jeremy T. Cushman, 83–88. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190865412.003.0018.

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This case involves a blunt trauma patient being managed from the viewpoint of a helicopter critical care team sent to rendezvous with a ground ambulance for transport of a critical patient to a trauma center. Topics discussed include many logistical considerations, a focused differential diagnosis, the evaluation and management of a trauma patient both on the ground and in a helicopter, and the further management after arrival to an emergency department. Tranexamic acid (TXA) use, blood product versus crystalloid administration, and the utility of the Focused Assessment with Sonography in Trauma (FAST) exam are also discussed.
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Saurman, E., D. Perkins, D. Lyle, M. Patfield, and R. Roberts. "Case Study." In Evidence-Based Practice in Nursing Informatics, 191–203. IGI Global, 2011. http://dx.doi.org/10.4018/978-1-60960-034-1.ch015.

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The MHEC-RAP project involves the innovative application of video conferencing to mental health assessment in rural NSW. The preliminary evaluation findings of the project are presented. Mental health emergencies in rural and remote settings cause particular problems and are not amenable to conventional health service solutions. Patients and local health care staff may be isolated from specialist mental health staff and from acute inpatient services. Decisions to transport patients for specialist assessments or treatment may be required at night or at weekends and may involve families, police, ambulance services and local health staff. Such decisions need to be made promptly but carefully and the ability to obtain a specialist assessment may assist in making a decision about how best to care for the patient bearing in mind the need to provide a responsive, high quality and safe service to patients and local clinicians. In this chapter we examine a novel approach which uses audio-visual technology to conduct remote emergency mental health patient assessment interviews and provide consultations to local clinicians in rural communities in western NSW. The Mental Health Emergency Care – Rural Access Project or ‘MHEC-RAP’ was developed in 2007 following a series of consultations held in rural towns and implemented in 2008 within the Greater Western Area Health Service (GWAHS), New South Wales, Australia. GWAHS is a primary example of a rural and remote health service. It serves 287,481 people (8.3% of whom are Indigenous Australians) in an area that is 445,197sq km or 55% of the state of New South Wales (Australian Bureau of Statistics, 2001; Greater Western Area Health Service, 2007, 2009). The communities within GWAHS are mostly small, the towns are widely dispersed and local services are “limited by distance, expense, transport, and the difficulty of recruiting health professionals to these areas” (Dunbar, 2007 page 587). The chapter focuses on the design of the service, its implementation and its performance in the first year. We conclude with a discussion about the service, its broader relevance, transferability and its sustainability.
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Mackowiak, Philip A. "Military Medicine." In Patients as Art, 161–82. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190858216.003.0007.

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Chapter 7 (“Military Medicine”) illustrates war’s long history of functioning as a pragmatic training ground for physicians, especially surgeons, was well as a giant field trial for developing, testing, and refining medical advances. The images included in this chapter transport the reader from the first aid stations of imperial Rome to the ligatures of Ambrose Paré, the “flying ambulances” Dominique Jean Larrey introduced during the Napoleonic Wars, Florence Nightingale’s implementation of the principles of proper sanitation in her hospital at Scutari during the Crimean War, the advent of reconstructive surgery in Germany just prior to the outbreak of World War I, the evolving concept of the post-traumatic stress disorder, and the war crimes committed by German and Japanese physicians during World War II.
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Conference papers on the topic "Ambulance transport"

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Smirnov, Alexander, and Nikolay Teslya. "Ambulance Vehicle Routing under Pandemic with Fuzzy Cooperative Game via Smart Contracts." In 7th International Conference on Vehicle Technology and Intelligent Transport Systems. SCITEPRESS - Science and Technology Publications, 2021. http://dx.doi.org/10.5220/0010455605380545.

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Salehi, Mehdi. "Optimal physiology-aware scheduling of clinical states in rural ambulance transport." In 2017 International Conference on Inventive Computing and Informatics (ICICI). IEEE, 2017. http://dx.doi.org/10.1109/icici.2017.8365347.

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Hosseini, Mohammad, Richard R. Berlin, Yu Jiang, and Lui Sha. "Adaptive Clinical Data Communication for Remote Monitoring in Rural Ambulance Transport." In 2017 IEEE/ACM International Conference on Connected Health: Applications, Systems and Engineering Technologies (CHASE). IEEE, 2017. http://dx.doi.org/10.1109/chase.2017.85.

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Kaloutsakis, Georgios, Andrew Reimer, Donghwa Jeong, and Kiju Lee. "Design and Evaluation of a Multi-Sensor Unit for Measuring Physiological Stressors of Medical Transport." In ASME 2013 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/imece2013-65435.

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Patients who undergo inter-hospital transfer experience increased relative mortality, ranging from 10 to 100% higher than non-transferred patients. The high-cost, increased risk of complications and poor outcomes of transferred patients warrant the critical examination of potential causes. One of the major causes may be the external stressors that patients are exposed to during medical transport. To realize simultaneous measurements of external stressors, we developed a multi-sensor unit for measuring vibration, noise, ambient temperature, and barometric pressure. For preliminary evaluation, the sensor unit was tested on 29 medical transports, 11 air transports by a helicopter and 18 ground missions by an ambulance. The average whole-body vibration for each air and ground transport was calculated at 0.3510m/s2 and 0.5871m/s2 respectively. Air transports produced much higher level of noise than the ground transports. We found no significant difference between two modes in terms of average temperature and the temperature changes. Barometric pressure drops significantly during air transport, indicating potential use of this data for automatic mode classification.
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O’Cathain, A., R. Jacques, T. Stone, EL Knowles, and L. Bishop-Edwards. "12 Explaining variation in rates of non-transport between emergency ambulance services." In Meeting abstracts from the second European Emergency Medical Services Congress (EMS2018). British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjopen-2018-ems.12.

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Hosseini, Mohammad, Yu Jiang, Ali Yekkehkhany, Richard R. Berlin, and Lui Sha. "A Mobile Geo-Communication Dataset for Physiology-Aware DASH in Rural Ambulance Transport." In MMSys'17: Multimedia Systems Conference 2017. New York, NY, USA: ACM, 2017. http://dx.doi.org/10.1145/3083187.3083211.

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Shiraishi, Yoko. "6D.001 Effective use of ambulance transport data for injury prevention in Japan." In Virtual Pre-Conference Global Injury Prevention Showcase 2021 – Abstract Book. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/injuryprev-2021-safety.162.

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Shiraishi, Yoko, and Hisato Imai. "PW 2040 Challenge in evaluation of safe community programs with ambulance transport data in japan." In Safety 2018 abstracts. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/injuryprevention-2018-safety.569.

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Mitani, Takuya, Takaya Yamazato, Katsuhiro Naito, and Yuki Mori. "Analysis of Data Collected by the 700 MHz Band Intelligent Transport Systems for Reducing Ambulance Transportation Time." In 2019 IEEE International Conference on Connected Vehicles and Expo (ICCVE). IEEE, 2019. http://dx.doi.org/10.1109/iccve45908.2019.8965232.

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Dúason, S., B. Gunnarsson, and MH Svavarsdóttir. "31 Experience of ambulance workers, nurses and doctors of handover of patients who are transported by ambulances to emergency departments in iceland: a qualitative interview study." In Emergency Medical Services Congress 2019. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjopen-2019-ems.31.

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Reports on the topic "Ambulance transport"

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The proportion of patients not transported to emergency departments after an ambulance is called varies across the country. National Institute for Health Research, October 2018. http://dx.doi.org/10.3310/signal-000652.

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