Prehospital Release of Patients After Treatment in an Anesthesiologist-Staffed Mobile Emergency Care Unit

Abstract

IMPORTANCEPrehospital treatment and release of patients may reduce unnecessary transports to the hospital and may improve patient satisfaction. However, the safety of patients should be paramount. OBJECTIVE To determine the extent of unplanned emergency department (ED) contacts, shortterm mortality, and diagnostic patterns in patients treated and released by a prehospital anesthesiologist supervising a mobile emergency care unit (MECU). DESIGN, SETTING, AND PARTICIPANTSThis retrospective cohort study used a manual review of prehospital and in-hospital medical records to investigate all living patients who were treated and

Treat and release: an observational study of non-conveyed high-acuity dispatches in a Danish emergency medical system

“…Among non-conveyed patients, the crude mortality rate was 2%. Despite variations in conditions, dispatch priory level and time intervals of outcomes, the mortality rate observed in this study aligns with comparable studies, wherein reported mortality rates have ranged from 0 to 2.3% [6,11,12,23]. Yet, the adjusted risk of mortality within non-conveyed patients was significantly higher compared to conveyed patients.…”

“…Yet, the adjusted risk of mortality within non-conveyed patients was significantly higher compared to conveyed patients. This could be explained by the unknown proportion of patients declared terminally ill within the non-conveyed cohort [12]. Nonetheless, this finding stresses the need for additional research to ascertain possible confounders and risk factors associated with this correlation.…”

“…In addition, inconsistent research designs, definitions of non-conveyed populations, and regional variations among EMS systems complicate the field further. Finally, legislative nuances play a role; certain EMS systems have established guidelines for non-conveyance [3], whereas others remain ambiguous [12,13]. Collectively, these inconsistencies challenge the direct comparison of available evidence.…”

A Comparison of the Clinical Characteristics of Short-, Mid-, and Long-Term Mortality in Patients Attended by the Emergency Medical Services: An Observational Study

“…To standardize the clinical presentations in prehospital critical care, novel scoring systems have been proposed to evaluate and predict the risk of early clinical worsening [ 3 ]. Currently, precision medicine has made great strides in improving prehospital care and emergency departments (EDs), providing bedside scores composed of various clinical, physiological, comorbidity-related, and/or analytical variables as invaluable support in the decision-making process [ 4 ].…”