Relevant bibliographies by topics / Ambulance transfer

Academic literature on the topic 'Ambulance transfer'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Ambulance transfer"

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Tennyson, Joseph C., and Mark R. Quale. "Reduction in STEMI Transfer Times Utilizing a Municipal “911” Ambulance Service." Prehospital and Disaster Medicine 29, no. 1 (January 22, 2014): 50–53. http://dx.doi.org/10.1017/s1049023x14000016.

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AbstractIntroductionThe time interval from diagnosis to reperfusion therapy for patients experiencing ST-segment elevation myocardial infarction (STEMI) has a significant impact on morbidity and mortality.HypothesisIt is hypothesized that the time required for interfacility patient transfers from a community hospital to a regional percutaneous coronary intervention (PCI) center using an Advanced Life Support (ALS) transfer ambulance service is no different than utilizing the “911” ALS ambulance.MethodsQuality assurance data collected by a tertiary care center cardiac catheterization program were reviewed retrospectively. Data were collected on all patients with STEMI requiring interfacility transfer from a local community hospital to the tertiary care center's PCI suite, approximately 16 miles away by ground, 12 miles by air. In 2009, transfers of patients with STEMI were redirected to the municipal ALS ambulance service, instead of the hospital's contracted ALS transfer service. Data were collected from January 2007 through May 2013. Temporal data were compared between transports initiated through the contracted ALS ambulance service and the municipal ALS service. Data points included time of initial transport request and time of ambulance arrival to the sending facility and the receiving PCI suite.ResultsDuring the 4-year study period, 63 patients diagnosed with STEMI and transferred to the receiving hospital's PCI suite were included in this study. Mean times from the transport request to arrival of the ambulance at the sending hospital's emergency department were six minutes (95% CI, 4-7 minutes) via municipal ALS and 13 minutes (95% CI, 9-16 minutes) for the ALS transfer service. The mean times from the ground transport request to arrival at the receiving hospital's PCI suite when utilizing the municipal ALS ambulance and hospital contracted ALS ambulance services were 48 minutes (95% CI, 33-64 minutes) and 56 minutes (95% CI 52-59 minutes), respectively. This eight-minute period represented a 14% (P = .001) reduction in the mean transfer time to the PCI suite for patients transported via the municipal ALS ambulance.ConclusionIn the appropriate setting, the use of the municipal “911” ALS ambulance service for the interfacility transport of patients with STEMI appears advantageous in reducing door-to-catheterization times.TennysonJC, QualeMR. Reduction in STEMI transfer times utilizing a municipal “911” ambulance service. Prehosp Disaster Med. 2014;29(1):1-4.
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McCourt, Jacita A., Eli Strait, and Jeanne Lee. "583 Photos of Burn Wounds Can Help Reduce Over-Triage and Prevent Unnecessary Ambulance Transfer." Journal of Burn Care & Research 43, Supplement_1 (March 23, 2022): S128—S129. http://dx.doi.org/10.1093/jbcr/irac012.211.

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Abstract Introduction Burn wounds can be difficult to assess for providers outside the burn center and can result in over triage. The combination of photos of burn wounds with a clinical history can help burn practitioners make appropriate triage decisions, including immediate ambulance transfer vs scheduling an outpatient follow up appointment. Appropriate photo triage can help reduce healthcare costs by eliminating both unnecessary transfers to the burn center and overburdening burn resources. This performance improvement project involved the development of a secure photo sharing web portal and photo triage clinical pathway to help burn practitioners appropriately triage burn patients being evaluated at health care facilities within the catchment area of an American Burn Association verified adult and pediatric burn center. Methods Existing technology was used to develop a burn photo sharing web portal that can be easily accessed by providers outside the burn center. A new clinical pathway for burn photo triage was developed. Education was formulated for nurses and providers within the burn center and for referring facilities. Retrospective data was collected for the 4 years of ambulance transfers captured in the outpatient burn registry prior to the implementation of the photo triage clinical pathway. Comparison data was also abstracted for the first year after implementation. Patients were categorized as over triaged or appropriately triage based on the first set of photos captured in the EMR. Results In the pre-triage years there were a total of 242 ambulance transfers to the outpatient burn clinic. 150 (62%) of those patients were appropriately triaged, while 92 (38%) were over triaged. In the year following implementation there were 27 ambulance transfers to the outpatient burn clinic. 25 (92.6%) of these patients were appropriately triaged while 2 (7.4%) were over triaged. Overall ambulance transfers to the outpatient burn clinic dropped by more than 50% (average of 60.5 transfer per year down to 27 after implementation). Conclusions Patients with burn injuries at referring facilities were more appropriately triaged when using photos of wounds which ultimately reduced the number of unnecessary ambulance transfers.
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Hagihara, Akihito, Daisuke Onozuka, Takashi Nagata, Takeru Abe, Manabu Hasegawa, and Yoshihiro Nabeshima. "Ambulance Dispatches From Unaffected Areas After the Great East Japan Earthquake: Impact on Emergency Care in the Unaffected Areas." Disaster Medicine and Public Health Preparedness 9, no. 6 (July 28, 2015): 609–13. http://dx.doi.org/10.1017/dmp.2015.92.

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AbstractObjectiveAlthough dispatching ambulance crews from unaffected areas to a disaster zone is inevitable when a major disaster occurs, the effect on emergency care in the unaffected areas has not been studied. We evaluated whether dispatching ambulance crews from unaffected prefectures to those damaged by the Great East Japan Earthquake was associated with reduced resuscitation outcomes in out-of-hospital cardiac arrest (OHCA) cases in the unaffected areas.MethodsWe used the Box-Jenkins transfer function model to assess the relationship between ambulance crew dispatches and return of spontaneous circulation (ROSC) before hospital arrival or 1-month survival after the cardiac event.ResultsIn a model whose output was the rate of ROSC before hospital arrival, dispatching 1000 ambulance crews was associated with a 0.474% decrease in the rate of ROSC after the dispatch in the prefectures (p=0.023). In a model whose output was the rate of 1-month survival, dispatching 1000 ambulance crews was associated with a 0.502% decrease in the rate of 1-month survival after the dispatch in the prefectures (p=0.011).ConclusionsThe dispatch of ambulances from unaffected prefectures to earthquake-stricken areas was associated with a subsequent decrease in the ROSC and 1-month survival rates in OHCA cases in the unaffected prefectures. (Disaster Med Public Health Preparedness. 2015;9:609–613)
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Kincaid, Jenevieve, Charles Mize, and Mila Dorji. "Emergency Ambulance Dispatch and Drive Times: An Analysis of Prehospital Vehicular Response in the Kingdom of Bhutan." Prehospital and Disaster Medicine 34, s1 (May 2019): s125. http://dx.doi.org/10.1017/s1049023x19002693.

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Introduction:The Kingdom of Bhutan is a small, mountainous country with limited financial resources. Its population is scattered in hard-to-reach villages with poor road access. Ambulance drivers piloting Toyota Landcruisers provide the majority of the country’s emergency response and are dispatched by the national emergency response center (Health Help Service/112) to calls in the nation’s twenty districts.Aim:By collecting and analyzing prehospital response data, we aimed to describe Bhutanese emergency medical response (EMS) ambulance activities and make system-wide recommendations to improve the speed of emergency vehicle dispatch, reduce the time between ambulance activation and ambulance arrival on scene, and adequately describe emergency vehicle drive time as it relates to distance driven.Methods:The following data was compiled in Excel: Dispatch center phone records, EMS ambulance activation times, drive times, vehicle geospatial data, and written records of ambulance drivers. No identifiable data was collected.Inclusion Criteria: All prehospital calls from 2017 and 2018 where complete data was available.Exclusion Criteria: Complete data unavailable, i.e. geographic data without a matching call or report.Statistical Tools: SPSS Statistics Version 25, NVivo 12-12.2.0.3262.Results:Preliminary analysis of the data shows a significant difference between data collected and data previously reported, the speed of emergency vehicular response and dispatch, drive times, and distance traveled. Facility transfer rather than scene response was found to take more time.Discussion:Due to adverse road conditions, lengthy drive times, and an inadequate number of personnel and satellite ambulance locations, we recommend optimizing ambulance location using an optimization model that will minimize the number of ambulances needed and maximize response time. Future considerations may include adding a ground arm to the Bhutan Emergency Aeromedical Retrieval team, or a second aeromedical team in the eastern part of the country.
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Truche, Paul, Rachel E. NeMoyer, Sara Patiño-Franco, Juan P. Herrera-Escobar, Myerlandi Torres, Luis F. Pino, and Gregory L. Peck. "Publicly funded interfacility ambulance transfers for surgical and obstetrical conditions: A cross sectional analysis in an urban middle-income country setting." PLOS ONE 15, no. 11 (November 6, 2020): e0241553. http://dx.doi.org/10.1371/journal.pone.0241553.

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Introduction Interfacility transfers may reflect a time delay of definitive surgical care, but few studies have examined the prevalence of interfacility transfers in the urban low- and middle-income (LMIC) setting. The aim of this study was to determine the number of interfacility transfers required for surgical and obstetric conditions in an urban MIC setting to better understand access to definitive surgical care among LMIC patients. Methods A retrospective analysis of public interfacility transfer records was conducted from April 2015 to April 2016 in Cali, Colombia. Data were obtained from the single municipal ambulance agency providing publicly funded ambulance transfers in the city. Interfacility transfers were defined as any patient transfer between two healthcare facilities. We identified the number of transfers for patients with surgical conditions and categorized transfers based on patient ICD-9-CM codes. We compared surgical transfers from public vs. private healthcare facilities by condition type (surgical, obstetric, nonsurgical), transferring physician specialty, and transfer acuity (code blue, emergent, urgent and nonurgent) using logistic regression. Results 31,659 patient transports occurred over the 13-month study period. 22250 (70.2%) of all transfers were interfacility transfers and 7777 (35%) of transfers were for patients with surgical conditions with an additional 2,244 (10.3%) for obstetric conditions. 49% (8660/17675) of interfacility transfers from public hospitals were for surgical and obstetric conditions vs 32% (1466/4580) for private facilities (P<0.001). The most common surgical conditions requiring interfacility transfer were fractures (1,227, 5.4%), appendicitis (913, 4.1%), wounds (871, 3.9%), abdominal pain (818, 3.6%), trauma (652, 2.9%), and acute abdomen (271, 1.2%). Conclusion Surgical and obstetric conditions account for nearly half of all urban interfacility ambulance transfers. The most common reasons for transfer are basic surgical conditions with public healthcare facilities transferring a greater proportion of patient with surgical conditions than private facilities. Timely access to an initial healthcare facility may not be a reliable surrogate of definitive surgical care given the substantial need for interfacility transfers.
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Azadeh, Mohammad Reza, Mohammad Parvaresh Masoud, Mina Gaeeni, and Amir Hamta. "Outcomes of Traffic Accident Patients Transferred by Air and Ground Ambulance: Propensity Score Matching." Health in Emergencies & Disasters Quarterly 7, no. 1 (October 1, 2021): 21–32. http://dx.doi.org/10.32598/hdq.7.1.397.2.

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Background: The main task of the emergency medical system is to provide primary care and transfer the patients to hospital. Studies have been conducted to investigate the outcome of air and ground ambulance patients, but they show different results. These different results may be due to the type of study, statistical methods, differences in prehospital emergency systems, and insufficient control of confounding variables. Thus, it is difficult to compare and generalize the results. This study aimed to investigate the outcomes of injured people transported by air and ground ambulance in road traffic accidents in Qom Province, Iran, during 2015-2019. Materials and Methods: In this retrospective analytical descriptive study, we used the numerical method and examined all road traffic accident patients transferred through ground or air to Qom Shahid Beheshti Hospital by the prehospital emergency from 2015 to 2019. The collected information included the type of transfer, age, sex, type of trauma, distance from the accident site to the hospital, initial vital signs, duration of the mission, and day of the accident. To control the confounding factors, we used propensity score matching. Outcomes studied included length of hospital stay, length of stay in the intensive care unit, duration of mechanical ventilation, and the need for immediate surgery. Logistic regression was used to analyze the need for immediate surgery and a generalized linear model for other consequences. Results: After matching, the number of patients in each group transferred by ground ambulances and helicopter was 566. Trauma to the head (P=0.028) and back (P=0.002) were more common in helicopter-transported patients. The patients transported by helicopter had a longer time to reach the scene (7.70 ±5.18 min) (P<0.001), a shorter duration of presence on the scene (12.17±8.33 min) (P=0.041), and a shorter duration of transfer (13.12±4.75 min) (P<0.001) than the ground ambulance. There was no significant difference between the patients who transferred by ground and helicopter ambulance regarding the length of hospital stay in the intensive care unit (P=0.718), mechanical ventilation (P=0.507), and hospitalization (P=0.089). The need for immediate surgery in helicopter-transported patients was 84.8% higher than ground ambulance patients (95%CI: 0.086-0.267; P<0.001). Conclusion: The patients transported by helicopter were not significantly different from ground ambulances transported patients regarding staying in the intensive care unit, mechanical ventilation, and hospitalization, but they more needed immediate surgery. If the patients are triaged adequately according to the type of injury and the level of consciousness at the scene and transferred to the appropriate hospital by ground or air, they can enjoy the benefits of the type of transfer.
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Melton, JTK, S. Jain, B. Kendrick, and SD Deo. "Helicopter Emergency Ambulance Service (HEAS) Transfer: An Analysis of Trauma Patient Case-Mix, Injury Severity and Outcome." Annals of The Royal College of Surgeons of England 89, no. 5 (July 2007): 513–16. http://dx.doi.org/10.1308/003588407x202074.

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INTRODUCTION A retrospective review of all patients transferred by helicopter ambulance to the Great Western Hospital over a 20-month period between January 2003 and September 2004 was undertaken to establish the case-mix of patients (trauma and non-trauma) transferred and the outcome. PATIENTS AND METHODS Details of all Helicopter Emergency Ambulance Service (HEAS) transfers to this unit in the study time period were obtained from the three HEAS providers in the area and case notes were reviewed. RESULTS There were 156 trauma patients transferred (total 193) in the study period with 111 cases identified for analysis with a mean age of 33 years (range, 1–92 years). Average Injury Severity Score on admission was 12 (range, 1–36). Forty-five patients were discharged home from the emergency department, 24 cases had operation, 10 patients required ICU care and 2 were pronounced dead in the emergency department. Average hospital stay following HEAS transfer was 2.97 days (range, 0–18 days). DISCUSSION Helicopter ambulance transfer in the acute setting is of debated value. Triage criteria are at fault if as many as 41% of patients transferred are being discharged home from casualty having incurred the financial cost of helicopter transfer. We suggest that the triage criteria for helicopter emergency transfer should be reviewed.
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Bruijns, Stevan R., Henry R. Guly, and Lee A. Wallis. "Vital signs during and following ambulance transfer." European Journal of Emergency Medicine 21, no. 2 (April 2014): 136–38. http://dx.doi.org/10.1097/mej.0b013e32836188b4.

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Porter, Alison, Sarah Black, Jeremy Dale, David Fitzpatrick, Robert Harris-Mayes, Robin Lawrenson, Ronan Lyons, et al. "VP205 Implementing Electronic Records In Ambulances." International Journal of Technology Assessment in Health Care 33, S1 (2017): 246. http://dx.doi.org/10.1017/s0266462317004305.

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INTRODUCTION:Increasingly, ambulance services offer alternatives to transfer to the emergency department (ED), when this is better for patients. The introduction of electronic health records (EHR) in ambulance services is encouraged by national policy across the United Kingdom (UK) but roll-out has been variable and complex.Electronic Records in Ambulances (ERA) is a two-year study which aims to investigate and describe the opportunities and challenges of implementing EHR and associated technology in ambulances to support a safe and effective shift to out of hospital care, including the implications for workforce in terms of training, role and clinical decision-making skills.METHODS:Our study includes a scoping review of relevant issues and a baseline assessment of progress in all UK ambulance services in implementing EHR. These will inform four in-depth case studies of services at different stages of implementation, assessing current usage, and examining context.RESULTS:The scoping review identified themes including: there are many perceived potential benefits of EHR, such as improved safety and remote diagnostics, but as yet little evidence of them; technical challenges to implementation may inhibit uptake and lead to increased workload in the short term; staff implementing EHR may do so selectively or devise workarounds; and EHR may be perceived as a tool of staff surveillance.CONCLUSIONS:Our scoping review identified some complex issues around the implementation of EHR and the relevant challenges, opportunities and workforce implications. These will help to inform our fieldwork and subsequent data analysis in the case study sites, to begin early in 2017. Lessons learned from the experience of implementing EHR so far should inform future development of information technology in ambulance services, and help service providers to understand how best to maximize the opportunities offered by EHR to redesign care.
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Dent, Tom, Inderia Tipping, Racquel Anderson, and Charles Daniels. "Hospice advice and rapid response service for ambulance clinicians." BMJ Supportive & Palliative Care 10, no. 3 (March 27, 2020): 296–99. http://dx.doi.org/10.1136/bmjspcare-2019-001911.

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ObjectivePatients in the last year of life experience medical emergencies which may lead to an emergency attendance by ambulance clinicians and some patients having a transfer to hospital even when this is unwanted by patients, carers or professionals. Here we report the patient characteristics and outcomes of a 24-hour hospice nursing telephone advice service to support an ambulance service.MethodAn evaluation of the outcomes of ambulance calls to a nursing telephone advice service for people living in northwest London, UK, attended at home during a 6-month period by the London Ambulance Service, whose clinicians then sought advice from the hospice’s 24 hours’ telephone line.ResultsForty-five attendances of 44 acutely ill people with palliative care needs resulted in a telephone call. Thirteen patients (30%) were male and the median age was over 80 years. Thirty-two attendances (71%) were managed without a transfer to hospital, with telephone advice from the hospice and in some cases arrangements for another clinician to visit. Seven attendances (16%) resulted in a transfer to hospital, of which at least five led to an admission. Six attendances (13%) resulted in a notification of the patient’s death.ConclusionsThis preliminary study shows the feasibility, outcomes and acceptability of telephone advice to support ambulance clinicians attending patients with palliative care needs. The service was associated with low rates of subsequent transfer to hospital. Further controlled research is needed to assess the clinical and cost-effectiveness of the service.
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Dissertations / Theses on the topic "Ambulance transfer"

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Jones, Anna L. "An ergonomic evalution of equipment to support patient movement and transfer in the ambulance service." Thesis, Loughborough University, 2007. https://dspace.lboro.ac.uk/2134/8036.

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It is commonly accepted that ambulance staff undertake a large amount of lifting and handling in their daily work. Their primary role is to provide pre-hospital care and to transport sick and injured people to hospital. The emergency nature of the job means that ambulance workers have to assist people who are incapable of moving themselves in awkward and potentially hazardous environments. While safer lifting policies have been introduced ambulance workers still lift weights which other healthcare workers can avoid. However since the introduction of manual handling regulations and more recently CEN standards, ambulance services and manufacturers have been trying to find new ways of moving and transferring patients. Ambulance services have purchased new equipment to reduce musculoskeletal risks but there is little scientific evidence to support their purchasing choices. This thesis presents two case studies describing ergonomic equipment evaluations of stretcher loading systems and mobility equipment to provide a scientific basis to support purchasing decisions. Case study one is a comparative analysis of stretcher loading equipment used in UK ambulance services. The study was carried out in two phases. Phase 1 was a field study which used observation and interview methods to identify issues affecting equipment use in a range of environments. Phase 2 was a simulation study which used task simulation to assess the postures adopted during loading and unloading activities with each system. Both phases identified the tail lift as the preferred system to reduce manual handling and improve patient and operator safety. Case study two is a comparative evaluation of mobility equipment. User trials were carried out to evaluate 12 transport chairs and 4 stretchers for Accident and Emergency and Patient Transport Service staff to identify preferred equipment for each team. 16 staff assessed the equipment by conducting task simulations and completing questionnaires for each product. Postures adopted during the tasks were assessed using Rapid Entire Body Assessment. The mechanised stair climber chair was the preferred chair for both teams. The stretcher analysis was inconclusive. This thesis has used two case studies to establish a protocol for field and lab based evaluations of movement and transfer equipment in the future for the ambulance vehicle. A more comprehensive procurement process is recommended to include detailed ergonomic evaluation, ensuring that the end user is fully represented. The thesis concludes that automation is way forward to reduce manual handling risks posed to ambulance workers. The output from case study 1 (tail lift) has been included in the national specification for future Emergency Ambulances in the UK.
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Hall, V. "A study to investigate whether speed and road conditions have an effect on the physiological stability of sick and preterm babies undergoing inter-hospital transfer by ambulance." Thesis, University of Salford, 2017. http://usir.salford.ac.uk/42638/.

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Aim: The aim of this study was to investigate whether speed and road conditions have an effect on the physiological stability of sick and preterm babies undergoing inter-hospital transfer by ambulance. Study Design: This was a quantitative observational study using primary data. The study compared the stability of physiological parameters (heart rate, arterial blood pressure, respiratory rate and blood oxygen saturation) against speed and g forces experienced in three dimensions, longitudinal direction (x-axis), lateral (y-axis) and vertical direction (z-axis). Data was collected using a DL1 Race–technology device with a 5Hz GPS receiver and digital accelerometer to measure the forces acting on the baby. Data was collected from twelve babies undergoing ambulance transfer between neonatal or paediatric units in the North West of England in a neonatal intensive care incubator mounted on an ambulance trolley. Seven complete data sets were analysed. Physiological variability was compared between the two types of road conditions: motorways and other roads. Results: The babies demonstrated more stability during motorway journeys, though predictable situations in the journey promoted instability. Speed was not a factor in physiological instability, but acceleration and deceleration exerted pronounced effects on physiological status, particularly when combined with marked lateral forces. Other changes in physiological status during apparently stable transit require further investigation, as does the optimum positioning of the baby along or across the fore-and-aft axis of the ambulance. This was the first study to investigate real-time physiological effects on live neonates during required transfer journeys including measurements in three axes throughout the episode while exerting no research effect on the babies.
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Poinsot, Carina Milleron Jacques. "Transferts médicalisés en Haute Marne de 1998 à 2000 étude, modalités d'organisation et évolution des indications /." [S.l] : [s.n], 2003. http://www.scd.uhp-nancy.fr/docnum/SCDMED_T_2003_POINSOT_CARINA.pdf.

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Ingleton, C., S. Payne, Anita R. Sargeant, and J. Seymour. "Barriers to achieving care at home at the end of life: transferring patients between care settings using patient transport services." 2009. http://hdl.handle.net/10454/6872.

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Enabling patients to be cared for in their preferred location often involves journeys between care settings. The challenge of ensuring journeys are timely and safe emerged as an important issue in an evaluation of palliative care services, which informed a service redesign programme in three areas of the United Kingdom by the Marie Curie Cancer Care 'Delivering Choice Programme'. This article explores perceptions of service users and key stakeholders of palliative care services about problems encountered in journeys between care settings during end-of-life care. This article draws on data from interviews with stakeholders (n = 44), patients (n = 16), carers (n = 19) and bereaved carers (n = 20); and focus groups (n = 9) with specialist nurses. Data were gathered in three areas of the United Kingdom. Data were analysed using a framework approach. Transport problems between care settings emerged as a key theme. Four particular problems were identified: (1) urgent need for transport due to patients' rapidly changing condition; (2) limited time to organise transfers; (3) the management of specialist equipment and (4) the need to clarify the resuscitation status of patients. Partnership working between Ambulance Services and secondary care is required to develop joint protocols of care to ensure timely and safe transportation between care settings of patients, who are near their end of life. Commissioning of services should be responsive to the complexities of patients' needs and those of their families.
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Books on the topic "Ambulance transfer"

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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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The Norfolk Ambulance National Health Service Trust (Transfer of Trust Property) Order 1992 (Statutory Instruments: 1992: 493). Stationery Office Books, 1992.

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The Kent Ambulance National Health Service Trust (Transfer of Trust Property) Order 1995 (Statutory Instruments: 1995: 1911). Stationery Office Books, 1995.

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The Dorset Ambulance National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 896). Stationery Office Books, 1994.

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Britain, Great. The Oxfordshire Ambulance National Health Service Trust (Transfer of Trust Property) Order 1996 (Statutory Instruments: 1996: 1777). Stationery Office Books, 1996.

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American Academy of Orthopaedic Surgeons. and American College of Emergency Physicians., eds. Critical care transport. Sudbury, Mass: Jones and Bartlett Publishers, 2010.

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Jenkins, Ian A., and David A. Rowney. Resuscitation, stabilization, and transfer of sick and injured children. Edited by Jonathan G. Hardman and Neil S. Morton. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0074.

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Even though anaesthetists may not regard themselves as specialists in the care of critically ill children, they are still at the forefront of the immediate care of critically ill children. Whether they have developed an interest in paediatric anaesthesia or because they have subspecialized in general intensive care, anaesthetists will find themselves called upon by colleagues in the emergency department or in paediatrics to exercise the knowledge and skills that no other group in the hospital possess. Additionally, when these children need to be moved either to a scanner or hyper-acutely to a tertiary unit (e.g. for neurosurgical intervention), then the skills and specific knowledge of the anaesthetist will be called upon again. These elements are recognized in the syllabi of both the Fellowship of the Royal College of Anaesthetists and the Fellowship of the Faculty of Intensive Care Medicine. This chapter gives the background to the characteristics of critically ill children, sets out the important elements of the conditions that will be commonly encountered, and provides a full résumé of the preparations that transferring teams will need in terms of personnel, their knowledge, skills, and equipment, and also a full exploration of the various methods of transport, road ambulance, rotary- and fixed-wing aircraft, and what all these entail for the clinical team.
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The West Wales Ambulance National Health Service Trust (Transfer of Trust Property) Order 1996 (Statutory Instruments: 1996: 522). Stationery Office Books, 1996.

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The Humberside Ambulance Service National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 489). Stationery Office Books, 1994.

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The East Anglian Ambulance National Health Service Trust (Transfer of Trust Property) Order 1994 (Statutory Instruments: 1994: 2689). Stationery Office Books, 1994.

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Book chapters on the topic "Ambulance transfer"

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Ben Zayed, Salman, Abdullah Bin Gani, Hesham Gadelrab, and Mohd Khalit Bin Othman. "Ambulance Transfer and Emergency Department Processing: Modelling and Simulation." In Operational Management in Emergency Healthcare, 63–102. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-53832-3_4.

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Hua, Cheng, and Wenqian Xing. "Patient Transfer Under Ambulance Offload Delays: An Approximate Dynamic Programming Approach." In Lecture Notes in Operations Research, 337–50. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-90275-9_27.

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Döbele, Martina, and Ute Becker. "Transfer." In Ambulante Pflege von A bis Z, 354–57. Berlin, Heidelberg: Springer Berlin Heidelberg, 2016. http://dx.doi.org/10.1007/978-3-662-49885-9_95.

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Kergosien, Y., M. Gendreau, A. Ruiz, and P. Soriano. "Managing a Fleet of Ambulances to Respond to Emergency and Transfer Patient Transportation Demands." In Proceedings of the International Conference on Health Care Systems Engineering, 303–15. Cham: Springer International Publishing, 2013. http://dx.doi.org/10.1007/978-3-319-01848-5_24.

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Zubairi, Junaid Ahmed, Syed Misbahuddin, and Imran Tasadduq. "Emergency Medical Data Transmission Systems and Techniques." In Handbook of Research on Advances in Health Informatics and Electronic Healthcare Applications, 169–88. IGI Global, 2010. http://dx.doi.org/10.4018/978-1-60566-030-1.ch011.

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Patients in critical condition need Physician’s supervision while they are in transit to the hospital. If the ambulance is linked to the emergency room, the physician can monitor patient’s vital signs and issue instructions to the paramedics for stabilizing the patient. When a disaster strikes, scores of people are transferred to the hospital in ambulances. During an emergency situation, the number of patients in critical condition reaches overwhelming proportions. In this chapter, we discuss the state of the art in transferring emergency medical data from the disaster site or ambulance to the hospital and outline some case studies. We present a scheme called MEDTOC (Medical Data Transmission Over Cellular Network) for transferring in-ambulance multiple patients’ data to the hospital by UMTS. This system enables the transfer of vital signs to the hospital in reduced and packed format using limited bandwidth wireless network. Medical data can be transmitted over 3G cellular network using various modes and quality of service parameters available in UMTS. This could help the physicians in monitoring several patients who are either in transit or at a triage unit on a disaster site. Results of the application of data reduction algorithm over CAN packets and feasibility studies in transfer of data over UMTS are presented and discussed.
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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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Vucetic, Jelena. "An Analysis of a Successful Emergency Telemedicine Venture." In Handbook of Research on Distributed Medical Informatics and E-Health, 215–27. IGI Global, 2009. http://dx.doi.org/10.4018/978-1-60566-002-8.ch015.

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This paper describes business and technological challenges and solutions for a successful emergency telemedicine venture called MediComm. Its objective is to provide a new generation of integrated information and communication systems, targeting medical and emergency care organizations. This system enables multi-directional transfer of information (including voice, data, fax, video) between the organization’s central information system and its mobile fleet of ambulance vehicles. MediComm enables emergency care personnel to take a patient’s vital measurements and personal information in an ambulance on the way to the hospital, send the information to the hospital, and receive from the hospital directions for the patient’s treatment during transportation. When the patient arrives into the hospital, his/her information will be already updated in the information system, and the medical personnel will be ready to provide the necessary care immediately. Thus, time will be saved, which for many patients is of critical importance. The treatment of patients will be more effective and simplified, which will result in substantially lower cost of medical care.
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Shokrollahi, Kayvan, and Susie Yao. "The burns management pathway II: receiving and initially managing a patient with burns." In Burns (OSH Surgery), 43–52. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780199699537.003.0006.

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The burns multidisciplinary team includes surgeons, specialist nurses, anaesthetic and critical care specialists, operating theatre staff, physiotherapists, occupational therapist, play specialists, clinical psychologists and dieticians, with input from other specialties (eg. microbiology). Burns units receive referrals from primary and secondary care, usually by telephone. Referral proformas help to document these calls and any information provided about patients, their burns and associated injuries, the treatments provided and their planned transfer. The clinician accepting the patient for transfer must ensure that there is an available ward or ICU bed, as required, prior to arranging transfer. Care should be taken to minimize the risk of a patient deteriorating during transfer. Fluid resuscitation and patient warming should continue during a prompt transfer by an ambulance team with the appropriate equipment and expertise, along with a medical escort if required. Upon arrival, the patient should be formally and systematically assessed (including an ATLS primary and secondary survey and anaesthetic assessment if indicated) and any remaining investigations undertaken. The burn wounds should be cleaned, photographed, swabbed and dressed, and any resuscitation fluids recalculated and prescribed. Appropriate medications and adjuncts should be prescribed including tetanus, deep vein thrombosis and stress ulceration prophylaxis, analgesia, usual medications, and nutritional supplements along with enteral or parenteral feeds. An admission proforma helps junior medical staff to ensure that all required information is collected and all components of the standard management plan are instituted.
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Wyatt, Jonathan P., Robert G. Taylor, Kerstin de Wit, Emily J. Hotton, Robin J. Illingworth, and Colin E. Robertson. "General approach." In Oxford Handbook of Emergency Medicine, 1–42. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198784197.003.0001.

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This chapter in the Oxford Handbook of Emergency Medicine is an introduction to the emergency department (ED). It discusses the practice of emergency medicine both within the ED and beyond. It explores patient flow, patient safety, and note keeping. It discusses the art of radiological request, triage, discharge, referral, and handover, as well as liaising with general practitioners (GPs) and the ambulance crew, giving telephone advice, and coping as a junior doctor. It examines inappropriate attenders, as well as the patient with a label, the difficult patient, special patient groups, and patient transfer. It explores the patient with learning difficulties, and assessment and discharge of the elderly patient. It discusses end-of-life care, including breaking bad news and what to do after death. Medicolegal aspects are examined, on both how to avoid trouble and duty under the law. Infection control and prevention, roadside emergency, and major incidents are also discussed.
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Frichi, Youness, Abderrahmane Ben Kacem, Fouad Jawab, Oualid Kamach, and Samir Chafik. "Improving Interhospital Medical Patient Transportation in Morocco." In Transportation, Logistics, and Supply Chain Management in Home Healthcare, 136–62. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-0268-6.ch008.

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Healthcare facilities are nowadays facing several challenges in terms of quality of care, costs, and performance. Collaboration with stakeholders is a promising way to overcome these challenges. In Morocco, healthcare access and continuity of care remain difficult due, among others, to the various stakeholders involved and the lack of ambulances for extra-hospital and interhospital medical patient transportation (MPT). In this chapter, the aim was to explore collaboration in healthcare supply chain to improve the availability of ambulances for interhospital MPT (transfers). For this purpose, an overview of the MPT system in Morocco was presented while highlighting its main issues. Then, a case study of three hospitals in Casablanca City was analyzed employing a collaborative approach. It consisted in forecasting transfer requests for next periods based on past data, and redistributing the ambulances of the three hospitals according to the forecasts. Findings attest to the variability in demand in the three hospitals and therefore the need for a dynamic allocation of ambulances.
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Conference papers on the topic "Ambulance transfer"

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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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Butt, Z., B. McGrath, D. Cadogan, I. Casserly, H. McCann, J. O’Neill, E. Keelan, et al. "2 Pre-hospital direct ambulance transfer has led to major improvements in timeliness of ppci in suspected stemi: temporal trends over an eight-year period in a designated PPCI centre." In Irish Cardiac Society Annual Scientific Meeting & AGM, October 6th – 8th 2022, Radisson Hotel, Little Island, Cork Ireland. BMJ Publishing Group Ltd and British Cardiovascular Society, 2022. http://dx.doi.org/10.1136/heartjnl-2022-ics.2.

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Norman, Aidan, Sean Chadwick, and Jeremy Thomas. "0011 Simulation On The Move. High-fidelity Transfer Training In A Moving Ambulance Is Used To Improve Non-technical Skills In A Multidisciplinary Team In An Isolated And Potentially Hostile Environment." In Association for Simulated Practice in Healthcare Annual Conference 11–13 November 2014 Abstracts. The Association for Simulated Practice in Healthcare, 2014. http://dx.doi.org/10.1136/bmjstel-2014-000002.176.

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Partridge, Tom J., David E. Morris, Roger A. Light, Andrew Leslie, Don Sharkey, John A. Crowe, and Donal S. McNally. "Finding Comfortable Routes for Ambulance Transfers of Newborn Infants*." In 2020 42nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) in conjunction with the 43rd Annual Conference of the Canadian Medical and Biological Engineering Society. IEEE, 2020. http://dx.doi.org/10.1109/embc44109.2020.9175873.

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Reports on the topic "Ambulance transfer"

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Tornatore, Laura, Robert Crouch, Mark Ainsworth-Smith, Charles Deakin, Valerie Lattimer, Stephen Murray, Catherine Pope, and Fizz Thompson. Improving the quality of ambulance crew hand-overs: a qualitative study of knowledge transfer in emergency care teams. National Institute for Health Research, November 2021. http://dx.doi.org/10.3310/nihropenres.1115167.1.

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