ArticleDer Anaesthesist2006
[Spectrum of patients in prehospital emergency services. What has changed over the last 20 years?].
Article in Der Anaesthesist, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Comparing the McGrath Mac Video Laryngoscope and Direct Laryngoscopy for Prehospital Emergency Intubation in Air Rescue Patients: A Multicenter, Randomized, Controlled Trial.Critical care medicine · 2019Trial
- Psychiatric Diagnoses in Prehospital Emergency Care and Sociodemographic Characteristics of the Incident Location at the District Level.Prehospital and disaster medicine · 2025Article
- High-altitude HEMS missions-a retrospective analysis of 3,564 air rescue missions conducted between 2011 and 2021.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- [Comparison of the preclinical quality of analgesia of emergency physicians and paramedics based on trauma patients].Die Anaesthesiologie · 2024Article
- Digital transition in rural emergency medicine: Impact of job satisfaction and workload on communication and technology acceptance.PloS one · 2023Article
- Apart from the Medical Complaints, Why do Patients Use Emergency Medical Services? Results of a Patient Survey.Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2022Article
- Evaluation of a Rural Emergency Medical Service Project in Germany: Protocol for a Multimethod and Multiperspective Longitudinal Analysis.JMIR research protocols · 2020Article
- [Performance of prehospital emergency anesthesia and airway management : An online survey].Der Anaesthesist · 2018Article
- [Development of ground-based physician-staffed emergency missions in the city of Leipzig from 2003 to 2013].Der Anaesthesist · 2018Article
- Social Gradients in Myocardial Infarction and Stroke Diagnoses in Emergency Medicine.Deutsches Arzteblatt international · 2018Article
- [Future of emergency medicine in Germany 2.0].Der Anaesthesist · 2017Review
- Article
- [Spectrum of missions for a rescue helicopter. Changes in a south German urban area over the last 25 years].Der Anaesthesist · 2014Article
- [Improvement of emergency physician education through simulator training. Consideration on the basis of the model project "NASimSaar25"].Der Anaesthesist · 2014Article
- [On-scene times for helicopter services. Influence of central dispatch center strategy].Der Anaesthesist · 2014Article
- [Intraosseous infusion in the German Air Rescue Service : Guideline recommendations versus mission reality].Der Anaesthesist · 2013Article
- [Use of intraosseus infusion in the German air rescue service : nationwide analysis in the time period 2005 to 2009].Der Anaesthesist · 2011Article
- [Pediatric emergency patients in the air rescue service. Mission reality with special consideration to "invasive" measures].Der Anaesthesist · 2010Article
- The quality of emergency medical care in baden-württemberg (Germany): four years in focus.Deutsches Arzteblatt international · 2010Review
- [Emergency medical treatment of palliative care patients at the end of life: regulatory emergency medical care framework--a case control investigation of medical intervention and advance directives].Der Anaesthesist · 2009Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Germany the physician staffed emergency systems have announced an increase in rescue missions over the years. The aim of this study is to analyse the development of the spectrum of patients in an emergency system over the last 20 years in order to highlight the significant changes.
methodsIn a retrospective study we analyzed the prehospital chart views from 2004, 1992 and 1984 with respect to patients' demography, type of rescue mission, degree of internal disease or injury (NACA), state of consciousness (GCS), as well as prehospital interventions performed by prehospital emergency physician.
resultsIn 2004 (3,825), the absolute number of missions was 2 and 4 times higher than 1992 (2,114) and 1984 (957), resp. In all of these investigated time periods non-trauma missions (74%; 2,812 vs. 66%; 1,390 vs. 51%; 485) were leading, followed by trauma missions (18%; 690 vs. 22%; 464 vs. 39%; 375), aborted missions (3%; 126 vs. 7%; 154 vs. 6%; 56), and dead on arrival (5%; 197 vs. 5%; 106 vs. 4%; 41). Although, the percentage of patients with NACA IV-VI (39% vs. 50%) or patients with GCS < or =8 (18% vs. 34%) was lower in 2004, the absolute number of patients in each category was higher than in 1984 (NACA IV-VI: 1,434 vs. 448, p<0.01; GCS: 672 vs. 303, p<0.01).
conclusionsThe results of this study demonstrate, that the percentage of trauma, severely ill/injured or unconscious patients is lower than in previous years. However, the higher absolute numbers of patients demonstrate that the emergency physician now encounters more critically ill/injured, unconscious and trauma patients. It does not seem necessary to question the qualifications for an emergency physician, which have previously been considered essential for the management of acute life-threatening situations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.