Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2018
Safety of on-scene medical care by EMS nurses in non-transported patients: a prospective, observational study.
Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed.
- An analysis of characteristics and associated factors for re-contacts after EMS non-conveyance: a retrospective cohort study in the Netherlands.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Nurses' use of an advisory decision support system in ambulance services: A qualitative study.Journal of advanced nursing · 2025Article
- The accuracy of predicting hospital admission by emergency medical service and emergency department personnel compared to the prehospital MEWS: a prospective multicenter study.BMC emergency medicine · 2024Observational
- The non-conveyance of trauma patients in Swedish emergency medical services: a retrospective observational study of the trauma population not transported to an emergency department.BMC emergency medicine · 2024Observational
- Ambulance quality and outcome measures for general non-conveyed populations (AQUA): A scoping review.PloS one · 2024Article
- Rethinking non-urgent EMS conveyance to ED during night-time - a pilot study in Southwest Finland.BMC emergency medicine · 2023Article
- Contribution of Live Video to Physicians' Remote Assessment of Suspected COVID-19 Patients in an Emergency Medical Communication Centre: A Retrospective Study and Web-Based Survey.International journal of environmental research and public health · 2023Article
- Lasting Effects of COVID-19 Pandemic on Prehospital Emergency Medical Service Missions.Open access emergency medicine : OAEM · 2023Article
- Satisfaction among non-conveyed patients and significant others when discharged at the scene by the ambulance service: an exploratory cross-sectional survey.BMC emergency medicine · 2022Article
- Ambulance crew-initiated non-conveyance in the Helsinki EMS system-A retrospective cohort study.Acta anaesthesiologica Scandinavica · 2022Article
- Simultaneous interfacility transfer of multiple non-critically ill COVID-19 patients using a single vehicle: the ambulance bus experience.International journal of emergency medicine · 2022Article
- Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis.BMC emergency medicine · 2021Article
- Article
- Characteristics of non-conveyed patients in emergency medical services (EMS): a one-year prospective descriptive and comparative study in a region of Sweden.BMC emergency medicine · 2020Article
- Non-conveyance in the ambulance service: a population-based cohort study in Stockholm, Sweden.BMJ open · 2020Article
- Patient characteristics, triage utilisation, level of care, and outcomes in an unselected adult patient population seen by the emergency medical services: a prospective observational study.BMC emergency medicine · 2020Observational
- Relationship Between Nonconveyed Cases and On-Scene Time Intervals for Emergency Medical Services.Journal of multidisciplinary healthcare · 2020Article
- Ambulance nurses' experiences of deciding a patient does not require ambulance care.Nursing open · 2019Article
- A retrospective comparison between non-conveyed and conveyed patients in ambulance care.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018Article
- Nontransported Cases after Emergency Medical Service Callout in the Rural and Urban Areas of the Riyadh Region.Saudi journal of medicine & medical sciencesArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAfter on-scene examination and /or treatment, emergency medical services (EMS) nurses must decide whether the patient requires further assessment or treatment, most frequently in a hospital. The primary objective of this study was to assess the reliability of the current EMS protocol by determining whether the decision not to transport the patient to a care provider was correct or not.
methodsAdults receiving on-scene medical care by an EMS rapid responder or full team without transport to the hospital were included in this prospective observational study. The primary outcome measure was secondary consultation within 24 h after an on-scene EMS evaluation without transport for the same or a closely related complaint. The secondary outcome measures were patient satisfaction, type of secondarily consulted health care provider, provisional and definitive diagnosis, and correctness of the EMS members' decision to provide on-scene medical care without transport.
resultsOf the 1095 participating patients, 271 (24.7%) patients requested secondary medical attention for the same complaint. This percentage was significantly larger in incidents attended by an ambulance team than by a rapid responder (N = 248 (26.5%) vs. N = 23 (14.4%); p < 0.05). In eleven (1.0%) cases an urgent medical diagnosis requiring admission was missed. A total of 873 (79.7%) patients were satisfied with the decision not to be transported. In 44 (4.0%) cases the EMS nurse's decision was rated incorrect since the patient needed help contradictory to the EMS nurse's recommendation.
conclusionsThe data show that EMS nurses can effectively examine patients, but a low threshold of referral for consultation should be considered because one in four patients requested secondary medical attention for the same complaint(s) again. However, due to a low response rate (11.3%) more research is needed to further determine the safety of the current EMS protocol.
trial registrationNot applicable.
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