ArticleThe American journal of emergency medicine2021
An assessment of treatment, transport, and refusal incidence in a National EMS's routine work during COVID-19.
Article in The American journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Article
- New and emerging drivers of ambulance demand.BMC emergency medicine · 2026Article
- Impact of the COVID-19 Pandemic on Patients' Refusal of Emergency Medical Services (EMS) Transport.Cureus · 2026Article
- Out-of-hospital births and the experiences of emergency ambulance clinicians and birthing parents: a scoping review of the literature.BMJ open · 2025Article
- Impact of the COVID-19 pandemic on prehospital emergency medical service: a scoping review.Frontiers in public health · 2025Article
- Patients' use of Danish emergency medical services before and during the COVID-19 pandemic: a register-based study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Exploring the challenges of emergency medical service providers in the initial phase of the COVID-19 pandemic: a qualitative content analysis.BMC emergency medicine · 2024Article
- Impact of COVID-19 Pandemic on Health and Life Emergencies Resulting from Illness Cases and Injuries-A Preliminary Study.Journal of clinical medicine · 2024Article
- Not only COVID-19 disease impacts ambulance emergency demands but also lockdowns and quarantines.BMC emergency medicine · 2023Article
- Severe trauma in Germany and Israel: are we speaking the same language? A trauma registry comparison.Frontiers in public health · 2023Article
- Emergency Transport Refusal during the Early Stages of the COVID-19 Pandemic in Gyeonggi Province, South Korea.International journal of environmental research and public health · 2022Article
- Increased ambulance on-scene times but unaffected response times during the first wave of the COVID-19 pandemic in Southern Denmark.BMC emergency medicine · 2022Article
- Explore pre-hospital emergency challenges in the face of the COVID-19 pandemic: A quality content analysis in the Iranian context.Frontiers in public health · 2022Article
- Emergency Medical Services Prehospital Response to the COVID-19 Pandemic in the US: A Brief Literature Review.Open access emergency medicine : OAEM · 2022Review
- Article
- Conflict in troponin levels in COVID-19 patients.The American journal of emergency medicine · 2021Article
- Impact of coronavirus disease 2019 on the mortality of patients who received emergency transportation: a population-based cross-sectional study.Acute medicine & surgeryArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCOVID-19 created lifestyle changes, and induced a fear of contagion affecting people's decisions regarding seeking medical assistance. Concern surrounding contagion and the pandemic has been found to affect the number and type of medical emergencies to which Emergency Medical Services (EMS) have responded.
aimTo identify, categorize, and analyze Magen David Adom (MDA), Israel's national EMS, pre-hospital activities including patients' refusal to hospital transport, during the COVID-19 pandemic crises.
methodsA comparative before and after design study of MDA incidents during March/April 2019 and March/April 2020. Medical type, frequency, demographic, location, and transport refusal proportions and outcomes were analyzed.
resultsA decrease of 2.6% in the total volume of incidents was observed during March and April 2020 compared with the equivalent period in 2019. This contrasted with the retrospective trend of annually increase observed through 2016-2019. Medical categories showing increase in 2020 were infectious disease, cardiac arrest, psychiatric, and labor and deliveries, with out-of-hospital deliveries increasing by 14%. Decreases in 2020 were seen in neurology and trauma, with trauma incidents occurring at home showing an 8.6% increase. Patients' refusal to transport rose from 13.4% in 2019 to 19.9% in 2020. Cases of refusals followed by death within 8 days were more prevalent in 2020.
conclusionEMS must be prepared for changes in patients' behavior due to COVID concerns. Targeting populations at risk for refraining or refusing hospital transport and implementing diverse models of EMS, especially during pandemic times, will allow EMS to assist patients safely, either by reducing truly unnecessary ED visits minimizing contagion or by increasing hospital transports for patients in urgent or emergent conditions.
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