ArticleBMC emergency medicine2021
Identification of new demands regarding prehospital care based on 35,188 missions in 2018.
Article in BMC emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 35 citations in OpenAlex.
- Video Streaming or Telephone Communication During Emergency Medical Services Dispatch Calls: A Cluster Randomized Clinical Trial.JAMA network open · 2025Trial
- Temporal trends and patterns of pre-hospital emergency medical service utilization in Yasuj, Southwest Iran: a four-year registry-based cross-sectional study.International journal of emergency medicine · 2026Article
- Age and gender patterns in emergency alarms and missions: a cross-sectional observational study.BMC emergency medicine · 2026Observational
- A retrospective analysis of the need for on-site emergency physician presence and mission characteristics of a rural ground-based emergency medical service.BMC emergency medicine · 2024Article
- Role identities of emergency medical services personnel and their associations with intention to leave the profession.BMC emergency medicine · 2024Article
- Assessment of frailty by paramedics using the clinical frailty scale - an inter-rater reliability and accuracy study.BMC emergency medicine · 2023Article
- Rethinking non-urgent EMS conveyance to ED during night-time - a pilot study in Southwest Finland.BMC emergency medicine · 2023Article
- Decision-making on the fly: a qualitative study of physicians in out-of-hospital emergency medical services.BMC emergency medicine · 2023Article
- [Pre-emptive emergency service-Preventive missions and promotion of health literacy at the intersections with emergency medical services].Die Anaesthesiologie · 2023Review
- BASE Jumping in the Lauterbrunnen Valley: A Retrospective Cohort Study from 2007 to 2016.International journal of environmental research and public health · 2023Article
- Not only COVID-19 disease impacts ambulance emergency demands but also lockdowns and quarantines.BMC emergency medicine · 2023Article
- Paramedics in Switzerland: A Mature Profession.International journal of environmental research and public health · 2022Article
- Emergency Primary Care Personnel's Perspectives Toward AI-Based Decision Support Tools: A Qualitative Study in Norway.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPopulation ageing and increased prevalence of chronic diseases result in the emergence of new demands in prehospital care. The prehospital system is facing an increase of cases without acute threat to life (so-called "non-urgent"), which generates tension due to a higher number of admissions to emergency departments and a greater use of prehospital resources. Our aim is to understand this transition in prehospital activities and to delineate the primary missions performed by paramedics in 2018 with a focus on the population concerned, the severity of cases encountered and the typology of health issues.
methodThe study is retrospective, and descriptive, using a statistical description of 35,188 primary missions realized in 2018 in the State of Vaud (Switzerland). The characteristics taken into consideration are the age and gender of patients, as well as the health issue, the severity of cases based on National Advisory Committee for Aeronautics score (NACA score), and the time and place of intervention.
resultsThe results describe the primary missions in the State of Vaud in 2018 and show that 87% of missions concern "non-urgent" situations (without acute threat to life). Over half of patients are 65 or older, the highest proportion of health issues, 49%, are medical and only 23% of missions are for traumas. Mission related to mental health issues reach 7% and those for intoxication 6%. Most missions take place between 7:00 am and 6:00 pm (67%), and around 12% of missions lead to the non-transport of the patient.
conclusionThe prehospital sector is confronted with a major transition in terms of patient care. An increase of non-urgent cases is observed, associated with the care of persons aged 65 or more. Our results question the adequacy between the needs in terms of prehospital care and the paramedic profession as it is currently defined, as well as the place of this profession within the health network. Reflecting upon the role of paramedics with respect to the socio-demographic evolution of populations appears necessary, to analyse the adequacy of the paramedics' skills to respond to the current needs.
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