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Education, Teaching, and Quality Improvement |

Analysis of Emergency Calls Achieved in French Emergency Dispatching Center: What Resources for Which Patients

Jerome Cuny, MD; Olivier Tilak, MD; Nathalie Assez, MD; Patrick Goldstein, MD; Eric Wiel, PhD
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University Hospital of Lille, Lille, France


Chest. 2013;144(4_MeetingAbstracts):572A. doi:10.1378/chest.1670638
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Abstract

SESSION TITLE: Patient Safety Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 30, 2013 at 01:30 PM - 02:30 PM

PURPOSE: Following of patients referred by the French Emergency dispatching centre (SAMU 15) in different hospital services (emergency or ICU) is not always easy. Purpose of this study was to analyze each call arriving at the emergency dispatching centre, define resources for transportation, host hospital department, and analyze the short-term outcome of these patients.

METHODS: We conducted a prospective, observational study, by collecting all data recording at the Emergency Dispatching Centre on a continuous 24 hours period. Each call creating a medical file was included. We identified the type of call, various administrative information, purpose of call, resources triggered, medical advice, hospital department admission, clinical evolution.

RESULTS: 877 patients were included. 67.80% calling from home, 15.63% calling from public place. Firemen ambulance were sent in 38.89%, private ambulance in 24.65% and a emergency medical ambulance (SMUR) in 11.23%. A simple medical advice without transportation was given in 13.19% of cases. 22.18% of patients were entrusted to the family. 2.89% of patients refused transportation. 69.94% of triggered firemen ambulances were done by a centre 18 call, without any medical regulation by an emergency physician. 68.59% patients were referred to the emergency department, 1.2% in ICU, and 1.8% in Cardiac ICU. At the emergency room, 50.78% of patients received a simple medical consultation with biological analyses, and then, return home. 25.50% of patients were hospitalized in a medical or surgical department, and 12.42% in the short term hospitalised unit of the emergency department, (stay duration less than 24 hours). 5.10% of patients worsen and were oriented in the ICU. 3.77 % of patients to a Cardiac ICU. 73.84% of patients had stay duration less than 6 h in ED, 24.45% less than 24 hours. 40% of patients supported by firemen and 54 % supported by private ambulance left the hospital after a single medical consultation.

CONCLUSIONS: Nearly 70 % of patients calling the French Emergency Medical Dispatching Centre are sent to hospital. Those transportations are supported for two thirds of cases by a private ambulance or firemen ambulance. One out of 2 patients only received a simple medical consultation in ED, and go back home. This may concur to the deficiency of using general medicine in town. They prefer using emergency services for free. Only 1 patient out of 4 was hospitalized more than 24 hours.

CLINICAL IMPLICATIONS: -

DISCLOSURE: The following authors have nothing to disclose: Jerome Cuny, Olivier Tilak, Nathalie Assez, Patrick Goldstein, Eric Wiel

No Product/Research Disclosure Information


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