EXCLUSIVES
FacebookTwitterLinkedInGoogle+RSS Feed
Fire EMSEMS TodayEMS Insider

The Utility of Non-Traditional Delivery of EMS

ems-motorcycle

Review of: Soares-Oliveira M, Egipto P, Costa I, Cunha-Ribeiro LM, et al: Emergency motorcycle: has it a place in a medical emergency system? American Journal of Emergency Medicine 25(6): 620-622, 2007.

The Science

The utility of non-traditional delivery of EMS such as bike medics, horse-mounted patrols, or in this case medical emergency motorcycle (MEM) has been considered in many systems and is used frequently in the care for large gatherings.

This study, performed in Portugal was designed to examine the use of their MEM program over a period of time. It was a retrospective study of the care records generated from runs where an EMT-Basic with an AED on a motorcycle was dispatched for high priority calls.

There were 1,972 calls. The average time of MEM arrival was 4.4 +/- 2.5 minutes. The most common intervention was administration of oxygen (n = 626), immobilization (n = 118), and control of hemorrhage (n = 101). In 63% of cases, MEM arrived before other emergency vehicles. In 355 cases (18%), there was no need for transport.

The Street

The most interesting thing about this article is the conclusion where they state, "We propose that it should be dispatched mainly in the following situations: true life-threatening cases and uncertain need for an ambulance."



In their system HEMS was activated for all calls where both ALS and BLS ambulance resources were simultaneously mobilized. This represents the highest priority calls received by 9-1-1. Despite this, 18% of the response was felt not to require an ambulance transport. This is more an incrimination of their emergency medical dispatch system than it is a reasonable conclusion of the role of MEM. If a system receives a call that is felt not to warrant an ambulance there is no reason to send any type of red lights and sirens response.

Clearly, there is a role for MEM. To move efficiently through city traffic and not over tax the use of more cumbersome and slower ambulances it is possible to get a trained EMS provider at the patient s side to make a rapid determination as to the seriousness of the call and more effectively manage the ultimate response.

RELATED ARTICLES

Rethink the Way EMS Does Patient Care Reports

EMS must let go of the idea prehospital care documentation is strictly about billing and creating a legally defensible record of events.

Hands On May 2015

Read about the latest products in EMS.

Study Examines EMS' Administration of Aspirin

Less than half of eligible patients receive the drug.

Early Clinical Trials Suggests Hydroxocobalamin Beneficial for Hemorrhagic Shock

Medically facilitated hemorrhage control study yields good results, more questions.

Crew Resource Management Can Improve Crew Efficiency

Crews performing in unison offer better learning opportunities.

Serving the Psychological Needs of Your Employees

How does your agency help employees cope with the traumas and stressors of EMS?

Features by Topic

Featured Careers

 

JEMS TV

FEATURED VIDEO TOPICS

Learn about new products and innovations featured at EMS Today 2015

 

JEMS Connect

CURRENT DISCUSSIONS

 
 

EMS BLOGS

Blogger Browser

Today's Featured Posts