The Utility of Non-Traditional Delivery of EMS

Street Science

 

 
 
 

Keith Wesley | | Tuesday, July 17, 2007


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.




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Specialty Vehicles, Operations and Protcols, Research

 
What's Your Take? Comment Now ...

Featured Careers & Jobs in EMS

 

 

 

 

 

 

 

 

 

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

The Evolution of Civilian High Threat Medical Guidelines

How mass killing events have proven a need for new guidelines.
More >

Multimedia Thumb

Kentucky Firefighters, Medics Drill for Ebola

Lexington firefighters and medics prepare for possible patients.
Watch It >


Multimedia Thumb

Mid-South EMTs Prepare for Ebola

Mid-South EMTs are certified for service.
Watch It >


Multimedia Thumb

Ebola Changes How North Carolina EMS Responds to Calls

Concern about virus spread leads to new protocols.
Watch It >


Multimedia Thumb

Oklahoma Hospitals Prepare for Ebola Cases

Training and preparation are keys for metro hospitals.
Watch It >


Multimedia Thumb

Ottawa Shooting Incident

Solider is shot by gunman at national memorial in Ottawa.
More >


Multimedia Thumb

Life Link III Trauma Tactics Conference in Minnesota

Conference was designed to enhance the skills of providers of all levels, covering rescue and prehospital situations, to transport and in-hospital treatment.
More >


Multimedia Thumb

EMS Tailgating

Rigs converted for football.
More >


Multimedia Thumb

Braun Ambulances' EZ Door Forward

Helps to create a safer ambulance module.
Watch It >


Multimedia Thumb

LMA MAD Nasal™

Needle-free intranasal drug delivery.
Watch It >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

Sneak peek of customizable run forms & more.
Watch It >


More Product Videos >