Emergency Medical Service (EMS) systems in developed and developing countries

Bahman Sayyar Roudsari, Avery B. Nathens, Carlos Arreola-Risa, Peter Cameron, Ian Civil, Giouli Grigoriou, Russel L. Gruen, Thomas D. Koepsell, Fiona E. Lecky, Rolf L. Lefering, Moishe Liberman, Charles N. Mock, Hans Jörg Oestern, Elenie Petridou, Thomas A. Schildhauer, Christian Waydhas, Moosa Zargar, Frederick P. Rivara

Research output: Contribution to journalArticle

81 Citations (Scopus)

Abstract

Objectives: To compare patient- and injury-related characteristics of trauma victims and pre-hospital trauma care systems among different developed and developing countries. Method: We collated de-identified patient-level data from national or local trauma registries in Australia, Austria, Canada, Greece, Germany, Iran, Mexico, New Zealand, the Netherlands, the United Kingdom and the United States. Patient and injury-related characteristics of trauma victims with injury severity score (ISS) >15 and the pre-hospital trauma care provided to these patients were compared among different countries. Results: A total of 30,339 subjects from one or several regions in 11 countries were included in this analysis. Austria (51%), Germany (41%) and Australia (30%) reported the highest proportion of air ambulance use. Monterrey, Mexico (median 10.1 min) and Montreal, Canada (median 16.1 min) reported the shortest and Germany (median: 30 min) and Austria (median: 26 min) reported the longest scene time. Use of intravenous fluid therapy among advanced EMS systems without physicians as pre-hospital care providers, varied from 30% (in the Netherlands) to 55% (in the US). The corresponding percentages in advanced EMS systems with physicians actively involved in pre-hospital trauma care, excluding Montreal in Canada, ranged from 63% (in London, in the UK) to 75% in Germany and Austria. Austria and Germany also reported the highest percentage of pre-hospital intubation (61% and 56%, respectively). Conclusion: This study provides an early look at international variability in patient mix, process of care, and performance of different pre-hospital trauma care systems worldwide. International efforts should be devoted to developing a minimum standard data set for trauma patients.

Original languageEnglish (US)
Pages (from-to)1001-1013
Number of pages13
JournalInjury
Volume38
Issue number9
DOIs
StatePublished - Sep 1 2007
Externally publishedYes

Fingerprint

Emergency Medical Services
Developed Countries
Developing Countries
Austria
Wounds and Injuries
Germany
Canada
Mexico
Netherlands
Air Ambulances
Physicians
Injury Severity Score
Fluid Therapy
Greece
Iran
New Zealand
Intubation
Registries

Keywords

  • Advanced Life Support
  • Basic Life Support
  • Developed and developing countries
  • Emergency Medical Service (EMS) systems
  • Endotracheal intubation
  • Intravenous fluid therapy
  • Pre-hospital trauma care

ASJC Scopus subject areas

  • Emergency Medicine
  • Orthopedics and Sports Medicine

Cite this

Sayyar Roudsari, B., Nathens, A. B., Arreola-Risa, C., Cameron, P., Civil, I., Grigoriou, G., ... Rivara, F. P. (2007). Emergency Medical Service (EMS) systems in developed and developing countries. Injury, 38(9), 1001-1013. https://doi.org/10.1016/j.injury.2007.04.008

Emergency Medical Service (EMS) systems in developed and developing countries. / Sayyar Roudsari, Bahman; Nathens, Avery B.; Arreola-Risa, Carlos; Cameron, Peter; Civil, Ian; Grigoriou, Giouli; Gruen, Russel L.; Koepsell, Thomas D.; Lecky, Fiona E.; Lefering, Rolf L.; Liberman, Moishe; Mock, Charles N.; Oestern, Hans Jörg; Petridou, Elenie; Schildhauer, Thomas A.; Waydhas, Christian; Zargar, Moosa; Rivara, Frederick P.

In: Injury, Vol. 38, No. 9, 01.09.2007, p. 1001-1013.

Research output: Contribution to journalArticle

Sayyar Roudsari, B, Nathens, AB, Arreola-Risa, C, Cameron, P, Civil, I, Grigoriou, G, Gruen, RL, Koepsell, TD, Lecky, FE, Lefering, RL, Liberman, M, Mock, CN, Oestern, HJ, Petridou, E, Schildhauer, TA, Waydhas, C, Zargar, M & Rivara, FP 2007, 'Emergency Medical Service (EMS) systems in developed and developing countries', Injury, vol. 38, no. 9, pp. 1001-1013. https://doi.org/10.1016/j.injury.2007.04.008
Sayyar Roudsari B, Nathens AB, Arreola-Risa C, Cameron P, Civil I, Grigoriou G et al. Emergency Medical Service (EMS) systems in developed and developing countries. Injury. 2007 Sep 1;38(9):1001-1013. https://doi.org/10.1016/j.injury.2007.04.008
Sayyar Roudsari, Bahman ; Nathens, Avery B. ; Arreola-Risa, Carlos ; Cameron, Peter ; Civil, Ian ; Grigoriou, Giouli ; Gruen, Russel L. ; Koepsell, Thomas D. ; Lecky, Fiona E. ; Lefering, Rolf L. ; Liberman, Moishe ; Mock, Charles N. ; Oestern, Hans Jörg ; Petridou, Elenie ; Schildhauer, Thomas A. ; Waydhas, Christian ; Zargar, Moosa ; Rivara, Frederick P. / Emergency Medical Service (EMS) systems in developed and developing countries. In: Injury. 2007 ; Vol. 38, No. 9. pp. 1001-1013.
@article{eb27f35cf3a54f3684d28d68a665de23,
title = "Emergency Medical Service (EMS) systems in developed and developing countries",
abstract = "Objectives: To compare patient- and injury-related characteristics of trauma victims and pre-hospital trauma care systems among different developed and developing countries. Method: We collated de-identified patient-level data from national or local trauma registries in Australia, Austria, Canada, Greece, Germany, Iran, Mexico, New Zealand, the Netherlands, the United Kingdom and the United States. Patient and injury-related characteristics of trauma victims with injury severity score (ISS) >15 and the pre-hospital trauma care provided to these patients were compared among different countries. Results: A total of 30,339 subjects from one or several regions in 11 countries were included in this analysis. Austria (51{\%}), Germany (41{\%}) and Australia (30{\%}) reported the highest proportion of air ambulance use. Monterrey, Mexico (median 10.1 min) and Montreal, Canada (median 16.1 min) reported the shortest and Germany (median: 30 min) and Austria (median: 26 min) reported the longest scene time. Use of intravenous fluid therapy among advanced EMS systems without physicians as pre-hospital care providers, varied from 30{\%} (in the Netherlands) to 55{\%} (in the US). The corresponding percentages in advanced EMS systems with physicians actively involved in pre-hospital trauma care, excluding Montreal in Canada, ranged from 63{\%} (in London, in the UK) to 75{\%} in Germany and Austria. Austria and Germany also reported the highest percentage of pre-hospital intubation (61{\%} and 56{\%}, respectively). Conclusion: This study provides an early look at international variability in patient mix, process of care, and performance of different pre-hospital trauma care systems worldwide. International efforts should be devoted to developing a minimum standard data set for trauma patients.",
keywords = "Advanced Life Support, Basic Life Support, Developed and developing countries, Emergency Medical Service (EMS) systems, Endotracheal intubation, Intravenous fluid therapy, Pre-hospital trauma care",
author = "{Sayyar Roudsari}, Bahman and Nathens, {Avery B.} and Carlos Arreola-Risa and Peter Cameron and Ian Civil and Giouli Grigoriou and Gruen, {Russel L.} and Koepsell, {Thomas D.} and Lecky, {Fiona E.} and Lefering, {Rolf L.} and Moishe Liberman and Mock, {Charles N.} and Oestern, {Hans J{\"o}rg} and Elenie Petridou and Schildhauer, {Thomas A.} and Christian Waydhas and Moosa Zargar and Rivara, {Frederick P.}",
year = "2007",
month = "9",
day = "1",
doi = "10.1016/j.injury.2007.04.008",
language = "English (US)",
volume = "38",
pages = "1001--1013",
journal = "Injury",
issn = "0020-1383",
publisher = "Elsevier Limited",
number = "9",

}

TY - JOUR

T1 - Emergency Medical Service (EMS) systems in developed and developing countries

AU - Sayyar Roudsari, Bahman

AU - Nathens, Avery B.

AU - Arreola-Risa, Carlos

AU - Cameron, Peter

AU - Civil, Ian

AU - Grigoriou, Giouli

AU - Gruen, Russel L.

AU - Koepsell, Thomas D.

AU - Lecky, Fiona E.

AU - Lefering, Rolf L.

AU - Liberman, Moishe

AU - Mock, Charles N.

AU - Oestern, Hans Jörg

AU - Petridou, Elenie

AU - Schildhauer, Thomas A.

AU - Waydhas, Christian

AU - Zargar, Moosa

AU - Rivara, Frederick P.

PY - 2007/9/1

Y1 - 2007/9/1

N2 - Objectives: To compare patient- and injury-related characteristics of trauma victims and pre-hospital trauma care systems among different developed and developing countries. Method: We collated de-identified patient-level data from national or local trauma registries in Australia, Austria, Canada, Greece, Germany, Iran, Mexico, New Zealand, the Netherlands, the United Kingdom and the United States. Patient and injury-related characteristics of trauma victims with injury severity score (ISS) >15 and the pre-hospital trauma care provided to these patients were compared among different countries. Results: A total of 30,339 subjects from one or several regions in 11 countries were included in this analysis. Austria (51%), Germany (41%) and Australia (30%) reported the highest proportion of air ambulance use. Monterrey, Mexico (median 10.1 min) and Montreal, Canada (median 16.1 min) reported the shortest and Germany (median: 30 min) and Austria (median: 26 min) reported the longest scene time. Use of intravenous fluid therapy among advanced EMS systems without physicians as pre-hospital care providers, varied from 30% (in the Netherlands) to 55% (in the US). The corresponding percentages in advanced EMS systems with physicians actively involved in pre-hospital trauma care, excluding Montreal in Canada, ranged from 63% (in London, in the UK) to 75% in Germany and Austria. Austria and Germany also reported the highest percentage of pre-hospital intubation (61% and 56%, respectively). Conclusion: This study provides an early look at international variability in patient mix, process of care, and performance of different pre-hospital trauma care systems worldwide. International efforts should be devoted to developing a minimum standard data set for trauma patients.

AB - Objectives: To compare patient- and injury-related characteristics of trauma victims and pre-hospital trauma care systems among different developed and developing countries. Method: We collated de-identified patient-level data from national or local trauma registries in Australia, Austria, Canada, Greece, Germany, Iran, Mexico, New Zealand, the Netherlands, the United Kingdom and the United States. Patient and injury-related characteristics of trauma victims with injury severity score (ISS) >15 and the pre-hospital trauma care provided to these patients were compared among different countries. Results: A total of 30,339 subjects from one or several regions in 11 countries were included in this analysis. Austria (51%), Germany (41%) and Australia (30%) reported the highest proportion of air ambulance use. Monterrey, Mexico (median 10.1 min) and Montreal, Canada (median 16.1 min) reported the shortest and Germany (median: 30 min) and Austria (median: 26 min) reported the longest scene time. Use of intravenous fluid therapy among advanced EMS systems without physicians as pre-hospital care providers, varied from 30% (in the Netherlands) to 55% (in the US). The corresponding percentages in advanced EMS systems with physicians actively involved in pre-hospital trauma care, excluding Montreal in Canada, ranged from 63% (in London, in the UK) to 75% in Germany and Austria. Austria and Germany also reported the highest percentage of pre-hospital intubation (61% and 56%, respectively). Conclusion: This study provides an early look at international variability in patient mix, process of care, and performance of different pre-hospital trauma care systems worldwide. International efforts should be devoted to developing a minimum standard data set for trauma patients.

KW - Advanced Life Support

KW - Basic Life Support

KW - Developed and developing countries

KW - Emergency Medical Service (EMS) systems

KW - Endotracheal intubation

KW - Intravenous fluid therapy

KW - Pre-hospital trauma care

UR - http://www.scopus.com/inward/record.url?scp=34547928335&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34547928335&partnerID=8YFLogxK

U2 - 10.1016/j.injury.2007.04.008

DO - 10.1016/j.injury.2007.04.008

M3 - Article

C2 - 17583709

AN - SCOPUS:34547928335

VL - 38

SP - 1001

EP - 1013

JO - Injury

JF - Injury

SN - 0020-1383

IS - 9

ER -