Wijesekera Olindi, Reed Amanda, Chastain Parker S, Biggs Shauna, Clark Elizabeth G, Kole Tamorish, Chakrapani Anoop T, Ashish Nandy, Rajhans Prasad, Breaud Alan H, Jacquet Gabrielle A
1Boston University School of Medicine,Boston,MassachusettsUSA.
2Boston University School of Public Health,Boston,MassachusettsUSA.
Prehosp Disaster Med. 2016 Dec;31(6):675-679. doi: 10.1017/S1049023X16000959. Epub 2016 Sep 19.
Introduction Without a universal Emergency Medical Services (EMS) system in India, data on the epidemiology of patients who utilize EMS are limited. This retrospective chart review aimed to quantify and describe the burden of disease and patient demographics of patients who arrived by EMS to four Indian emergency departments (EDs) in order to inform a national EMS curriculum.
A retrospective chart review was performed on patients transported by EMS over a three-month period in 2014 to four private EDs in India. A total of 17,541 patient records were sampled from the four sites over the study period. Of these records, 1,723 arrived by EMS and so were included for further review.
A range of 1.4%-19.4% of ED patients utilized EMS to get to the ED. The majority of EMS patients were male (59%-64%) and adult or geriatric (93%-99%). The most common chief complaints and ED diagnoses were neurological, pulmonary, cardiovascular, gastrointestinal, trauma, and infectious disease.
Neurological, pulmonary, cardiovascular, gastrointestinal, trauma, and infectious disease are the most common problems found in patients transported by EMS in India. Adult and geriatric male patients are the most common EMS utilizers. Emergency Medical Services curricula should emphasize these knowledge areas and skills. Wijesekera O , Reed A , Chastain PS , Biggs S , Clark EG , Kole T , Chakrapani AT , Ashish N , Rajhans P , Breaud AH , Jacquet GA . Epidemiology of Emergency Medical Services (EMS) utilization in four Indian emergency departments. Prehosp Disaster Med. 2016;31(6):675-679.
引言 在印度，由于缺乏通用的紧急医疗服务（EMS）系统，关于使用EMS的患者流行病学数据有限。这项回顾性图表审查旨在量化和描述通过EMS抵达印度四个急诊科（ED）的患者的疾病负担和患者人口统计学特征，以便为全国EMS课程提供信息。
对2014年三个月内由EMS转运至印度四个私立急诊科的患者进行回顾性图表审查。在研究期间，从四个地点共抽取了17541份患者记录。在这些记录中，有1723例是通过EMS抵达的，因此被纳入进一步审查。
1.4%-19.4%的急诊科患者使用EMS前往急诊科。大多数EMS患者为男性（59%-64%），且为成人或老年人（93%-99%）。最常见的主要症状和急诊科诊断为神经系统疾病、肺部疾病、心血管疾病、胃肠道疾病、创伤和传染病。
在印度，神经系统疾病、肺部疾病、心血管疾病、胃肠道疾病、创伤和传染病是通过EMS转运的患者中最常见的问题。成年和老年男性患者是最常见的EMS使用者。紧急医疗服务课程应强调这些知识领域和技能。维杰塞克拉O、里德A、查斯坦PS、比格斯S、克拉克EG、科勒T、查克拉帕尼AT、阿希什N、拉詹斯P、布雷奥德AH、雅克特GA。印度四个急诊科紧急医疗服务（EMS）使用情况的流行病学。院前灾难医学。2016；31(6):675-679。
