McLauchlan C A, Driscoll P A, Whimster F, Dymond D S, Skinner D V
St Bartholomew's Hospital, London, England.
Arch Emerg Med. 1989 Sep;6(3):193-8. doi: 10.1136/emj.6.3.193.
St Bartholomew's Hospital, in the City of London, has for many years run a Coronary Ambulance service, called by the public via the 999 system. During a 9-month period only 55% of 214 cardiac emergencies arriving at St Bartholomew's Hospital came with Coronary Ambulance support, although the service was available if called. In cases where the Coronary Ambulance was summoned, the call-out was inappropriate in 57% of cases. In addition, 153 cardiac emergencies arrived at the Accident and Emergency Department during hours when the Coronary Ambulance was not available. Reasons for breakdowns in the call-out system are discussed and remedies involving the public and London Ambulance Control are suggested.
位于伦敦市的圣巴塞洛缪医院多年来一直运营着一项冠状动脉救护车服务，公众可通过999系统呼叫该服务。在为期9个月的时间里，抵达圣巴塞洛缪医院的214例心脏急症中，只有55%是在冠状动脉救护车的支持下送来的，尽管该服务在接到呼叫时是可用的。在召唤冠状动脉救护车的案例中，57%的出车情况并不恰当。此外，在冠状动脉救护车无法提供服务的时间段内，有153例心脏急症抵达了事故与急诊部。文中讨论了呼叫系统故障的原因，并提出了涉及公众和伦敦救护车调度中心的补救措施。
