Assistant Professor, Department of Emergency Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
PhD Student of Industrial Engineering, Department of Industrial Engineering, Yazd University, Yazd, Iran.
J Emerg Manag. 2021 Sep-Oct;19(5):469-478. doi: 10.5055/jem.0550.
The emergency departments of the hospitals and emergency medical services (EMSs) centers have a critical role for providing urgent medical care for patients. The statistical data of the present study were provided by the EMS headquarters of the city of Isfahan, from August to November 2017.
The findings showed that on average, 210 missions were accomplished each day by the emergency call center, with an average duration of about 53 minutes, for each mission. In addition, the average time for response time (the time between a call and dispatch of the ambulance) was less than 3 minutes, and the average time for arrival time (the time between request of ambulance and the arrival to the scene) was 8.1 minutes. Adequacy of current number of ambulances and staff is evaluated.
Considering an average of 8.1 minutes for arrival time, we conclude that the EMS of Isfahan is within an acceptable range, compared to the international standards. In fact, it is shown that the infrastructures of EMS system including ambulance fleets, staff, and equipment are sufficient, and as an effective step for reducing the total time of the mission, the EMS has to operate seamlessly with the patient's admission process in hospitals. Information such as workload hours, availability of resources and staff, etc. ought to be shared between the EMS and the hospital.
医院的急诊科和急救医疗服务（EMS）中心在为患者提供紧急医疗方面发挥着关键作用。本研究的统计数据由伊斯法罕市的 EMS 总部提供，时间为 2017 年 8 月至 11 月。
调查结果显示，急救中心平均每天完成 210 次任务，每次任务的平均持续时间约为 53 分钟。此外，响应时间（从呼叫到派遣救护车的时间）的平均时间少于 3 分钟，到达时间（从请求救护车到到达现场的时间）的平均时间为 8.1 分钟。评估了当前救护车和人员数量的充足性。
考虑到到达时间平均为 8.1 分钟，与国际标准相比，我们可以得出结论，伊斯法罕的 EMS 在可接受的范围内。事实上，事实证明，包括救护车车队、人员和设备在内的 EMS 系统基础设施充足，并且作为缩短任务总时间的有效措施，EMS 必须与医院的患者入院流程无缝对接。应当在 EMS 和医院之间共享诸如工作时间、资源和人员可用性等信息。
