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优化紧急医疗服务中摩托车救护车的运行时间和行驶距离

Optimizing Operation Time and Travel Distance for Motorcycle Ambulances in Emergency Medical Services.

作者信息

Apiratwarakul Korakot, Phungoen Pariwat, Cheung Lap Woon, Tiamkao Somsak, Suzuki Takaaki, Pearkao Chatkhane, Ienghong Kamonwon

机构信息

Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Accident & Emergency Department, Princess Margaret Hospital, Kowloon, Hong Kong.

出版信息

Prehosp Disaster Med. 2023 Feb;38(1):88-94. doi: 10.1017/S1049023X2200228X. Epub 2022 Dec 7.

Abstract

INTRODUCTION

The motorcycle ambulance is used for quick access to patients. The response time to reach the patient takes less time than with a van ambulance. Moreover, accidents involving ambulances tend to be higher. However, at present, there is no study regarding the appropriate situation used of motorcycle ambulances in Emergency Medical Services (EMS) in Thailand.

STUDY OBJECTIVE

This study aims to optimize the travel distance and the operation time of motorcycle ambulances used.

METHODS

This study was a prospective, randomized controlled study at the EMS unit of Srinagarind Hospital, Thailand. The data collection period was from November 2021 through May 2022. All data involving dispatch of both ambulances in need were collected.

RESULTS

A total of 2,398 cases of EMS operation were examined. The mean age of the patients in the motorcycle ambulance group was 42.5 (SD = 6.5) years, and 51.3% (n = 616) were male. The response time for motorcycle ambulances and van ambulances during the operation time between 6:00am-9:00am was 6.2 minutes and 9.1 minutes, respectively. The response times for motorcycle ambulances and van ambulances regarding distance traveled from 0-5km were 4.2 minutes and 7.5 minutes, respectively (P <.001); distance traveled from 5-10km were 6.3 minutes and 8.2 minutes, respectively (P = .010).

CONCLUSION

The motorcycle ambulance can reach patients faster than the ambulance at the operation time from 6:00am-9:00am and 3:00pm-6:00pm. This study focused on the distance less than 10 kilometers.

摘要

引言

摩托车救护车用于快速接治患者。其抵达患者的响应时间比厢式救护车更短。此外,涉及救护车的事故发生率往往更高。然而,目前泰国紧急医疗服务(EMS)中关于摩托车救护车适用情况尚无研究。

研究目的

本研究旨在优化所使用的摩托车救护车的行驶距离和运行时间。

方法

本研究是在泰国诗里拉吉医院EMS部门进行的一项前瞻性随机对照研究。数据收集期为2021年11月至2022年5月。收集了所有涉及调度两种所需救护车的相关数据。

结果

共检查了2398例EMS运行病例。摩托车救护车组患者的平均年龄为42.5(标准差=6.5)岁,男性占51.3%(n = 616)。上午6:00 - 9:00运行期间,摩托车救护车和厢式救护车的响应时间分别为6.2分钟和9.1分钟。行驶距离在0 - 5千米时,摩托车救护车和厢式救护车的响应时间分别为4.2分钟和7.5分钟(P <.001);行驶距离在5 - 10千米时,分别为6.3分钟和8.2分钟(P = .010)。

结论

在上午6:00 - 9:00和下午3:00 - 6:00的运行时间内,摩托车救护车比厢式救护车能更快抵达患者处。本研究聚焦于距离小于10千米的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f05c/9885430/b382f7a6a01f/S1049023X2200228X_fig1.jpg

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