• Arch Emerg Med · Sep 1991

    Do ambulance crews triage trauma patients?

    • A Rouse.
    • Cornwall and Isles of Scilly Health Authority, Department of Public Health Medicine, Truro, England.
    • Arch Emerg Med. 1991 Sep 1;8(3):185-91.

    ObjectiveTo determine whether ambulance crew triage trauma patients appropriately.DesignA retrospective descriptive study.SettingsCornwall County Ambulance Service.Variables StudiedOn-scene times, injury severity, establishment of intravenous infusion and time from scene to A&E department.SubjectsPatients with compound fracture of the lower limb taken to Truro Accident and Emergency department.Outcome MeasuresAmbulance service on-scene times and mission times.ResultsAmbulance crew do not appear to be triaging patients appropriately. Excessive time is being spent on pre-hospital stabilization. Delivery of patients to a casualty department is delayed.ConclusionAt present the activities of paramedics are poorly supervised, and pre-hospital management by paramedics may be jeopardizing patient care.

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