title: The impact of a pre-hospital medical response unit on patient care and emergency department attendances.
abstract: A rapid response team was instigated in Cork to improve prehospital care and reduce unnecessary Emergency Department (ED) visits. This consisted of a Specialist Registrar (SpR) in Emergency Medicine and a Paramedic who attended all "999" calls in a designated rapid response vehicle on the allotted study days. Two hundred and sixty-three patients were seen on designated days between Jan 2004 and March 2006. Presentations seen included; road traffic accident (23%) collapse (12%), fall (10%) and seizure (8%). The majority of calls were to houses (36%). The most common medical intervention was intravenous cannulation (25%). Intravenous medications were administered in 21% of these patients--morphine sulphate was the most common drug given. It was possible to safely discharge 31% of patients on scene. In our experience skilled Emergency Medicine doctors attending at scene could provide advanced care and reduce ambulance transportation and patient attendance.
authors.affiliation: Emergency Department, Cork University Hospital, Wilton, Cork. conordeasy@hotmail.com
authors.forename: C
authors.initials: C
authors.lastname: Deasy
authors.forename: D
authors.initials: D
authors.lastname: Ryan
authors.forename: C
authors.initials: C
authors.lastname: O'Donnell
authors.forename: S
authors.initials: S
authors.lastname: Cusack
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004632:Emergency Medical Services; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007223:Infant; D007494:Ireland; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D010865:Pilot Projects; D011787:Quality of Health Care; D013997:Time Factors; D016896:Treatment Outcome