title: Patient management in the emergency department by advanced care paramedics.
abstract: We describe an emergency department process using Advanced Care Paramedics in the management of patients identified as ambulatory and low acuity, or those able to be managed without an emergency nurse. Patients streamed in this way had shorter stays than other emergency patients, without affecting the care of the latter. The process was associated with improved patient flow indicators in spite of an increased patient burden.
authors.affiliation: From Queen Elizabeth II Health Sciences Center, Halifax, Nova Scotia, Canada. samuel.campbell@cdha.nshealth.ca
authors.forename: Samuel G
authors.initials: SG
authors.lastname: Campbell
authors.forename: Sandra E
authors.initials: SE
authors.lastname: Janes
authors.forename: Robert P
authors.initials: RP
authors.lastname: MacKinley
authors.forename: Patrick C
authors.initials: PC
authors.lastname: Froese
authors.forename: Susan
authors.initials: S
authors.lastname: Harris
authors.forename: Glen R
authors.initials: GR
authors.lastname: Etsell
authors.forename: Donna A
authors.initials: DA
authors.lastname: Warren
authors.forename: David A
authors.initials: DA
authors.lastname: Stewart
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Priest
authors.forename: Anil J
authors.initials: AJ
authors.lastname: Snook
authors.forename: David G
authors.initials: DG
authors.lastname: Urquhart
mesh_terms: D004634:Emergency Medical Technicians; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006801:Humans; D005791:Patient Care; D024382:Professional Role