Does Assessment of Ambulance Medical Service Leads to Reduced Number of Transports to the Emergency Room?

Dalarna County Council, Sweden

Status: Unknown

Conditions: Registered Nurse; Assessment; Emergency Medical Service

Treatments: Other: Ambulant assessment

Study type: Interventional

Funder types: Other

Identifiers

NCT03466905

Dnr 2016/393

Details and patient eligibility

About

There is a need to reduce the number of ambulance transports to the Emergency Room to the patients who are not in need of urgent medical care. There are currently no studies and the aim of the study is to investigate if the ambulance transports to the Emergency Room can be reduced by a dialogue between a Registered Nurse in ambulance and a Medical Doctor in the Primary Care (called "Ambulant assessment"). In this connection there is also a need to follow up patients that not have been transported to the Emergency Room, secondary ambulance transport, relapse within 48 hours, type of examination and treatment and mortality.

Enrollment: 100 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients >18 years
• ambulance missions in the Community of Borlänge/Falun (case) and Community of Leksand (control)
• weekday and weekend, 08:00 to 22:00
• initially evaluated not to need urgent Medical care according RETTS

Exclusion criteria

• initially evaluated need urgent Medical care according RETTS
• the patient unable to give consent to the study
• patient with existing care plan
• ambulance mission without patient

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

100 participants in 2 patient groups

Intervention

Active Comparator group

Description:

Assessment of Ambulance Medical Service

Treatment:

Other: Ambulant assessment

Control

No Intervention group

Description:

Local treatment guidelines