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10.5811/westjem.2020.8.48679

http://scihub22266oqcxt.onion/10.5811/westjem.2020.8.48679
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33052824!7673868!33052824
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suck abstract from ncbi


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pmid33052824      West+J+Emerg+Med 2020 ; 21 (6): 110-116
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  • How the COVID-19 Epidemic Affected Prehospital Emergency Medical Services in Tehran, Iran #MMPMID33052824
  • Saberian P; Conovaloff JL; Vahidi E; Hasani-Sharamin P; Kolivand PH
  • West J Emerg Med 2020[Sep]; 21 (6): 110-116 PMID33052824show ga
  • INTRODUCTION: Coronavirus disease 2019 (COVID-19) has substantially impacted the healthcare delivery system in Tehran, Iran. The country's first confirmed positive test for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) was on February 18, 2020. Since then, the number of cases has steadily increased in Iran and worldwide. Emergency medical services (EMS) quickly adapted its operations to accommodate a greater number of patients, and it worked to decrease the risk of COVID-19 spread among EMS personnel, given the disease's high transmissibility. METHODS: We evaluated the chief complaint as well as the pattern and number of EMS calls and dispatches during the 28-day intervals before and after the February 18, 2020, COVID-19 outbreak in Iran. RESULTS: EMS calls increased from 355,241 in the pre-outbreak period to 1,589,346 in the post-outbreak period, a 347% increase (p<0.001). EMS dispatches rose more modestly from 82,282 to 99,926, a 21% increase (p<0.001). The average time on telephone hold decreased from 10.6 +/- 12.7 seconds pre-outbreak to 9.8 +/- 11.8 seconds post-outbreak, a 7% decrease (p<0.001). The average length of call also decreased from 1.32 +/- 1.42 minutes pre-outbreak to 1.06 +/- 1.28 minutes post-outbreak, a 20% decrease (p<0.001). The highest number of daily dispatches occurred during the second and third weeks of the four-week post-outbreak period, peaking at 4557 dispatches/day. After the first reported case of SARS-CoV-2, there were significant increases in chief complaints of fever (211% increase, p<0.001) and respiratory symptoms (245% increase, p<0.001). CONCLUSION: The number of EMS calls and dispatches in Tehran increased 347% and 20%, respectively, after the outbreak of COVID-19. Despite this, the time on hold for EMS response decreased. The Tehran EMS system accomplished this by increasing personnel hours, expanding call-center resources, and implementing COVID-19-specific training.
  • |COVID-19/*epidemiology[MESH]
  • |Emergency Medical Services/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Iran/epidemiology[MESH]
  • |SARS-CoV-2[MESH]


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