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10.1016/j.ajem.2021.01.091

http://scihub22266oqcxt.onion/10.1016/j.ajem.2021.01.091
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33578329!7857109!33578329
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suck abstract from ncbi


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pmid33578329      Am+J+Emerg+Med 2021 ; 44 (ä): 33-37
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  • Examining emergency medical services prehospital transport times for trauma patients during COVID-19 #MMPMID33578329
  • Jarvis S; Salottolo K; Berg GM; Carrick M; Caiafa R; Hamilton D; Banton K; Lieser M; Bar-Or D
  • Am J Emerg Med 2021[Jun]; 44 (ä): 33-37 PMID33578329show ga
  • INTRODUCTION: Longer prehospital times were associated with increased odds for survival in trauma patients. The purpose of this study was to determine how the COVID-19 pandemic affected emergency medical services (EMS) prehospital times for trauma patients. METHODS: This retrospective cohort study compared trauma patients transported via EMS to six US level I trauma centers admitted 1/1/19-12/31/19 (2019) and 3/16/20-6/30/20 (COVID-19). Outcomes included: total EMS pre-hospital time (dispatch to hospital arrival), injury to dispatch time, response time (dispatch to scene arrival), on-scene time (scene arrival to scene departure), and transportation time (scene departure to hospital arrival). Fisher's exact, chi-squared, or Kruskal-Wallis tests were used, alpha = 0.05. All times are presented as median (IQR) minutes. RESULTS: There were 9400 trauma patients transported by EMS: 79% in 2019 and 21% during the COVID-19 pandemic. Patients were similar in demographics and transportation mode. Emergency room deaths were also similar between 2019 and COVID-19 [0.6% vs. 0.9%, p = 0.13].There were no differences between 2019 and during COVID-19 for total EMS prehospital time [44 (33, 63) vs. 43 (33, 62), p = 0.12], time from injury to dispatch [16 (6, 55) vs. 16 (7, 77), p = 0.41], response time [7 (5, 12) for both groups, p = 0.27], or on-scene time [16 (12-22) vs. 17 (12,22), p = 0.31]. Compared to 2019, transportation time was significantly shorter during COVID-19 [18 (13, 28) vs. 17 (12, 26), p = 0.01]. CONCLUSION: The median transportation time for trauma patients was marginally significantly shorter during COVID-19; otherwise, EMS prehospital times were not significantly affected by the COVID-19 pandemic.
  • |*Emergency Medical Services[MESH]
  • |*Hospital Mortality[MESH]
  • |*Transportation of Patients[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Retrospective Studies[MESH]
  • |Time Factors[MESH]
  • |Trauma Centers[MESH]


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