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Application of Automated External Defibrillators in Motorcycle Ambulances in Thailand's Emergency Medical Services.
| Content Provider | Europe PMC |
|---|---|
| Author | Apiratwarakul, Korakot Tiamkao, Somsak Cheung, Lap Woon Celebi, Ismet Suzuki, Takaaki Ienghong, Kamonwon |
| Copyright Year | 2022 |
| Abstract | BackgroundAccess time to emergency patients is a critical factor that affects the outcomes of life-or-death situations, especially in the cases of out-of-hospital cardiac arrests (OHCA). This study focused on developing a new model of emergency medical services (EMS) using a motorcycle-based ambulance (motorlance) with an automated external defibrillator (AED). There are currently no studies regarding access time for this vehicle. This study aimed at utilization of an AED in conjunction with motorlance and comparing the response time between a traditional ambulance and a motorlance.MethodsThis was a prospective study conducted in the EMS department of Srinagarind Hospital, located in Khon Kaen, Thailand, over a five-month period, from September 2021 to January 2022. Data were recorded employing a national standard of operations record form used for Thailand EMS departments nationwide.ResultsThe 891 cases were divided into two groups which were motorlance and ambulance. The activation times for motorlance and ambulance were 0.44 minutes and 1.42 minutes, respectively (p < 0.001) and the response time in the motorlance group was 7.20 minutes compared with 9.25 minutes in the ambulance group. In OHCA, the motorlance with AED arrived at patients location and assisted to continue resuscitation at the hospital 88.9% of the time.ConclusionAED used in conjunction with motorcycle ambulances had shorter periods of both activation time and response time compared to ambulances. The use of AEDs clearly increases the number of continuous resuscitations in out-of-hospital cardiac arrest patients. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC9013265&blobtype=pdf |
| Page Count | 6 |
| Journal | Open Access Emergency Medicine : OAEM [Open Access Emerg Med] |
| Volume Number | 14 |
| PubMed Central reference number | PMC9013265 |
| PubMed reference number | 35437357 |
| e-ISSN | 11791500 |
| DOI | 10.2147/oaem.s361335 |
| Language | English |
| Publisher | Dove |
| Publisher Date | 2022-04-12 |
| Access Restriction | Open |
| Rights License | This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). © 2022 Apiratwarakul et al. |
| Subject Keyword | ambulance cardiac arrest emergency care prehospital emergency care response time |
| Content Type | Text |
| Resource Type | Article |
| Subject | Emergency Nursing Emergency Medicine |
