29.Issue 08 august 24 - INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES

Volume : 11, Issue : 08, August – 2024

Title:

FACTORS INFLUENCING PREHOSPITAL SCENE TIME AND TRANSPORT DECISIONS: A SYSTEMATIC REVIEW

Authors :

Mohammed ali alghamdi, Mohammed Ali Mutheb Alotaibi, Ahmed Obaid Salem Al Sharif, Turki obead albeshri, Emad Salem Alghamdi, Sami Ahmed Al-Ghamdi, Zaher Ahmed Alghamdi, Meshari saed aloufi, Ayman Waslallah Alsolami, Fahad mohammad Salem Bahashwan

Abstract :

Background: Prehospital emergency services play a crucial role in patient outcomes, and the factors influencing prehospital scene time and transport decisions are not well understood. This systematic review aims to synthesize the existing literature on these factors to develop a conceptual framework and identify gaps in current knowledge.
Methods: A comprehensive search was conducted in electronic databases including PubMed, CINAHL, ScienceDirect, and MEDLINE for articles published between January 2015 and July 2023. Studies focused on factors influencing prehospital scene time and transport decisions were included.
Results: The review found that prehospital scene time and transport decisions are influenced by a complex interplay of factors, including patient characteristics, EMT knowledge and experience, availability of resources, access to healthcare facilities, and scene conditions. Prompt and appropriate on-scene decision-making can prevent unnecessary hospital admissions and manage acute emergency conditions effectively. However, the relationship between prolonged prehospital time and mortality is not always clear, and the factors affecting scene time and transport decisions for the “First Hour Quintet” conditions (cardiac arrest, respiratory failure, trauma, acute coronary syndrome, and stroke) require further investigation.
Conclusions: This review provides a conceptual framework for understanding the factors influencing prehospital scene time and transport decisions. The findings can inform practice, policy-making, and future research to improve the timeliness and efficiency of prehospital emergency care, particularly for vulnerable populations. Developing evidence-based guidelines and targeted training for EMTs could help optimize transport decisions and patient outcomes.
Keywords: Prehospital emergency services, Scene time, Transport decisions, Emergency medical technicians, First Hour Quintet

Cite This Article:

Please cite this article in press Mohammed ali alghamdi et al., Factors Influencing Prehospital Scene Time And Transport Decisions: A Systematic Review., Indo Am. J. P. Sci, 2024; 11 (08).

Number of Downloads : 10

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