Ambulance use in a military population: epidemiology and implications

Because no studies have been reported on ambulance use in military populations, a 2-year epidemiologic study of all ambulance responses on Hickam Air Force Base was conducted. Findings included a higher utilization rate and a greater proportion of pediatric patients than might be expected in comparable civilian populations. Serious trauma was uncommon, but a wide spectrum of serious medical emergencies was seen. Advanced life support was indicated in 22% of all responses, and its availability improved patient outcome. Based on these and other findings, recommendations are made for upgrading military prehospital care to meet both base population needs and current civilian community standards.