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Interfacility Transports Utilizing the 9-1-1 Emergency Medical Services System.
Prehospital Emergency Care
|April 25, 2015
Summary
Emergency interfacility transports (IFTs) by 9-1-1 EMS agencies provide critical access to specialized care. These transports, though infrequent, are vital for patients with time-sensitive conditions like STEMI and major trauma.
Area of Science:
- Emergency Medicine
- Public Health
- Healthcare Systems
Background:
- Specialty centers necessitate transfers for definitive care.
- Traditional interfacility transports (IFTs) can be challenging.
- Some 9-1-1 EMS agencies now perform emergency IFTs.
Purpose of the Study:
- To determine the frequency and nature of IFTs by a 9-1-1 EMS agency.
- To analyze the reasons and time metrics for these emergency transfers.
Main Methods:
- Retrospective review of paramedic reports for IFTs (April 2007-March 2014).
- Included ED-initiated IFTs by Los Angeles Fire Department paramedics.
- Captured transfer reasons, demographics, and time data.
Main Results:
- 919 IFTs occurred (0.1% of total transports).
- Top reasons: STEMI, major trauma, intracranial hemorrhage.
- Median transport time: 8 minutes; median total IFT time: 51 minutes.
Conclusions:
- Emergent ED-to-ED IFTs improve access to critical definitive care.
- EMS agencies should establish policies for timely emergent IFT response.
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