We studied the pregnant women, who requested a '108' ambulance in two Indian states (Andhra Pradesh (AP) and Himachal Pradesh (HP)). We conducted a cross-sectional telephone survey to study the characteristics and outcomes of those who (1) were transported using '108' ambulance, (2) were sent '108' ambulance but did not use it and (3) were not assigned a '108' ambulance. We conducted interviews within 24 hours of clients' call and followed them up at 48 hours, on the 7th and 28th day. 90% of pregnant women callers in AP and only 16% in HP were from poorer socioeconomic circumstances. 22.5% of women who were not provided an ambulance in HP lived in tribal areas. A higher proportion of women who were transported using '108' reported either a high-risk condition (AP, 22%; HP, 27%) or an early complication in pregnancy (AP and HP, 16%), compared with the other groups (AP, 18% and 8%; HP, 19% and 16%). In AP, women who were sent an ambulance but did not use it had higher prevalence of obstetric emergency (9.8%) compared with the other groups (ambulance used, 7.4%; not assigned, 4.1%). One-fifth of women in AP and one-seventh in HP delivered by caesarean section. One woman who called, but was not transported by '108', died in AP. Ten stillbirths and 22 neonatal deaths were reported in AP and 17 and 16, respectively, in HP. Strategies are required to improve '108' service for tribal areas in HP. The '108' services should be improved to reduce non-use of ambulance, especially for women who report obstetric emergencies.
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http://dx.doi.org/10.1136/bmjgh-2017-000704 | DOI Listing |
Emerg Med J
January 2025
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Background: Sex-based disparities in acute coronary syndrome (ACS) presentations exist and women often have worse outcomes after an ACS event. Calling the emergency medical services (EMS) initiates prehospital diagnosis and treatment and reduces in-hospital time to treatment. This study aims to identify factors affecting the intention to call EMS and EMS usage in Australian women and men.
View Article and Find Full Text PDFAir Med J
December 2024
Department of Emergency Medicine, Seoul National University Hospital, Seoul, South Korea; Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, South Korea; Laboratory of Emergency Medical Services, Seoul National University Hospital, Seoul, South Korea; Biomedical Research Institute, Seoul, South Korea.
Crit Care Explor
December 2024
Department of Cardiology, The Alfred Hospital, Melbourne, VIC, Australia.
BMJ Open
November 2024
Department of Emergency Medicine, University of Fukui Hospital, Fukui, Japan
Objective: To examine the contribution of the active job openings-to-applicants ratio, a macroeconomic indicator, to the number of ambulance dispatches.
Design: Longitudinal ecological study.
Setting: Japan, between January 2003 and December 2021.
Scand J Trauma Resusc Emerg Med
November 2024
Prehospital Center, Region Zealand, Ringstedgade 61, 13th floor, 4700, Næstved, Denmark.
Background: The global strain on Emergency Medical Services (EMS) is reflected in the increasing number of emergency ambulance dispatches. Shorter EMS response times have demonstrated some effect on very specific and rare conditions. It is unknown if the increased number of ambulance dispatches compromises response times.
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