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J Korean Soc Emerg Med > Volume 7(1); 1996 > Article
Journal of The Korean Society of Emergency Medicine 1996;7(1): 104-111.
THE SEVERITY OF EMERGENCY PATIENT VIA AMBULANCE
In Cheol Park, Kyeong Ryong Lee, Hahn Shick Lee
Department of Emergency Medicine, Yonsei University College of Medicine
  Published online: March 31, 1996.
ABSTRACT
Authors performed a prospective study of patients who visited to ED of Severance Hospital via ambulance during the period of six months from April, 1, 1995 to September, 30, 1995. Our study assessed the adequate patient transfer via EMS system and to suggest more advanced guideline for patient transfer. The results were as follows: 1) Among the total 16,794 patients, 2,250 visited via ambulance ranged from age of 1 to 89 years old with an average 43yrs. 2) Among 2,250 patients, 1,122(50%) visited via 119 system, 546(24%) via 129 EMS system, and 582(26%) via other hospital ambulances 3) 270(12%) patients were classified into urgent, 894(405) into emergent, and 1,086(48.4%) into non-emergent. 4) For the patients via 119 system, 102(9.1%) patients were classified into urgent and 630(56.1%) non-emergent, via 129 EMS system, 78(14.3%) urgent and 228(41.8%) non-emergent, and via other hospital ambulances, 90(15.5%) urgent and 228(39.2%) non-emergent. These results show that patients who visited level Ⅲ emergency care center via ambulances were classified into non- emergent about 50%. We conclude that if more effective classifying system which used by EMT for emergency patients is applyed, non-emergent patients can be transferred to more low grade emergency center, and the overcrowding of level Ⅲ emergency center can be improved.
Key words: Ambulance, Triage, Transfer
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