Emergency Medical Services Response: Outcomes of Non-Transported Patients

Introduction: As a part of primary intervention, Emergency Medical Services (EMS) may leave patient at the scene. This decision is made in partnership with dispatching center. The prognosis these patients often unknown. aim our study was to assess outcomes non-transported EMS patients. Method: It descriptive, prospective conducted over two-year-period. We included all alive from site intervention after mission team based on medical decision. assessed by unexpected events (UE) defined death, second call, urgent consultation or hospitalization/surgery within seven days. considered two groups: group UME (UME+) and good evolution (UE-). Results: 97 average age 56±19 years. Seventeen (17,5%) had no histories. Hypoglycemia observed 43% Thirty-four (35%) an UE. These UEs were distributed as following: ten consulted private doctor, their family physician, called EMS, three visited emergency department four died. There significant differences demographic, anamnestic characteristics between groups. Psychiatric pathology more common UE- group(28% vs. 9%; p=0.0037). Intravenous injections UE+ (64% vs 39% ; p=0,019). Among deaths, unexpected. Conclusion: One-third Unexpected death rare (one patient). Setting-up system for including scores algorithms, post-EMS compulsory visit collaboration physicians could be beneficial.