Objectives: This article is a review of the literature on the changing role of the ambulance paramedic in the light of recent changes in UK Government policy towards the ambulance service. Methods: A systematic review of the literature on the Ambulance Service in the UK was carried out with regard to the expanding role and skills of ambulance paramedics in assessing, treating and advising patie...

SinciC the abolition of Dundreary whiskers and the pill?box hat, the Indian army has undergone many changes in both training and equipment and in its methods of attack and defence, but the field ambulance has changed in little but its name. Anyone who has had to do with a brigade in the field knows that the field ambulance is regarded as either a joke or a nuisance, and is an eyesore on the mar...

OBJECTIVE Effective provision of urgent stroke care relies upon admission to hospital by emergency ambulance and may involve pre-hospital redirection. The proportion and characteristics of patients who do not arrive by emergency ambulance and their impact on service efficiency is unclear. To assist in the planning of regional stroke services we examined the volume, characteristics and prognosis...

OBJECTIVES Limited data exist assessing the relationship between ambulance versus self-presentation and outcomes in patients with acute heart failure (AHF). SETTING Clinical trial sites in North America. PARTICIPANTS 1068 patients enrolled in the Acute Studies of Nesiritide in Decompensated Heart Failure (ASCEND-HF) trial. PRIMARY AND SECONDARY OUTCOME MEASURES The association between amb...

BACKGROUND To estimate the prevalence of anxiety and depression symptoms, and their association with professional help-seeking, among operational ambulance personnel and a general working population, and to study the symptoms of musculoskeletal pain and disturbed sleep among ambulance personnel. METHODS The results of a comprehensive nationwide questionnaire survey of operational ambulance pe...

The aim of this study was to investigate the link between ambulance transports due to heat stroke and air temperature by using daily data of ambulance transports in Okayama prefecture, Japan. Daily observations for ambulance transports due to heat stroke from July to September in 2010 in Okayama prefecture, Japan were obtained from Fire and Disaster Management Agency in Japan. Data of meteorolo...

STUDY OBJECTIVE Massachusetts became the first state in the nation to ban ambulance diversion in 2009. It was feared that the diversion ban would lead to increased emergency department (ED) crowding and ambulance turnaround time. We seek to characterize the effect of a statewide ambulance diversion ban on ED length of stay and ambulance turnaround time at Boston-area EDs. METHODS We conducted...

BACKGROUND Few studies have investigated ambulance utilization in people aged 85 years or older, ie, the oldest old. METHODS We conducted a 1-year population-based observational study of patients transported by ambulance to emergency departments in Tokyo, Japan, which has a population of about 12 million. Demographic data, symptoms/events associated with ambulance transport, and the proportio...