Quality of documentation and treatment in the non-physician staffed ambulance: a  retrospective analysis of emergency protocols from the city of Aachen

CONCLUSION: Deficient documentation was found in multiple cases and several important vital signs for a complete differential diagnosis were missing. Furthermore, a quarter of all patients might have benefited from an emergency physician as they were taken to hospital with no or insufficient treatment, despite standard operating procedures. From a forensic point of view there is an alarmingly incomplete documentation of vital signs at handover. The on-scene time in general was within the predetermined time frame, but can still be reduced in different scenarios. Overall, we recommend strict adherence to the standard operating procedures and algorithms, to remove unnecessary documentation and implement a structured quality assurance. Moreover, the quality of treatment might benefit from the rising number of more specialized paramedics and an increasing use of telemedicine.PMID:35316370 | DOI:10.1007/s00101-022-01106-x

Source: Der Anaesthesist - March 22, 2022 Category: Anesthesiology Authors: Maximilian Klein Hanna Schr öder Stefan K Beckers Christina Borgs Rolf Rossaint Marc Felzen Source Type: research