The impact of 'Shahal' (a new cardiac emergency service) on subscribers' requests for medical assistance: characteristics and distribution of calls.

Abstract:

:The objectives of this study were to assess the impact of the new 'Shahal' (pre-hospital cardiac service) on subscribers' 'decision time'. A professional 24-h mobile emergency cardiac service has been set up, monitored by intensive care nurses via a central computerized operation unit. All subscribers carry a cardiobeeper for trans-telephonic transmission of a 3-lead electrocardiogram as well as an automatic intramuscular lidocaine injector for self-injection. During a 1-year period, data from 10,304 subscribers' charts were reviewed and analysed. Seventy-nine percent were cardiac patients and 15% were completely healthy. Median decision time for the general population was 44 min (range < 15 min to > 3 h); 59% of subscribers called within 1 h from onset of symptoms and 29% delayed calling for 3 h and more. The healthy subjects alerted the service significantly earlier (29 min). Three patterns of behaviour emerged from analysis of the daily distribution of calls.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Roth A,Herling M,Vishlitzki V

doi

10.1093/eurheartj/16.1.129

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

129-33

issue

1

eissn

0195-668X

issn

1522-9645

journal_volume

16

pub_type

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