Journal article
The Effect of All-Terrain Vehicle Crash Location on Emergency Medical Services Time Intervals
Safety (Basel), Vol.5(4), p.73
12/01/2019
DOI: 10.3390/safety5040073
Abstract
Over 100,000 all-terrain vehicle (ATV)-related injuries are evaluated in U.S. emergency departments each year. In this study, we analyzed the time intervals for emergency medical services (EMS) providers responding to ATV crashes in different location types. Data from the Iowa State Trauma Registry and a statewide ATV crash/injury database was matched with Iowa EMS Registry records from 2004-2014. Ground ambulance responses to 270 ATV crashes were identified, and response characteristics and time intervals were analyzed. Off-road crashes had a longer median patient access interval (p < 0.001) and total on scene interval (p = 0.002) than roadway crashes. Crashes in remote locations had a longer median patient access interval (p < 0.001) and total on scene interval (p < 0.001), but also a longer median on scene with patient interval (p = 0.004) than crashes in accessible locations. Fifteen percent of remote patient access times were >6 min as compared to 3% of accessible crashes (p = 0.0004). There were no differences in en route to scene or en route to hospital time. Comparisons by location type showed no differences in injury severity score or number of total procedures performed. We concluded that responding EMS providers had an increased length of time to get to the patient after arriving on scene for off-road and remote ATV crashes relative to roadway and accessible location crashes, respectively.
Details
- Title: Subtitle
- The Effect of All-Terrain Vehicle Crash Location on Emergency Medical Services Time Intervals
- Creators
- Brandon M. Wubben - Roy J & Lucille A Carver Coll Med, Dept Emergency Med, 200 Hawkins Dr, Iowa City, IA 52242 USAGerene M. Denning - Roy J & Lucille A Carver Coll Med, Dept Emergency Med, 200 Hawkins Dr, Iowa City, IA 52242 USACharles A. Jennissen - Roy J & Lucille A Carver Coll Med, Dept Emergency Med, 200 Hawkins Dr, Iowa City, IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- Safety (Basel), Vol.5(4), p.73
- DOI
- 10.3390/safety5040073
- ISSN
- 2313-576X
- eISSN
- 2313-576X
- Publisher
- Mdpi
- Number of pages
- 13
- Grant note
- Department of Emergency Medicine at the University of Iowa
- Language
- English
- Date published
- 12/01/2019
- Academic Unit
- Stead Family Department of Pediatrics; Emergency Medicine; Injury Prevention Research Center
- Record Identifier
- 9984296981102771
Metrics
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