Emergency Medical Services Utilization in EMS Priority Conditions in Beirut, Lebanon

Sayed, Mazen El; Tamim, Hani; Chehadeh, Ahel Al-Hajj; Kazzi, Amin

doi:10.1017/s1049023x16000972

Cited by 12 publications

(14 citation statements)

References 19 publications

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“…Ambulances were used for transporting 58 (22.7%) of the victims from the scene into the hospital. This is consistent with studies conducted in Lebanon 23% 15 and Addis Ababa, Ethiopia 20%. 17 But, higher as compared to studies conducted in Ghana which showed that the ambulance utilization rate by the general population ranges from 5% to 14.7%.…”

Section: Discussionsupporting

confidence: 92%

“…The utilization of EMS in low-income countries ranges from 4% to 23%. 15–18 In these countries, the utilization of EMS was found to be affected by financial problems, lack of awareness, perceived waiting time, misconceptions, use of traditional modes of transportation, prior experience with EMS, and absence of predefined and well-organized EMS. 16 , 17 , 19 , 20 …”

Section: Introductionmentioning

confidence: 99%

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Utilization, Barriers and Determinants of Emergency Medical Services in Mekelle City, Tigray, Ethiopia: A Community-Based Cross-Sectional Study

Takele

Ballo

Gebrekidan

et al. 2021

OAEM

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Background Emergency medical services (EMS) are services that provide out-of-hospital emergency medical care to injured or ill peoples, and transporting to definitive care. EMS is an integral part of the emergency medical system and has been associated with decreased morbidity and mortality related to emergency cases. The aim of this study was to assess the utilization, barriers, and determinants of EMS in Mekelle, Ethiopia. Methods A community-based cross-sectional study was conducted in selected sub-cities of Mekelle. A multistage sampling method was employed to recruit study participants, and data were collected by trained data collectors using an interviewer-administered questionnaire. Multivariate logistic regression analysis was used to examine the statistical association of the determinants of EMS utilization. Results Half (50.5%) of the respondents had experienced or witnessed an emergency incident in the past year. The common means of transportations used were Bajaj’s (39.2%) and ambulances (22.7%). Majority (88.1%) of the respondents did not knew the EMS access phone number of an ambulance. As their preferred mode of transportation in case of emergency conditions, 42.2% of the participants reported an ambulance, followed by Bajaj 33.7%. Where participants who had gynecologic emergencies were 9.4 times (AOR=9.4, 95% CI: 1.04, 85, p=0.046), and those who knew any ambulance numbers were 3.6 times (AOR=3.6, 95% CI: 1.22, 10.8, p=0.02) more likely to use ambulance services in case of emergencies. Conclusion The ambulance utilization level in Mekelle city was low and victims of emergency conditions were being transported mainly using public transports such as Bajaj’s and taxis. Even though the perception of the public towards EMS services is favorable, lack of awareness of EMS access, and lack of integrated EMS system in the city are the barriers that may have contributed to the low utilization. Actions to improve EMS access and integrating the system are warranted to promote the services utilization.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Utilization, Barriers and Determinants of Emergency Medical Services in Mekelle City, Tigray, Ethiopia: A Community-Based Cross-Sectional Study

Takele

Ballo

Gebrekidan

et al. 2021

OAEM

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show abstract

“…[ 8 ] A study from Lebanon reported that functional screening or requiring full assistance was a strong predictor for emergency medical services (EMS) utilization. [ 9 ] Injuries resulting in inability to walk were not common in our study with <18% requiring surgical procedures, explaining low rate of EMS use (14.2%).…”

Section: Discussionmentioning

confidence: 66%

Fall related injuries in elderly patients in a tertiary care centre in Beirut, LebanonFall-related Injuries in Elderly Patients: A descriptive study from the emergency department of a tertiary care center in Beirut, Lebanon

Sibai

Dakessian

et al. 2020

J Emerg Trauma Shock

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Context: Falls cause significant morbidity and mortality, constituting 38.9% of trauma visits to the emergency department (ED) in Lebanon. Elderly have increased risk of falls due to co-morbidities. Injury-related deaths are most common in developing countries, and few studies have examined falls internationally. Aims: Describe characteristics, injury patterns, and outcomes of elderly treated for fall injuries at a tertiary care center in Lebanon. Settings and Design: Retrospective observational chart review of elderly presenting after a fall to the ED. Subjects and Methods: Retrospective observational study of elderly (≥65 years) patients who presented to the ED at a tertiary care center in Lebanon with the chief complaint of “fall” over a 6-year period. Statistical Analysis Used: Descriptive analysis. Results: Two hundred and thirty-five patients were included; mean age was 78.1 (±7.2) years with female predominance (60.5%). Falls occurred at home (99.2%) and from ground level (96.4%). Patients presented by private transport (85.8%). The initial impact was to the head in 31.2% of patients with 47.8% on antiplatelet/anticoagulation therapy. Imaging includes extremity X-ray (46.6%) and head/cervical spine computed tomography (39.5%). Dispositions included home (58.9%), regular floor (23.3%), operating room (7.9%), and intensive care unit (5.9%). Pelvic/hip repair was the most common surgical procedure. Most injuries were nonlife-threatening. Overall mortality was 2%. Conclusions: Falls have a high impact on the elderly population in Lebanon, with most occurring at home, resulting in pelvic/hip injuries and a mortality of 2%. There is a need to implement multifaceted fall prevention programs to mitigate such injuries and improve patient safety and outcomes.

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“…A study carried out at the ED of AUBMC showed that only 23.3% of the study population used EMS for all-cause presentations and that EMS use was associated with higher illness severity during routine daily operations. 9 During civil unrest and rioting, however, EMS are expected to increase their readiness by deploying additional ambulances and teams to the conflict zones. Additionally, EMS agencies in Lebanon are well adapted to quick transport and care of trauma-related cases because of the recurrent armed conflicts that occur in the region.…”

Section: Discussionmentioning

confidence: 99%

Riots in Beirut: Description of the Impact of a New Type of Mass Casualty Event on the Emergency System in Lebanon

Warea

Sasso

Bachir

et al. 2019

Disaster med. public health prep.

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Introduction:In the summer of 2015, Beirut experienced a garbage crisis that led to rioting. Riot control measures resulted in multiple casualties. This study examines injury patterns of riot victims presenting to the emergency department of a tertiary care center in a developing country.Methods:A retrospective study was conducted in the emergency department of the American University of Beirut Medical Center between August 22 and August 30, 2015. Patients seen in the emergency department with riot injuries were included. Patient characteristics, injuries, and resources utilized in the emergency department were analyzed.Results:Ninety-five patients were identified. Most patients presented to the emergency department within a short time period. The mean age of the patients was 28.0 ± 8.7 years. Most (90.5%) of the patients were males and 92.6% were protestors. Emergency medical services were utilized by 41.0% of patients. Laceration was the most common presenting complaint (28.5%), and blunt trauma was the most common type of injury (50.5%). The head/face/neck was the most common injured body region (55.8%). Most patients did not require blood tests or procedures (91.6% and 61.0%, respectively), and 91.2% of patients were treated in the emergency department and discharged. One patient required intensive care unit admission and another was dead on arrival.Conclusions:Most patients had mild injuries on presentation. The emergency department experienced a high influx of patients. Complications and deaths can occur from seemingly nonlethal weapons used during riots and warrant effective prehospital and hospital disaster planning.

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Emergency Medical Services Utilization in EMS Priority Conditions in Beirut, Lebanon

Cited by 12 publications

References 19 publications

Utilization, Barriers and Determinants of Emergency Medical Services in Mekelle City, Tigray, Ethiopia: A Community-Based Cross-Sectional Study

Utilization, Barriers and Determinants of Emergency Medical Services in Mekelle City, Tigray, Ethiopia: A Community-Based Cross-Sectional Study

Fall related injuries in elderly patients in a tertiary care centre in Beirut, LebanonFall-related Injuries in Elderly Patients: A descriptive study from the emergency department of a tertiary care center in Beirut, Lebanon

Riots in Beirut: Description of the Impact of a New Type of Mass Casualty Event on the Emergency System in Lebanon

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