PMID- 20442179
OWN - NLM
STAT- MEDLINE
DCOM- 20120518
LR  - 20181201
IS  - 1472-0213 (Electronic)
IS  - 1472-0205 (Linking)
VI  - 27
IP  - 5
DP  - 2010 May
TI  - Duration of mission time in prehospital emergency medicine: effects of emergency 
      severity and physicians level of education.
PG  - 398-403
LID - 10.1136/emj.2009.074211 [doi]
AB  - BACKGROUND: Prehospital emergency care is provided in many European countries by 
      specialised emergency physicians. However, little is known about the impact of 
      experience and educational level of emergency physicians on providing prehospital 
      care. METHODS: During a 6-month period all deployments of an emergency 
      physician-staffed ambulance in a metropolitan area were studied according to 
      possible predictors of prehospital mission times. RESULTS: In the univariate 
      comparison the junior emergency physicians had 6.3-minute longer prehospital 
      mission times than senior emergency physicians. This difference was evident in 
      several National Advisory Committee for Aeronautics (NACA) score subgroups. 
      However, in multivariate analysis, patient conditions, like NACA score, Glasgow 
      coma scale or prehospital diagnosis had by far the more significant impact on 
      mission times. CONCLUSION: The effect of education on treatment process and 
      outcome in prehospital emergency care should merit further research, especially 
      to ensure that junior emergency physicians are properly trained before they work 
      in prehospital emergency medicine.
FAU - Schuster, Martin
AU  - Schuster M
AD  - Department of Anaesthesiology and Intensive Care, Charite-Universitatsmedizin 
      Berlin, Campus Charite Mitte, Berlin, Germany. martin.schuster@charite.de
FAU - Pints, Matthias
AU  - Pints M
FAU - Fiege, Marko
AU  - Fiege M
LA  - eng
PT  - Journal Article
PL  - England
TA  - Emerg Med J
JT  - Emergency medicine journal : EMJ
JID - 100963089
SB  - IM
MH  - Ambulances/statistics & numerical data
MH  - Educational Status
MH  - Emergency Medical Services/organization & administration/*statistics & numerical 
      data
MH  - Emergency Medical Technicians/statistics & numerical data
MH  - Emergency Medicine/education/organization & administration/*statistics & 
      numerical data
MH  - Germany
MH  - Humans
MH  - Personnel Staffing and Scheduling/statistics & numerical data
MH  - Prospective Studies
MH  - Time Factors
MH  - Workforce
EDAT- 2010/05/06 06:00
MHDA- 2012/05/19 06:00
CRDT- 2010/05/06 06:00
PHST- 2010/05/06 06:00 [entrez]
PHST- 2010/05/06 06:00 [pubmed]
PHST- 2012/05/19 06:00 [medline]
AID - 27/5/398 [pii]
AID - 10.1136/emj.2009.074211 [doi]
PST - ppublish
SO  - Emerg Med J. 2010 May;27(5):398-403. doi: 10.1136/emj.2009.074211.