TY  - JOUR
PY  - 2022//
TI  - Accuracy of dispatch and prehospital triage performance in poisonings - a retrospective study from Northern Finland
JO  - Acta anaesthesiologica Scandinavica
A1  - Koskela, Lauri
A1  - Raatiniemi, Lasse
A1  - Ehrola, Ari
A1  - Kaakinen, Timo
A1  - Lahtinen, Sanna
A1  - Liisanantti, Janne
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Increasing numbers of dispatches place a burden on EMS; this study sought to assess the prehospital evaluation of poisoned patients transported to hospital. The primary aim of this study was to measure dispatch centre and EMS provider performance as well as factors contributing to the recognition of poisoning among prehospital patients. The secondary aim was to compare triage performance between dispatch centres and EMS providers. <br><br>METHODS: A retrospective single-centre study in Northern Finland was conducted. Patients suspected as poisonings by dispatch centres as well as other EMS-transported patients who received a diagnosis of poisoning in hospital between June 1, 2015, and June 1, 2017, were included. <br><br>RESULTS: There were a total of 1668 poisoning-related EMS missions. Dispatch centres suspected poisonings with sensitivity of 79.9% (95% CI 76.7-82.9) and specificity of 98.9% (95% CI 98.9-99.0) when all EMS missions were taken into account. In a logistic regression model, decreased state of consciousness as dispatch code (OR 7.18, 95% CI 1.90-27.05) and intravenous fluid resuscitation (OR 6.58, 95% CI 1.34-32.37) were associated with EMS transport providers not recognizing poisoning. Overtriage rate appeared significantly higher (33.6%, 95% CI 28.6-39.2) for dispatch when compared with transport (17.8%, 95% CI 13.9-22.6). <br><br>CONCLUSION: Dispatch centres seem to suspect poisonings fairly accurately. Poisonings unrecognized by EMS providers may be linked with intravenous fluid resuscitation and decreased patient consciousness. Overtriage appears to resolve somewhat from dispatch to transport. There were no fatal poisonings in this study population.<p />  <p>Language: en</p>
LA  - en
SN  - 0001-5172
UR  - http://dx.doi.org/10.1111/aas.14152
ID  - ref1
ER  -