Document Type

Journal Article

Publication Title

Emergency Medicine Australasia

Publisher

Wiley

School

School of Medical and Health Sciences / School of Science / School of Arts and Humanities

RAS ID

45493

Funders

Open access publishing facilitated by Edith Cowan University

Comments

Mills, B., Hill, M., Miles, A., Smith, E., Afrifa‐Yamoah, E., Reid, D., ... & Sim, M. (2022). Calling an ambulance for non‐emergency medical situations: Results of a cross‐sectional online survey from an Australian nationally representative sample. Emergency Medicine Australasia. Advance online publication. https://doi.org/10.1111/1742-6723.14086

Abstract

Objective

To investigate the Australian general public's perception of appropriate medical scenarios that warrants a call to an emergency ambulance.

Methods

An online survey asked participants to identify the likely medical treatment pathway they would take for 17 hypothetical medical scenarios. The number and type of non-emergency scenarios (n = 8) participants incorrectly suggested were appropriate to place a call for an emergency ambulance were calculated. Participants included Australian residents (aged >18 years) who had never worked as an Australian registered medical doctor, nurse or paramedic.

Results

From a sample of 5264 participants, 40% suggested calling an emergency ambulance for a woman in routine labour was appropriate. Other medical scenarios which were most suggested by participants to warrant an emergency ambulance call was ‘Lego in ear canal’ (11%), ‘Older person bruising’ (8%) and ‘Flu’ (7%). Women, people aged 56+ years, those without a university qualification, with lower household income and with lower emotional wellbeing were more likely to suggest calling an emergency ambulance was appropriate for non-emergency scenarios.

Conclusions

Although emergency healthcare system (EHS) capacity not increasing at the same rate as demand is the biggest contributor to EHS burden, non-urgent medical situations for which other low-acuity healthcare pathways may be appropriate does play a small role in adding to the overburdening of the EHS. This present study outlines a series of complaints and demographic characteristics that would benefit from targeted educational interventions that may aid in alleviating ambulance service attendances to low-acuity callouts.

DOI

10.1111/1742-6723.14086

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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