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AI-DRAFTED — PHYSICIAN REVIEW IN PROGRESSThe citation for this entry was checked against Crossref and PubMed, but its summary and interpretation were drafted by an AI model from the published abstract and have not yet been individually read by a physician. Read the linked source before relying on this operationally.
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ON-SITE PHYSICIANS REDUCE AMBULANCE TRANSPORTS AT MASS GATHERINGS[1]

Grange JT, Baumann GW, Vaezazizi R · 2003 · Prehospital Emergency Care

Summary

A prospective study at a large California Speedway motorsports event tested whether on-site physicians reduced ambulance transports and determined the minimum provider level able to treat and disposition each patient. On-site physician care reduced transports by 89% (from 116 to 13; p<0.001). Paramedics could treat and disposition 52% of patients and registered nurses (using medical-director protocols) a further 39%; about 9% required physician-level care such as suturing or prescriptions.

So what

On-site physician-level care substantially unloads the local EMS system and receiving hospitals. Most presentations can be dispositioned by paramedics and protocol-enabled nurses, with physicians reserved for the ~1-in-10 needing procedures or prescribing.

Key findings

  • On-site physicians reduced ambulance transports by 89% (116 → 13; p<0.001).
  • Paramedics dispositioned 52% of patients; RNs on protocol another 39%.
  • Roughly 9% required physician-level care (suturing, prescriptions).

Read the paper

Domains

PPR & Prediction