Factors Affecting Response Time of the Saudi Red Crescent Ambulances
DOI:
https://doi.org/10.22399/ijcesen.4197Keywords:
Response time, Saudi Red Crescent, ambulances, geographical layout, urban areas, rural areasAbstract
The response time of the Saudi Red Crescent ambulances is influenced by a multitude of factors that can significantly impact the efficiency of emergency medical services. One primary factor is the geographical layout of urban and rural areas, which affects accessibility and travel time. Urban environments may present challenges such as traffic congestion and road conditions, while rural areas may have longer distances to cover with fewer available routes. Additionally, the availability of resources, including the number of ambulances, trained personnel, and medical equipment, plays a crucial role in determining how quickly an ambulance can be dispatched and reach a patient. Effective communication systems and coordination with local hospitals also contribute to optimizing response times, ensuring that emergency medical teams are well-prepared upon arrival. Another critical factor affecting response time is the time taken for emergency calls to be processed and dispatched. The efficiency of the dispatch center, including the use of technology and protocols for prioritizing calls, can either expedite or delay the response. Furthermore, public awareness and education regarding emergency response procedures can influence the time it takes for individuals to seek help and report emergencies. In some cases, delays may arise from non-emergency calls that divert resources away from critical situations. Addressing these factors through improved infrastructure, enhanced training for dispatch personnel, and public education initiatives can lead to more timely and effective responses from the Saudi Red Crescent ambulances, ultimately improving patient outcomes in emergency situations.
References
1. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res in Psych. 2006;3(2):77–101. DOI: https://doi.org/10.1191/1478088706qp063oa
2. Modi P, Solanki R, Nagdev T, Yadav P, Bharucha N, Desai A, et al. Public awareness of the emergency medical services in Maharashtra, India:A questionnaire-based survey. Cureus. 2018;10:e3309. DOI: https://doi.org/10.7759/cureus.3309
3. Haghparast-Bidgoli H, Hasselberg M, Khankeh H, et al. Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: a grounded theory approach. BMC Emerg Med. 2010;10:20. DOI: https://doi.org/10.1186/1471-227X-10-20
4. Morley C, Unwin M, Peterson M, Stankovich J, Kinsman L. Emergency department crowding:A systematic review of causes, consequences and solutions. PLoS One. 2018;13:e0203316. DOI: https://doi.org/10.1371/journal.pone.0203316
5. Lawn S, Roberts L, Willis E, Couzner L, Mohammadi L, Goble E. The effects of emergency medical service work on the psychological, physical, and social well-being of ambulance personnel:A systematic review of qualitative research. BMC Psychiatry. 2020;20:348. DOI: https://doi.org/10.1186/s12888-020-02752-4
6. Ibanez B, James S, Agewall S, Antunes M, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation:The task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European society of cardiology (ESC) Eur Heart J. 2018;39:119–77.
7. Blaxter L, Yeo M, McNally D, Crowe J, Henry C, Hill S, et al. Neonatal head and torso vibration exposure during inter-hospital transfer. Proc Inst Mech Eng H. 2017;231:99–113. DOI: https://doi.org/10.1177/0954411916680235
8. Borowicz A, Nadolny K, Bujak K, Cieśla D, Gąsior M, Hudzik B. Paramedic versus physician-staffed ambulances and prehospital delays in the management of patients with ST-segment elevation myocardial infarction. Cardiol J. 2021;28:110–7. DOI: https://doi.org/10.5603/CJ.a2019.0072
9. Alanazy A, Wark S, Fraser J, et al. Utilization of prehospital emergency medical services in Saudi Arabia: An urban versus rural comparison. J Emerg Med Trauma Acute Care. 2020;2020(2):9. DOI: https://doi.org/10.5339/jemtac.2020.9
10. Kironji A, Hodkinson P, de Ramirez S, et al. Identifying barriers for out of hospital emergency care in low and low-middle income countries: a systematic review. BMC Health Serv Res. 2018;18:291. DOI: https://doi.org/10.1186/s12913-018-3091-0
11. AlShammari T, Jennings P, Williams B. National study of Saudi Arabian emergency medical services professional profiles: An inferential analysis. Aust J Paramed 2019:16. DOI: https://doi.org/10.33151/ajp.16.729
12. Ageron F-X, Debaty G, Gayet-Ageron A, et al. Impact of an emergency medical dispatch system on survival from out-of-hospital cardiac arrest: a population-based study. Scand J Trauma Resusc Emerg Med. 2016;24:53. DOI: https://doi.org/10.1186/s13049-016-0247-y
13. Alanazi A. Emergency medical services in Saudi Arabia:A study on the significance of paramedics and their experiences on barriers as inhibitors of their efficiency. Int J Appl Basic Med Res. 2012;2:34–7. DOI: https://doi.org/10.4103/2229-516X.96803
14. AlShammari T, Jennings P, Williams B. Evolution of emergency medical services in Saudi Arabia. J Emerg Med Trauma Acute Care. 2017;2017(1):4. DOI: https://doi.org/10.5339/jemtac.2017.4
15. Azizan M, Go T, Hatta W, Lim C, Teoh S. Comparison of emergency medical services delivery performance using maximal covering location and gradual cover location problems. Int J Electr Comput Eng. 2017;5:2791–7. DOI: https://doi.org/10.11591/ijece.v7i5.pp2791-2797
16. Grossman D, Kim A, Macdonald S, et al. Urban-rural differences in prehospital care of major trauma. J Trauma. 1997;42:723–9. DOI: https://doi.org/10.1097/00005373-199704000-00024
17. Mathiesen W, Bjørshol C, Kvaløy J, et al. Effects of modifiable prehospital factors on survival after out-of-hospital cardiac arrest in rural versus urban areas. Crit Care. 2018;22(1):1–9. DOI: https://doi.org/10.1186/s13054-018-2017-x
18. Harmsen A, Giannakopolous G, Moerbeek P, et al. The influence of prehospital time on trauma patients outcome: A systematic review. Injury. 2015;46:602–9. DOI: https://doi.org/10.1016/j.injury.2015.01.008
19. Alharthy N, Alswaes S, Almaziad A, et al. Public perception of female paramedics at King Abdulaziz Medical City, Saudi Arabia. Int J Emerg Med. 2018;11(1):57. DOI: https://doi.org/10.1186/s12245-018-0217-4
20. Moafa H, Van-Kuijk S, Alqahtani D, Moukhyer M, Haak H. Disparities between rural and urban areas of the central region of Saudi Arabia in the utilization and time-centeredness of emergency medical services. Int J Environ Res Public Health. 2020;17:7944. DOI: https://doi.org/10.3390/ijerph17217944
21. Rogers F, Rittenhouse K, Gross B. The golden hour in trauma: Dogma or medical folklore? Injury. 2015;46:525–7. DOI: https://doi.org/10.1016/j.injury.2014.08.043
22. Noblit G, Hare R. Meta-ethnography: Synthesizing qualitative studies. Newbury Park: Sage; 1988. DOI: https://doi.org/10.4135/9781412985000
23. Alanazy A, Wark S, Fraser J, et al. Nontransported Cases after Emergency Medical Service Callout in the Rural and Urban Areas of the Riyadh Region. Saudi J Med Med Sci. 2021;9(1):38–44. DOI: https://doi.org/10.4103/sjmms.sjmms_560_20
24. Leknes H, Aartun E, Andersson H, Christiansen M, Granberg T. Strategic ambulance location for heterogeneous regions. Eur J Oper Res. 2017;260:122–33. DOI: https://doi.org/10.1016/j.ejor.2016.12.020
25. Fatovich D, Phillips M, Langford S, et al. A comparison of metropolitan vs rural major trauma in Western Australia. Resuscitation. 2011;82(7):886–90. DOI: https://doi.org/10.1016/j.resuscitation.2011.02.040
26. Alanazy A, Wark S, Fraser J, et al. A comparison of pre-hospital emergency medical services’ response and duration times in urban versus rural areas of Saudi Arabia. Aus J Paramed. 2020;17:1–7. DOI: https://doi.org/10.33151/ajp.17.805
27. Doty MM, Tikkanen R, Shah A, Schneider EC. Primary care physicians'role in coordinating medical and health-related social needs in eleven countries. Health Aff (Millwood) 2020;39:115–23. DOI: https://doi.org/10.1377/hlthaff.2019.01088
28. Booker M, Purdy S, Shaw A. Seeking ambulance treatment for 'primary care'problems:A qualitative systematic review of patient, carer and professional perspectives. BMJ Open. 2017;7:e016832. DOI: https://doi.org/10.1136/bmjopen-2017-016832
29. Aftyka A, Rybojad B, Rudnicka-Drozak E. Are there any differences in medical emergency team interventions between rural and urban areas? A single cohort study. Aust. J Rural Health. 2014;22:223–8. DOI: https://doi.org/10.1111/ajr.12108
30. Khan W, Jackson M, Kennedy G, Conduit R. A field investigation of the relationship between rotating shifts, sleep, mental health and physical activity of Australian paramedics. Sci Rep. 2021;11:866. DOI: https://doi.org/10.1038/s41598-020-79093-5
31. Mahama M, Kenu E, Bandoh D, Zakariah A. Emergency response time and pre-hospital trauma survival rate of the national ambulance service, Greater Accra (January-December 2014) BMC Emerg Med. 2018;18:33. DOI: https://doi.org/10.1186/s12873-018-0184-3
32. Mehmood A, Rowther A, Kobusingye O, et al. Assessment of pre-hospital emergency medical services in low-income settings using a health systems approach. Int J Emerg Med. 2018;11:53. DOI: https://doi.org/10.1186/s12245-018-0207-6
33. Bhagchandani K, Augustine D. IoT based heart monitoring and alerting system with cloud computing and managing the traffic for an ambulance in India. Int J Electr Comput Eng. 2019;6:5068–74. DOI: https://doi.org/10.11591/ijece.v9i6.pp5068-5074
34. Borg K, Wright B, Sannen L, Dumas D, Walker T, Bragge P. Ambulances are for emergencies:Shifting attitudes through a research-informed behaviour change campaign. Health Res Policy Syst. 2019;17:31. DOI: https://doi.org/10.1186/s12961-019-0430-5
35. Toksöz C, Ikizceli I, Koyuncu M, Biberoğlu S, Cakmak F, Öztürk D. Family practice awareness in patients applying to the emergency department and receiving a green triage code. Ankara Med J. 2020;20:416–25. DOI: https://doi.org/10.5505/amj.2020.75768
36. Oguro N, Suzuki R, Yajima N, Sakurai K, Wakita T, Hall MA, et al. The impact that family members'health care experiences have on patients'trust in physicians. BMC Health Serv Res. 2021;21:1122. DOI: https://doi.org/10.1186/s12913-021-07172-y
37. Polit D, Beck C. Nursing research: Generating and assessing evidence for nursing practice 11th Edition. Lippincott, Williams & Wilkins, USA; 2020.
38. Alanazy A, Wark S, Fraser J, et al. Factors impacting patient outcomes associated with use of emergency medical services operating in urban versus rural areas: A systematic review. Int J Env Res Pub Health. 2019;16(10):1728. DOI: https://doi.org/10.3390/ijerph16101728
39. Silverman D. Interpreting qualitative data. Great Britain: Sage; 2015.
40. Awais S, Martins R, Khan M. Paramedics in pandemics:Protecting the mental wellness of those behind enemy lines. BJPsych. 2021;218:75–6. DOI: https://doi.org/10.1192/bjp.2020.193
41. Anderson N, Robinson J, Moeke-Maxwell T, Gott M. Paramedic care of the dying, deceased and bereaved in Aotearoa, New Zealand. Prog Palliat Care. 2021;2:84–90. DOI: https://doi.org/10.1080/09699260.2020.1841877
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