Emergency Medical Service in Rural Mountain Areas in Taiwan: A Nantou Mountain Areas Based Study

Author:

Hung Sc1,Li Yh2,Chen Mc1,Lai Sw3,Sung Fc,Liu Ll4,Chen Yr4,Lin Kc5

Affiliation:

1. Nantou Hospital, Department of Emergency Medicine, Nantou City; China Medical University, Department of Public Health, Taichung, Taiwan

2. Chung Shan Medical University and Hospital, Department of Health Policy and Management, Taichung, Taiwan

3. China Medical University, School of Medicine; China Medical University Hospital, Department of Family Medicine, Taichung, Taiwan

4. Nantou Hospital, Department of Nursing, Nantou City, Taiwan

5. Nantou Hospital, Department of Surgery, Nantou City, Taiwan

Abstract

Background This study explored the emergency medical service (EMS) in rural mountain areas in Taiwan to establish the public health policies in rural mountain areas. Methods This was a retrospective study. Based on mission records available at 3 EMS branches in Ren-Ai and Sinyi townships of Nantou County, we evaluated dispatched status, patient characteristics, and pre-hospital emergency managements. Results From January to June 2011, a total of 765 EMS were dispatched from these 3 mountain branches. Each dispatched EMS team was consisted of one official emergency medical technician (EMT) with EMT II certificate (100%), and one (88.0%) or two (11.2%) volunteers as EMT I personnel. Most of missions were conducted in the daytime and peaked during 10am to 12pm. Patients were characterised with more men and elderly and predominant with non-traumatic medical complains (55.0%). Approximately 38.7% EMS patients required the advanced life support. Of these 3 mountain EMS branches, the mean response time was 15.3±16.9 minutes, the mean management time on site was 6.1±6.9 minutes and the mean transport time was 38.0±15.9 minutes. The response time and transportation time of EMS in rural mountain areas were relatively longer than that in urban towns in Taiwan. Conclusions The rural EMS is under the challenges of providing appropriate and adequate medical care. Each EMS team should be equipped with adequate emergency care facilities and well trained personnel. (Hong Kong j.emerg.med. 2014;21:373-381)

Publisher

SAGE Publications

Subject

Emergency Medicine

Reference17 articles.

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