JaLCDOI 10.18926/AMO/61210
FullText URL 74_6_513.pdf
Author Ageta, Kohei| Naito, Hiromichi| Yorifuji, Takashi| Obara, Takafumi| Nojima, Tsuyoshi| Yamada, Taihei| Tsukahara, Kohei| Yakushiji, Hiromasa| Nakao, Atsunori|
Abstract Few studies have investigated the influence of the Coronavirus Disease 2019 (COVID-19) pandemic on emer-gency medical service (EMS) systems, especially in areas less affected or unaffected by COVID-19. In this study, we investigated changes in prehospital EMS activity and transport times during the COVID-19 pandemic. All patients transported by EMS in the city of Okayama from March–May 2019 or March–May 2020 were included. Interfacility transports were excluded. The primary outcome was the time from a patient’s first emergency call until hospital arrival (total prehospital time). Secondary outcomes included three segments of total prehospital time: the response time, on-scene time, and transportation time. Total prehospital time and the durations of each segment were compared between corresponding months in 2020 (COVID19-affected) and 2019 (control). The results showed that total prehospital times in April 2020 were significantly higher than those in 2019 (33.8 ± 11.6 vs. 32.2 ± 10.8 min, p < 0.001). Increases in total prehospital time were caused by longer response time (9.3 ± 3.8 vs. 8.7 ± 3.7 min, p < 0.001) and on-scene time (14.4 ± 7.9 vs. 13.5 ± 6.2min, p < 0.001). The COVID-19 pandemic was thus shown to affect EMS and delayed arrival/response even in a minimally affected region. A system to minimize transportation delays should be developed for emerging pandemics.
Keywords emergency medical services health care system emergency transport coronavirus infection
Amo Type Original Article
Published Date 2020-12
Publication Title Acta Medica Okayama
Volume volume74
Issue issue6
Publisher Okayama University Medical School
Start Page 513
End Page 520
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language 英語
Copyright Holders CopyrightⒸ 2020 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 33361871
FullText URL fulltext.pdf
Author Naitou, Hiromichi| Nojima, Tsuyoshi| Fujisaki, Noritomo| Tsukahara, Kohei| Yamamoto, Hirotsugu| Yamada, Taihei| Aokage, Toshiyuki| Yumoto, Tetsuya| Osako, Takaaki| Nakao, Atsunori|
Keywords Emergency medicine inflammation ischemia reperfusion remote ischemic preconditioning shock therapeutic hypothermia
Published Date 2020-04-13
Publication Title Acute Medicine and Surgery
Volume volume7
Issue issue1
Publisher Wiley
Start Page e501
ISSN 2052-8817
Content Type Journal Article
language 英語
OAI-PMH Set 岡山大学
Copyright Holders © 2020 The Authors.
File Version publisher
PubMed ID 32431842
DOI 10.1002/ams2.501
Web of Science KeyUT 000587733600052
Related Url isVersionOf https://doi.org/10.1002/ams2.501
FullText URL fulltext.pdf
Author Higaki, Taiki| Tsukahara, Kohei| Obara, Takafumi| Nojima, Tsuyoshi| Yamamoto, Hirotsugu| Osako, Takaaki| Naitou, Hiromichi| Nakao, Atsunori|
Keywords Thyroid storm Influenza A virus Airway obstruction Case report
Published Date 2020-08-04
Publication Title Respiratory Medicine Case Reports
Volume volume31
Publisher Elsevier
Start Page 101182
ISSN 2213-0071
Content Type Journal Article
language 英語
OAI-PMH Set 岡山大学
Copyright Holders © 2020 The Authors
File Version publisher
PubMed ID 32802737
DOI 10.1016/j.rmcr.2020.101182
Related Url isVersionOf https://doi.org/10.1016/j.rmcr.2020.101182
FullText URL fulltext.pdf
Author Nakamura, Shunsuke| Yamada, Taihei| Nojima, Tsuyoshi| Naitou, Hiromichi| Koga, Hitoshi| Yamashita, Hisashi| Gochi, Akira| Nakao, Atsunori|
Keywords Acute care surgery Computed tomography Mesenteric hematoma
Published Date 2019-12-31
Publication Title International Journal of Surgery Case Reports
Volume volume65
Publisher Elsevier
Start Page 124
End Page 126
ISSN 22102612
Content Type Journal Article
language 英語
OAI-PMH Set 岡山大学
Copyright Holders © 2019 The Author(s). Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
File Version publisher
PubMed ID 31715445
DOI 10.1016/j.ijscr.2019.10.058
Web of Science KeyUT 000501862100027
Related Url isVersionOf https://doi.org/10.1016/j.ijscr.2019.10.058