An audit of 4679 consecutive emergencies for an emergency care practitioner

An audit using a sample of 4679 consecutive emergency patients seen by a single emergency care practitioner working for a statutory ambulance service in England between November 2007 and November 2013. The results show that the most common type of call attended are traumatic injuries followed by medical problems. The data shows that 53% of patients attended were discharged at scene, with another 8.3% referred to specialist pathways and just 29.3% sent to the majors side of the emergency department. Additionally, it is shown that referrals are made appropriately in the vast majority of cases with just 2.4% of attempted referrals being rejected as inappropriate. Whilst further work is needed to quantify how these figures compare to a more traditional paramedic role, it is suggested that the introduction of a few specific skills such as skin glue and the use of antibiotics for chest infections to general paramedic practice could dramatically reduce unnecessary hospital admissions.

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