Causes of non-documented requests in pre-hospital emergency medical assistance

Abstract

Introduction. The emergency line can be used at any time to intervene in a critical situation of a patient, when only one second can make the difference between life and death. In the Republic of Moldova, since the launch of project 112, it has been called more than 4 million times, but, according to statistics, the number of calls from the daily average of 12.000 calls to 112, does not have an emergency character and constitutes over 68% of the total calls. . The average processing time of an emergency call is up to 40 seconds. The unjustified call to the emergency number means maintaining both the emergency lines and the operators 112. Therefore, the quality of the pre-hospital services in the Republic of Moldova is directly influenced by the ungoverned calls. The national and international studies in this area reveal many aspects regarding the causes of the non-documented calls. The vast majority of studies offer technical and management solutions regarding the limitation of these types of calls, by including a diversified management of sorting the ungoverned calls by the urgent calls. However, the theme requires complex studies, which offer solutions to the emergency care service. Quality control of the taking of population calls and the provision of emergency medical care is essential in ensuring a favourable climate for solving urgent cases and for ensuring the efficiency of the emergency treatment of the population. Aim of the study. The analysis of the specific criteria for taking requests in pre-hospital emergency medical care, developed to analyze the frequency of non-documented calls of the population for emergency medical care. Materials and methods. A descriptive, cross-sectional study was conducted on 230 adult respondents, residents of Chisinau. For the accumulation of primary data, a special questionnaire was developed. From all the respondents was received agreement to participate in the study. The EpiInfo statistical program was used for data analysis. Results. The number of calls from Chisinau in 2019 compared to 2018 increased by 7.5%, and the number of non-documented calls - by 10.6%. The major cause of non-documented requests: in 63.0% (95% II: 55.14% -70.86%) - lack of information regarding the need to call pre-hospital emergency care. The respondents are aware 82.0% (95% II: 76.52% - 87.42%) of the negative impact of the non-documented requests and they have pronounced for a greater involvement of the 112 service in publicizing the negative impact that the requests have not documented for both service and population. Conclusions. The study showed the need to educate the population on the causes of requesting pre-hospital emergency medical care. Mediation of the negative impact of the non-documented requests for service 112 and of the patients who need to urgently solve the health problem.