Emergency Medical Retrieval Service: Difference between revisions

The '''Emergency Medical Retrieval Service''' ('''EMRS''') is part of [[ScotSTAR]] retrieval service. The EMRS provides [[aeromedical]] [[Critical care medicine|critical care]] retrieval and [[Pre-hospital emergency medicine|pre-hospital care]] to people in [[Scotland]]<ref name=":3">{{Cite journal |last=McHenry |first=Ryan D. |last2=Moultrie |first2=Christopher EJ |last3=Cadamy |first3=Andrew J. |last4=Corfield |first4=Alasdair R. |last5=Mackay |first5=Daniel F. |last6=Pell |first6=Jill P. |date=2023-08-22 |title=Pre-hospital and retrieval medicine in Scotland: a retrospective cohort study of the workload and outcomes of the emergency medical retrieval service in the first decade of national coverage |url=https://doi.org/10.1186/s13049-023-01109-6 |journal=Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |volume=31 |issue=1 |pages=39 |doi=10.1186/s13049-023-01109-6 |issn=1757-7241 |pmc=10463457 |pmid=37608349}}</ref><ref>{{Cite journal |last1=Moultrie |first1=C. E. J. |last2=Corfield |first2=A. R. |last3=Pell |first3=J. |last4=Mackay |first4=D. |date=2017-05-01 |title=46 Forecasting the demand profile for a physician-led pre-hospital care service using a mathematical model |url=https://bmjopen.bmj.com/content/7/Suppl_3/A18.2 |journal=BMJ Open |language=en |volume=7 |issue=Suppl 3 |doi=10.1136/bmjopen-2017-EMSabstracts.46 |issn=2044-6055 |doi-access=free}}</ref> in the form of two retrieval teams (North and West). The service provides patients in remote and rural areas with rapid access to the skills of a [[Consultant (medicine)|consultant]] or senior doctor in emergency medicine, intensive care medicine or anaesthesia, and facilitates transfers to larger, better equipped urban hospitals.<ref name="what we do">{{cite web |title=What we do |url=http://www.emrs.scot.nhs.uk/index.php?option=com_content&view=article&id=18&Itemid=28 |url-status=dead |archive-url=https://web.archive.org/web/20090411060354/http://www.emrs.scot.nhs.uk/index.php?option=com_content&view=article&id=18&Itemid=28 |archive-date=11 April 2009 |access-date=2009-11-18 |publisher=EMRS |location=Glasgow}}</ref> The EMRS functions supplementary to the regular Scottish Ambulance Service Air Ambulance service. Unlike air ambulance services in other parts of the UK, both services are funded by the [[Scottish Government]]. The EMRS has occasionally featured on the [[Five (TV channel)|Channel 5]] documentary series ''[[Highland Emergency]]'', which charts the work of rescue services in the [[Scottish Highlands]].<ref name="spin doctor">{{cite web |date=January 2009 |title=''Spin Doctor'' (EMRS Newsletter) |url=http://www.emrs.scot.nhs.uk/images/stories/newsletters/january09.pdf |access-date=2009-11-18 |publisher=EMRS |location=Glasgow}}</ref>

The team attend between 1<ref name=":3" /> and 3<ref name=":1" /> prehospital patient a day, delivering advanced medical management and other critical care interventions many of these patients.<ref name=":3" /><ref name=":1">{{Cite journal |last1=Neagle |first1=Gregg |last2=Curatolo |first2=Lisa |last3=Ferris |first3=John |last4=Donald |first4=Mike |last5=Hearns |first5=Stephen |last6=Corfield |first6=Alasdair R. |date=2019-04-01 |title=Epidemiology and location of primary retrieval missions in a Scottish aeromedical service |url=https://www.ingentaconnect.com/content/wk/ejeme/2019/00000026/00000002/art00009 |journal=European Journal of Emergency Medicine |volume=26 |issue=2 |pages=123–127 |doi=10.1097/MEJ.0000000000000483 |pmid=28746084 |s2cid=23053968}}</ref><ref>{{Cite journalprehospital |last1=Moultriepatient |first1=C.a E.day, J.delivering |last2=Corfieldadvanced |first2=A.medical R.management |last3=Pelland |first3=J.other |last4=Mackay |first4=D. |date=2017-05-01 |title=46 Forecasting the demand profile for a physician-led pre-hospitalcritical care serviceinterventions usingmany aof mathematicalthese model |url=https://bmjopenpatients.bmj.com/content/7/Suppl_3/A18.2 |journal=BMJ Open |language=en |volume=7 |issue=Suppl 3 |doi=10.1136/bmjopen-2017-EMSabstracts.46 |issn=2044-6055 |doi-access=free}}</ref><ref name=":2" /> In one study, 59.7% of patients received one of the following interventions; pre-hospital [[Blood transfusion]], [[Chest tube|Chest drain insertion]] neuroprotective measures or [[Emergency ultrasound]].<ref name=":3" /> In the same study 52.5% of patients were mechanically ventilated.<ref name=":3" /> In anotehr study critical care interventions (''emergency anaesthesia, thoracostomies, sedation, thoracotomy, chest drain insertion or administration of blood products'') were provided to 17% of patients and 21% received an advanced medical intervention (these include patients who died on scene, gaining intraosseous access and any patient the team escorted to hospital).<ref name=":1" />