ParaMED Home: A protocol for a randomised controlled trial of paramedic assessment and referral to access medical care at home
2011

Home Care for Emergency Patients

Sample size: 940 publication Evidence: moderate

Author Information

Author(s): Arendts Glenn, Sim Moira, Johnston Steven, Brightwell Richard

Primary Institution: Centre for Clinical Research in Emergency Medicine, Western Australian Institute for Medical Research

Hypothesis

Can paramedic assessment and referral to a community home hospital service reduce the need for emergency department visits?

Conclusion

The trial aims to determine if paramedic referrals to home care can effectively reduce emergency department overcrowding and improve patient outcomes.

Supporting Evidence

  • The study aims to address the issue of emergency department overcrowding.
  • Paramedics may be able to manage low-risk patients in the community without hospital transfer.
  • The trial will evaluate both clinical effectiveness and cost savings.

Takeaway

This study is trying to see if paramedics can help people at home instead of taking them to the hospital, which could make things faster and easier for everyone.

Methodology

A randomised controlled trial with consenting adult patients assessed by paramedics for low-risk problems.

Potential Biases

Potential for bias in patient selection and outcomes due to the lack of direct medical supervision in the intervention arm.

Limitations

The main risk is that patients may receive inadequate care or misdiagnosis in the home setting.

Participant Demographics

Adult patients calling for ambulance services in metropolitan Perth, Western Australia.

Digital Object Identifier (DOI)

10.1186/1471-227X-11-7

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