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Comparing emergency medical service and walk-in patients in German emergency departments: a prospective multicentre survey - PubMed

4 hours ago
  • #Emergency Department Crowding
  • #Emergency Medical Services
  • #Healthcare Utilization
  • EMS patients represented 27.2% of the 9,719 surveyed, were older, and more frequently used predominantly urban EDs.
  • EMS patients presented more often with cardio-respiratory or neurological complaints, while walk-ins mainly had pain-related issues.
  • EMS patients had less prior outpatient contact (29.3%) compared to walk-ins, indicating different care-seeking behaviors.
  • Injury-related presentations were more common in predominantly urban EDs (26.3% vs. 20.5%), highlighting regional differences in case-mix.
  • Awareness of the national on-call service number (116117) was linked to higher odds of attending predominantly urban EDs.
  • The study suggests region-sensitive strategies and integration of telephone advice or digital tools could improve emergency care coordination.