Introduction of medical protocol for emergency telephone consultation

DOI 1 Citations 13 References
  • Morimura Naoto
    Working Group of Protocol of Emergency Telephone Consultation Center, Committee of Emergency Medicine, Tokyo Metropolitan Medical Association Steering Council of Emergency Telephone Consultation Center in Tokyo Fire Department, Tokyo Metropolitan Government Trauma and Critical Care Center, Teikyo University School of Medicine
  • Sakurai Atsushi
    Working Group of Protocol of Emergency Telephone Consultation Center, Committee of Emergency Medicine, Tokyo Metropolitan Medical Association Department of Emergency and Critical Care Medicine, Nihon University School of Medicine
  • Ishikawa Hideki
    Working Group of Protocol of Emergency Telephone Consultation Center, Committee of Emergency Medicine, Tokyo Metropolitan Medical Association Division of Surgery, Eiju Hospital
  • Takeda Munekazu
    Working Group of Protocol of Emergency Telephone Consultation Center, Committee of Emergency Medicine, Tokyo Metropolitan Medical Association Department of Emergency and Critical Care Medicine, Tokyo Women's Medical College
  • Izumi Hiroyuki
    Working Group of Protocol of Emergency Telephone Consultation Center, Committee of Emergency Medicine, Tokyo Metropolitan Medical Association Itabashi Ward Medical Association Hospital
  • Ishihara Toru
    Working Group of Protocol of Emergency Telephone Consultation Center, Committee of Emergency Medicine, Tokyo Metropolitan Medical Association Steering Council of Emergency Telephone Consultation Center in Tokyo Fire Department, Tokyo Metropolitan Government Shirahigebashi Hospital
  • Aruga Toru
    Steering Council of Emergency Telephone Consultation Center in Tokyo Fire Department, Tokyo Metropolitan Government Department of Critical Care and Emergency Medicine, Showa University School of Medicine

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Other Title
  • 電話救急医療相談におけるプロトコールの導入とその効果

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Background: Emergency Telephone Consultation Center, dial “#7119”, has been established in Tokyo Fire Department from June 1, 2007. The purpose of this first project in our country is to evaluate the urgency of emergency calls and provide most appropriate advices in proportion with each condition using medical protocols by nurses.<BR>Objective: The objective of this study is to investigate the effect and problem of medical protocol-oriented consultation and triage system for callers who had no method except calling ambulance services before.<BR>Method: We introduced 90 medical protocols and collected the results of call triage category and outcome from the telephone consultation records during 3 months. The call triage consists of 4 categories such as immediate action by sending ambulance (Red), immediate consultation by their own (Orange), urgent (Yellow), and non-urgent (Green).<BR>Results: The protocol was used in 75.7% of all 6,549 calls and the frequently used categories were “Pediatric Fever”, “Pediatric Head/Cervical Injury”, and “Accidental Ingestion”. The initial categories according to the protocol of Red, Orange, Yellow, and Green were 24.6%, 29.4%, 23.7% and 22.4%, respectively. Emergency admissions were recorded in the 30.9% of the cases of the final overall Red category based on the protocol and other associated factors.<BR>Conclusion: The medical protocol-oriented consultation may contribute to change the referral behavior of callers. Further study will be necessary to determine the effect.

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