Time Indicators in The Pre-Hospital Performance in Iran and Causes of a Delay in Reaching the Scene of Disaster: A mini systematic review
Introduction: Awareness of status of pre-hospital time indicators and possible factors contributing to the delay taken is critical in making decisions. Therefore, this study aimed at conducting a mini review of time indicators in pre-hospital performance in Iran and investigating their possible cause of delays.
Methods: The study data were collected using keywords such as pre-hospital, ED 115, response time, arrival time, time interval, site of the accident in Iran and its English equivalents from Google scholar, PubMed, MagIran, SID databases and Google search engine, manual searching of journals, gray literature and selected references. To search for articles, time limit has not been considered.
Results: Among 346 original articles found, 11 articles were included in the study. The average arrival times of the pre-hospital emergency services to the scene for urban and roads are 8.5±1.2 and 11.9±1.7 minutes, respectively. Dispatching ambulances from non-main areas due to lack of ambulances busy traffic routes, non-standard distribution of emergency sites, bad weather and failure to comply with the priority passing of ambulance by people were the main reasons of the pre-hospital delays.
Conclusion: The results of studies in Iran represent satisfactory performance in the pre-hospital of emergency. Planning for resolving the problem of ambulance dispatching from non-main areas due to lack of ambulances and traffic can be the top priority of the relevant authorities.