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Impact of COVID-19 pandemic on emergency medical service response to emergency calls — a retrospective analysis of data from Emergency Medical Service station in Bydgoszcz

Przemysław Paciorek1, Maciej Romaniuk1, Jakub Husejko2, Michał Kasprzak3, Krzysztof Wiśniewski1, Wojciech Skrzyński1, Jakub Marcin Ratajczak34
DOI: 10.5603/MRJ.a2022.0033
Affiliations
  1. Department of Family Medicine, Nicolaus Copernicus University in Torun, Collegium Medicum in Bydgoszcz, Poland
  2. Department of Geriatrics, Nicolaus Copernicus University in Torun, Collegium Medicum in Bydgoszcz, Poland
  3. Department of Cardiology and Internal Medicine, Nicolaus Copernicus University in Torun, Collegium Medicum in Bydgoszcz
  4. Department of Health Promotion, Nicolaus Copernicus University in Torun, Collegium Medicum in Bydgoszcz, Poland

open access

Ahead of print
ORIGINAL ARTICLES
Published online: 2022-08-02

Abstract

Introduction: Emergency medical systems, as the first line of management of infectious patients, were affected by the 2019 coronavirus acute respiratory disease (COVID-19) pandemic. The aim of the study was to analyze the impact of the COVID-19 pandemic on the Emergency Medical Service (EMS) with emphasis on response time.

Material and methods: Retrospective analysis of dispatch card from EMS in Bydgoszcz between January 2018 and December 2020. The differences regarding the EMS response were analyzed between the pre-pandemic (2018–2019) and the pandemic (2020) period in three time-points: from call to Emergency Medical Team (EMT) departure (T1), from departure to arrival at the scene (T2), and from arrival to reaching the emergency department (T3).

Results: There were 47783 EMT departures in 2018, 47113 in 2019 and 40835 in 2020. In 2020 mean (SD) monthly number of interventions was significantly lower [3403 (349) vs. 3954 (182), p < 0.001) compared to the 2018–2019 period. During the pandemic period the mean T1 [0.9 (1.49) vs. 0.63 (1.12) min, p < 0.001], T2 [9.91 (6.33) vs. 8.25 (5.07) min, p < 0.001], and T3 interval [40.45 (19.84) vs. 36.56 (14.63) min, p < 0.001] were prolonged in comparison to the pre-pandemic period. The differences in response time were the largest in October–December.

Conclusions: During the first year of the pandemic, the number of EMT interventions decreased and the response time was prolonged compared to the pre-pandemic period. The largest differences were observed at the end of the year, which overlapped with the peak of the second wave of COVID-19 infections in Poland.

Abstract

Introduction: Emergency medical systems, as the first line of management of infectious patients, were affected by the 2019 coronavirus acute respiratory disease (COVID-19) pandemic. The aim of the study was to analyze the impact of the COVID-19 pandemic on the Emergency Medical Service (EMS) with emphasis on response time.

Material and methods: Retrospective analysis of dispatch card from EMS in Bydgoszcz between January 2018 and December 2020. The differences regarding the EMS response were analyzed between the pre-pandemic (2018–2019) and the pandemic (2020) period in three time-points: from call to Emergency Medical Team (EMT) departure (T1), from departure to arrival at the scene (T2), and from arrival to reaching the emergency department (T3).

Results: There were 47783 EMT departures in 2018, 47113 in 2019 and 40835 in 2020. In 2020 mean (SD) monthly number of interventions was significantly lower [3403 (349) vs. 3954 (182), p < 0.001) compared to the 2018–2019 period. During the pandemic period the mean T1 [0.9 (1.49) vs. 0.63 (1.12) min, p < 0.001], T2 [9.91 (6.33) vs. 8.25 (5.07) min, p < 0.001], and T3 interval [40.45 (19.84) vs. 36.56 (14.63) min, p < 0.001] were prolonged in comparison to the pre-pandemic period. The differences in response time were the largest in October–December.

Conclusions: During the first year of the pandemic, the number of EMT interventions decreased and the response time was prolonged compared to the pre-pandemic period. The largest differences were observed at the end of the year, which overlapped with the peak of the second wave of COVID-19 infections in Poland.

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Keywords

COVID-19, emergency medical service, pandemic, response time

About this article
Title

Impact of COVID-19 pandemic on emergency medical service response to emergency calls — a retrospective analysis of data from Emergency Medical Service station in Bydgoszcz

Journal

Medical Research Journal

Issue

Ahead of print

Article type

Original article

Published online

2022-08-02

Page views

31

Article views/downloads

17

DOI

10.5603/MRJ.a2022.0033

Keywords

COVID-19
emergency medical service
pandemic
response time

Authors

Przemysław Paciorek
Maciej Romaniuk
Jakub Husejko
Michał Kasprzak
Krzysztof Wiśniewski
Wojciech Skrzyński
Jakub Marcin Ratajczak

References (38)
  1. World Health Organization (WHO). COVID-19 weekly epidemiological update, edition 77, 1 February 2022. https://apps.who.int/iris/handle/10665/351517 (16.02.2022).
  2. Koronawirus: informacje i zalecenia. Raport zakażeń koronawirusem (SARS-CoV-2). https://www.gov.pl/web/koronawirus/wykaz-zarazen-koronawirusem-sars-cov-2 (26.06.2022).
  3. Dodt C, Schneider N. Emergency and intensive care medicine aspects of COVID-19 infections [in German]. Radiologe. 2020; 60(10): 899–907.
  4. Nadolny K, Szczerbiński S, Ładny J, et al. Out-of-hospital cardiac arrest and COVID-19 pandemic. Med Res J. 2021; 6(2): 83–85.
  5. Kelker H, Yoder K, Musey P, et al. Prospective study of emergency medicine provider wellness across ten academic and community hospitals during the initial surge of the COVID-19 pandemic. BMC Emerg Med. 2021; 21(1): 36.
  6. Rodriguez RM, Medak AJ, Baumann BM, et al. Academic emergency medicine physicians' anxiety levels, stressors, and potential stress mitigation measures during the acceleration phase of the COVID-19 pandemic. Acad Emerg Med. 2020; 27(8): 700–707.
  7. Chojecka D, Pytlos J, Zawadka M, et al. How to maintain safety and maximize the efficacy of cardiopulmonary resuscitation in COVID-19 patients: insights from the recent guidelines. J Clin Med. 2021; 10(23).
  8. Mohammadi F, Tehranineshat B, Bijani M, et al. Management of COVID-19-related challenges faced by EMS personnel: a qualitative study. BMC Emerg Med. 2021; 21(1): 95.
  9. Garcia-Castrillo L, Petrino R, Leach R, et al. European Society For Emergency Medicine position paper on emergency medical systems' response to COVID-19. Eur J Emerg Med. 2020; 27(3): 174–177.
  10. Ahn JY, Ryoo HW, Cho JW, et al. Impact of the COVID-19 outbreak on adult out-of-hospital cardiac arrest outcomes in Daegu, South Korea: an observational study. Clin Exp Emerg Med. 2021; 8(2): 137–144.
  11. Baldi E, Sechi GM, Mare C, et al. all the Lombardia CARe researchers. Treatment of out-of-hospital cardiac arrest in the COVID-19 era: A 100 days experience from the Lombardy region. PLoS One. 2020; 15(10): e0241028.
  12. Baldi E, Auricchio A, Klersy C, et al. SWISSRECA researchers. Out-of-hospital cardiac arrests and mortality in Swiss Cantons with high and low COVID-19 incidence: A nationwide analysis. Resusc Plus. 2021; 6: 100105.
  13. Ball J, Nehme Z, Bernard S, et al. Collateral damage: Hidden impact of the COVID-19 pandemic on the out-of-hospital cardiac arrest system-of-care. Resuscitation. 2020; 156: 157–163.
  14. Chan PS, Girotra S, Tang Y, et al. Outcomes for out-of-hospital cardiac arrest in the united states during the coronavirus disease 2019 pandemic. JAMA Cardiol. 2021; 6(3): 296–303.
  15. Cho JW, Jung H, Lee MiJ, et al. WinCOVID-19 consortium. Preparedness of personal protective equipment and implementation of new CPR strategies for patients with out-of-hospital cardiac arrest in the COVID-19 era. Resusc Plus. 2020; 3: 100015.
  16. Fothergill RT, Smith AL, Wrigley F, et al. Out-of-hospital cardiac arrest in London during the COVID-19 pandemic. Resusc Plus. 2021; 5: 100066.
  17. Glober NK, Supples M, Faris G, et al. Out-of-hospital cardiac arrest volumes and characteristics during the COVID-19 pandemic. Am J Emerg Med. 2021; 48: 191–197.
  18. Lai PH, Lancet EA, Weiden MD, et al. Characteristics associated with out-of-hospital cardiac arrests and resuscitations during the novel coronavirus disease 2019 pandemic in new york city. JAMA Cardiol. 2020; 5(10): 1154–1163.
  19. Lim D, Park SYi, Choi B, et al. The comparison of emergency medical service responses to and outcomes of out-of-hospital cardiac arrest before and during the COVID-19 pandemic in an area of korea. J Korean Med Sci. 2021; 36(36): e255.
  20. Marijon E, Karam N, Jost D, et al. Out-of-hospital cardiac arrest during the COVID-19 pandemic in Paris, France: a population-based, observational study. Lancet Public Health. 2020; 5(8): e437–e443.
  21. Nishiyama C, Kiyohara K, Iwami T, et al. Influence of COVID-19 pandemic on bystander interventions, emergency medical service activities, and patient outcomes in out-of-hospital cardiac arrest in Osaka City, Japan. Resusc Plus. 2021; 5: 100088.
  22. Rosell Ortiz F, Fernández Del Valle P, Knox EC, et al. OHSCAR investigators. Influence of the Covid-19 pandemic on out-of-hospital cardiac arrest. A Spanish nationwide prospective cohort study. Resuscitation. 2020; 157: 230–240.
  23. Semeraro F, Gamberini L, Tartaglione M, et al. Out-of-hospital cardiac arrest during the COVID-19 era in Bologna: System response to preserve performances. Resuscitation. 2020; 157: 1–2.
  24. Sultanian P, Lundgren P, Strömsöe A, et al. Cardiac arrest in COVID-19: characteristics and outcomes of in- and out-of-hospital cardiac arrest. A report from the Swedish Registry for Cardiopulmonary Resuscitation. Eur Heart J. 2021; 42(11): 1094–1106.
  25. Uy-Evanado A, Chugh HS, Sargsyan A, et al. Out-of-hospital cardiac arrest response and outcomes during the COVID-19 pandemic. JACC Clin Electrophysiol. 2021; 7(1): 6–11.
  26. Yu JH, Liu CY, Chen WK, et al. Impact of the COVID-19 pandemic on emergency medical service response to out-of-hospital cardiac arrests in Taiwan: a retrospective observational study. Emerg Med J. 2021; 38(9): 679–684.
  27. Seo AhR, Lee WJ, Woo SH, et al. Pre-hospital delay in patients with acute stroke during the initial phase of the coronavirus disease 2019 outbreak. J Korean Med Sci. 2022; 37(6): e47.
  28. Bielski K, Szarpak A, Jaguszewski MJ, et al. The influence of COVID-19 on out-hospital cardiac arrest survival outcomes: an updated systematic review and meta-analysis. J Clin Med. 2021; 10(23).
  29. Biuletyn Informacji Publicznej - Starostwo Powiatowe w Bydgoszczy: Dane statystyczne [Public Information Bulletin]. https://bip.powiat.bydgoski.pl/?c=17 (18.02.2022).
  30. Al Amiry A, Maguire BJ. Emergency Medical Services (EMS) calls during COVID-19: early lessons learned for systems planning (A narrative review). Open Access Emerg Med. 2021; 13: 407–414.
  31. Steinman M, de Sousa JH, Tustumi F, et al. The burden of the pandemic on the non-SARS-CoV-2 emergencies: A multicenter study. Am J Emerg Med. 2021; 42: 9–14.
  32. Nadolny K, Ładny JR, Zyśko D, et al. Interventions of emergency medical teams in Poland during the SARS-CoV-2 pandemic. Kardiol Pol. 2021; 79(1): 72–75.
  33. Szczerbinski S, Ratajczak J, Lach P, et al. Epidemiology and chronobiology of out-of-hospital cardiac arrest in a subpopulation of southern Poland: A two-year observation. Cardiol J. 2020; 27(1): 16–24.
  34. Ratajczak J, Łach P, Umińska JM, et al. Mild therapeutic hypothermia after out-of-hospital cardiac arrest: What does really matter? Cardiol J. 2021; 28(2): 293–301.
  35. Szczerbiński S, Ratajczak J, Jasiewicz M, et al. Observational analysiS of out-of-hospital cardiac arrest occurRence and temporal variability patterns in subpopulation of southern poland from 2006 to 2018: OSCAR-POL registry. Cardiol J. 2021 [Epub ahead of print].
  36. Bruska M, Szankin Z, Ratajczak J, et al. Improvement of the quality of cardiopulmonary resuscitation performed with Real CPR Help® device among medical students and medical workers. Medical Research Journal. 2021; 6(3): 177–183.
  37. Lackowski P, Piasecki M, Kasprzak M, et al. COVID-19 pandemic year in the cardiology department. Med Res J. 2021; 6(1): 40–46.
  38. Walton H, Navaratnam AV, Ormond M, et al. Emergency medicine response to the COVID-19 pandemic in England: a phenomenological study. Emerg Med J. 2020; 37(12): 768–772.

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