Research Article
The Barbados Emergency Ambulance Service: High Frequency of Nontransported Calls
Table 1
Distribution of calls by category, type, and station; the Barbados Emergency Ambulance Service (2005).
| Call category | Call type | Calls satellite station | Calls main station | Total calls | % of category | % of total |
| Trauma | Traffic/transportation accidents | 121 | 650 | 771 | 42.2% | 8.7% | Falls | 33 | 280 | 313 | 17.1% | 3.5% | Traumatic injuries (specific) | 25 | 203 | 228 | 12.5% | 2.6% | Haemorrhage/lacerations | 12 | 209 | 221 | 12.1% | 2.5% | Assault/sexual assault | 19 | 160 | 179 | 9.8% | 2.0% | Stab/gunshot/penetration trauma | 3 | 81 | 84 | 4.6% | 0.9% | Animal bites/attacks | 0 | 3 | 3 | 0.2% | 0.0% | Burns (scalds)/explosions | 2 | 10 | 12 | 0.7% | 0.1% | Drowning (near)/diving/scuba accident | 3 | 8 | 11 | 0.6% | 0.1% | Eye problems/injuries | 2 | 2 | 4 | 0.2% | 0.0% |
| | Total trauma | 220 | 1606 | 1826 | 100.0% | 20.6% |
| Medical | Sick person (specific diagnosis) | 246 | 1510 | 1756 | 36.5% | 19.8% | Breathing problems | 99 | 759 | 858 | 17.8% | 9.7% | Abdominal pain/problems | 80 | 431 | 511 | 10.6% | 5.8% | Diabetic problems | 39 | 321 | 360 | 7.5% | 4.1% | Chest pain (nontraumatic) | 54 | 277 | 331 | 6.9% | 3.7% | Convulsions/seizures | 42 | 279 | 321 | 6.7% | 3.6% | Unconscious/fainting (near) | 26 | 225 | 251 | 13.7% | 2.8% | Stroke (CVA) | 17 | 135 | 152 | 3.2% | 1.7% | Cardiac or respiratory arrest/death | 12 | 109 | 121 | 2.5% | 1.4% | Heart problems/A.I.C.D | 4 | 74 | 78 | 1.6% | 0.9% | Headache | 9 | 64 | 73 | 1.5% | 0.8% |
| | Total medical | 628 | 4184 | 4812 | 100.0% | 54.2% |
| Environmental | Allergies/envenomations (stings, bites) | 4 | 52 | 56 | 87.5% | 0.6% | Carbon monoxide/inhalation/hazmat | | 5 | 5 | 7.8% | 0.1% | Electrocution/lightning | 1 | 2 | 3 | 4.7% | 0.0% |
| | Total environmental | 5 | 59 | 64 | 100.0% | 0.7% |
| Pregnancy | Pregnancy/childbirth/miscarriage | 56 | 247 | 303 | 100.0% | 3.4% |
| | Total pregnancy | 56 | 247 | 303 | 100.0% | 3.4% |
| Psychiatric | Overdose/poisoning (ingestion) | 10 | 45 | 55 | 57.9% | 0.6% | Psychiatric/abnormal behaviour/suicide attempt | 2 | 38 | 40 | 42.1% | 0.5% |
| | Total psychiatric | 12 | 83 | 95 | 100.0% | 1.1% | Miscellaneous | Back Pain (nontraumatic) | 6 | 76 | 82 | 89.1% | 0.9% | Unknown problem (man down) | 2 | 3 | 5 | 5.4% | 0.1% | Choking | 1 | 2 | 3 | 3.3% | 0.0% | Inaccessible incident/other entrapment (nonvehicle) | | 1 | 1 | 1.1% | 0.0% | Transfer/interfacility/palliative care | | 1 | 1 | 1.1% | 0.0% |
| | Total miscellaneous | 9 | 83 | 92 | 100.0% | 1.0% | Nontransported | Cancelled | 107 | 563 | 670 | 39.8% | 7.5% | Not required | 48 | 282 | 330 | 19.6% | 3.7% | Refused service | 39 | 263 | 302 | 17.9% | 3.4% | Left by other means | 28 | 241 | 269 | 16.0% | 3.0% | Not found | 7 | 105 | 112 | 6.7% | 1.3% |
| | Total nontransported | 229 | 1454 | 1683 | 100.0% | 19.0% |
| Totals | All calls | 1159 | 7716 | 8875 | | 100.0% |
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Call types are not in the order in which they appear on the data intake instrument [7].
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