Advising and limiting medical treatment during phone consultation: a prospective multicentre study in HEMS settings

Table 4 The information available when HEMS physicians made decisions on treatment and issued a new LOMT

Type of information available	All n = 478	%	New LOMT n = 210	%
Information from EMS situation	471	99	206	98
Anamnesis via EMS personnel	471	99	206	98
Measured vital parameters	399	83	160	76
ECG	151	32	45	21
Information from a person other than the EMS personnel^a	117	24	79	38
Nurse familiar with the patient	59	12	39	19
Nurse unfamiliar with the patient	9	1.9	8	3.8
Attending physician in nursing home	6	1.3	4	1.9
Another physician	15	3.1	10	4.8
A relative/proxy	31	6.5	22	10
Information on any pre-existing LOMTs	291	61	35	17
Medical records	187	39	60	29
Tertiary hospital medical records	182	38	57	27
Primary care hospital/health care facility medical records	3	0.6	0	0
Nursing home client’s medical records	7	1.5	3	1.4
Emergency care plan	0	0	0	0
Kanta-service^b/National electronic medical records	1	0.2	1	0.5
Medication list	124	26	45	21
Medication list without medical records	29	6.1	17	8.1
Information available only from paramedics on scene^c	85	18	82	39

HEMS, Helicopter Emergency Medical Service; LOMT, Limitation of medical treatment
^aNot EMS personnel; for example, a relative/proxy, nursing home staff, physician in tertiary hospital
^bNational archive of health and social welfare information contains up to date records from both the private and public sectors. The users of the Kanta services include citizens, healthcare services, social welfare services and pharmacies
^cInformation on medical records, medication lists, pre-existing LOMTs or from any person other than EMS personnel on scene was not available

ISSN: 1757-7241