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Table 1 Fixed system variables

From: Template for documenting and reporting data in physician-staffed pre-hospital services: a consensus-based update

Data variable number

Main data variable name

Type of data

Data variable categories or values

Data variable sub-categories or values

Type

Definition of data variable

How often should variable be reported

1. Fixed system variables

1.1.

Specialty of physicians

Categorical

1.1.1 Anaesthesiology

 

Check box

Specialty of physicians working in the service on a regular basis

Annual

  

1.1.2 Emergency medicine

    
  

1.1.3 Intensive care

    
  

1.1.4 Surgery

    
  

1.1.5 Internal medicine

    
  

1.1.6 Other

    

1.2.

Training level of physicians

Categorical

1.2.1 Trainee/registrar

 

Check box

 

Annual

  

1.2.2 Specialist

    

1.3.

Composition of team

Categorical

1.3.1 Nurse

 

Check box

Qualification of non-p-EMS personnel accompanying the physician during mission

Annual

  

1.3.2. Paramedic

  

As defined by each national service

 
  

1.3.3. EMS-technician

  

As defined by each national service

 
  

1.3.4. Other

    

1.4.

Catchment population

Continuous

  

Number

Number of citizens in the area covered by the service on a regular basis

Annual

1.5.

Catchment area

Continuous

1.5.1. Square km

 

Number

Area in which the service is planned to operate on a regular basis, square km

Annual

 

Categorical

1.5.2. Type

1.5.2.1. Urban

Check box

Type of area where service operate on a regular basis (as defined by each service)

 
   

1.5.2.2. Rural

   

1.6.

Does the service conduct primary missions?

Categorical

1.6.1. Yes

 

Bullet list

On-scene missions

Annual

  

1.6.2. No

    

1.7.

Does the service conduct inter-hospital transfer missions?

Categorical

1.7.1. Yes

 

Bullet list

Patient transfers between different hospitals or facilities

Annual

  

1.7.2. No

    

1.8.

Number of consultations only (advice) per year

Continuous

  

Number

Physician is consulted by EMS or other professionals (give advice)

Annual

1.9.

Number of primary missions per year

Continuous

  

Number

Missions where physician is on-scene. Total number for the service

Annual

1.10.

Number of inter-hospital transfer missions per year

Continuous

  

Number

Inter-hospital or interfacility transfer. Total number for the service

Annual

1.11.

Number of cancelled missions per year

Continuous

  

Number

Any mission where p-EMS is alarmed but not able to respond or must interrupt mission

Annual

1.12.

Number of events per year per physician

Continuous

  

Number

The average number of missions per individual physician per year

Annual

1.13.

Number of events for p-EMS unit/100,000 inhabitants per year

Continuous

  

Number

 

Annual

1.14.

Number of EMS events/100,000 inhabitants per year

Continuous

  

Number

Number of events for the whole EMS system, including p-EMS

Annual

1.15.

Number of p-EMS units/

100,000 inhabitants

Continuous

  

Number

 

Annual

1.16.

Number of p-EMS units/km2

Continuous

  

Number

Area in which the service operates on a regular basis

Annual

1.17.

Available vehicles in service

Categorical

  

Check box

Available vehicles on a regular basis for p-EMS

Annual

  

1.17.1. Rapid response car

  

Regular car, no stretcher

 
  

1.17.2. Regular ambulance staffed with physician

  

Car with stretcher. Physician is attending on a regular basis

 
  

1.17.3. Rotor Wing

    
  

1.17.4. Fixed Wing

    
  

1.17.5. Boat staffed with physician

  

Physician is attending on a regular basis

 
  

1.17.6. Other

    

1.18.

Operating hours

Categorical

1.18.1. Daytime

 

Bullet list

Regular working hours, e.g., 08–16, as defined by each service

Annual

  

1.18.2. Daylight only

  

Service operates only in daylight (different opening hours during the year due to seasonal variations). Daylight as defined by each service

 
  

1.18.3. 24/7 (full-time service)

  

Service operates during the day and night

 
  

1.18.4. Other

    

1.19.

Activation criteria

Categorical

1.19.1. Criteria based

 

Check box

P-EMS activated in accordance with a pre-defined set of activation criteria used by EMCC

Annual

  

1.19.2. Consultation with physician

  

Physician-staffed unit activated only after consultation with an on-call physician

 
  

1.19.3. Individual

  

No predefined criteria for activation of p-EMS

 

1.20.

Dispatch system

Categorical

1.20.1. Integrated EMCC

 

Check box

Integrated EMCC includes dispatch centres coordinating all levels of pre-hospital services

Annual

  

1.20.2. Special EMCC

  

Special EMCC includes centres only responsible for p-EMS units

 
  

1.20.3. Other

    

1.21.

Advanced equipment carried by service

Categorical

1.21.1. Blood products

 

Check box

Advanced equipment available on a regular basis to service

Annual

  

1.21.2. Mechanical chest compression device

    
  

1.21.3. Ultrasound

    
  

1.21.4. Advanced drugs

  

Drugs not available to regular EMS in the individual system

 
  

1.21.5. Additional airway management equipment (e.g., videoscope)

  

Airway management

equipment beyond the scope of regular EMS

 
  

1.21.6. Surgical procedures supported

  

Service carries equipment for predefined surgical procedures

 

1.22.

Does a system for registration and reviewing of adverse events, critical incidents and educational events in the service exist?

Categorical

1.22.1. Yes

 

Bullet list

 

Annual

  

1.22.2 No

    

1.23.

Categorization of events/case mix

Categorical

1.23.1. Cardiac arrest medical aetiology

 

Check box

Mission types the service responds to

Annual

  

1.23.2. Cardiac arrest traumatic aetiology

    
  

1.23.3. Trauma

    
  

1.23.4. Breathing difficulties

    
  

1.23.5. Myocardial infarction (MI)

  

Confirmed by ECG

 
  

1.23.6. Chest pain, MI not confirmed

    
  

1.23.7. Stroke

    
  

1.23.8. Acute neurology excluding stroke

    
  

1.23.9. Reduced level of consciousness

    
  

1.23.10. Poisoning/Intoxication

    
  

1.23.11. Burns

    
  

1.23.12. Obstetrics and childbirth

    
  

1.23.13. Infection

    
  

1.23.14. Anaphylaxis

    
  

1.23.15. Surgical

    
  

1.23.16. Asphyxiation

    
  

1.23.17. Drowning

    
  

1.23.18. Psychiatry excluding poisoning/intoxication

    
  

1.23.19. All of the above

  

Service responds to all types of events

 
  

1.23.20. Other

    

1.24.

Number of intubations successful on first attempt and without desaturation (DASH1a intubations) /100 intubations

Continuous

  

Number

 

Annual

1.25.

Number of patients where blood glucose was measured after ROSC/100 ROSC

Continuous

  

Number

 

Annual

  1. EMS- Emergency medical services, p-EMS - Physician-staffed emergency medical services, EMCC - Emergency medical communication centre, MI - Myocardial infarction, ECG – Electrocardiogram, DASH1a - Definitive airway sans hypoxia/hypotension on first attempt,
  2. ROSC – Return of spontaneous circulation