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Background. Studies have shown that the application of motorcycles in the pre-hospital emergency services in an urban environment improves the time index and the quality of services. The present study aimed to evaluate the performance of the services provided by motorlance in the Tabriz metropolis between 2018-2021. Methods. In this cross-sectional study conducted in the Tabriz pre-hospital emergency center, the recorded data about the patients using motorlance between 2018-2021 were collected and examined. The collected variables included the age, sex, chief complaint of the patients, vital signs of the patients, and final result of the mission in the pre-hospital setting. Two important indices of reaction time and response time in all the missions were evaluated. Results. A total of 9866 motorlance missions were completed during the study period. The mean reaction time was 68.24±62.91 seconds, and the mean response time was 641.70±304.48 seconds. Examination of the patients' chief complaint revealed that the lowest reaction time was for patients with abdominal pain (mean 44.90), and the lowest response time was for patients with cardiopulmonary arrest (mean 550.52). Conclusion. It was concluded that the timing indicators of motorlance missions were within the acceptable range for ambulances. Practical Implications. It was found necessary to increase the number of motorlance in metropolitan cities and employ experienced and knowledgeable personnel in motorlance in order to improve the existing situation and the quality of services.

Background: Stroke is considered as one of the most important causes of emergency medical services (EMS) dispatch worldwide. Stroke is a time-sensitive condition and rapid transport of the patients improves the prognosis. In this study, we described prehospital emergency response times for stroke patients in Isfahan, Iran. Methods: In the current cross-sectional descriptive study, suspected stroke patients who were transported by EMS in Isfahan, Iran, from June 2022 to June 2023 were included. The data was extracted from patients’ files. The time interval between the receipt of a call and the EMS arrival at the scene (arrival time), the time interval between on-scene EMS arrival and the ambulance departure to the medical center (stroke scene time), and the time it takes to reach the medical center (transport time) were collected. Results: Overall, 79 patients with a mean age of 71.56 ± 12.03 were included. EMS diagnosed 63 (79.75%) of the patients with a definite diagnosis and 14 (17.72%) with probable stroke. Two false negative results were found. The average arrival time, was 11.56 ± 6.60 minutes, on-scene stroke time was 13.85 ± 7.23 minutes and the average transport time was 11.90 ± 6.08 minutes. The mean total EMS response time was 37.90 ±11.29 minutes. Conclusion: Overall, our study showed that while the EMS transport time is longer than ideal, the total time to transport to the hospital is short enough not to affect the outcome. EMS was also found to be adept at spotting the signs of stroke and rapidly starting the process of treatment.

Background and purpose: COVID-19 pandemic has affected different aspects of the health care system, including the outcomes of cardiac arrest. The purpose of this study was to compare out-of-hospital cardiac arrest (OHCA) during the first COVID-19 wave and the pre-COVID-19 time in Qom prehospital emergency care, Iran. Materials and methods: In a retrospective descriptive study, we compared the data of patients with OHCA who were registered in the Qom prehospital emergency care, during the first wave of COVID-19 (from 20 February to 3 April 2020) and the same period in 2018. The independent t-test was applied to analyze quantitative demographic data and Chi-square test was used to compare qualitative data and cardiopulmonary resuscitation (CPR) and its outcomes. Results: The incidence of OHCA was higher during COVID-19 pandemic than that in the same period in 2018 (248 cases vs. 189 cases). The incidence of cardiac arrest at home was also found to be significantly different between the two times (93.5% vs. 70.9%, P

Background and purpose: COVID-19 pandemic has affected different aspects of the health care system, including the outcomes of cardiac arrest. The purpose of this study was to compare out-ofhospital cardiac arrest (OHCA) during the first COVID-19 wave and the pre-COVID-19 time in Qom prehospital emergency care, Iran. Materials and methods: In a retrospective descriptive study, we compared the data of patients with OHCA who were registered in the Qom prehospital emergency care, during the first wave of COVID-19 (from 20 February to 3 April 2020) and the same period in 2018. The independent t-test was applied to analyze quantitative demographic data and Chi-square test was used to compare qualitative data and cardiopulmonary resuscitation (CPR) and its outcomes. Results: The incidence of OHCA was higher during COVID-19 pandemic than that in the same period in 2018 (248 cases vs. 189 cases). The incidence of cardiac arrest at home was also found to be significantly different between the two times (93.5% vs. 70.9%, P<0.001). The study also showed significant differences between the COVID-19 pandemic and the pre-COVID-19 period in the following parameters: return of spontaneous circulation (ROSC) (6.9% vs. 17.5%, P<0.001), endotracheal intubation (15.3%, vs. 34.4% P< 0.001), and defibrillation (18.5% vs. 43.4%, P< 0.001). Conclusion: During the first COVID-19 wave in Qom, there were significant changes in the emergency responses to OHCA. Hence, emergency preparedness should be considered in possible future crisis. [ABSTRACT FROM AUTHOR]

Background and Aim: Safety is one of the important subjects in the pre-hospital settings. Determination and evaluation of safety attitudes of the emergency staff is the first step toward improving the safety of the staff and patients. In this study, we investigated safety attitudes and the factors affecting safety such as error and accident history, during mission, in the last year, in the staff of emergency medical services in Sanandaj. Material and Methods: This was a cross-sectional descriptive study. We used census method. Study population included personnel of emergency medical services (72 people). We used a questionnaire for data collection. SPSS version 20 software was used for data analysis. Pearson correlation coefficient, Spearman correlation coefficient and chi-square test were used to determine the relationship between the variables and the safety attitudes. Results: Based on the findings of this study, the safety attitudes of the emergency medical staff were significantly at a low level (mean: 3.11, p=±0/435). six dimensions of safety attitudes, including the cooperative atmosphere in the organization, safety climate in the organization, perceptual management, and job status had significant relationship with demographic characteristics. Job satisfaction criteria and stress recognition showed no significant relationship with demographic characteristics. Conclusion: The results of this study showed that the safety attitudes of the emergency medical staff towards safety were significantly at a low level.Therefore education in order to improve the attitudes of the emergency medical staff is necessary. We recommend inclusion of safety attitudes conceot in educational programs for emergency medical staff.

Introduction: although Iran was fortieth country in the world that Prehospital emergency system service established in it, quality and quantity only therapeutic free service have neglected by planners and managers. This study has been done by aim of determining the relation between Prehospital time indices and on-scene mortality rate in traffic accidents in the 22 regions of Tehran. Methods: this is a correlation study depending on previous studies. The statistical Populations are all traffic accidents peoples from March 2011 till March 2012 who injured in Tehran regions. The number of studied profiles is 68335 cases. Data were mined by an information form from patient's profiles. Data were analyzed by Spearman Correlation Coefficient statistical test by SPSS16 statistical software. Results: 56.5% traffic accident patients' were carried to hospitals, 38.5% were left accident site before ambulance receiving or don’t have coordinated and 0.4% were died in accident site. The medium of age of studied patients was 35.5 years old. Response interval for 50% of mission's is less than 15 minutes and Delay interval for 63% of missions is less than 8 minutes. Conclusion: there is relation between some of Prehospital time indices and traffic accident patient’s death rate at accident site. Accuracy planning in Prehospital emergency system can promote indices and decrease death rates in this system. Key words: Prehospital Emergency Care; Indicators; Mortality; Accidents, Traffic