{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T11:36:21Z","timestamp":1785929781544,"version":"3.56.0"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,1,24]],"date-time":"2018-01-24T00:00:00Z","timestamp":1516752000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>In Finland, approximately 40% of emergency medical service (<jats:styled-content style=\"fixed-case\">EMS<\/jats:styled-content>) missions do not result in transport of the patient to a hospital by ambulance, and there is wide variability in the reasons underlying non\u2010transport decisions. The aim of this study was to describe the context of these <jats:styled-content style=\"fixed-case\">EMS<\/jats:styled-content> non\u2010transport missions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The data were collected retrospectively between 3 September and 20 October 2014 by investigating non\u2010transport <jats:styled-content style=\"fixed-case\">EMS<\/jats:styled-content> charts (<jats:italic>n<\/jats:italic>\u00a0=\u00a01154). Event information and patients\u2032 main symptoms were extracted from information found in <jats:styled-content style=\"fixed-case\">EMS<\/jats:styled-content> charts and quantified using content and statistical analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients\u2032 need for <jats:styled-content style=\"fixed-case\">EMS<\/jats:styled-content> were explained by various reasons. One\u2010third of the missions were caused by organ\u2010specific symptoms, whereas in 30.8% of cases the reason for <jats:styled-content style=\"fixed-case\">EMS<\/jats:styled-content> was unspecified. Sudden onset symptoms were noted for 38.4% of the cases, whereas in 14.7% of cases the symptoms had persisted for days or weeks before <jats:styled-content style=\"fixed-case\">EMS<\/jats:styled-content> contact. <jats:styled-content style=\"fixed-case\">EMS<\/jats:styled-content> personnel offered guidance instead of treatment in 79.2% of the missions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Non\u2010transport missions represent a significant daily work load for the <jats:styled-content style=\"fixed-case\">EMS<\/jats:styled-content>. Although most of the symptoms showed acute onset, the majority of these missions involved only assessment of medical necessity and\/or guidance without any medical treatment. It is questionable whether this use of the <jats:styled-content style=\"fixed-case\">EMS<\/jats:styled-content> is cost\u2010effective for any healthcare system.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.13071","type":"journal-article","created":{"date-parts":[[2018,1,24]],"date-time":"2018-01-24T05:02:42Z","timestamp":1516770162000},"page":"701-708","source":"Crossref","is-referenced-by-count":35,"title":["Non\u2010transport emergency medical service missions \u2013 a retrospective study based on medical charts"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5702-798X","authenticated-orcid":false,"given":"S.","family":"Pekanoja","sequence":"first","affiliation":[{"name":"Research Unit of Nursing Science and Health Management University of Oulu Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2950-3571","authenticated-orcid":false,"given":"M.","family":"Hoikka","sequence":"additional","affiliation":[{"name":"Division of Intensive Care Department of Anaesthesiology Medical Research Centre Research Unit of Surgery, Anaesthesia and Intensive Care Oulu University Hospital University of Oulu Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Kyng\u00e4s","sequence":"additional","affiliation":[{"name":"Research Unit of Nursing Science and Health Management Medical Research Centre Oulu University Hospital University of Oulu Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Elo","sequence":"additional","affiliation":[{"name":"Research Unit of Nursing Science and Health Management Medical Research Centre Oulu University Hospital University of Oulu Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-016-0336-y"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.12889"},{"key":"e_1_2_9_4_1","unstructured":"Health Care Act 1326\/2010.Ministry of Social Affairs and Health Finland. 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