{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:09:40Z","timestamp":1777882180304,"version":"3.51.4"},"reference-count":45,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004071","name":"Khon Kaen University","doi-asserted-by":"publisher","award":["This study was facilitated by the Fundamental Fund"],"award-info":[{"award-number":["This study was facilitated by the Fundamental Fund"]}],"id":[{"id":"10.13039\/501100004071","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat\ufffdCare"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Emergency medical services (EMS) encounters with palliative care patients present unique operational challenges. As EMS providers increasingly care for individuals with life-limiting illnesses, understanding the intersection of emergency care and palliative medicine has become essential to optimizing healthcare delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study examines EMS operational metrics, resource allocation patterns, and clinical outcomes among palliative care patients in Thailand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective analysis study investigated operational times, resource utilization, and clinical outcomes in palliative care patients utilizing EMS services, derived from electronic medical records and EMS documentation. This study was conducted at the Srinagarind Hospital EMS unit from October 2019 to September 2024. All patients diagnosed with palliative care (ICD-10 code Z51.5) who utilized EMS services were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Palliative care patients represented 6.9% (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u2009340) of total EMS utilization (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u20094520), with cases increasing from 51 patients (15.0%) in 2019\u20132020 to 89 patients (26.2%) in 2023\u20132024. The median age was 72\u2009years, with 62.9% male patients. Palliative care patients demonstrated significantly prolonged EMS operational times: activation (1.51\u2009min vs 1.27\u2009min), response (10.21\u2009min vs 9.35\u2009min), and scene time (22.05\u2009min vs 10.02\u2009min,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Resource utilization showed higher rates of pain medication administration (30.88% vs 7.79%) and exclusive use of comfort-focused interventions. Patient outcomes revealed significantly higher discharge rates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Palliative care patients utilizing EMS services represent a distinct population requiring specialized operational approaches. Extended scene times reflect appropriate symptom-focused care delivery rather than rapid transport protocols. Higher discharge rates validate the EMS role as a symptom management bridge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524251413280","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T01:22:23Z","timestamp":1768785743000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Emergency medical services deployment for palliative care patients: Operational metrics, resource allocation, and patient outcomes"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0328-4128","authenticated-orcid":false,"given":"Kamonwon","family":"Ienghong","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Waritsara","family":"Aimchai","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lap Woon","family":"Cheung","sequence":"additional","affiliation":[{"name":"Accident and Emergency Department, Princess Margaret Hospital, Kowloon, Hong Kong"},{"name":"Department of Emergency Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chatkhane","family":"Pearkao","sequence":"additional","affiliation":[{"name":"Department of Adult Nursing, Faculty of Nursing, Khon Kaen University, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1984-0865","authenticated-orcid":false,"given":"Korakot","family":"Apiratwarakul","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pop.2019.04.001"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinme.2025.100320"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0193945919861017"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.21037\/apm-23-504"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/1474515114521697"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.23696"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2022.07.002"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216317736033"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2023.1104655"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-071116"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2022.0537"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216311419885"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/10903127.2023.2193978"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.afjem.2024.08.007"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2022.04.175"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.1105609"},{"key":"e_1_3_3_18_2","article-title":"Emergency medical services: the next linking asset for public health approaches to palliative care?","volume":"17","author":"Juhrmann ML","year":"2023","unstructured":"Juhrmann ML, Grindrod AE, Gage CH. 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