Description of the Public Safety Medical Response and Patient Encounters Within and During the Indianapolis (USA) Spring 2020 Civil Unrest

OBJECTIVE: This study describes the local Emergency Medical Services (EMS) response and patient encounters corresponding to the civil unrest occurring over a four-day period in Spring 2020 in Indianapolis, Indiana (USA).

METHODS: This study describes the non-conventional EMS response to civil unrest. The study included patients encountered by EMS in the area of the civil unrest occurring in Indianapolis, Indiana from May 29 through June 1, 2020. The area of civil unrest defined by Indianapolis Metropolitan Police Department covered 15 blocks by 12 blocks (roughly 4.0 square miles) and included central Indianapolis. The study analyzed records and collected demographics, scene times, interventions, dispositions, EMS clinician narratives, transport destinations, and hospital course with outcomes from receiving hospitals for patients extracted from the area of civil unrest by EMS.

RESULTS: Twenty-nine patients were included with ages ranging from two to sixty-eight years. In total, EMS transported 72.4% (21 of 29) of the patients, with the remainder declining transport. Ballistic injuries from gun violence accounted for 10.3% (3 of 29) of injuries. Two additional fatalities from penetrating trauma occurred among patients without EMS contact within and during the civil unrest. Conditions not involving trauma occurred in 37.9% (11 of 29). Among transported patients, 33.3% (7 of 21) were admitted to the hospital and there was one fatality.

CONCLUSIONS: While most EMS transports did not result in hospitalization, it is important to note that the majority of EMS calls did result in a transport. There was a substantial amount of non-traumatic patient encounters. Trauma in many of the encounters was relatively severe, and the findings imply the need for rapid extraction methods from dangerous areas to facilitate timely in-hospital stabilization.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:39

Enthalten in:

Prehospital and disaster medicine - 39(2024), 1 vom: 15. Feb., Seite 73-77

Sprache:

Englisch

Beteiligte Personen:

Arkins, Thomas P [VerfasserIn]
Liao, Mark [VerfasserIn]
O'Donnell, Daniel [VerfasserIn]
Glober, Nancy [VerfasserIn]
Faris, Gregory [VerfasserIn]
Weinstein, Elizabeth [VerfasserIn]
Supples, Michael W [VerfasserIn]
Vaizer, Julia [VerfasserIn]
Hunter, Benton R [VerfasserIn]
Lardaro, Thomas [VerfasserIn]

Links:

Volltext

Themen:

Civil unrest
EMS
Emergency Medical Services
Journal Article

Anmerkungen:

Date Completed 21.02.2024

Date Revised 21.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1017/S1049023X24000025

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367598663