Breakdown of SECAmb treatment type January 2013 to October 2013

Transcription

1 Breakdown of SECAmb treatment type January 2013 to October 2013 Description Total Fallen non-injury Abdominal pain Chest pain other cause 9228 Unwell/ malaise?cause 8208 Short of breath 6037 Social/ general - unwell / malaise?cause 5638 Unwell/ malaise?cause 5638 Chest infection 5292 Social/ general - fallen (environmental cause) 5203 Fallen (environmental cause) 5203 Alcohol related call out 5022 Head injury 4803 Interfacility transfer 4553 Urinary tract infection (UTI) 4548 Minor/ moderate wounds and/or bleeding 4505 Syncope/ fainting 4463 Seizures (known epilepsy) 4099 Arrhythmias 4047 Cardiovascular - chest pain (other cause) 3921 Chest pain other cause 3921 Fallen minor injury - referred 3695 Non traumatic m/s back pain 3500 Respiratory - chest infection 3455 Chest infection 3455 Unconscious/ loss of consciousness 3361 Gastrointestinal - abdominal pain 3336 Abdominal pain 3336 Frequent faller 3295 Acute coronary syndrome (i.e. angina) 3249 Panic/ anxiety attack 3187 Vomiting 3166 Social/ General - no obvious injuries 2960 No obvious injuries 2960 Hip pain 2761 Musculoskeletal - isolated fracture or suspected fracture 2556 Isolated fracture or suspected fracture 2556 Pyrexia of unknown origin 2465 Headache 2339 Fallen minor injury - not referred 2189 Knee pain/ injuries 2187 Stroke (CVA) 2178 Isolated fracture or suspected fracture(s) 2154

2 Intentional overdose 2153 Assistance only (not fallen) 2128 TIA (Transient Ischaemic Attack) 2115 Seizures (no history/ 1st) 1983 Skin - minor wounds / bleeding 1945 Minor wounds/ bleeding 1945 Traumatic back pain 1851 No diagnosis - referred 1848 Hypoglycaemia 1833 Shoulder injuries/ pathology 1716 Head wound with no neurological deficit 1711 Diarrhoea 1698 Musculoskeletal - back pain 1697 Back pain 1697 PR bleed 1668 COPD 1660 Childhood disease 1655 Neurological - head injury 1645 Head injury 1645 Possible infection /sepsis 1600 Pregnancy, maternity & birth incl. bleeding 1558 Neurological - seizures 1543 Seizures 1543 Injury to ankle/ foot/ toes 1532 Catheter/ urinary problem 1503 Neurological - syncope/ vasovagal/ fainting a ttack 1464 Fainting/ syncope/ vaso-vagal attack 1464 Social/ general - alcohol/ substance abuse 1445 Alcohol/ substance abuse 1445 Asthma 1443 Not coping/ change in care needs 1434 Non clinical/ miscellaneous - interfacility transfer 1378 Interfacility transfer 1378 Cardiovascular - Arrythmias 1361 Arrythmias 1361 Gastrointestinal - nausea/ vomiting 1300 Nausea/ vomiting 1300 Musculoskeletal - joint injury 1273 Joint injury 1273 Respiratory - COPD (exacerbation/ distress) 1239 COPD (exacerbation/ distress) 1239 Genitourinary & reproductive - urinary tract infection (UTI) 1235 UTI 1235 COPD exacerbation 1225 Hyperglycaemia 1205

3 Injury to wrist/ hand/ fingers 1205 Epistaxis 1171 Social/ General - Pyrexia of unknown origin 1161 Pyrexia of unknown origin 1161 Laceration/ incision head 1158 Nausea, vomiting, dehydration and/or diarrhoea 1153 Allergic reaction 1142 Other mental health 1139 Depression 1123 Sprains/ strains 1115 Suicidal ideation 1108 Neck pain (non-bony) 1093 Bony neck/ back injury 1074 Facial fractures 1037 Upper limb fracture 1028 Vertigo/ balance disorder 1028 False alarm/ call with good intention (specific patient) 1025 Assault 999 Heart failure 974 Social/ general - widespread infection/ sepsis 944 Widespread infection/ sepsis 944 Lower limb fracture 936 Cardiac arrest (No resus/ obviously dead) 929 Mental health - suicide or intent (including intentional overdose) 926 Suicide or suicidal intent (including intentional overdose) 926 Cardiovascular - Acute coronary syndrome (including Angina) 925 Acute coronary syndrome (i.e. Angina) 925 Dislocations 925 Hypertension 915 Social/ general - assistance only (not fallen) 913 Assistance only (not fallen) 913 Self-harm/ neglect 898 Non clinical / miscellaneous - environmental/ housing issue 885 Routine journey 885 No diagnosis - not referred 879 Acute confusion 874 Upper GI Bleed 839 Constipation/ impaction 818 Neurological - Stroke (CVI) 797 Stroke (CVI) 797 Cardiac arrest (resus attempted) 776 Neurological - Transient Ischaemic Attack (TIA) 758 TIA (Transient Ischaemic Attack) 758 Mental health - depression, anxiety or mania 754 Depression, anxiety or mania 754

4 Other 742 Other 742 Suicide attempt survived to hospital 734?Sub arachnoid haemorrhage 715 Neurological - unconscious/ loss of consciousness 678 Unconscious/ loss of consciousness 678 ST Elevation Myocardial Infarction 659 Cancer/ Leukaemia 651 Environmental/ housing issue 639 Respiratory - asthma 621 Asthma 621 Neurological - headache/ migraine 620 Headache/ migraine 620 Musculoskeletal - sprains/ strains 610 Sprains/ strains 610 Medication issue/ problems 603 Neck of femur fracture 597 Lower GI Bleed 593 Laceration/ incision lower limb 572 Cellulitis 561 Skin flap upper limb(s) 551 Laceration/ incision upper limb 544 Psychosis 538 Bowel obstruction 531 Acute behavioural disturbance 529 Croup 521 Social/ general - assault 518 Assault 518 Endocrine & other systemic conditions - Hypoglycaemia 510 Hypoglycaemia 510 Dementia 498 Mental Health Act patient under section of MHA 493 Other inflammatory disorders 492 Skin infection/ infestation 488? Rib fractures 486 Bronchiolitis 485 Gastrointestinal - bowel disorder 484 Bowel disorder 484 Gastrointestinal - Haematemesis 480 Haematemesis 480 Accidental overdose of medication 475 Abrasion 471 Opiates intentional 468 Paracetamol overdose 467 Febrile convulsion 466

5 Penetrating trauma (gunshot wound/ stabbing etc.) 462 End of life care (symptom control) 447 Non-Pregnancy PV Bleed 436 Anaphylaxis 426 Maxillo Facial/ ENT/ Eyes - Epistaxis 419 Epistaxis 419 Appendicitis 415 Cardiovascular - cardiac arrest (No resus/ obviously dead) 411 Cardiac arrest (No resus/ obviously dead) 411 Migraine 401 Social problems 400 Haematoma 398 Lifestyle (drug/ alcohol) 398 Cardiovascular - heart failure 395 Heart failure 395 Neutropenic sepsis 394 Musculoskeletal - dislocations 389 Dislocations 389 Chest injury 385 Gastroenteritis 384 Hyperventilation 384 Shingles 382 Cardiovascular - cardiac arrest (resus attempted) 378 Cardiac arrest (Resus attempted) 378 Gastrointestinal - PR Bleed 366 Mental health - panic attack 366 Panic attack 366 PR bleed 366 Maxillo Facial/ ENT/ Eyes - facial injury/ pain 364 Facial injury/ pain 364 Endocrine & Other Systemic Conditions - Hyperglycaemia 363 Hyperglycaemia 363 Skin flap lower limb(s) 358 Throat or upper respiratory tract infection 354 Endocrine & other systemic conditions - cancers 344 Cancers 344 Palliative care issue 344 Genitourinary & reproductive - pregnancy and birth 337 Mental health - deliberate self harm 337 Deliberate self harm 337 Pregnancy & birth 337 Jaw pain/ injuries 333 Miscarriage 331 Neurological - vertigo/ balance disorder 330 Mania 330

6 Vertigo/balance disorder 330 Non clinical/ miscellaneous - false alarm/ call with good intention 325 False alarm/ call with good intent 325 Minor burns/ scald 324 Respiratory - hyperventilation 320 Hyperventilation 320 Pulmonary Embolism 311 Rash 310 Endocrine & other systemic conditions - allergic reaction 309 Allergic reaction 309 Head injury with neurological deficit 291 Social/ general - domestic altercation 290 Domestic altercation 290 Mental health - altered behaviour 288 Altered behaviour 288 End of life care (terminal phase) 287 Meningism/ possible meningitis 284 Genitourinary & reproductive - PV bleed 278 PV bleed 278 Post-surgery complications 275 Genitourinary & reproductive - catheter problem 263 Catheter problem 263 Self-neglect 256 Blood disorder 255 Trauma to ENT or mouth 254 Balance disorder (inner ear) 253 Other women s health problem 253 Cardiovascular - ST Elevation Myocardial Infarction 249 ST Elevation Myocardial Infarction 249 Cancer 247 Acute abdomen/ peritonism 245 Chicken pox 245 Musculoskeletal - arthritis 238 Arthritis 238 Peripheral vascular problem (e.g. cold limb, necrosis) 238 Skin - Skin infection/ infestation 236 Skin infection/ infestation 236 Osteoarthritis 234 Domestic abuse 225 Tonsillitis 225 Mental health - acute confusion 222 Acute confusion 222 Genitourinary & reproductive - retention of urine 221 Retention of urine 221 Airway obstruction/ choking 219

7 Sacral/ coccyx injury 214 Mental health - dementia 212 Dementia 212 Panic attack 212 Haemoptysis 211 Electrocution 209 Multi-system trauma 208 Cancer 207 Pancreatitis 206 Sore throat/ Strep throat 205 Non compliance with meds 203 Pericarditis 203 Bipolar disorder 201 Hypothermia 201 Menstruation problems 197 Rash 194 Drowning 193 Neurological - Possible sub arachnoid haemorrhage 192?Sub arachnoid haemorrhage 192 Aortic aneurysm 191 Tumours 191 Dental problem 189 Paediatric specific conditions - febrile convulsion 182 Febrile convulsion 182 Cardiovascular - deep vein thrombosis 179 Deep vein thrombosis 179 Foreign body (any anywhere) 179 Insect bites/ stings 179 Genitourinary & reproductive - renal colic 178 Non STEACS 178 Renal colic 178 Opiates accidental 173 Other Abdo/ GI 173 Child neglect 172 Rheumatoid arthritis 172 Respiratory - choking 171 Choking 171 Safeguarding concern, referral made 169 Pelvic trauma 168 Respiratory arrest 166 Gastrointestinal - malnutrition 162 Malnutrition 162 Deep vein thrombosis 161 Pneumonia 159 PV discharge (non bleeding) 159

8 Scrotal swelling/ pain 159 Animal bites 152 Obstetric complications 150 Notifiable infection (HIV/ HEP-B/ TB, etc.) 146 Non clinical/ Miscellaneous - hoax/ No patient found 145 Crush injuries 145 Environmental/ housing issue 145 Mental health - Psychosis (onset or exacerbation) 144 Paediatric specific conditions - childhood disease 144 Childhood disease 144 Psychosis (new onset or exacerbation) 144 URTI 144 Addison s disease 140 Bronchitis 140 Pandemic influenza 140 Nuisance caller 139 Respiratory - pulmonary embolism 138 Pulmonary embolism 138 Loss of vision/ reduced visual acuity 134 Traumatic pneumothorax 132 Maxillo facial/ ENT/ eyes - eye injury/ condition 131 Paediatric specific conditions croup 131 Croup 131 Eye injury/ condition 131 Cancer 129 Post-natal depression 128 Sickle cell anaemia 128 BPV/ giddiness 127 Haematuria 127 Retention of urine 127 Abdominal trauma 126 Lacks capacity 126 Gastrointestinal - ingestion of poisons (not medication) 125 Ingestion of poisons (not medication) 125 Obvious death 125 Ingestion of poisons (not medication) 122 Respiratory influenza 119 Influenza 119 Suicide attempt (deceased on scene or at hospital) 117 Pelvic pain/ PID 114 Cardiovascular - Peripheral vascular problem; e.g. cold limb, necrosis 112 Genitourinary & Reproductive - Ante partum haemorrhage/ miscarriage 112 Ante partum haemorrhage/ miscarriage 112 Peripheral vascular problem (e.g. cold limb, necrosis) 112 Anaemia 111

9 Dysuria 107 Isolated open fracture 107 Oral thrush 107 Gastrointestinal - Dyspagia 105 Dysphagia 105 Neurological - Meningism/ possible Meningitis 104 Decision Tree Step LRTI 104 Meningism/ possible meningitis 104 Rubella 104 Trauma/ Polytrauma - head injury with loss of consciousness 103 Head injury with loss of consciousness 103 Airway obstruction 102 Cancer 102 Laceration/ incision torso/ other 101 Nutritional Issues 101 Septicaemia 101 Maxillo Facial/ ENT/ eyes - throat or upper respiratory tract infection 100 Medication complications 100 Penis pain/ problems 100 Throat or upper respiratory tract infection 100 Decision Tree Step 2 99 Gastrointestinal - accidental overdose of medication 96 Accidental overdose of medication 96 Foreign body 93 Tongue problems 93 Respiratory - haemoptysis 92 Haemoptysis 92 Pre-tibial lacerations 90 Respiratory - respiratory arrest 89 Trauma/ Polytrauma - chest injury 89 Chest injury 89 Respiratory arrest 89 Parkinsons 88 Musculoskeletal - cramps 87 Cramps 87 Endocrine & other systemic conditions - End of life care: pain or distress 86 End of life care (pain or distress) 86 Orbital injuries 86 Traumatic haemothorax 86 Environmental issue 85 Ectopic pregnancy 83 Skin - rash 81 Hyperthermia 81 Rash 81

10 Endocrine & other systemic conditions - anaphylaxis 80? New COPD 80 Anaphylaxis 80 Necrotic skin/ ulceration 79 Major trauma centre 78 Housing issue 77 Mental health - neglect 76 Neglect 76 Skin flap torso/ other 76 Prostate problems 75 Trauma unit 74 Eye pain 73 Mental Health Act patient under section of MHA 73 Trauma/ polytrauma - multiple fractures 72 Multiple fractures 72 Multiple limb fracture 72 Skin - minor burns/ scald 71 Cholecystitis 71 Ingrown toenails 71 Minor burns/ scald 71 Non accidental injury 70 Spontaneous pneumothorax 70 Cardiovascular - aortic aneurysm 69 Aortic aneurysm 69 Decision Tree Step 4 - desk contacted 69 Non clinical/ miscellaneous - stand by fire/ police 68 Stand by fire/ police 68 Endocrine & other systemic conditions - possible neutropenia 67 Diverticulitis 67 Genital infection 67 Genitalia problems 67 Hoax/ No patient found 67 Possible neutropoenia 67 Boils and furuncles 66 Decision Tree Step 4 - desk not contacted 65 Major burns 64 Foreign body 62 Hernias 62 Skin - hypothermia 61 Amputation 61 Hypothermia 61 Neuralgia 61 Cancer 60 Vascular compromise 60 Genitourinary & reproductive - genitalia problems 59

11 Genitalia problems 59 Human bites 59 Chemicals in eye 58 Non accidental injuries 58 Catheter problems 57 Gingivitis 55 Post termination 55 Safeguarding concern, Police notified, referral made 54 Whiplash 54 Foreign body 52 Polymyalgia 52 Halitosis 51 Decision Tree Step 3 - desk contacted 50 Pyelonephritis 50 Renal colic 50 Skin - hyperthermia 46 Trauma/ polytrauma - penetrating trauma (gunshot wound, stabbing, etc.) 46 Hyperthermia 46 Penetrating trauma (gunshot wound/ stabbing etc.) 46 Endocrine & other systemic conditions - End of life care: death imminent 45 End of life care (death imminent) 45 GORD 45 Paralysis/ Parasthesia 45 Trauma/ polytrauma - abdominal/ pelvic trauma 42 Abdominal/ pelvic trauma 42 Post partum haemorrhage 41 Maxillo facial/ ENT/ eyes - ear pain/ injury 40 Ear pain/ injury 40 Cauda equina syndrome 39 Decision Tree Step 3 - desk not contacted 39 Eye infection (non specific) 39 Otitis media 39 Ante partum haemorrhage 38 Oesophageal varices 38 Divert to LEH 36 Mental health - eating disorder 35 Eating disorder 35 Non accidental injury 35 Stand by for other service 33 Trauma/ Polytrauma - major burns 32 Major burns 32 Haemorrhoids 31 Tendonitis 31 Maxillo facial/ ENT/ eyes - foreign body (any anywhere) 27

12 Foreign body (any anywhere) 27 Sexual health problem 27 Endocrine & other systemic conditions - Sickle cell crisis 25 Sickle cell crisis 25 Strabismus 25 HEMS transport 24 Genitourinary & reproductive - post partum haemorrhage 23 Skin - Pruritis 23 Ataxia 23 Other Trust transport 23 Post partum haemorrhage 23 Pruritis 23 Temporal arteritis/ Giant cell 22 Major trauma - not transported/ deceased 21 Nystagmus 21 Hyphaema 20 Gullian Barre syndrome 19 Oral scalding 19 Sinusitis 18 Genitourinary & reproductive - sexual health (infection or injury) 16 Cysts 16 Gout/ joint infections 16 Sexual health (infection or injury) 16 Sexual health problem 16 Otitis externa 15 Paediatric specific conditions - neglect 14 Neglect 14 Penetrating eye injury 14 Paediatric specific conditions - Meningococcal Septicaemia 11 Trauma/ polytrauma - amputation 11 Amputation 11 Meningococcal septicaemia 11 Spontaneous haemothorax 11 Trauma / polytrauma - electrocution 10 Electrocution 10 Radial head subluxation 10 Torsion testes 10 Maxillo facial/ ENT/ eyes - oesophageal bleed 9 Oesophageal bleed 9 Paediatric specific conditions - non-accidental injury 8 Acute red eye 8 Arc eye 8 Eczema 8 Non accidental injury 8 End of life care (pain or distress) 7

13 Epiglottitis 7 Paediatric specific conditions - sudden infant death 6 Olecranon bursitis 6 Sudden infant death 6 Torn frenulum 6 Trauma/ polytrauma - dismemberment/ decapitation 5 Trauma/ polytrauma - drowning 5 Dismemberment/ decapitation 5 Drowning 5 Herpes simplex 5 Meibomian/ Chalazion 5 Orchitis 5 Uvulitis 5 Corneal abrasions 4 Dermatitis 4 False alarm/ call with good intention (specific patient) 4 Hoax/ No patient found 4 Mastoiditis 4 Sub-conjunctival haemorrhage 4 Warts 4 Conjunctivitis 3 Self neglect 3 Acute angle glaucoma 2 End of life care (death imminent) 2 Sensory problems 2 Blephritis 1 Psoriasis 1