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The objective of this study is to evaluate the reliability and validity of acuity estimates by paramedics employing the Canadian Triage Acuity Scale (CTAS) in the out of hospital setting. The study has the potential to help guide policy decisions pertaining to the safe transfer of ambulance patients to alternative destinations reducing ED overcrowding and ambulance off load time. Emergency Department triage nurses employ the same acuity scale and if this study is successful the emergency departments and the EMS services could communicate about capacity to handle patients based on acuity, volumes and waiting times.
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Ages Eligible for Study:
Child, Adult, Senior
Sexes Eligible for Study:
Accepts Healthy Volunteers:
This study is taking place in 7 EMS systems in Ontario: Peterborough, Thunder Bay, Hamilton, Simcoe/Muskoka, Durham, Peel, and Toronto.
The participants(Both Primary care paramedics and Advance Care Parmaeidcs)are riding as civilian observers under contract to the Sunnybrook and Women's College Health Sciences Centre Research Institute and have signed liability release forms.
The main focus of the SCORE study is to determine how well paramedics in the field can correctly assign CTAS scores. By showing that it can be done reliably, decisions can be made on suitable destinations, especially for the low acuity patient.