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Utilisation of prehospital Emergency Medical Services for diabetic emergencies

thesis
posted on 05.11.2018, 04:54 authored by MELANIE LOUISE VILLANI
Severe hypoglycaemia and hyperglycaemic crises are acute, life-threatening complications of diabetes frequently encountered by paramedics. This research investigated utilisation patterns and clinical outcomes for patients suffering diabetic emergencies. Over 41,500 cases were analysed, finding annual utilisation rates of 15.3 and 5.4 per 1000 Victorians for hypoglycaemia and hyperglycaemia respectively, demonstrating substantial use of the prehospital EMS. Temporal trend analysis predicted an increase in diabetic emergency cases and geographical analysis highlighted increased risk was associated with socioeconomic status and ethnicity. The combination of a diabetes epidemic and increasing pressures on the EMS requires careful consideration and planning. This work provides direction for potential service-wide improvements aimed at preventing and managing these presentations.

History

Principal supervisor

Sophia Zoungas

Year of Award

2018

Department, School or Centre

Public Health and Preventive Medicine

Course

Doctor of Philosophy

Degree Type

DOCTORATE

Faculty

Faculty of Medicine Nursing and Health Sciences