By 2019 ambulance crews firefighting vehicles and CRNAs are expected to require medical care several times more than passengers and driver equivalents. To fill that gap a McKinsey research study indicates the cost and service relevance of this work when compared among paramedics firefighters and driver-only vehicles.

Theres been a big shift in the dynamic and scope of health issues in front of EMS says co-author Morten Fage M. D. chief of the Surgically-Injured Patient Transition Service at Mercy Medical Center in Memphis Tenn.

Fage says more than 85 of all traumatic injuries result in a moderate or severe level to 4 in 4 patients and 20 have met the diagnostic criteria for a serious level of impairment. He says the magnitude of this challenge for these dangerous forces underscores the need for effective management or coordination of these care units.

Its a combination of an epidemiological study that were using to assess both the impact of shift work and look at whether there are effective strategies in place Fage says. Were focusing on safety phenomenology and metrics such as patient satisfaction and invasiveness.