Pre-Hospital Notification


Pre-hospital notification is the communication by emergency medical services personnel to a receiving hospital of the impending arrival of a patient requiring emergency care. It is an integral component of an advanced pre-hospital care system that provides the opportunity for the receiving hospital to improve preparedness for reception and resuscitation of a critically injured or unwell patient.

Pre-hospital notification alone has been found to be independently associated with reduced mortality in trauma centres. There is currently no pre-hospital notification in India. In India, the public ambulance system has only been operating for less than a decade and varies from state to state. As the number of severely injured patients being transported to hospital by public ambulances increases, the need to mobilise a team with relevant expertise in the emergency department will be essential.

Key Objectives & Outcomes

The Australia-India Trauma Systems Collaboration (AITSC) is conducting an observational study to evaluate the effect of pre-hospital notification and structured handover upon hospital arrival on trauma patients arriving at a trauma centre by ambulance. A novel technology based system for pre-hospital notification is being developed and will be introduced to the Indian ambulance providers in Delhi, Mumbai and Ahmedabad. At the same time, standardised and locally tailored protocols will be implemented in the four collaboration hospitals.

Following introduction of a routine mechanism for pre-hospital notification, the study will assess the effectiveness of pre-hospital notification, the factors associated with failure to transmit pre-hospital notification and the effect on patient outcomes. This will be the first time that this integral component of a trauma system has been implemented in India. The technology developed and lessons learned during this study will assist further development of systems in Australia.

Reducing the Burden of Injury

We work with governments, industry, clinicians and researchers to improve information and resources, and to pilot new systems of care.