Details of the four cases classified by the panel majority as requiring an emergency ambulance within 14 minutes
| Case 1 | Case 2 | Case 3 | Case 4 | |
|---|---|---|---|---|
| TAS advisor | Nurse 1 | Paramedic 1 | Paramedic 1 | Nurse 2 |
| Caller | Carer | Relative | Patient | Relative |
| Time of day | 12:14 | 07:48 | 06:53 | 10:16 |
| Day of week | Friday | Wednesday | Friday | Sunday |
| Priority despatch | 24c3 | 17c3 | 24c3 | 17c3 |
| classification | Falls/accidents | Sick/unknown | Falls/accidents | Sick/unknown |
| Sex | M | F | F | F |
| Age (years) | 69 | 2 | 83 | 65 |
| Panel views on why ambulance was needed | Cerebral problem (n = 2)GCS 11/15 (n = 2)Confusion and sepsis (n = 1)Primary neurological cause (n = 1) | Convulsion in a 2 year old (n = 4)High pyrexia (n = 1) | Fractured femur/pain relief (n = 4) | Abnormal blood gases (n = 2)Oxygen levels low and patient unresponsive (n = 2) |
| Diagnoses and treatment (from A&E notes) | ||||
| Investigations | Bacteriology | Urine bacteriology | X-ray, urine test | X-ray, ECG, haematology, biochemistry |
| Primary diagnoses | CNS (exclude stroke), other non-epilepsy, ?meningitis ?intracerebral bleed | UTI, CNS (exclude stroke), other non-epilepsy | Closed fracture | Respiratory: Other non-asthma Exacerbation COAD |
| N/A | N/A | Hip | N/A | |
| Treatment | IV fluids | Not recorded | IV fluids, parenteral analgesia | Other parenteral drugs |
| Prescriptions | Cefotaxime | Not recorded | Morphine | Doxapram, salbutamol, frusemide, ipratropium |
| Outcome | Admission: Medicine | Admission: Paediatrics | Admission: Orthopaedics | Admission: Medicine |