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. Author manuscript; available in PMC: 2021 Sep 1.
Published in final edited form as: Prehosp Emerg Care. 2020 Jan 7;24(5):672–682. doi: 10.1080/10903127.2019.1699211

Table 3:

Reason for Choosing Destination by Provider Primary Impression

Impression Overall N=446,274 Closest N=208,323 Other N=237,951
Trauma / Injury
Traumatic Injury 122,702 (27.5%) 59,523 (28.6%) 63,179 (26.6%)
Stings / venomous bites 840 (<1%) 401 (<1%) 439 (<1%)
Electrocution 64 (<1%) 25 (<1%) 39 (<1%)

Respiratory
Respiratory Distress 34,715 (7.8%) 13,896 (6.7%) 20,819 (8.7%)

Neurologic
Seizure 42,785 (9.6%) 23,969 (11.5%) 18,816 (7.9%)
Behavioral/psychiatric disorder 14,269 (3.2%) 6,730 (3.2%) 7,539 (3.2%)
Stroke/Cerebrovascular accident 501 (<1%) 278 (<1%) 223 (<1%)
Altered level of consciousness 13,188 (3.0%) 6,373 (3.1%) 6,815 (2.9%)
Alcohol Related Problem / Delirium tremens 1,406 (<1%) 844 (<1%) 562 (<1%)
Intentional Drug Use / Related Problems 2,010 (<1%) 1,213 (<1%) 797 (<1%)

Endocrine
Diabetic Symptoms 2,186 (<1%) 969 (<1%) 1,217 (<1%)

Critically Ill
Cardiac Arrest 1,835 (<1%) 1,349 (<1%) 486 (<1%)
Cardiac Rhythm Disturbance 1,792 (<1%) 753 (<1%) 1,039 (<1%)
Airway Obstruction 2,478 (<1%) 1,080 (<1%) 1,398 (<1%)
Hypovolemia / shock 384 (<1%) 149 (<1%) 235 (<1%)
Obvious 122 (<1%) 92 (<1%) 30 (<1%)
Respiratory arrest 550 (<1%) 281 (<1%) 269 (<1%)
Sepsis 403 (<1%) 61 (<1%) 342 (<1%)

Other
Syncope / fainting 11,171 (2.5%) 5,335 (47.8%) 5,836 (52.2%)
Vaginal Hemorrhage 706 (<1%) 300 (42.5%) 406 (57.5%)
Pregnancy / Obstetric delivery 4,211 (1.0%) 1,342 (31.9%) 2,869 (68.1%)
Hyperthermia 4,071 (<1%) 1,968 (48.4%) 2,103 (51.6%)
Hypothermia 93 (<1%) 48 (51.6%) 45 (48.4%)
Chest pain 7,739 (1.7%) 3,334 (43.1%) 4,405 (56.9%)
Abdominal pain / problems 28,616 (6.4%) 14,607 (51.0%) 14,009 (49.0%)
Sexual assault / rape 351 (<1%) 171 (48.7%) 180 (51.3%)
Poisoning / drug ingestion 10,287 (2.3%) 5,007 (48.7%) 5,280 (51.3%)
Inhalation injury (toxic gas) 159 (<1%) 77 (48.4%) 82 (51.6%)
Smoke inhalation 227 (<1%) 55 (24.2%) 172 (75.8%)
Allergic reaction 10,075 (2.3%) 5,039 (50.0%) 5,036 (50.0%)
Blood pressure related problems 254 (<1%) 101 (39.8%) 153 (60.2%)
Fever Related Symptoms / Problems 10,798 (2.4%) 3,516 (32.6%) 7,282 (67.4%)
General Malaise 16,787 (3.7%) 7,511 (44.7%) 9,276 (55.3%)
Heart Related Illness 702 (<1%) 241 (34.3%) 461 (65.7%)
Other, Non Traumatic Pain 24,988 (5.6%) 16,423 (65.7%) 8,565 (34.3%)
Sickle Cell Crisis 148 (<1%) 49 (33.1%) 99 (66.9%)

Missing Provider Primary Impression = 72,661 (16.3%)