Ambulance

Ambulance transport delays may be reconstructed using dispatch times, unit-status records, radio communications, electronic patient care reports, GPS or vehicle data when available, hospital arrival times, and transfer-of-care documentation. Comparing these records can help identify whether a delay occurred during dispatch, response, scene care, transport, arrival, or transfer of care.

The review may examine stretcher position, locking and loading mechanisms, crew actions, patient restraints, surface conditions, equipment condition, and the method used to move the patient into the ambulance. The available evidence may help determine whether the injury occurred during lifting, movement, loading, or securement.

Patient securement may be evaluated by reviewing the patient's position, restraint use, cot securement, seating configuration, equipment placement, and transport documentation. The review may also consider the patient's condition, transport circumstances, and the restraint and securement systems in use during the trip.