Innlandet alerted doctors on-call in 38% of the same cases as the air ambulances/anaesthetist, Haugesund 68% and Stavanger 78% (p < 0.000). The doctors on-call responded in 64% of the same cases as the air ambulance/anaesthetist in Innlandet, 72% in Haugesund and 53% in Stavanger (p < 0.04). Primary care doctors’ involvement in the treatment and the decision regarding the location to which the patients were transported are shown in table ​table2.2. In situations where doctors on-call were not alerted

patients were transported directly to hospitals Inhibitors,research,lifescience,medical with ambulance twice as often compared to situations where doctors were alerted. 26% of all patients were transported to casualty clinics independently of whether the doctors on-call were alerted or Inhibitors,research,lifescience,medical not. When doctors responded with call-out,

more than half of the patients were admitted to hospitals, and when “await” was the response more than 43% of the patients were taken to casualty clinics. When doctors called the EMCCs the majority of the patients were admitted to hospital by Selleckchem AC220 doctor’s referral. In both the not life-threatening and the life-threatening cases a fourth of the patients was transported Inhibitors,research,lifescience,medical with ambulances directly to hospitals without any involvement of doctors. Doctors on-call were involved in 42% of all red response cases. Including daytime activity among rGPs the primary health care services were involved in 50% of the cases. Table 2 Involvement of doctors Inhibitors,research,lifescience,medical and locations for transport of patients The frequency of alert and responses from the doctors on-call by central and remote municipalities are shown in table ​table3.3. Alert to doctors on-call was highest in central municipalities in all EMCC areas, although not statistically significant

Inhibitors,research,lifescience,medical in Stavanger area. However, the number of responses with call-out is higher in remote compared to central municipalities, with smallest difference appearing in Haugesund. Table 3 Alerts and responses by rural and central municipalities The distribution of doctors as caller, alerted doctors and doctors’ response between life and not life-threatening situations is shown in table ​table4.4. When doctors were the callers the majority of the cases were not life-threatening situations. Stavanger EMCC had the highest percentage of alerted doctors in both life-threatening Idoxuridine and not life-threatening situations. Innlandet EMCC had the largest difference in alerts between life and not life-threatening conditions. Overall, differences in call-outs between life-threatening and not life-threatening conditions are pronounced when doctors are alerted. In not life-threatening conditions the response “await” was most frequent. In life-threatening conditions doctors on-call in Innlandet responded considerably more often with call-outs when compared to Stavanger and Haugesund. Doctors in the Stavanger area had the highest percentage of “await” as response.