Currently, many assisted living facilities employ policies requiring that residents
who have fallen be transported to an Emergency Department (ED), regardless of mechanism
or injury. As many as 10 million of these falls occurred from 2011 to 2014 in the
United States, about 7 million of whom were discharged from the ED. Such transport
policies can place an unnecessary burden on the healthcare system, and importantly,
place non-critically injured patients at risk for iatrogenic complications, nosocomial
infections, and large fees. The authors of this study aimed to create a protocol for
assisted living residents with low mechanism falls to alleviate this burden by evaluation
by a paramedic in consultation with the facilities primary care physician (PCP).
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