TY - CHAP M1 - Book, Section TI - Diversion, Bypass, and Offload Delay A1 - Wallus, Harry A1 - Cooney, Derek R. A2 - Cooney, Derek R. PY - 2016 T2 - Cooney's EMS Medicine AB - Although the primary focus of an advanced EMS system is typically the patient care rendered in the field and during transport, the act of delivering the patient to the most appropriate facility, performing a safe transfer of care, and returning to service to await the next emergency call is an important and sometimes overlooked by EMS physicians as part of the “operational component.” Diversion and bypass may increase transport distance and delays in offload of patients in crowded emergency departments can cause EMS crews to be out of service for longer periods, reducing system efficiency. Clearly this component has a direct impact on patient care, both current and for those who have not yet dialed 9-1-1. Defining and understanding the different components and facets of this part of the medical operation is critical to medical directors seeking to ensure patient high-quality care. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1126789702 ER -