Document Type : Original Article


1 Department of Nursing Science, Bandar Gaz Branch, Islamic Azad University, Bandar Gaz, Iran

2 Department of Clinical Affairs, Golestan University of Medical Sciences, Gorgan, Iran

3 Department of Nursing, Khalkhal Branch, Islamic Azad University, Khalkhal, Iran


Objective: The key point to detect patients’ need in pre-hospital emergency is to have high ability to take medical history. All research findings show that this ability is low. The objective of this research is to investigate the ability to take medical history of patients among the personnel of pre-hospital emergency medical service (EMS) in Golestan province, Iran.
Methods: This research was a descriptive cross-sectional study carried in 2016. The population included non-staff technicians and an operator working in the message center (N = 171). The samples were selected using multi-stage cluster sampling. Data were collected by a researcher-developed questionnaire. The collected data were analyzed by SPSS software version 16 conducting descriptive and inferential statistics. All tests were administered at a significance level of P < 0.05.
Results: One hundred sixty-five (96.5%) participants were male. The mean score of the ability to take medical history was 58.4 ± 11.1. Therefore, 95 participants (58.3 %) had poor ability and 64 participants (39.3 %) owned moderate ability. The highest score concerning the ability to take medical history was for the aspect of professional knowledge (mean rank = 5). The most influential aspect in the ability was respectively for ‘professional knowledge’ (P = 0.0001, Beta = 0.509). Pearson correlation coefficient indicated a relationship (r=-0.149, P = 0.05) between the ability to take medical history and age.
Conclusion: The results of the current study indicated that the ability to take medical history among the personnel of pre-hospital medical emergency of Golestan province was low. Therefore, a thorough review of trainings promoting personnel’s professional knowledge is urgently required.


Main Subjects

1. Dyson K, Bray JE, Smith K, Bernard S, Straney L, Finn J. Paramedic exposure to out-of-hospital cardiac arrest resuscitation is associated with patient survival. CircCardiovasc Qual Outcomes 2016; 9(2): 154-60. doi:
2. Shiraishi Y, Kohsaka S, Harada K, Miyamoto T, Tanimoto S, Iida K, et al. Correlation of pre- and in-hospital systolic
blood pressure in acute heart failure patients and the prognostic implications- report from the Tokyo cardiac care unit network emergency medical service database. Circ J 2016; 80(12): 2473-81. doi: 10.1253/circj.CJ-16-0837.
3. Ekundayo OJ, Saver JL, Fonarow GC, Schwamm LH, Xian Y, Zhao X, et al. Patterns of emergency medical services use and its association with timely stroke treatment: findings from Get With the Guidelines-Stroke. Circ Cardiovasc Qual Outcomes 2013; 6(3): 262-9. doi:10.1161/circoutcomes.113.000089.
4. Ohm F, Vogel D, Sehner S, Wijnen-Meijer M, Harendza S. Details acquired from medical history and patients’ experience of empathy--two sides of the same coin. BMC Med Educ 2013; 13: 67. doi: 10.1186/1472-6920-13-67.
5. Ghosh D, Karunaratne P. The importance of good history taking: a case report. J Med Case Rep 2015; 9: 97.
6. Keifenheim KE, Teufel M, Ip J, Speiser N, Leehr EJ, Zipfel S, et al. Teaching history taking to medical students: a systematic review. BMC Med Educ 2015; 15: 159. doi:10.1186/s12909-015-0443-x.
7. Arora S, Goldberg AD, Menchine M. Patient impression and satisfaction of a self-administered, automated medical
history-taking device in the emergency department. West J Emerg Med 2014; 15(1): 35-40. doi: 10.5811/
8. Mould-Millman NK, Rominski SD, Bogus J, Ginde AA, Zakariah AN, Boatemaah CA, et al. Barriers to accessing emergency medical services in Accra,Ghana: development of a survey instrument and initial application in Ghana. Glob Health Sci Pract 2015; 3(4): 577-90. doi: 10.9745/ghsp-d-15-00170.
9. Birks M, Cant R, James A, Chung C, Davis J. The use of physical assessment skills by registered nurses in Australia: issues for nursing education. Collegian 2013;20(1): 27-33. doi: 10.1016/j.colegn.2012.02.004.
10. Abelsson A, Lindwall L. The prehospital assessment of severe trauma patients’ performed by the specialist ambulance nurse in Sweden - a phenomenographic study. Scand J Trauma Resusc Emerg Med 2012; 20: 67. doi:10.1186/1757-7241-20-67.
11. Lammers R, Byrwa M, Fales W. Root causes of errors in a simulated prehospital pediatric emergency. Acad Emerg Med 2012; 19(1): 37-47. doi: 10.1111/j.1553-2712.2011.01252.x.
12. Will JC, Yuan K, Ford E. National trends in the prevalence and medical history of angina: 1988 to 2012.Circ Cardiovasc Qual Outcomes 2014; 7(3): 407-13. doi:10.1161/circoutcomes.113.000779.
13. Oostendorp RA, Elvers H, Mikolajewska E, Laekeman M, van Trijffel E, Samwel H, et al. Manual physical therapists’ use of biopsychosocial history taking in the management of patients with back or neck pain in clinical practice. ScientificWorldJournal 2015; 2015: 170463. doi:10.1155/2015/170463.
14. Norman C, Mello M, Choi B. Identifying frequent users of an urban emergency medical service using descriptive
statistics and regression analyses. West J Emerg Med 2016; 17(1): 39-45. doi: 10.5811/westjem.2015.10.28508.
15. Bhat SR, Johnson DA, Pierog JE, Zaia BE, Williams SR, Gharahbaghian L. Prehospital evaluation of effusion, pneumothorax, and standstill (PEEPS): pointof-care ultrasound in emergency medical services. West J Emerg Med 2015; 16(4): 503-9. doi: 10.5811/westjem.2015.5.25414.
16. Pan CL, Chiu CW, Wen JC. Adaptation and promotion of emergency medical service transportation for climate change. Medicine (Baltimore) 2014; 93(27): e186. doi:10.1097/md.0000000000000186.
17. Karsenty C, Landau M, Ferguson R. Assessment of medical resident’s attention to the health literacy level of
newly admitted patients. J Community Hosp Intern Med Perspect 2013; 3(3-4):23071. doi: 10.3402/jchimp.v3i3-
18. Venkat A, Asher SL, Wolf L, Geiderman JM, Marco CA, McGreevy J, et al. Ethical issues in the response to Ebola virus disease in United States emergency departments: a position paper of the American College of Emergency
Physicians, the Emergency Nurses Association, and the Society for Academic Emergency Medicine. Acad Emerg Med 2015; 22(5): 605-15. doi: 10.1111/acem.12642.
19. Carron PN, Dami F, Diawara F, Hurst S, Hugli O. Palliative care and prehospital emergency medicine: analysis of a
case series. Medicine (Baltimore) 2014; 93(25): e128. doi:10.1097/md.0000000000000128.
20. Sandvik H, Hunskar S, Diaz E. Which GPs are staffing the emergency medical services? Tidsskr Nor Laegeforen 2012; 132(20): 2277-80. doi: 10.4045/tidsskr.12.0198.
21. Matsuyama T, Kitamura T, Kiyohara K, Hayashida S, Kawamura T, Iwami T, et al. Characteristics and outcomes of emergency patients with self-inflicted injuries: a report from ambulance records in Osaka City, Japan. Scand J Trauma Resusc Emerg Med 2016; 24: 68. doi: 10.1186/s13049-016-0261-0.