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 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 Abiraterone clinical trial 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 isothipendyl 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.