Cases where a doctor was the caller to the EMCC are left out in some of the analyses, because there is no need to alert the doctor when the doctor already knows about the situation. Approval of the study was given by the Privacy Ombudsman for Research, Regional Committees for Medical Research Ethics and Norwegian Directorate of Health. Results During the three months of inclusion 5 105 red responses #sellekchem keyword# with AMIS forms were recorded and included. In 4 551 (89%) of the forms

we retrieved one or more extra records belonging to same case. Total rate (per 3 months) of red responses was 6.2 per 1 000 inhabitants. Next of kin was the main caller to the EMCCs. Health care personnel, LEMCs and doctors made more than a third of the calls for ambulances (table ​(table1).1). Ambulances were alerted in

nearly all the red response cases and doctors on-call in Inhibitors,research,lifescience,medical nearly half of the cases. Doctors on-call responded with call-out in 42% of the cases in which they were alerted. Differences between the EMCC districts are pronounced with respect to alerting doctors on-call. EMCC Innlandet alerted doctors on-call in a fifth of the cases compared with three out of four of the cases in Stavanger and Haugesund, but there were no statistical significant differences in call-out as response Inhibitors,research,lifescience,medical when an alert was given (p = 0.056). Table 1 Red responses distributed by caller, alert and responses In 9% of the cases a doctors was the caller to the EMCC (table ​(table1).1). Other health care personnel and LEMCs called for ambulances in 27% of the cases, and thus patients, next of kin and bystanders were Inhibitors,research,lifescience,medical the callers in less than 60% of the Inhibitors,research,lifescience,medical incidents. More than half (55%) of the

calls from doctors to the EMCCs were during daytime, 33% in the evenings and 12% during the night. Patient’s location when doctors were callers was in 42% of the cases private homes, 9% casualty clinics, 22% doctors’ surgeries, GSK-3 20% hospitals and nursing homes, and other locations in 7% of the cases. When the EMCCs alerted the doctors the distribution of alerts was 37% for both daytime and evenings, and 26% during nights. When doctors on-call were alerted, the location of the patient was a private home in 63% of the cases, 30% was public places, 4% nursing homes, and 3% other places. Doctors on-call were alerted median 0 minutes (0-2) after the ambulances, 57% at the same time and 86% within the first five minutes. Innlandet alerted 67% during the first 5 minutes after the ambulances had been alerted, Stavanger 95% and scientific assay Haugesund 83% (p < 0.001). Doctors on-call were alerted after the arrival of ambulances to patients in 3% of the cases.