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Epidemiological study of emergency ambulance activation in the British Eastern Sovereign Base Area of Cyprus, September 2013 to August 2016
  1. Sophie Jefferys1,
  2. A J Martin-Bates1,
  3. A Harold2 and
  4. R Withnall3
  1. 1 Support Unit, Army Medical Service, Surrey, UK
  2. 2 1 Royal Irish, Clive Barracks Medical Centre, Market Drayton, UK
  3. 3 Academic Department of Military General Practice and Primary Care, Royal Centre for Defence Medicine, Birmingham, UK
  1. Correspondence to Sophie Jefferys, Support Unit, Army Medical Service, Surrey GU15 4NP, UK; sophie.jefferys{at}


Objectives To record the activation and use of the Eastern Sovereign Base Area (ESBA) emergency ambulance service of British Forces Cyprus between 1 September 2013 and 31 August 2016. To reflect on these findings in light of data from 1995 to 1998 to identify current treads and areas of development.

Method Retrospective epidemiological study of all activations of the ESBA emergency ambulance service within the study period.

Results 812 patients were treated over 3 years, an 80% increase in workload, of which 41% were entitled personnel. Forty-two per cent of activations were for medical complaints compared with 41% for trauma. The number of deaths remained static (n=15). Road traffic incidents (RTI) remain the top activation by type, but accounting for a smaller proportion of workload. RTI mortality has declined by 50%.

Conclusion The ESBA emergency ambulance service responded to double the activations, when compared with 18 years ago, with a significant shift to medical cases over trauma. This ESBA emergency ambulance provides a varied and vital service for the local community that also benefits Defence Medical Services personnel interested in the Pre-Hospital Emergency Medicine environment in order to maintain clinical skills and currency for the benefit of future deployments, both humanitarian and kinetic in nature.

  • organisation of health services
  • primary care
  • Pre-Hospital Emergency Medicine
  • ambulance
  • road traffic incident
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  • Contributors The concept of this paper was devised by SJ and AJMB with input from AH. Data were collected and reviewed by SJ. The paper was written with input from all four authors to achieve the paper in its current form.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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