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Violence-related EMS calls: who actually dies

Violence-Related Emergency Medical Services Encounters in the Anatolian Side of Istanbul: A Retrospective Registry-Based Study
Disaster Medicine and Public Health Preparedness · 2026-09-29 · Added 3 October 2026

A retrospective registry review of 29,335 violence-related EMS encounters in Istanbul found confirmed prehospital death in only 0.45%, most strongly associated with severe respiratory compromise (aOR 56), altered consciousness (aOR 10.7) and cyanosis (aOR 4.2).

Study type
Cohort
Design
Retrospective registry-based observational study
Participants
29,335 violence-related EMS encounters, 2019–2023
Main finding
Confirmed prehospital death in 132 encounters (0.45%); severe respiratory status (aOR 56.02), altered consciousness (aOR 10.71) and cyanotic skin (aOR 4.24) had the highest adjusted odds
Caveat
Exploratory Firth model with wide confidence intervals, and the registry coding of violence may be inconsistent
Bottom line
Context only

Why it matters in Australia (Medium relevance). Assaults are a routine call type for Australian crews too, but this is descriptive epidemiology from a different urban system with no intervention to adopt — useful context on which assault patients are actually crashing.

Learning goal

Recognise the early signs of prehospital deterioration in patients injured through interpersonal violence.

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