Support and Assessment for Fall Emergency Referrals (SAFER) 2: a cluster randomised trial and systematic review of clinical effectiveness and cost-effectiveness of new protocols for emergency ambulance paramedics to assess older people following a fall with referral to community-based care when appropriate.

The study found that a new clinical protocol allowing paramedics to assess older people who have fallen and, if appropriate, refer them to community-based falls services may be introduced by ambulance services at modest cost, without risk of harm and with some reductions in further emergency calls. However, no evidence of improved health outcomes or reductions in overall NHS emergency workload was found.

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