The emergency medical service (EMS) by the dispatch centre or by
The emergency medical service (EMS) by the dispatch centre or by the EMS paramedics at the incident location. Activation is according to a structured list of incident ICG-001 dose situations and/or the medical condition of the patient. Design Retrospective analysis of 297 HMT calls for prehospital vitally comprised children (<16 years) from 2001 to 2005 by the HMT-Netherlands-East. Registered data included age, sex, physiological parameters and medical treatment. Specified was whether the medical procedures performed outside the hospital were provided by the EMS paramedic or the HMT physician; in all cases, EMS paramedics arrived at the incident location first. Medical procedures in children were classified into three groups: restricted to physician by Dutch law, physician more experienced than EMS paramedic, physician and EMS paramedic as experienced as each other. SPSS was used for descriptive analysis. Results The EMS on scene canceled the pediatric HMT calls before the landing of the helicopter in 36 (n = 107) -- reasons: no serious injury 82 (n = 88), deceased 10 (n = 11), other 8 (n = 8). The HMT examined and treated 190 children on scene, with a total of 1461 medical procedures provided by the HMT physician (mean 7.7, SD 3.9). Medical procedures restricted to HMT physicians were given to 71 (n = 135) of the children (e.g. general anesthesia, thoracosynthesis, central venous cannulation). Medical procedures when classified as the HMT physician more experienced than the EMS paramedic were given to 76 (n = 144) of the children (e.g. endotracheal intubation, intra-osseous infusion, pain management). The combination of these two groups constituted 84 (n = 158) of all children examined by the HMT. Conclusion The Dutch-HMT provides crucial additional medical expertise not provided by the EMS paramedics. Eighty-four percent of the vitally compromised children received a prehospital medical procedure restricted to a physician or for which a physician was more experienced.Waiting period before surgical treatment.SAvailable online http://ccforum.com/supplements/10/SP133 Short-term outcome in major trauma: land versus air emergency medical rescue in TuscanyR Spina, E Viscusi, G Cianchi, M Linden, A Peris Intensive Care Unit/Emergency Department, Careggi Hospital, Florence, Italy Critical Care 2006, 10(Suppl 1):P133 (doi:10.1186/cc4480) Introduction Trauma is the major cause of death for people younger than 40 years in developed counties. In Italy an incidence of 120 deaths per 100,000 inhabitants for trauma is reported. An efficient emergency medical response system (EMRS) must therefore be assured in order to provide PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/28404814 adequate treatment on the scene and allow a quick rescue to a referral hospital centre. Methods The area of Florence in Tuscany consists of a population of 1.5 million inhabitants. In this area the EMRS is provided by a network of land ambulances staffed with an emergency physician and a helicopter with an intensivist on board. In this study we considered all 291 trauma patients initially admitted to the Emergency Department (ED) and subsequently admitted to the eight-bed ICU of Careggi Hospital in Florence in the period from January 2003 to June 2005. Two groups of patients were considered: 144 patients rescued PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/26437915 by the helicopter (group A) and 147 patients rescued by land (group B). The two groups were confronted for the category of trauma, GCS, SpO2, fluid resuscitation volume, mean artery pressure (MAP), on-scene intubation, intuba.