Scandinavian pre-hospital physician-manned Emergency Medical Services-Same concept across borders?
Scandinavian pre-hospital physician-manned Emergency Medical Services-Same concept across borders?
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DOI：
10.1016/j.resuscitation.2009.12.019
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发表时间：
2010-04-01
期刊：
影响因子：
6.5
通讯作者：
Lossius, Hans Morten
中科院分区：
文献类型：
--
作者：
Kruger, Andreas J.;Skogvoll, Eirik;Lossius, Hans Morten
背景资料：在斯堪的纳维亚，人口分散，地理和气候条件具有挑战性，因此需要合格的院前服务提供高度先进的医疗服务。就像卫生保健系统的其他部分一样，专门的院前EMS应该旨在优化其资源利用，并严格审查和不断评估其实践的质量。本研究的目的是提供一个全面的配置文件的院前，医生载人EMS在斯堪的纳维亚countries.Methods：这项研究的目的是作为一个基于网络的横断面调查。所有专门的院前，医生载人服务在斯堪的纳维亚半岛，并在2007年有关组织，资格和医疗activity.Results的数据进行了映射：41邀请的服务，37个响应，这对应于90%的响应率（芬兰86%，瑞典83%，丹麦92%，挪威94%）。组织和教育基本相同。所有服务都提供先进的生命支持，并具有较短的响应间隔。服务照顾各种各样的病人群体，不仅在程序上需要技能，而且在诊断、后勤、重症监护和大规模伤亡管理方面也需要技能。然而，一致和详细的医疗文件往往缺乏。差异主要与时间变量、病人数量和服务区域有关。丹麦和瑞典的医疗服务机构提供的患者护理服务量更高，而芬兰和挪威的医疗服务机构提供的医疗服务种类更广泛。结论：这项调查记录了斯堪的纳维亚半岛院前医生配备的EMS系统之间的一些显着相似之处。虽然医疗数据登记目前发展不足，斯堪的纳维亚医生载人EMS是一个可行的竞技场，为未来的多中心研究。(C)2010爱思唯尔爱尔兰有限公司版权所有。
Background: In Scandinavia, scattered populations and challenging geographical and climatic conditions necessitate highly advanced medical treatment by qualified pre-hospital services. Just like every other part of the health care system, the specialized pre-hospital EMS should aim to optimize its resource use, and critically review as well as continuously assess the quality of its practices. This study aims to provide a comprehensive profile of the pre-hospital, physician-manned EMS in the Scandinavian countries.Methods: The study was designed as a web-based cross-sectional survey. All specialized pre-hospital, physician-manned services in Scandinavia were invited, and data concerning organization, qualification and medical activity in 2007 were mapped.Results: Of the 41 invited services, 37 responded, which corresponds to a response rate of 90% (Finland 86%, Sweden 83%, Denmark 92%, Norway 94%). Organization and education are basically identical. All services provide advanced life support and have short response intervals. Services take care of a variety of patient groups, and skills are needed not only in procedures, but also in diagnostics, logistics, intensive care, and mass-casualty management. Consistent and detailed medical documentation was often lacking, however.Differences are mainly related to time variables, patient volume, and service area. The Danish and Swedish services have higher volumes of patient care encounters while the Finnish and Norwegian ones provide a wider variety of medical services.Conclusions: This survey documented several significant similarities among pre-hospital physician-staffed EMS systems in Scandinavia. Although medical data registration is currently under-developed, Scandinavian physician-manned EMS is a feasible arena for future multi-centre research. (C) 2010 Elsevier Ireland Ltd. All rights reserved.