Dispatching of emergency medical teams to patients with cardiovascular diseases
Journal Title: Medycyna Ogólna i Nauki o Zdrowiu - Year 2016, Vol 22, Issue 1
Abstract
[b]Introduction and objective. [/b]Legislation concerning medical dispatchers does not specify the type of calls for paramedic or specialist EMS team, and when they can refuse to attend to a patient. Due to other scope of medical emergency operations the dispatching determines the time and type of aid. The objective is to determine whether the type of call has an impact on the dispatcher’s decision about the type of EMS team. [b]Material and methods.[/b] Research was carried out on the basis of medical documentation submitted in 2012 by 5 EMS teams of the Kraków Emergency Service located in 2 places in ‘Nowa Huta’, with one basic and one specialist team in each, and in one of these places for 2 month there was an additional basic EMS team. 1,560 medical rescue procedure cards were analyzed and classified to a group ‘cardiologic problems’. Reported ailments, symptoms, diseases were grouped into the categories: chest pain, arrhythmia, high blood pressure, loss of consciousness, shortness of breath, other. [b]Results.[/b] Selected EMS teams undertook a total of 13,715 trips: basic – 7,254, specialist – 6,461. A group of 1,560 constituted ‘Cardiac Problems’ (11.4%), 556 (8%) – basic EMS team, 1,004 (16%) – specialist EMS team. 784 patients (50%) reported one ailment, 644 patients (41%)-2 and 132 patients (9%) – 3 or more reasons. There were 2,468 reported ailments. Specialist EMS teams were dispatched for 83% of the dispatch orders with 3 problems, 67% with two and 59% with a single problem. 56% of patients of the basic EMS teams and 69% of the specialist team reported chest pain; in other categories, the dispatching of both types of EMS teams was similar. [b]Conclusions.[/b] The type of call influenced the choice of dispatching the EMS team. In the case of disorders on a cardiologic, potentially coronary background, and probably a more severe patient’s condition – more than 2 symptoms – more often, the specialist EMS teams were dispatched.[b]Key words:[/b] emergency medical team, medical dispatcher, cardiac disease
Authors and Affiliations
Joanna Sowizdraniuk, Małgorzata Popławska, Krystyn Sosada
Keywords
Related Articles
- EP ID EP79535
- DOI 10.5604/20834543.1198727
- Views 192
- Downloads 0
Knowledge of breast cancer prevention among peri-menopausal women
Breast cancer is an important medical and social problem among women worldwide. The most common type of cancer affecting women in Poland is cancer of the breast nipple. It mainly occurs in women aged over 50. The results...
Isolated paratubal cyst torsion during pregnancy – case report
Uterine adnexial torsion is considered an obstetric and gynaecological emergency. The most common cases include torsion of the vascular pedicle of the ovary and Fallopian tubes and cystis perioviducti; torsion of the Fal...
The sense of coherence in women treated for uterine cervix pathologies
introduction: Diagnosis of uterine cervix pathology, especially a cancerous condition, causes many adaptation problems, and is among the greatest sources of anxiety for the patients. The majority of them develop symptoms...
Prevalence of risk factors for cardiovascular disease among 40- and 50-year-old inhabitants of Wroclaw. Part I
Introduction: Cardiovascular diseases are among the major causes of death worldwide. Objective: To assess the prevalence of risk factors for cardiovascular disease among 40- and 50-year-old inhabitants of Wroclaw.Materia...
Early rehabilitation of patients after ischemic stroke
[b]Introduction[/b]. Ischemic stroke is caused by stopping or decreasing arterial perfusion. Strokes are a major cause of serious and chronic invalidity which affects the total costs borne by society. Treatment of ischem...