Engelsk titel: Optimization of use of prehospital emergency physicians after new dispatch and guidance instructions
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Författare:
Dahl MK
;
Dalsgaard Nielsen N
;
Knudsen F
Email: mida@rn.dk
Språk: Dan
Antal referenser: 14
Dokumenttyp:
Artikel
UI-nummer: 08051077
Sammanfattning
Introduction: Correct use of prehospital medical competence requires optimal dispatch. Based on the severity gauge Severity of Injury/Illness Index (SIII) which grades injury/illness into eight levels, we examined the effect of implementing new dispatch and guidance instructions in the emergency call centre. Materials and methods: From the local Prehospital Database we have withdrawn data from 1st August 2000 to 31st December 2005. On 1st August 2003 new dispatch and guidance instructions were implemented with a graded allocation of prehospital resources. It is hereby possible to dispatch 1) an ambulance + prehospital emergency physician (PEP); 2) an ambulance; or refer to 3) self care or alternative transportation. Results: During the study 10,585 patients were attended by a PEP. After implementing the new dispatch and guidance instructions we experienced a total increase of five per cent in the four most severe SIII-groups. A total of 189 patients were transferred to the relevant groups. These changes are significant with p < 0,001 (?2 -test). Conclusion: By implementing more graded dispatch and guidance instructions in the emergency call centre it is possible to optimise the use of the PEP.