| 11. |
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| 12. |
- Andreasson, J, et al.
(författare)
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Ambulance personnel should take pictures at the sites of accidents!
- 2001
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Ingår i: Läkartidningen. - : Läkartidningen Förlag AB. - 0023-7205 .- 1652-7518. ; 26-27:98, s. 3162-3163
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Bror Gårdelöf och Thomas Blomberg ställer i Läkartidningen 8/01 (sidorna 856-8) frågan om vem som skall fotografera på olycksplats. Per Örtenwall ifrågasätter i Läkartidningen 15/01 (sidorna 1825-6) om olyckan överhuvudtaget skall fotograferas. Författarna är sedan ett år verksamma i ett av de forskningsprojekt i Västra Götalandsregionen som Per Örtenwall nämner. Syftet är att utröna om bilder tagna på olycksplats tillför patienten och vården något av värde.
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| 13. |
- Andrews, RA, et al.
(författare)
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Sharing international experiences in disasters : summary and action plan
- 2001
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Ingår i: Prehospital and Disaster Medicine. - : Cambridge University Press. - 1049-023X .- 1945-1938. ; 16:1, s. 42-45
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: The discussions in this theme provided an opportunity to share specific experiences with disasters that occurred outside of the Asia-Pacific Rim. METHODS: Details of the methods used are provided in the preceding paper. The chairs moderated all presentations and produced a summary that was presented to an assembly of all of the delegates. Since the findings from the Theme 7 and Theme 3 groups were similar, the chairs of both groups presided over one workshop that resulted in the generation of a set of action plans that then were reported to the collective group of all delegates. RESULTS: The main points developed during the presentations and discussion included: (1) disaster response planning, (2) predetermined command and organizational structure, (3) rapid response capability, (4) mitigation, and (5) communications and alternatives. DISCUSSION: The action plans presented are in common with those presented by Theme 3, and include: (1) plan disaster responses including the different types, identification of hazards, training based on experiences, and provision of public education; (2) improving coordination and control; (3) maintaining communications assuming infrastructure breakdown; (4) maximizing mitigation through standardized evaluations, creation of a legal framework, and recognition of advocacy and public participation; and (5) providing resources and knowledge through access to existing therapies, using the media, and increasing decentralization of hospital inventories. CONCLUSIONS: Most of the problems that occurred outside the Asia-Pacific rim relative to disaster management are similar to those experienced within it. They should be addressed in common with the rest of the world.
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| 14. |
- Beillon, Lena Marie, et al.
(författare)
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Does ambulance use differ between geographic areas? A survey of ambulance use in sparsely and densely populated areas.
- 2009
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Ingår i: The American journal of emergency medicine. - : Elsevier BV. - 1532-8171 .- 0735-6757. ; 27:2, s. 202-11
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Tidskriftsartikel (refereegranskat)abstract
- AIM: The aim of this study was to analyze possible differences in the use of ambulance service between densely and sparsely populated areas. METHODS: This study was designed as a 2-step consecutive study that included the ambulance service in 4 different areas with different geographical characteristics. A specific questionnaire was distributed to the enrolled ambulance services. Completion of one questionnaire was required for each ambulance mission, that is, 1 per patient, during the study periods. For calculations of P values, geographic area was treated as a 4-graded ordered variable, from the most densely populated to the most sparsely populated (ie, urban-suburban-rural-remote rural area). Statistical tests used were Mann-Whitney U test and Spearman rank statistic, when appropriate. All P values are 2 tailed and considered significant if below .01. RESULTS: The medical status of the patients in the prehospital care situation was more often severe in the sparsely populated areas. In addition, drugs were more often used in the ambulances in these areas. In the sparsely populated areas, ambulance use was more frequently judged as the appropriate mode of transportation compared with the more densely populated areas. CONCLUSIONS: Our study suggests that the appropriateness of the use of ambulance is not optimal. Furthermore, our data suggest that geographical factors, that is, population density, is related to inappropriate use. Thus, strategies to improve the appropriateness of ambulance use should probably take geographical aspects into consideration.
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| 15. |
- Bremer, Anders, 1957-, et al.
(författare)
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Mötet med närstående
- 2009. - 1
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Ingår i: Prehospital akutsjukvård. - : Liber. - 9789147084487 ; , s. 150-161
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 16. |
- Bruce, K, et al.
(författare)
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The hand-over process and triage of ambulance-borne patients : The experience of emergency nurses
- 2005
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Ingår i: Nursing in Critical Care. - : Wiley-Blackwell Publishing Ltd.. - 1362-1017 .- 1478-5153. ; 10:4, s. 201-209
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Tidskriftsartikel (refereegranskat)abstract
- One of the most important tasks that a nurse faces in the emergency room, when receiving a patient, is handover and the triage function. The aim of the study was to explore the experiences of nurses receiving patients who were brought into hospital as emergencies by ambulance crews through an analysis of the handover and triage process. A qualitative descriptive interview study inspired by the phenomenological method was used with six emergency nurses. There are three elements to a handover: a verbal report, handing over documented accounts and the final symbolic handover when a patient is transferred from the ambulance stretcher onto the hospital stretcher. The study identified that the verbal communication between ambulance and emergency nurses was often very structured. The ideal handovers often involved patients with very distinct medical problems. The difficult handover or the ‘non-ideal’ one was characterized by a significantly more complicated care situation. The handover function was pivotal in ensuring that the patient received the correct care and that care was provided at the appropriate level. The most seriously afflicted patients arrived by ambulance; therefore, the interplay between pre-hospital and hospital personnel was vital in conveying this important information. To some extent, this functioned well, but this research has identified areas where this care can be improved.
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| 17. |
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| 18. |
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| 19. |
- Fortes Lähdet, E., et al.
(författare)
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Analysis of Triage Worldwide
- 2009
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Ingår i: Emergency Nurse. - : RCN Publishing Co.. - 1354-5752 .- 2047-8984. ; 17:4, s. 16-19
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Tidskriftsartikel (refereegranskat)abstract
- Several triage methods have been developed and adopted around the world but none has been devised for specific patient populations such as older people or those with special needs. This literature review outlines the development of triage since the 1950s, briefly discusses some of the models in use around the world, including one that is used in the care of older people, and outlines the issues that should be taken into account when deciding which method to adopt.
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| 20. |
- Hagiwara, Magnus, et al.
(författare)
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Decision support system in prehospital care: a randomized controlled simulation study
- 2013
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Ingår i: American Journal of Emergency Medicine. - : Elsevier BV. - 0735-6757 .- 1532-8171. ; 31:1, s. 145-153
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Prehospital emergency medicine is a challenging discipline characterized by a high level of acuity, a lack of clinical information and a wide range of clinical conditions. These factors contribute to the fact that prehospital emergency medicine is a high-risk discipline in terms of medical errors. Prehospital use of Computerized Decision Support System (CDSS) may be a way to increase patient safety but very few studies evaluate the effect in prehospital care. The aim of the present study is to evaluate a CDSS. Methods: In this non-blind block randomized, controlled trial, 60 ambulance nurses participated, randomized into 2 groups. To compensate for an expected learning effect the groups was further divided in two groups, one started with case A and the other group started with case B. The intervention group had access to and treated the two simulated patient cases with the aid of a CDSS. The control group treated the same cases with the aid of a regional guideline in paper format. The performance that was measured was compliance with regional prehospital guidelines and On Scene Time (OST). Results: There was no significant difference in the two group's characteristics. The intervention group had a higher compliance in the both cases, 80% vs. 60% (p<0.001) but the control group was complete the cases in the half of the time compare to the intervention group (p<0.001). Conclusion: The results indicate that this CDSS increases the ambulance nurses' compliance with regional prehospital guidelines but at the expense of an increase in OST.
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