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International EMS s...
International EMS systems: the Nordic countries
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Langhelle, A (author)
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Lossius, HM (author)
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Silfvast, T (author)
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Bjornsson, HM (author)
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Lippert, FK (author)
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- Ersson, Anders (author)
- Lund University,Lunds universitet,Anestesiologi och intensivvård,Forskargrupper vid Lunds universitet,Anaesthesiology and Intensive Care Medicine,Lund University Research Groups
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Soreide, E (author)
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(creator_code:org_t)
- Elsevier BV, 2004
- 2004
- English.
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In: Resuscitation. - : Elsevier BV. - 1873-1570 .- 0300-9572. ; 61:1, s. 41538-41538
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http://dx.doi.org/10...
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Abstract
Subject headings
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- Emergency medicine service (EMS) systems in the five Nordic Countries have more similarities than differences. One similarity is the involvement of anaesthesiologists as pre-hospital physicians and their strong participation for all critically ill and injured patients in-hospital. Discrepancies do exist, however, especially within the ground and air ambulance service, and the EMS systems face several challenges. Main problems and challenges emphasized by the authors are: (1) Denmark: the dispatch centres are presently not under medical control and are without a national criteria based system. Access to on-line medical advice of a physician is not available; (2) Finland: the autonomy of the individual municipalities and their responsibility to cover for primary and specialised health care, as well as the EMS, and the lack of supporting or demanding legislation regarding the EMS; (3) Iceland is the only country that has emergency medicine (EM) as a recognised speciality but there is a need for more fully trained specialists in EM; (4) Norway: the ordinary ground ambulance is pointed out as the weakest link in the EM chain and a health reform demands extensive co-operation between the new health enterprises to re-establish a nation-wide air ambulance service; (5) Sweden: to create evidence based medicine standards for treatment in emergency medicine, a better integration of all part of the chain of survival, a formalised education in EM and a nation wide physician staffed helicopter EMS (HEMS) cover. (C) 2004 Elsevier Ireland Ltd. All rights reserved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Keyword
- emergency medical services
- emergency treatment
- advanced life support
- ambulance
- (ALS)
- trauma
- triage
Publication and Content Type
- art (subject category)
- ref (subject category)
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