O-28 Prehospital advanced life support (ALS) demands in the city of Copenhagen

Resuscitation ◽  
1996 ◽  
Vol 31 (3) ◽  
pp. S9 ◽  
Author(s):  
M.Bredgaard Sørensen ◽  
S. Høgskilde ◽  
B. Øberg ◽  
H. Reich ◽  
M.E. Crawford
Keyword(s):  
Life Support ◽  
Advanced Life Support ◽  
The City

Performance of a nursing team in a pre-hospital mobile service: the experience of graduates

2012 ◽  
Vol 6 (2) ◽  
pp. 469
Author(s):  
Liva Gurgel Guerra Fernandes ◽  
Camila Dannyelle Fernandes Dutra Pereira ◽  
Joyce Laíse da Silva Ribeiro ◽  
Pricilla Delfino de Medeiros ◽  
Grayce Louyse Tinôco de Castro ◽  
...  
Keyword(s):  
Work Experience ◽  
Life Support ◽  
Advanced Life Support ◽  
Rio Grande ◽  
Mobile Service ◽  
Graduate Courses ◽  
Academic Activities ◽  
Nursing Team ◽  
The City ◽  
Nursing Course

ABSTRACTObjective: to relate the experiences and perceptions of those concluding their Nursing course during an optional stage in the Mobile Emergency Service (SAMU) in the city of Natal (Rio Grande do Norte State) with regard to the performance of the nursing team. Methodology: the present study is the type which relates experience and treats the observations of graduates in the Nursing course at the Federal University of Rio Grande do Norte during their academic activities in Natal’s SAMU. The activity took into account theory classes and the practical stage in ambulances involved in Basic and Advanced Life Support. Results: during the work experience stage, it was possible for participants to live through the proceedings of the nursing team at the SAMU as a part of the team. The specific functions of the professionals are pre-determined, being necessary to know and have confidence in the team’s work. Besides this, it becomes necessary for all to know how to act in various situations, since in the process of attending it is possible to act correctly in any given case. Regarding the specific functions of the nurse, one actively participates in the Pre-Hospital Attendance team, collectively assuming responsibility for the assistance given. Conclusions: to assist in a pre-hospital mobile service in the form of nursing work experience can be considered an advantage, since the Urgency/ Emergency area does not receive the attention it deserves in the majority of graduate courses. Descriptors: emergency medical services; nursingcare; education,nursing.RESUMOObjetivo: relatar experiências e percepções de concluintes do Curso de Enfermagem durante estágio não-obrigatório no Serviço de Atendimento Móvel às Urgências (SAMU). Método: estudo do tipo relato de experiência que aborda a vivência de concluintes do Curso de Enfermagem da Universidade Federal do Rio Grande do Norte (UFRN) durante atividade acadêmica não-obrigatória no SAMU Natal. Tal atividade compreendeu aulas teóricas e estágio prático nas ambulâncias de Suporte Básico e Avançado à Vida. Resultados: durante o estágio, foi possível vivenciar o processo de trabalho da equipe de enfermagem no SAMU, enquanto parte da equipe de saúde. Os profissionais tem suas funções específicas e previamente delimitadas, sendo preciso conhecer e confiar no trabalho da sua equipe. Além disso, é preciso que todos saibam atuar nas mais diversas situações, pois, conhecendo a sequência do atendimento, é possível agir corretamente em qualquer caso. No que se refere às funções específicas do enfermeiro, este participa ativamente da equipe de APH, assumindo, conjuntamente, a responsabilidade pela assistência prestada. Conclusão: vivenciar o APH móvel na condição de estagiário de Enfermagem pode ser considerado um diferencial, já que a área de Urgência/Emergência não tem a atenção merecida durante a maioria dos cursos de graduação. Descritores: serviços médicos de emergência; assistência de enfermagem; educação em enfermagem.RESUMENObjetivo: relatar experiencias y percepciones de concluyentes de la carrera de Enfermería durante las prácticas no obligatorias en el Servicio de Atención Móvil a Urgencias (SAMU) de la ciudad de Natal (RN) acerca de la actuación del equipo de enfermería. Métodos: el presente estudio es del tipo relato de experiencia y aborda la vivencia de concluyentes de la carrera de Enfermería de la Universidad Federal de Río Grande do Norte (UFRN) durante actividad académica en el SAMU Natal. Tal actividad abarcó clases teóricas y prácticas en las ambulancias del Apoyo Básico y Avanzado a la Vida. Resultados: durante las prácticas se pudo vivir el proceso de trabajo del equipo de enfermería en el SAMU, como parte del equipo de sanidad. Los profesionales tienen sus funciones específicas y previamente delimitadas, siendo preciso conocer y confiar en el trabajo de su equipo. Además, es necesario que todos sepan actuar en las más diferentes situaciones, ya que conociendo la secuencia de atención es posible actuar correctamente en cualquier caso. En lo que se refiere a las funciones específicas del enfermero, este participa activamente del equipo de APH, asumiendo, conjuntamente, la responsabilidad por la asistencia prestada. Conclusiones: vivir el APH móvil como alumno de prácticas de Enfermería puede considerarse un diferencial, ya que el área de Urgencias/Emergencias no recibe la atención merecida durante la mayoría de las graduaciones. Descriptores: servicios médicos de urgencia; atención de enfermería; educación en enfermería.

scholarly journals (P2-20) Explosion At A Steelwork Plant

2011 ◽  
Vol 26 (S1) ◽  
pp. s142-s142
Author(s):  
M. Bortolin ◽  
M. Raviolo ◽  
R. Vacca ◽  
D. Bono
Keyword(s):  
Life Support ◽  
Advanced Life Support ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Lessons Learned ◽  
Use Of Resources ◽  
Management Of Resources ◽  
Response Plan ◽  
Disaster Severity ◽  
The City

IntroductionOn the night of 06 December 2007, an explosion occurred at a steelworks plant in the city of Turin. The incident involved 10 people. The emergency medical services (EMS 118 Turin) declared a mass-casualty incident (MCI).ObjectivesThe aim of this case report is to analyze the response of the EMS 118 Turin to the MCI in order to identify problems or short-comings and improve the service for future responses.MethodsInformation from the dispatch center, medical report of the EMS, and hospitals that received the patients were analyzed.ResultsThe emergency call was placed at 01:04 hours, and the MCI was declared closed at 04:40 hours. The disaster, in according to Disaster Severity Scale (DSS), was classified 3. The METHANE message was sent to the dispatch center by the first ambulance 4 minutes after the call. There were 10 patients: seven T1; one T2; and two T3. The dispatch center deployed nine teams, which consisted of five advanced life support (ALS) teams and four basic life support (BLS) teams. All of the casualties were able to walk when they arrived to the medical care. The T1 casualties had burns to > 80% of their body surface area (BSA), the T2 and T1 casualties suffered inhalation of smoke gas. The first casualties were evacuated to the hospital 28 minutes after the call. Four casualties (three T1 and one T3) were transported to the nearest hospital. the other four T1 casualties were transported to four different hospitals of the city. All the T1 casualties died in the next 24 days.ConclusionsThe management of resources during this MCI was suboptimal. The number of ALS teams that responded to the MCI was high considering the number of casualties and the time taken to resolve the incident. The lessons learned from this incident and other cases have permitted the EMS Turin to improve their response plan concerning the use of resources and surge capacity.

Recommended Guidelines for Uniform Reporting of Pediatric Advanced Life Support: The Pediatric Utstein Style

Circulation ◽  
1995 ◽  
Vol 92 (7) ◽  
pp. 2006-2020 ◽  
Author(s):  
Arno Zaritsky ◽  
Vinay Nadkarni ◽  
Mary Fran Hazinski ◽  
George Foltin ◽  
Linda Quan ◽  
...  
Keyword(s):  
Life Support ◽  
Advanced Life Support ◽  
Recommended Guidelines ◽  
Utstein Style

Code Blue Events in the Neonatal and Pediatric Intensive Care Units at a Tertiary Care Children's Hospital

2020 ◽  
Author(s):  
Catherine M. Groden ◽  
Erwin T. Cabacungan ◽  
Ruby Gupta
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Life Support ◽  
Univariate Analysis ◽  
Tertiary Care ◽  
Neonatal Resuscitation ◽  
Advanced Life Support ◽  
Pediatric Intensive Care ◽  
Code Blue ◽  
Neonatal Resuscitation Program

Objective The authors aim to compare all code blue events, regardless of the need for chest compressions, in the neonatal intensive care unit (NICU) versus the pediatric intensive care unit (PICU). We hypothesize that code events in the two units differ, reflecting different disease processes. Study Design This is a retrospective analysis of 107 code events using the code narrator, which is an electronic medical record of real-time code documentation, from April 2018 to March 2019. Events were divided into two groups, NICU and PICU. Neonatal resuscitation program algorithm was used for NICU events and a pediatric advanced life-support algorithm was used for PICU events. Events and outcomes were compared using univariate analysis. The Mann–Whitney test and linear regressions were done to compare the total code duration, time from the start of code to airway insertion, and time from airway insertion to end of code event. Results In the PICU, there were almost four times more code blue events per month and more likely to involve patients with seizures and no chronic condition. NICU events more often involved ventilated patients and those under 2 months of age. The median code duration for NICU events was 2.5 times shorter than for PICU events (11.5 vs. 29 minutes), even when adjusted for patient characteristics. Survival to discharge was not different in the two groups. Conclusion Our study suggests that NICU code events as compared with PICU code events are more likely to be driven by airway problems, involve patients <2 months of age, and resolve quickly once airway is taken care of. This supports the use of a ventilation-focused neonatal resuscitation program for patients in the NICU. Key Points

scholarly journals European Resuscitation Council Guidelines 2021: Adult advanced life support

Resuscitation ◽  
2021 ◽  
Author(s):  
Jasmeet Soar ◽  
Bernd W. Böttiger ◽  
Pierre Carli ◽  
Keith Couper ◽  
Charles D. Deakin ◽  
...  
Keyword(s):  
Life Support ◽  
Advanced Life Support ◽  
European Resuscitation Council

Improving the Appropriateness of Advanced Life Support Teams’ Dispatch: A Before-After Study

2021 ◽  
pp. 1-7
Author(s):  
Lorenzo Gamberini ◽  
Cosimo Picoco ◽  
Donatella Del Giudice ◽  
Corrado Zenesini ◽  
Marco Tartaglione ◽  
...  
Keyword(s):  
Sensitivity And Specificity ◽  
Life Support ◽  
Advanced Life Support ◽  
Emergency Operation ◽  
Support Teams ◽  
Global Sensitivity ◽  
Emergency Logistics ◽  
Prehospital Emergency ◽  
Task Time ◽  
Algorithm Implementation

Abstract Background and Importance: The dispatch of Advanced Life Support (ALS) teams in Emergency Medical Services (EMS) is still a hardly studied aspect of prehospital emergency logistics. In 2015, the dispatch algorithm of Emilia Est Emergency Operation Centre (EE-EOC) was implemented and the dispatch of ALS teams was changed from primary to secondary based on triage of dispatched vehicles for high-priority interventions when teams with Immediate Life Support (ILS) skills were dispatched. Objectives: This study aimed to evaluate the effects on the appropriateness of ALS teams’ intervention and their employment time, and to compare sensitivity and specificity of the algorithm implementation. Design: This was a retrospective before-after observational study. Settings and Participants: Primary dispatches managed by EE-EOC involving ambulances and/or ALS teams were included. Two groups were created on the basis of the years of intervention (2013-2014 versus 2017-2018). Intervention: A switch from primary to secondary dispatch of ALS teams in case of high-priority dispatches managed by ILS teams was implemented. Outcomes: Appropriateness of ALS team intervention, total task time of ALS vehicles, and sensitivity and specificity of the algorithm were reviewed. Results: The study included 242,501 emergency calls that generated 56,567 red code dispatches. The new algorithm significantly increased global sensitivity and specificity of the system in terms of recognition of potential need of ALS intervention and the specificity of primary ALS dispatch. The appropriateness of ALS intervention was significantly increased; total tasking time per day for ALS and the number of critical dispatches without ALS available were reduced. Conclusion: The revision of the dispatch criteria and the extension of the two-tiered dispatch for ALS teams significantly increased the appropriateness of ALS intervention and reduced both the global tasking time and the number of high-priority dispatches without ALS teams available.

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