PRE-HOSPITAL, EMERGENCY, EMERGENCY, DISASTER MEDICINE REMOTE, TACTICS, aeromedical, OFFSHORE MEDICI

PRE-HOSPITAL, EMERGENCY, EMERGENCY, DISASTER MEDICINE REMOTE, TACTICS, aeromedical, OFFSHORE MEDICINE, EMERGENCY TRAINING, GUIDELINES, PROTOCOLS, MANUALS, VIDEOS, PREVENTION, MEDICINE PRIMARY NAVAL MEDICINE, DESFIBIRLADORES, CPR, TRAUMA, ss kemp PHTLS, NAEMT, AHA, ERC, AMBULANCE, PARAMEDICOS, NURSES, TEM, TUM, TES, EMT, EMS.
At 1300 hours, a call to service ss kemp comes Prehospital the City of Houston, Texas, USA. At the same time a call comes Prehospital Service identical to the City of Madrid, Spain, at 2000 hours. The calls involving a male patient of 30 years who attempted suicide and jumped from a bridge 15 meters. The patient presented with multiple injuries in the chest and upper and lower limbs, causing him in the chest contusion and fractures in the right arm and leg.
Witnesses say the jump, first hit a street lamp before falling on concrete. The two Prehospital Services arrive on the scene in six minutes, but the Houston service remains at the scene nine minutes and transported the patient to the Emergency Department of a local hospital, while the Madrid service remains at the scene 43 minutes and transported the patient ss kemp to the intensive care unit of a nearby hospital.
The Prehospital Emergency Medical Services are the first contact with the patient and should focus on the life preserver, prevent further injury and promote recovery. A prehospital care system must have several components to function ss kemp effectively. First, the communication with that system must be timely so that they can activate their resources. Second, the response of the patient to the site has to be fast. Third, the staff of the system must be able to assess, treat, and if necessary, the patient transporter at a medical facility to receive definitive treatment.
The Franco-German model uses the concepts of "treat and establizar ss kemp on the site" ss kemp the patient before transporting. The staff of this model is on the scene and basically takes the level of care of a patient hospital until establilzarlo. This care is usually given by doctors, sometimes EPs, Surgeons, Anesthesiologists, and General Physicians. If for any reason a paramedic arrives at the scene before the doctors, the paramedic to wait the doctor prior to defibrillation, intubation, or medications ss kemp subministrar.
The Anglo-American model uses the concepts of "load and go". The staff of this model basicamene take the patient to hospital quickly, however, ss kemp if the patient involved treatments to stabilize him at the scene and / or en route to the hospital. This care is usually given by paramedics, sometimes Emergency Medical Technicians Basic or Advanced level.
From all the literature Prehospital medical emergency, only found two studies comparing the efficacy of these two levels of care. The first study concluded that having a doctor in a prehospital scene to arrest, resulted in a higher incidence of return of spontaneous circulation and a higher rate if the patient was discharged from the hospital. The second study concluded alkene was no difference in survival ss kemp for a cardiac patient, when he was treated by doctors or paramedics. What is significant in these two studios is that the first study was only 9 cases were treated by mediocs ss kemp before concluding ss kemp that prehospital treatment was better with a physician with a paramedic. The second study was 977 cases and concluded that there was no difference in survival when treatment was otrogrado by doctors or paramedics.
Regardless of the different opinions on the effectiveness of these models, it is clear that prehospital personnel must meet certain requirements before they can intervene to patients with medical procedures. First, ss kemp these individuals need to be educated and trained in initial education program.
Also, these individuals must meet recertification process through education credits hours or continuous medication. Second, these individuals need to be certified based on their skills, by an external entity to which supplied the education and initial training. Third, these individuals need a license or identification card by a government agency ss kemp to work in the field prehospital. Finally, these individuals need the claim on behalf of a Medical Director, authorizing the "practice" of the prehospital medicine based is their knowledge and habilid