Emergency response management. It takes a system and a strategy to save a life
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1 Emergency response management It takes a system and a strategy to save a life
2 It takes a system to save a life 5 million inhabitants km² ( sq.miles) North South 2400 km 5 trauma centers 2
3 Emergency response management «Multi agency» responsibility Police: Incident command Safety and security Investigation and complain Fire and rescue: Provided by the municipalities Healthcare: The municipalities - Emergency care / Psychosocial support The hospital service Ambulance service and trauma system 18/04/2017 3
4 Emergency response management Agency specific PSAP s The European emergency number is handled by the police. In addition the public can call agency specific emergency number's Fire Emergency Medical Controll Center Each agency is legally and economically responsible for their services. 18/04/2017 4
5 5 The System - EMS in Norway EMCC ECG GP on call center FAST TRACK/ Heart Stroke Trauma Emerg. Dep. GP on call 24/7 Home Out of hours GP Local Medical center Local hospital Regional hospitals Local health services
6 22 nd July
7 Patient outcome was higher than expected
8 But we can do better.. Revision of national plan s for emergency prep. Operational procedures Command and control Communication Technical solutions in EMCC Training and education 2012 Læring for bedre beredskap - Helseinnsatsen etter terrorhendelsene 22.juli
9 Measures taken Patient triage SoP Violent situations Incident Common Command Patient triageguidelines for and communication Control Health Revised Trauma plan 18/04/2017 9
10 The strategy The national trauma plan National requirements Organization Pre-hospital, hospital and post-hospital Infrastructure Competencies Education
11 The operational organization National requirements Organization Infrastructure Competencies Education 18/04/
12 Tactics National system for patient triage Nasjonal-veileder-for-masseskadetriage.pdf Common principles' for al first responder agencies Simplicity Based on principle's from everyday situations
13 Command and Control - Nation wide regulations on emergency communication National requirements Organization Infrastructure Competencies Education 18/04/
14 System challenges Call out Unified rapid dispatch 3 services 3 C&C-systems 3 Policies Delayed situational awareness 3 services 3 C&C-systems 3 Policies Effect on patient outcome Little research / lack of harmonized data No evidence of higher patient outcome/ lower morbidity in other systems 18/04/
15 Moving to the next level EMS 2.0
16 How do we perform? Tema for presentasjonen
17 International cooperation
18 Nordic time point s and QI s compliant with the NEMSIS codeset
19 Data structure for Key Indicators Datastructure ambulance perspective Incident location Home Care unit Another amb Other Destination Patient to another ambulance Ambulance car Ambulance helicopter (hcp) Ambulance (air)plane Other transport Dispatch center Ambulance out Incident Patient Patient to healthcare services Hospital Emergency Room Hospital Clinic/Unit Primary Care Other services Ambulance free for next mission Primary emercency calls for health care Secondary calls from health care units, etc RETTS Treatment on incident location Primary Amb car Prio 1 Red Patient not Referral to other healthcare serv Sex transported transport Amb hcp Prio 2 Orange Refusal with Secondary Amb plane Prio 3 Yellow ambulance Recalled Age transport Other transp Other Green Other cause No patient Patient dead Hospital / Other
20 EMS 2.0 Mowing outside the «box» Tema for presentasjonen
21 System possibilitets 2017 Public awareness and rapid connection to EMS/Fire/Police Early detection and recognition Location Situation overview Early public intervention Skiles Motivation Systematic telephone guidance/advise First responders where adequate 18/04/
22 Information handling or Information overload 18/04/
23 The future is knowledge based medicine EMS must adopt and take up a leading role Actively move forward and enhance the service Meet the real need of the society Knowledge based distribution of advanced mobile healthcare and care access. Knowing what we do and how we perform is essential to reach our goal!
24 Predict and Prevent 18/04/
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