Dire transport: Do we know how to utilize assets well?

Orixinais

Outline

Objective: To survey the utilization of Urgent Health Transportation amid

a time of 4 years in the PAC of Bertamiráns, to know the sorts

of the most requesting pathologies of said transport and evaluate whether

legitimate utilize is made of it.

Plan: Retrospective spellbinding examination.

Members: Patients went to at home/open street or PAC who

Medical Non Emergency Transportation

require a rescue vehicle, before being surveyed by the PAC doctor.

Principle Measurements: Age, sex, date, time and place of care,

past state, high and high finding (home/healing facility).

Results: 295 considerations with emergency vehicle, for the most part in

PAC (80%) and more in night hours. The dire administration is in

for the most part utilized by those more than 65 years old (33%), trailed by

scope of 31-50 years (31.2%). The patient's profile is a

beforehand sound male without past pathologies (95.6%). Months

most pervasive are July and September and the pathologies that most

request help with earnest transportation are poisonings,

for the most part ethyl liquor (21%); cardiovascular (16.9%), neurological

(14.2%), mental (13.9%, with the uneasiness emergency being more

predominance), mishaps (8%) and respiratory maladies (6.8%),

among other.

Conclusions: the larger part of treated patients exhibited

non-rising pathologies that could have utilized different sorts of

transportation rather than an emergency vehicle. Ethyl harming

involve more often than not utilized by the emergency vehicle and

much of the time, they are sound and without

past pathologies.

Catchphrases: Urgent transport, emergency vehicle,

interest for mind.

Presentation

Human services request by clients is no more

expanding throughout the years to flood the crisis administrations

of healing facilities. This has prompted the formation of

proceeded with mind (PAC) in various territories, contingent upon the quantity of

tenants, where 24 hour crisis administrations are given. The correspondence

intercentres and the interest for human services have

comparable increment in clean transport facilitated through the

focal of the 061, on account of Galicia.

The general population establishment Urgencias Sanitarias de Galicia-061, was made

in 1995 by the Xunta de Galicia before the need to give

reaction to wellbeing crises. From that point forward, the

coordination of 061, situated in Santiago de Compostela, is in charge of

to oversee and organize prehospital care and transportation

critical and rising.

In 2011, the 061 had an aggregate of ten ambulances

medicalized and 101 help conveyed all through the group

independent (1) . It additionally has 2 medicalized helicopters

situated in Orense and Santiago.

As indicated by the most recent information gave by 061, the utilization of

these administrations has been expanding throughout the years, enlisting in the

more than one million telephone calls, with a normal of

daily paper of 2783 (1) . This expansion in the quantity of phone helps

it additionally builds the utilization of wellbeing transport.

The 061 is responsible for planning the work force of the

urgencies in essential care, with the goal that any client

or, on the other hand proficient can call the inside and counsel wellbeing questions

or, then again ask for a home counsel, if fundamental. The 061

additionally arranges the utilization of earnest wellbeing transport (TSU)

what's more, rising, so any utilization of the rescue vehicle or emergency vehicle

helicopter must be approved by them.

Mª del Carmen Fernández Tuñas 1 , Patricia Susana Vázquez Millán 2 , Alejandro Pérez Muñuzuri 3

1 Due. Administration of Neonatology of the Clinical Hospital of Santiago de Compostela

2 Family Doctor. Pac of Boiro

3 Pediatrician. Administration of Neonatology of the Clinical Hospital of Santiago de Compostela

Pressing medicinal transport: Do we know how to utilize the

implies?

Correspondence

Mª del Carmen Fernández Tuñas

Viceso-Pousada Nº 25, Brión. CP 15835 (A Coruña)

Mail: Mctunas@World-R.Com

________________________________________

Page 2

Scratch pad

essential care

Orixinais

107

Critical transport: Do we know how to utilize assets well?

The target of our examination is to evaluate the expansion in the utilization of

TSU amid four years in the PAC of Bertamiráns, to know

which are the pathologies that utilization the most transport or more all

evaluate whether appropriate utilization of the TSU is being made.

MATERIAL AND METHODS

A distinct review investigation of a PAC situated in a

semi-urban care, with a populace of around 35 thousand

tenants, as indicated by information from the 2011 enumeration (2) , incorporated into

2 town chambers; Brión and Ames. To investigate the information has been utilized

the measurable programming SPSS 15.0 for Windows.

We contemplated the period from June 2006 to June

of the year 2010, both comprehensive. All stories assessed

between these dates and information have been gathered from

every one of the ways out in emergency vehicle and in addition those got in the middle,

enlisting eight factors (Table 1).

VARIABLE

RANK

Attributes

AGE

0-14 years

15-30 years

31-50 years

51-65 years

More than 65 years

SEX

Man

Lady

DATE OF ATTENTION

TIME ASSISTANCE

Consideration

Address/way

open

Top

Past STATE

Sound

Without past pathology and with issue

intense

Sent

Hard to assemble the inside, with

home or issue oxygen

intense assembly

Immobilized

Inactive life in overnight boardinghouse

nullifying pathologies

DIAGNÓSTICO AL ALTA

Osteomuscular

Low back agony, arthralgia, and so forth.

Cardiovascular

Intense myocardial dead tissue (AMI),

heart disappointment (HF), thromboembolism

pneumonic capacity, hypertension

(HTA), and so on.

Neurological

Cerebrovascular mishap (CVA),

syncope, vertigo, seizure, and so on.

Mishaps

Intense Respiratory Insufficiency (ARF),

obstructive pneumonic illness

constant (COPD), pneumonia, and so forth.

Respiratory

Irresistible

Stomach related

Renales

Nephrotic colic, and so on.

Endocrinology

Harming

Ethyl, medications and medications

Oncological

Other

Not including in past ones

gatherings

Ways out

HIGH

Home

Healing center

Ways out

TABLE 1: Study factors

RESULTS

In the four years there have been a sum of 295 considerations

with TSU, of which 80% have occurred in the PAC itself

what's more, 20% at home/open street. More often than not

has prepared the emergency vehicle in the night hours (from 10 pm to 8 am),

There is a crest at 11pm and 1am.

By and large, a greater number of men than ladies were tended to, despite the fact that this

is variable as indicated by the pathology. (Figure 3). There is an expansion

dynamic utilization of the TSU throughout the years, in spite of the fact that in the year

2010 decreases somewhat. (Figure 1).

FIGURE 3. Analyses in dire care by sex.

FIGURE 1. Advancement of dire care request.

The age most utilized by the TSU, as a rule, is the more prominent of 65

a long time, (33%), trailed by the age go 31-50 years, (31.2%). The

sound patients (without past pathologies) are the most requesting,

(95.6%), contrasted with the immobilized ones (2.7%) and bedding (1.7%).

(Figure 2)