Have the implementation of a new specialised emergency medical service influenced the pattern of general practitioners involvement in pre-hospital medical emergencies? A study of geographic variations in alerting, dispatch, and response

Vaardal, B

doi:10.1136/emj.2004.015255

Cited by 20 publications

(18 citation statements)

References 10 publications

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“…This may explain some of the differences found between RGPs working in central and remote areas. Similar to a previous Norwegian study,10 we also found that RGPs are more often on “call-outs” in remote municipalities.…”

Section: Discussionsupporting

confidence: 90%

Norwegian regular general practitioners' experiences with out-of-hours emergency situations and procedures

Zakariassen¹,

Sandvik²,

Hunskaar

2008

Emergency Medicine Journal

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Section: Discussionsupporting

confidence: 90%

Norwegian regular general practitioners' experiences with out-of-hours emergency situations and procedures

Zakariassen¹,

Sandvik²,

Hunskaar

2008

Emergency Medicine Journal

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“…The association (odds ratio) between rural areas and call-out is strong. The findings support the conclusion in an earlier study done in the area of EMCC Stavanger (90).…”

Section: Alarms To Doctors On-call In the Emergency Primary Care Servsupporting

confidence: 92%

Red response. Studies on the role of primary care doctors in out-of-hospital emergency medicine

2010

Sykepleien

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The regression analyses presented in table 5 and 6 in Study III are not correct. The dependent variables were coded opposite of what intended. Below we present correct tables 5 and 6. When comparing the original printed tables with the new ones, the reader will see that almost all odds ratios are inverted. For the interpretation of the results this means that some statements in the original paper should be changed to:1. There is a negative statistically significant association between alerts in not lifethreatening situations and alerts to primary care doctors in remote municipalities. 2. High severity score on NACA were associated with a higher possibility of call-out as response among the primary care doctors. There was a statistically significant negative association between call-out and remote municipalities. 3. Air ambulance mission was associated with a statistically significant increase in odds ratio for primary care doctors being on call-out to the same patients. 4. Increasing population in the primary care district is associated with less call-out as the response among the primary care doctors in all three areas

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“…Access should be by a widely publicized internationally recognized calling number such as 112 in Europe or 911 in North America (Britvic et al, 2007;ICAR, 2010;Vaardal et al, 2005). All persons dispatching a helicopter should be aware of the specific problems encountered in mountainous or wilderness areas.…”

Section: Dispatchingmentioning

confidence: 99%

Medical Standards for Mountain Rescue Operations Using Helicopters: Official Consensus Recommendations of the International Commission for Mountain Emergency Medicine (ICAR MEDCOM)

Tomazin

Ellerton

Reisten

et al. 2011

High Altitude Medicine & Biology

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The purpose of this article is to establish medical recommendations for safe and effective Helicopter Emergency Medical Systems (HEMS) in countries with a dedicated mountain rescue service. A nonsystematic search was undertaken and a consensus among members of International Commission for Mountain Emergency Medicine (ICAR Medcom) was reached. For the severely injured or ill patient, survival depends on approach time and quality of medical treatment by high-level providers. Helicopters can provide significant shortening of the times involved in mountain rescue. Safety is of utmost importance and everything possible should be done to minimize risk. Even in the mountainous environment, the patient should be reached as quickly as possible (optimally<20 min) and provided with on-site and en-route medical treatment according to international standards. The HEMS unit should be integrated into the Emergency Medical System of the region. All dispatchers should be aware of the specific problems encountered in mountainous areas. The nearest qualified HEMS team to the incident site, regardless of administrative boundaries, should be dispatched. The 'air rescue optimal crew' concept with its flexibility and adaptability of crewmembers ensures that all HEMS tasks can be performed. The helicopter and all equipment should be appropriate for the conditions and specific for mountain related emergencies. These recommendations, agreed by ICAR Medcom, establish recommendations for safe and effective HEMS in mountain rescue.

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Have the implementation of a new specialised emergency medical service influenced the pattern of general practitioners involvement in pre-hospital medical emergencies? A study of geographic variations in alerting, dispatch, and response

Cited by 20 publications

References 10 publications

Norwegian regular general practitioners' experiences with out-of-hours emergency situations and procedures

Norwegian regular general practitioners' experiences with out-of-hours emergency situations and procedures

Red response. Studies on the role of primary care doctors in out-of-hospital emergency medicine

Medical Standards for Mountain Rescue Operations Using Helicopters: Official Consensus Recommendations of the International Commission for Mountain Emergency Medicine (ICAR MEDCOM)

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