Emergency care - goals and organization. Current state and trends in emergency care in developed countries and in bulgaria.
- Emergency medical services (EMS) systems form an integral part of any public health care system: their primary function is to deliver emergency medical care in all emergencies, including disasters.
- Emergency medical condition means a medical condition manifesting itself by acute symptoms of severity (including severe pain) such that a prudent lay person, who possesses an average knowledge of health & medicine, could reasonably expect the absence of immediate medical attention to result in:
- (1) Placing the health of the individual in serious jeopardy
- (2) Serious impairment of bodily functions
- (3) Serious dysfunction of any bodily organ or part.
Emergency Services: Those services provided after the sudden onset of a medical condition manifested by symptoms of sufficient severity, including severe pain, so that the absence of immediate medical attention could reasonably be expected to result in placing the patients’ health in serious jeopardy, serious impairment to bodily functions, or serious dysfunction of any bodily organ or part.
- Basic Life Support (BLS)- The constellation of emergency procedures needed to ensure a person’s immediate survival, including Cardio- Pulmonary Resuscitation (CPR), control of bleeding, treatment of shock & poisoning, stabilization of injuries and/or wounds, and basic first aid.
- Out-of-hospital emergency medical services (O-H-EMS), also known as pre-hospital EMS, typically refer to the delivery of medical care at the site of the adverse medical event
- (1) Dispatch centers receive the initial request for ambulance services and organize the appropriate response, the organization & management of ambulance services that deliver on-site medical care & provide rapid transportation to health facilities. Both services are usually provided or at least coordinated and supervised by local, regional or national government and can be accessed through a national (or regional) public telephone number. The emergency call number for the most of the European countries is 112, and in some of them there is a national number as well (e.g. in Bulgaria 150) DC is to get the right resources to the right patients in the appropriate amount of time.
- (2) Ambulance services .Ambulance-vehicle or craft intended to be crewed by a minimum of two appropriately trained staff for the provision of care and transport of at least one stretched patient. According to the latest EU standards, road ambulances can be categorized into 3 types:
- Type A - patient transport ambulance
- Type B- emergency ambulance
- Type C- mobile intensive care unit (ICU)