The role of emergency medical services in the management of in-hospital emergencies: Causes and outcomes of emergency calls – A descriptive retrospective register-based study

IF 2.1 4区医学 Q2 EMERGENCY MEDICINE Australasian Emergency Care Pub Date : 2023-08-17 DOI:10.1016/j.auec.2023.07.007

Henna Myrskykari , Timo Iirola , Hilla Nordquist

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Abstract

Background

Medical emergency teams (METs) are in place in some hospitals in Finland to respond to critical emergency events. However, in hospitals without dedicated METs, staff are instructed to call emergency medical services (EMS) to deal with emergencies. This study examined the reasons for calling EMS to hospitals and the outcomes of these calls.

Methods

Descriptive retrospective register-based study of the response and management of in-hospital emergencies by EMS in the wellbeing services county of Southwest Finland. Patient care reports of the EMS and those of the hospitals were analysed.

Results

In total, 138 medical emergencies managed by EMS were included in this study. 108 of these related to patients, and 25 related to hospital personnel. Cardiac arrest (n = 36) and a reduced level of consciousness (n = 29) were the most common in-hospital emergencies. In 68% of in-hospital emergencies managed by the EMS team, after calling 112, hospital personnel implemented various treatment measures. In 72% of cases, follow-up treatment was required.

Conclusions

Hospital personnel are able to initiate medical measures in emergencies, even when no MET is available. Although EMS are important in responding to in-hospital emergencies, they seem to be performing the same role as METs.

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急诊医疗服务在院内急诊管理中的作用：紧急呼叫的原因和结果--基于登记的描述性回顾研究

背景芬兰的一些医院设立了医疗急救小组（MET），以应对重大突发事件。然而，在没有专门的医疗急救小组的医院里，工作人员会接到指示，呼叫紧急医疗服务（EMS）来处理紧急情况。本研究探讨了医院呼叫急救医疗服务的原因以及这些呼叫的结果。方法对芬兰西南部福利服务县的急救医疗服务对院内紧急情况的响应和管理进行了描述性回顾性登记研究。对急救中心和医院的病人护理报告进行了分析。结果本研究共纳入了 138 起由急救中心处理的医疗紧急情况。其中 108 起与患者有关，25 起与医院人员有关。心脏骤停（36 例）和意识减退（29 例）是最常见的院内急症。在 68% 由急救小组处理的院内急症中，医院人员在拨打 112 后采取了各种治疗措施。在 72% 的病例中，需要进行后续治疗。尽管急救医疗队在应对院内急症方面非常重要，但他们似乎扮演着与急救医疗队相同的角色。

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来源期刊

Australasian Emergency Care Nursing-Emergency Nursing

CiteScore

3.30

自引率

5.60%

发文量

审稿时长

37 days

期刊介绍： Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.