Triage Prehospital EMS and Medical Care

Arlind Zeqiri, B. Lenjani, Besa Zeka, Dardan Lenjani, Ilirian Lenjani, A. Dogjani
{"title":"Triage Prehospital EMS and Medical Care","authors":"Arlind Zeqiri, B. Lenjani, Besa Zeka, Dardan Lenjani, Ilirian Lenjani, A. Dogjani","doi":"10.32391/ajtes.v8i2.411","DOIUrl":null,"url":null,"abstract":"Introduction: Prehospital emergency medical services (EMS) are essential to emergency medical care. They provide emergency assessment and treatment for seriously ill or injured patients and transport them by ambulance to an emergency department. Adopting triage methods for systematically prioritizing patients according to how urgent patients need care, including Triage of requests for acute medical treatment, is a promising development in our healthcare system. In Kosovo, there is a gap between the effects of prehospital triage systems and the impact of using the same triage system in two or more EMS settings. In this quality improvement study, implementing the TT app intervention was associated with higher rates of inefficient Triage in prehospital settings. However, supporting EMS professionals in their decision-making by calculating the probability of an individual patient needing specialized care at the scene of injury is a new and promising approach to optimize Triage in the field. If we can fully realize the potential of this approach, it could significantly improve the efficiency and effectiveness of our emergency medical care, leading to better patient outcomes. Standards and most health professionals need to be educated and trained in this critical component of EMS. Education, education, and training for the three levels of health care should be an obligatory component to enhance the quality of emergency medical care for children and adults at risk. It is high time to develop and test a conceptual triage scheme or model that will rely on a triage system that responds to the conditions of our health system. Develop clinical guidelines, algorithms, and triage protocols at the three levels of health care. All healthcare professionals must be educated and trained in ongoing coaching, communication courses, BLS AED, Pediatric, PHTLS, Adult Advanced Life Support, ATLS, and International Trauma Life Support. \nConclusion: Triage is vital in optimizing patient outcomes in the high-pressure EMS world. It is the process of rapidly assessing a patient's condition to determine the urgency of care and the most appropriate destination for definitive treatment. Done effectively, prehospital Triage ensures that patients receive the right level of care at the right time, maximizing their chances of survival and minimizing long-term complications. \n ","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":"111 49","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Albanian Journal of Trauma and Emergency Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.32391/ajtes.v8i2.411","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: Prehospital emergency medical services (EMS) are essential to emergency medical care. They provide emergency assessment and treatment for seriously ill or injured patients and transport them by ambulance to an emergency department. Adopting triage methods for systematically prioritizing patients according to how urgent patients need care, including Triage of requests for acute medical treatment, is a promising development in our healthcare system. In Kosovo, there is a gap between the effects of prehospital triage systems and the impact of using the same triage system in two or more EMS settings. In this quality improvement study, implementing the TT app intervention was associated with higher rates of inefficient Triage in prehospital settings. However, supporting EMS professionals in their decision-making by calculating the probability of an individual patient needing specialized care at the scene of injury is a new and promising approach to optimize Triage in the field. If we can fully realize the potential of this approach, it could significantly improve the efficiency and effectiveness of our emergency medical care, leading to better patient outcomes. Standards and most health professionals need to be educated and trained in this critical component of EMS. Education, education, and training for the three levels of health care should be an obligatory component to enhance the quality of emergency medical care for children and adults at risk. It is high time to develop and test a conceptual triage scheme or model that will rely on a triage system that responds to the conditions of our health system. Develop clinical guidelines, algorithms, and triage protocols at the three levels of health care. All healthcare professionals must be educated and trained in ongoing coaching, communication courses, BLS AED, Pediatric, PHTLS, Adult Advanced Life Support, ATLS, and International Trauma Life Support. Conclusion: Triage is vital in optimizing patient outcomes in the high-pressure EMS world. It is the process of rapidly assessing a patient's condition to determine the urgency of care and the most appropriate destination for definitive treatment. Done effectively, prehospital Triage ensures that patients receive the right level of care at the right time, maximizing their chances of survival and minimizing long-term complications.  
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
院前急救和医疗护理分流
介绍:院前急救医疗服务(EMS)是急救医疗服务的重要组成部分。他们为重病或重伤患者提供紧急评估和治疗,并用救护车将他们送往急诊科。在我们的医疗保健系统中,采用分流方法,根据病人急需治疗的程度系统地确定病人的优先次序,包括对急诊治疗请求进行分流,是一个很有前途的发展方向。在科索沃,院前分诊系统的效果与在两个或更多急救医疗机构中使用同一分诊系统的效果之间存在差距。在这项质量改进研究中,实施 TT 应用程序干预与院前环境中低效分诊率较高有关。不过,通过计算受伤现场需要专业护理的病人的概率来支持急救专业人员的决策,是优化现场分诊的一种新的有前途的方法。如果我们能充分发挥这种方法的潜力,就能显著提高急救医疗的效率和效果,从而改善患者的预后。标准和大多数医疗专业人员都需要在急救医疗服务的这一关键部分接受教育和培训。对三级医疗保健人员的教育、教育和培训应成为提高高危儿童和成人急救医疗质量的必修课。现在是制定和测试概念性分诊方案或模型的时候了,该方案或模型将依靠分诊系统来应对我们医疗系统的状况。在三级医疗保健机构制定临床指南、算法和分诊协议。所有医护人员都必须接受持续辅导、沟通课程、BLS AED、儿科、PHTLS、成人高级生命支持、ATLS 和国际创伤生命支持等方面的教育和培训。结论在高压的急救世界中,分诊对于优化患者治疗效果至关重要。这是一个快速评估患者病情的过程,以确定护理的紧迫性和最合适的最终治疗目的地。有效的院前分诊可确保患者在正确的时间接受正确级别的治疗,最大限度地提高患者的存活几率并减少长期并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
38
审稿时长
8 weeks
期刊最新文献
The Liver Abscess after Laparoscopic Cholecystectomy. A Case Report. Study Size Impact on Accuracy of the Worldwide Incidence of Pilonidal Sinus Management of Periarthritis Shoulder by Intra-Articular Steroid Injection and Shoulder Joint Manipulation Complications of Implantation of Cardiovascular Implantable Electronic Device Wernicke’s Encephalopathy from Hyperemesis Gravidarum. A Case Report
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1