Articles: emergency-medical-services.
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EMT's in the United States initiate emergency treatment including patient resuscitation at accident locations. Such treatment has only recently become available in Japan. In 1992, Emergency Life Support Technicians (ELT's) became available in Japan. ⋯ Throughout Japan, improvements in the emergency medical care system are being made in an ongoing process. The Tokyo Fire Department in particular has made great progress in updating and improving its system. It continues to investigate possible innovations which could lead to further improvements.
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Ugeskrift for laeger · Jun 1993
Comparative Study[Influence of various therapeutic models on survival after prehospital cardiac arrest].
We analyzed the outcome after prehospital cardiac arrest in a part of greater Copenhagen. Four different emergency medical systems were acting: a system providing basic life support only (group 1), a system providing basic life support and early defibrillation (group 2), a system providing basic life support followed by advanced cardiac life support (group 3), and a system providing basic life support and early defibrillation followed by advanced cardiac life support (group 4). ⋯ The survival to discharge from hospital and the one-year survival were significantly better in group 4. Our data reconfirm that early advanced cardiac life support improves survival rates for prehospital cardiac arrest.
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Schweiz. Rundsch. Med. Prax. · Jun 1993
[Emergency medical system in Bellinzona (South Switzerland): a sensible, affordable model with use of ambulance and helicopter].
Use of a mobile coronary care unit is a well recognized institution, but it often fails because of excessive costs. By means of an emergency physician working in the intensive care unit we have organized an economical rescue system by both helicopter and ambulance meeting the requirements of pre- and hospital treatment of the patients.
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Comparative Study
[Primary management of polytrauma. Comparison of a German and American air rescue unit].
Hospital-based helicopter services from German and American university-affiliated trauma centers were reviewed. All multitrauma patients transported via helicopter from the scene of the accident to the trauma center during a 1-year period were included. The patients were comparable regarding mechanism of injury, age, flight times, mean ISS, ISS distribution, and number of severe injuries per body region (patients with AIS > 3 for head, thorax and abdomen). ⋯ Pre-hospital care in the German system is directed on-scene by a trauma surgeon member of the flight crew, compared to a nurse/paramedic team with remote medical control in the American system. Compared to an American trauma system, the German system demonstrates improved overall outcome as measured by survivor-based TRISS Z-statistics. More favorable German Z-statistics are in part related to fewer early deaths.(ABSTRACT TRUNCATED AT 250 WORDS)