Limitations in Prehospital Communication Between Trauma Helicopter, Ambulance Services, and Dispatch Centers
| Autor: | Annelieke M. K. Harmsen, Herman M. T. Christiaans, Frank W. Bloemers, Georgios F. Giannakopoulos, Gaby Franschman |
|---|---|
| Přispěvatelé: | Surgery, Anesthesiology, ACS - Diabetes & metabolism, AMS - Trauma and Reconstruction |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Information transfer
Situation awareness Aircraft Ambulances Decision Making Information needs 03 medical and health sciences 0302 clinical medicine Emergency medical services medicine Humans 030212 general & internal medicine Qualitative Research Netherlands business.industry Communication Emergency Medical Service Communication Systems Patient Handoff 030208 emergency & critical care medicine Emergency Medical Dispatch Air Ambulances Reference Standards medicine.disease Triage Tape Recording Emergency Medicine Emergency medical dispatch Medical emergency business Prehospital Emergency Care |
| Zdroj: | Harmsen, A M K, Giannakopoulos, G, Franschman, G, Christiaans, H & Bloemers, F 2017, ' Limitations in Prehospital Communication Between Trauma Helicopter, Ambulance Services, and Dispatch Centers ', Journal of Emergency Medicine, vol. 52, no. 4, pp. 504-512 . https://doi.org/10.1016/j.jemermed.2016.11.010 Journal of Emergency Medicine, 52(4), 504-512. Elsevier USA |
| ISSN: | 0736-4679 |
| DOI: | 10.1016/j.jemermed.2016.11.010 |
| Popis: | Background Prehospital communication with Emergency Medical Services (EMS) is carried out in hectic situations. Proper communication among all medical personal is required to enhance collaboration, to provide the best care and enable shared situational awareness. Objective The objective of this article was to give insight into current Dutch prehospital emergency care communication among all EMS and evaluate the usage of a new physician staffed helicopter EMS (P-HEMS) cancellation model. Methods Trauma-related P-HEMS dispatches between November 1, 2014 and May 31, 2015 for the Lifeliner 1 were included; a random sample of 100 dispatches was generated. Tape recordings on all verbal prehospital communication between the dispatch center, EMS, and P-HEMS were transcribed and analyzed. Qualitative content analysis was performed, using open coding to code key messages. Results Ninety-two tape recordings were analyzed. The most frequent reason for P-HEMS dispatch was suspicion of brain injury (24%). The cancellation model was followed in 66%, overruled in 9%, and not applicable in 25%. The main reason for not adhering to the model was hemodynamic stability. In 5% of P-HEMS dispatches, a complete ABCD (airway, breathing, circulation, disability) methodology was used for handover, in 9% a complete Situation-Background-Assessment-Recommendation technique, in 2% a complete Mechanism-Injuries-Signs-Treatment method was used. The other handovers were incomplete. Conclusions Prehospital handover between EMS on-scene and P-HEMS often entails insufficient information. The cancellation model for P-HEMS is frequently used and promotes adequate information transfer. To increase joined decision-making, more patient and situational information needs to be handed over. Standardization of prehospital trauma handovers will facilitate this and improve trauma patient's outcome. |
| Databáze: | OpenAIRE |
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