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International EMS systems: the Nordic countries

Langhelle, A; Lossius, HM; Silfvast, T; Bjornsson, HM; Lippert, FK; Ersson, Anders LU and Soreide, E (2004) In Resuscitation 61(1). p.41538-41538
Abstract
Emergency medicine service (EMS) systems in the five Nordic Countries have more similarities than differences. One similarity is the involvement of anaesthesiologists as pre-hospital physicians and their strong participation for all critically ill and injured patients in-hospital. Discrepancies do exist, however, especially within the ground and air ambulance service, and the EMS systems face several challenges. Main problems and challenges emphasized by the authors are: (1) Denmark: the dispatch centres are presently not under medical control and are without a national criteria based system. Access to on-line medical advice of a physician is not available; (2) Finland: the autonomy of the individual municipalities and their responsibility... (More)
Emergency medicine service (EMS) systems in the five Nordic Countries have more similarities than differences. One similarity is the involvement of anaesthesiologists as pre-hospital physicians and their strong participation for all critically ill and injured patients in-hospital. Discrepancies do exist, however, especially within the ground and air ambulance service, and the EMS systems face several challenges. Main problems and challenges emphasized by the authors are: (1) Denmark: the dispatch centres are presently not under medical control and are without a national criteria based system. Access to on-line medical advice of a physician is not available; (2) Finland: the autonomy of the individual municipalities and their responsibility to cover for primary and specialised health care, as well as the EMS, and the lack of supporting or demanding legislation regarding the EMS; (3) Iceland is the only country that has emergency medicine (EM) as a recognised speciality but there is a need for more fully trained specialists in EM; (4) Norway: the ordinary ground ambulance is pointed out as the weakest link in the EM chain and a health reform demands extensive co-operation between the new health enterprises to re-establish a nation-wide air ambulance service; (5) Sweden: to create evidence based medicine standards for treatment in emergency medicine, a better integration of all part of the chain of survival, a formalised education in EM and a nation wide physician staffed helicopter EMS (HEMS) cover. (C) 2004 Elsevier Ireland Ltd. All rights reserved. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
emergency medical services, emergency treatment, advanced life support, ambulance, (ALS), trauma, triage
in
Resuscitation
volume
61
issue
1
pages
41538 - 41538
publisher
Elsevier
external identifiers
  • pmid:15081176
  • wos:000221252200002
  • scopus:1842738352
ISSN
1873-1570
DOI
10.1016/j.resuscitation.2003.12.008
language
English
LU publication?
yes
id
707d5b9f-140a-4440-a22a-3c8ebb4b2d05 (old id 899014)
date added to LUP
2008-01-15 13:16:43
date last changed
2017-10-01 03:54:50
@article{707d5b9f-140a-4440-a22a-3c8ebb4b2d05,
  abstract     = {Emergency medicine service (EMS) systems in the five Nordic Countries have more similarities than differences. One similarity is the involvement of anaesthesiologists as pre-hospital physicians and their strong participation for all critically ill and injured patients in-hospital. Discrepancies do exist, however, especially within the ground and air ambulance service, and the EMS systems face several challenges. Main problems and challenges emphasized by the authors are: (1) Denmark: the dispatch centres are presently not under medical control and are without a national criteria based system. Access to on-line medical advice of a physician is not available; (2) Finland: the autonomy of the individual municipalities and their responsibility to cover for primary and specialised health care, as well as the EMS, and the lack of supporting or demanding legislation regarding the EMS; (3) Iceland is the only country that has emergency medicine (EM) as a recognised speciality but there is a need for more fully trained specialists in EM; (4) Norway: the ordinary ground ambulance is pointed out as the weakest link in the EM chain and a health reform demands extensive co-operation between the new health enterprises to re-establish a nation-wide air ambulance service; (5) Sweden: to create evidence based medicine standards for treatment in emergency medicine, a better integration of all part of the chain of survival, a formalised education in EM and a nation wide physician staffed helicopter EMS (HEMS) cover. (C) 2004 Elsevier Ireland Ltd. All rights reserved.},
  author       = {Langhelle, A and Lossius, HM and Silfvast, T and Bjornsson, HM and Lippert, FK and Ersson, Anders and Soreide, E},
  issn         = {1873-1570},
  keyword      = {emergency medical services,emergency treatment,advanced life support,ambulance,(ALS),trauma,triage},
  language     = {eng},
  number       = {1},
  pages        = {41538--41538},
  publisher    = {Elsevier},
  series       = {Resuscitation},
  title        = {International EMS systems: the Nordic countries},
  url          = {http://dx.doi.org/10.1016/j.resuscitation.2003.12.008},
  volume       = {61},
  year         = {2004},
}