2.50
Hdl Handle:
http://hdl.handle.net/2336/66813
Title:
International EMS Systems: the Nordic countries
Authors:
Langhelle, Audun; Lossius, Hans Morten; Silfvast, Tom; Bjornsson, Hjalti Mar; Lippert, Freddy K; Ersson, Anders; Søreide, Eldar
Citation:
Resuscitation 2004, 61(1):9-21
Issue Date:
1-Apr-2004
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.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://www.sciencedirect.com/science/article/B6T19-4BYR94N-3/2/95a2de58a2152f0421284cc0bd08f0f5

Full metadata record

DC FieldValue Language
dc.contributor.authorLanghelle, Audun-
dc.contributor.authorLossius, Hans Morten-
dc.contributor.authorSilfvast, Tom-
dc.contributor.authorBjornsson, Hjalti Mar-
dc.contributor.authorLippert, Freddy K-
dc.contributor.authorErsson, Anders-
dc.contributor.authorSøreide, Eldar-
dc.date.accessioned2009-04-30T16:24:26Z-
dc.date.available2009-04-30T16:24:26Z-
dc.date.issued2004-04-01-
dc.date.submitted2009-04-30-
dc.identifier.citationResuscitation 2004, 61(1):9-21en
dc.identifier.issn0300-9572-
dc.identifier.pmid15081176-
dc.identifier.doi10.1016/j.resuscitation.2003.12.008-
dc.identifier.urihttp://hdl.handle.net/2336/66813-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractEmergency 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.en
dc.language.isoenen
dc.publisherElsevier/north-Holland Biomedical Pressen
dc.relation.urlhttp://www.sciencedirect.com/science/article/B6T19-4BYR94N-3/2/95a2de58a2152f0421284cc0bd08f0f5en
dc.subject.meshEmergency Medical Service Communication Systemsen
dc.titleInternational EMS Systems: the Nordic countriesen
dc.typeArticleen
dc.contributor.departmentNorwegian Air Ambulance, Box 27, Høvik, N-1322, Norway. audun.langhelle@snla.noen
dc.identifier.journalResuscitationen
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