Asunto(s)
Heridas y Lesiones/terapia , Traumatismos Craneocerebrales/diagnóstico , Cuidados Críticos , Urgencias Médicas , Fracturas Óseas/diagnóstico , Humanos , Examen Físico/métodos , Pulso Arterial , Radiografía , Ruidos Respiratorios/diagnóstico , Traumatismos de la Médula Espinal/diagnóstico , Heridas y Lesiones/diagnóstico por imagenRESUMEN
A paramedic clearinghouse to provide information on the status of advanced life support systems in the United States is being established at the Center for the Study of Emergency Health Services, University of Pennsylvania. Philadelphia. As the first phase of this project a list of paramedic services categorized by location, population of area served, and management structure was compiled. A total of 310 paramedic services was identified, the majority fairly evenly distributed through midpopulation ranges, the largest number in the 50,000 to 100,000 range. Paramedic services operated by fire departments were most common. As the second phase, a survey of the operation, paramedic certification and education, and the organization of financing of these services is planned. Six services, each representing a different management or educational approach, were selected to test the survey instrument.
Asunto(s)
Técnicos Medios en Salud , Servicios Médicos de Urgencia , Servicios Médicos de Urgencia/organización & administración , Humanos , Servicios de Información , Estados UnidosRESUMEN
1. A program of regionalization of critically injured trauma patients has been ongoing in Illinois since July 1, 1973. 2. The Illinois trauma system was initiated with the functional categorization of some 47 local, areawide, and regional and three special regional hospital trauma centers strategically located across the state, and established a frame-work for a statewide comprehensive emergency medical services program. 3. Program concepts, subsystems components, and trauma registry clinical data have been presented to describe the dynamics of this trauma-EMS care system. 4. Trauma patient care, because of its complex requirements, provides an excellent model from which to design a basic emergency health care delivery system, and one that can be expanded to include all types of emergency medical problems. 5. Because of the obvious demanding clinical needs of critically injured trauma patients for comprehensive care and the necessity for consolidation of medical resources for these patients at all community levels, surgeons should take a leadership role in regional and areawide trauma-EMS planning and implementation in their local communities.