International EMS Systems: the Nordic countries

Audun Langhelle; Hans Morten Lossius; Tom Silfvast; Hjalti Már Björnsson; Freddy K Lippert; Anders Ersson; Eldar Søreide

doi:http://dx.doi.org/10.1016/j.resuscitation.2003.12.008

International EMS Systems: the Nordic countries

Audun Langhelle, Hans Morten Lossius, Tom Silfvast, Hjalti Már Björnsson, Freddy K Lippert, Anders Ersson, Eldar Søreide

105 Citationer (Scopus)

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.

Originalsprog	Engelsk
Tidsskrift	Resuscitation
Vol/bind	61
Udgave nummer	1
Sider (fra-til)	9-21
Antal sider	13
ISSN	0300-9572
DOI	https://doi.org/10.1016/j.resuscitation.2003.12.008
Status	Udgivet - 2004

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http://dx.doi.org/10.1016/j.resuscitation.2003.12.008

Citationsformater

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title = "International EMS Systems: the Nordic countries",

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.",

author = "Audun Langhelle and Lossius, {Hans Morten} and Tom Silfvast and Bj{\"o}rnsson, {Hjalti M{\'a}r} and Lippert, {Freddy K} and Anders Ersson and Eldar S{\o}reide",

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T1 - International EMS Systems

T2 - the Nordic countries

AU - Langhelle, Audun

AU - Lossius, Hans Morten

AU - Silfvast, Tom

AU - Björnsson, Hjalti Már

AU - Lippert, Freddy K

AU - Ersson, Anders

AU - Søreide, Eldar

PY - 2004

Y1 - 2004

N2 - 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.

AB - 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.

U2 - http://dx.doi.org/10.1016/j.resuscitation.2003.12.008

DO - http://dx.doi.org/10.1016/j.resuscitation.2003.12.008

M3 - Journal article

SN - 0300-9572

VL - 61

SP - 9

EP - 21

JO - Resuscitation

JF - Resuscitation

IS - 1

ER -

International EMS Systems: the Nordic countries

Abstract

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