Avtor/Urednik		Žmavc, Andrej; Kešpert, Branko
Naslov		Vloga dispečerja pri ukrepanju ob nenadnem zastoju srca
Prevedeni naslov		The role of dispatcher in out-of-hospital sudden cardiac management
Tip		članek
Vir		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 12. mednarodni simpozij o urgentni medicini; 2005 jun 15-18; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Leto izdaje		2005
Obseg		str. 378-83
Jezik		slo
Abstrakt		In prehospital emergency medicine speed and good coordination of all parts of the system is essential for the success. Each intervention usually starts with picking up the telephone. Until the emergency team arrives to the patient the intervention is more or less in the dispatcher's hands. His or hers role is strongly correlated with the grade of emergency, therefore the dispatcher plays the key role in case of sudden cardiac arrest (SCA). In such circumstances the dispatceher's tasks are: quick assessment of the situation, immediate team activation, exact identification and location of the site of the incident, directing the team to the location and putting the correct instructions to callers. Acording to reports in the literature dispatcher can importantly shorten the response time and increase the rate of bystander first aid, which both improve the final outcome of CPR at SCA. Recently particular efforts have been made to improve the performance of dispatch service in EMS in Celje. Dispatchers were trained to follow written algorithms on how to receive emergency calls, how to recognize unconsciousness and absence of breathing and how to give telephone instructions for chest compressions in case of suspected cardiac arrest. In order to evaluate the quality of dispatchers work we analysed all phone calls to EMS Celje due to SCA in a period from 1.1. 2003 to 28.2.2005. In observed period there were 122 SCA with CPR and 143 SCA with dead at arrival (no medical intervention). Because of the technical errors only 87/122 (72%) and 106/143 (80%) phone calls recordings were accessible respectively. (Abstract truncated at 2000 characters)
Deskriptorji		EMERGENCY MEDICAL SERVICES HEART ARREST EMERGENCY MEDICAL SERVICE COMMUNICATION SYSTEMS