Author/Editor		Žmavc, A
Title		Prve izkušnje z ocenjevalnim sistemom Mainz (MEES) v prehospitalni urgentni službi v Celju
Translated title		The Mainz emergency evaluation score in EMS in Celje
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja. Zbornik 2. mednarodni simpozij o urgentni medicini; 1995 jun 21-24; Ljubljana. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		1995
Volume		str. 87-98
Language		slo
Abstract		The Mainz emergency evaluation score (MEES) is a scoring system which has been developed in Mainz (1992) and is suitable for scoring the severity of the patient's condition in an out-of-hospital emergency services system. It is developed for scoring not only the trauma patients but all patients in emergency medicine. We began to use it in march 1994. Out of 1925 interventions performed in EMS in Celje during 13 month period (from 3rd march 1994 to 31st march 1995) 1590 patients had been included into the survey. 926(58,2%) of them had been transported to hospital and 283 (17,8%) of them was, according to the physician's clinical assessment, in directly life threatening condition. The MEES frequency distribution at the patients transported to hospital was identical as that published in the survey in Mainz (1993). The patient's MEES frequency distributions according to the leading diagnose and some other characteristics such as intubation, CPR, and deaths, are also presented. The difference between the MEES at the time of admission to hospital (MEES2) and the initial MEES (MEES1) represents a delta MEES (dMEES), which shows an improvement or worsening patient's condition after the intervention. In 430/926 (46%) patients the dMEES was +2 or greater (improvement), 480/926 (52%) had the dMEES between +1 and -1 (unchanged) and in 16/926 (2%) the dMEES was -2 or less (worsening), which was directly comparable to clinical assessment performed by attending physicians. An average dMEES according to the initial MEES and according to some typical diagnoses and intervention categories showed the highest average dMEES in patients who had the initial MEES between 21 and 18, in CPR survivors and in patients with hypoglycaemic coma. Undoubtedly MEES is an useful tool in assessing quality of care in EMS system. It is easy to use and requires no additonal time loss during an intervention. It is of limited use in elderly - chronically ill patients (Truncated)
Descriptors		EMERGENCY MEDICAL SERVICES EMERGENCIES