Author/Editor		Žmavc, Andrej
Title		Endotrahealna intubacija kot merilo kakovosti v predbolnišnični službi NMP tipa PHE
Translated title		Endotracheal intubation as a measure of quality in prehospital emergency medical service
Type		članek
Source		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 10. mednarodni simpozij o urgentni medicini; 2003 jun 11-14; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2003
Volume		str. 122-7
Language		slo
Abstract		Introduction. The prehospital emergency medical system, which was implemented in Slovenia in 1996, is with variable results in operation for seven years. Data suggests that the results of few prehospital units are within the range of those in the developed world although the system as a whole is still far from the desired level. Quality assessment grounded on a basis of available routine collected data may be a problematic. A follow up of reaching the pre-defined standards of care is needed for more accurate judgement. Because the prospective designed projects are expensive and have a substantial limitations in time and place, it would be more rational to assess quality permanently on a basis of available data. If so, it must be done in a way which would eliminate unknown variables to a greatest possible level and with precisely defined observed population. The analyzed parameter should be easy to measure, characteristic for the prehospital emergency medicine, frequent enough and specific for the quality assessment in emergency medicine. It seems that the endotracheal intubation (ETI) is a procedure that fulfil all the criteria. Methods: A retrospective data analysis of the 4-year period between January 1 st 1999 and December 31 st 2002 in prehospital emergency medical unit (PHE) in Celje, Slovenia. Results. Within the 4-year period PHE Celje performed 6032 interventions in 6147 patients. The average response time was 8.9 min, the average time from arrival to the site of the incident to arrival to hospital was 24 min. All ETI were performed orotracheally with or without premedication. There were 350 (5.7%) ETI, 77% in diseases and 23% in trauma cases. 25 (7.1 %) of all ETI were performed in pediatric patients. 107 (30.6%) intubated patients stayed at the site of the incident (unsuccessful CPR). (Abstract truncated at 2000 characters)
Descriptors		EMERGENCY MEDICAL SERVICES INTUBATION, INTRATRACHEAL