Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Hager, UA.
Frequenz spezieller Maßnahmen pro Notarzt im Überblick.
[ Diplomarbeit/Master Thesis ] Medical University of Graz; 2009. pp.59.
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- Autor*innen der Med Uni Graz:
- Betreuer*innen:
- Prause Gerhard
- Wildner Gernot
- Altmetrics:
- Abstract:
- Background: The need for emergency systems with blanked coverage, associated with a large number of emergency physicians, is leading to a reduction in the amount of emergency cases for each physician. The performance of on-site live saving interventions requires not only a well-founded education but also sufficient experience and routine in preclinical settings. Based on a data-set of the NEF LKH-Graz, this paper tries to purge if prehospital activities alone are able to ensure sufficient experience or not. Furthermore solution-approaches for quality management will be presented. Methods: A data-set based on the case-protocols of the NEF LKH-Graz has been analysed. It contains 17827 emergency cases, 106 registered emergency physicians and includes 27 different emergency medical techniques. In addition the following parameters have been analysed: spreading of emergency cases and dwell-time in the emergency system, frequency of emergency cases, NACA-score, overview of on-site live saving interventions and comparison with required minimum numbers of intervention. Results: Considering the spreading of emergency cases and dwell-time in the emergency system, 71 physicians passed only 24% of all cases and 66 of 106 physicians did not achieve the average dwell-time. The mean frequency of emergency cases was 39,89 per year and physician, but rose to 46,18 for those years with less active physicians. The analysis of the NACA-score displayed that only in 29,77% of all cases it was justifiable to call an emergency physician, in 19,33% of all cases the documentation was incorrect or not useable. The average deficit of on-site live saving interventions to the required minimum numbers of intervention was 72,03%. Over the course of the year the deficit increased to 66,61% for those years with less active physicians. For none of the interventions the defined minimum numbers were achieved. Only in the domain of CPR, ECG and trauma-techniques the minimum required number was achieved by one physician.