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2018, vol. 4, br. 9, str. 85-88
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Senzitivnost poziva vanbolničkog srčanog zastoja u dispečerskom centru SHMP Subotica
Sensitivity of OHCA recognition in the emergency dispatch center of Subotica
Sažetak
Uvod: Dispečerski centar ima ključnu ulogu, kao prva karika u lancu preživljavanja prepoznavanjem vanbolničkog srčanog zastoja (VBSZ), dobrom trijažom i samim tim adekvatnim reakcionim vremenom ekipa hitne medicinske pomoći. Cilj: Analiza senzitivnosti primljenih poziva iznenadnog srčanog zastoja u dispečerskom centru od strane dispečera u Službi hitne medicinske pomoći Subotica. Metod: Retrospektivna analiza protokola za prijem poziva i upoređivanje sa lekarskim protokolima Službe hitne medicinske pomoći (SHMP) Subotica za vremenski period od 1. 01. 2016. do 31. 12. 2016. godine . Rezultati: Tokom 2016. godine u SHMP Subotica ukupan broj primljenih poziva za lekarske ekipe je bio 10.172. U posmatranom periodu na terenu od strane lekarskih ekipa je potvrđeno 116 VBSZ (1,14% od ukupnih poziva), a KPR je započet u 110 slučaja (1,08% ). Na prijemu poziva od strane dispečera je prepoznato 68 VBSZ, koji su izdati kao prvi red hitnosti, 48 VBSZ nije prepoznato po pozivu, ali je od toga 16 (16/48) poziva izdato kao prvi red hitnosti, dok je ostalih 32 (32/48) kao drugi red hitnosti. Senzitivnost poziva za prepoznavanje VBSZ je 58,62 - 71,41%. Za specifičnost nisu dobijeni rezultati, zbog ne postojanja podataka u evidenciji. Zaključak: Dispečerski centar je najvažnija karika u lancu zbrinjavanja kritično obolelih pacijenata. Potrebno je postojanje jedinstvenog načina dokumentovanja podataka. Prepoznavanje VBSZ od strane dispečera bi trebalo da postane parametar mere kvaliteta rada hitnih medicinskih pomoći.
Abstract
Introduction: Dispatch centre plays the key role, as the first link in the survival chain by recognizing an out-of-hospital cardiac arrest (OHCA), good triage and accordingly, by the adequate response time of the emergency medical team. The aim of the work: analysis of the sensitivity of sudden cardiac arrest calls received at dispatch centre by the dispatcher of the Emergency Medical Service Subotica. Method: Retrospective analysis of the call receiving protocols and comparison with the medical protocols of the Emergency Medical Service (EMS) Subotica, for the period from January 1st, 2016 till December 31st, 2016. Results: The total number of calls received for medical teams was 10,172,during 2016 in the EMS Subotica. In the observed period, 116 OHCA (1.14% of total calls) were confirmed by medical teams, on the field, while CPR was initiated in 110 cases (1,08% ). 68 cases of OHCA were recognized at receiving the calls by the dispatcher, that were issued as the first order of emergency, 48 OHCA were not recognized at calls, however, 16 (16/48) of the calls were issued as the first order of emergency, while the other 32 (32/48) were the second order of emergency. The Sensitivity of calls of recognizing OHCA was 58,62 - 71,41%. No results were obtained for specificity, due to the lack of data in the records. Conclusion : Dispatch centre is the most important link in the chain of care for critically ill patients. There is a need for a unique way of documenting data. Recognition of OHCA by the dispatcher should become a parameter of the measure for the quality of emergency medical assistance work.
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