Abstract：
BACKGROUND:A hospital's capacity and preparedness is one of the important parts of disaster planning. Hospital-related incidents, a new phenomenon in Swedish healthcare, may lead to ambulance diversions, increased waiting time at emergency departments and treatment delay along with deterioration of disaster management and surge capacity. We aimed to identify the causes and impacts of hospital-related incidents in Region Västra Götaland (western region of Sweden). METHODS:The regional registry at the Prehospital and Disaster Medicine Center was reviewed (2006-2008). The number of hospital-related incidents and its causes were analyzed. RESULTS:There were an increasing number of hospital-related incidents mainly caused by emergency department's overcrowdings, the lack of beds at ordinary wards and/or intensive care units and technical problems at the radiology departments. These incidents resulted in ambulance diversions and reduced the prehospital capacity as well as endangering the patient safety. CONCLUSION:Besides emergency department overcrowdings, ambulance diversions, endangering patient s safety and increasing risk for in-hospital mortality, hospital-related incidents reduces and limits the regional preparedness by minimizing the surge capacity. In order to prevent a future irreversible disaster, this problem should be avoided and addressed properly by further regional studies.
journal_name
Scand J Trauma Resusc Emerg Medauthors
Khorram-Manesh A,Hedelin A,Ortenwall Pdoi
10.1186/1757-7241-17-26subject
Has Abstractpub_date
2009-06-03 00:00:00pages
26issn
1757-7241pii
1757-7241-17-26journal_volume
17pub_type
杂志文章abstract：BACKGROUND:Pre-hospital advanced airway management has been named one of the top-five research priorities in physician-provided pre-hospital critical care. Few studies have been made on paediatric pre-hospital advanced airway management. The aim of this study was to investigate pre-hospital endotracheal intubation succ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-015-0140-0
更新日期：2015-08-27 00:00:00
abstract：BACKGROUND:Asylum-seekers from Africa immigrate to Israel through the Sinai desert and are often exposed to traumatic events. OBJECTIVE:To identify the scope and types of medical services required by asylum-seekers and the relationship between delayed medical care to development of post-traumatic stress disorder (PTSD...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-019-0665-8
更新日期：2019-09-06 00:00:00
abstract：BACKGROUND:No consensus exists in the literature on the use of uniform emergency room trauma team activation criteria (ERTTAC). Today excessive over- or undertriage rates continue to be a challenge for most trauma centres. Application of ERTTAC, published for use in the German TraumaNetwork DGU®, at a Swiss trauma cent...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-018-0498-x
更新日期：2018-04-24 00:00:00
abstract：:The role of Emergency Medicine Physicians (EMP) in the care of trauma patients in North America has evolved since the advent of the specialty in the late 1980's. The evolution of this role in the context of the overall demands of the specialty and accreditation requirements of North American trauma centers will be dis...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,评审
doi：10.1186/1757-7241-17-37
更新日期：2009-08-23 00:00:00
abstract：BACKGROUND:Formalized trauma systems have shown beneficial effects on patient survival and have harvested great recognition among health care professionals. In spite of this, the implementation of trauma systems is challenging and often met with resistance.Recommendations for a national trauma system in Norway were pub...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-20-5
更新日期：2012-01-26 00:00:00
abstract：BACKGROUND:Up to 25% of stroke patients wake up with a neurological deficit, so called wake-up stroke (WUS). Different imaging approaches that may aid in the selection of patients likely to benefit from reperfusion therapy are currently under investigation. The magnetic resonance imaging (MRI) diffusion weighted imagin...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-015-0101-7
更新日期：2015-02-19 00:00:00
abstract：INTRODUCTION:In former studies from North America early Do-Not-Resuscitate orders (DNR orders) in patients with intracerebral haemorrhage (ICH) had negative prognostic impact on mortality. The influence of DNR orders on functional outcome and whether DNR orders are grounded on relevant patient characteristics is unknow...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-20-36
更新日期：2012-05-25 00:00:00
abstract：BACKGROUND:Emergency Medical Services (EMS) and Emergency Departments (ED) have seen increasing attendance rates in the last decades. Currently, EMS are increasingly assessing and treating patients without the need to convey patients to health care facility. The aim of this study was to describe and compare the patient...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,多中心研究
doi：10.1186/s13049-020-00741-w
更新日期：2020-05-29 00:00:00
abstract：:Bystander cardiopulmonary resuscitation (CPR) improves out-of-hospital cardiac arrest (OHCA) survival. In settings with prolonged ambulance response times, skilled bystanders may be even more crucial. In 2010, American Heart Association (AHA) and European Resuscitation Council (ERC) introduced compression-only CPR as ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-21-32
更新日期：2013-04-20 00:00:00
abstract：BACKGROUND:In critically ill patients intravascular volume status and pulmonary edema need to be quantified as soon as possible. Many critically ill patients undergo a computed tomography (CT)-scan of the thorax after admission to the intensive care unit (ICU). This study investigates whether CT-based estimation of car...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-19-31
更新日期：2011-05-23 00:00:00
abstract：BACKGROUND:As many as half of all patients with major traumatic injuries do not receive the recommended care, with variance in preventable mortality reported across the globe. This variance highlights the need for a comprehensive process for monitoring and reviewing patient care, central to which is a consistent peer-r...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-017-0353-5
更新日期：2017-02-28 00:00:00
abstract：BACKGROUND:Although it is often criticised, the lecture remains a fundamental part of medical training because it is an economical and efficient method for teaching both factual and experimental knowledge. However, if administered incorrectly, it can be boring and useless. Feedback from peers is increasingly recognized...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-014-0071-1
更新日期：2014-12-04 00:00:00
abstract：BACKGROUND:Accidental hypothermia increases mortality and morbidity in trauma patients. Various methods for insulating and wrapping hypothermic patients are used worldwide. The aim of this study was to compare the thermal insulating effects and comfort of bubble wrap, ambulance blankets / quilts, and Hibler's method, a...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,随机对照试验
doi：10.1186/1757-7241-19-41
更新日期：2011-06-23 00:00:00
abstract：BACKGROUND:Although the recreational use of psychoactive substances is common there is only limited systematic collection of data on acute drug toxicity or hospital presentations. Currently, data from Switzerland are only available from the University Hospital of Basel. The present study aimed to describe the presentat...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-017-0369-x
更新日期：2017-03-07 00:00:00
abstract：BACKGROUND:Fluid therapy is a common and crucial treatment in the emergency department (ED). While fluid responsiveness seems to be a promising method to titrate fluid therapy, the evidence for its value in ED is unclear. We aim to synthesise the existing literature investigating fluid responsiveness in ED. METHODS:ME...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,评审
doi：10.1186/s13049-017-0370-4
更新日期：2017-03-06 00:00:00
abstract：BACKGROUND:Severely injured trauma patients are exposed to clinically significant radiation doses from computed tomography (CT) imaging in the emergency department. Moreover, this radiation exposure is associated with an increased risk of cancer. The purpose of this study was to determine some effects of a radiation do...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-19-67
更新日期：2011-11-03 00:00:00
abstract：:The induction of hypothermia for cellular protection is well established in several clinical settings. Its role in trauma patients, however, is controversial. This review discusses the benefits and complications of induced hypothermia--emphasizing the current state of knowledge and potential applications in bleeding p...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,评审
doi：10.1186/1757-7241-17-65
更新日期：2009-12-23 00:00:00
abstract：BACKGROUND:Patients with cardiac arrest have lower survival rates, when resuscitation performance is low. In In-hospital settings the first responders on scene are usually nursing staff without rhythm analysing skills. In such cases Automated External Defibrillators (AED) might help guiding resuscitation performance. A...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-015-0170-7
更新日期：2015-10-31 00:00:00
abstract：BACKGROUND:Thoracic trauma is the third most common cause of death after abdominal injury and head trauma in polytrauma patients. The purpose of this study was to investigate epidemiological data, treatment and outcome of polytrauma patients with blunt chest trauma in order to help improve management, prevent complicat...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,评审
doi：10.1186/s13049-017-0384-y
更新日期：2017-04-20 00:00:00
abstract：BACKGROUND:The effect of rescue breathing on neurologic prognosis after cardiopulmonary resuscitation (CPR) is controversial. Therefore, we investigated the cerebral microcirculatory and oxygen metabolism during continuous compression (CC) and 30:2 CPR (VC) in a porcine model of cardiac arrest to determine which is bet...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-21-55
更新日期：2013-07-12 00:00:00
abstract：BACKGROUND:Non-technical skills are seen as an important contributor to reducing adverse events and improving medical management in healthcare teams. Previous research on the effectiveness of teams has suggested that shared mental models facilitate coordination and team performance. The purpose of the study was to inve...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-18-47
更新日期：2010-08-31 00:00:00
abstract：BACKGROUND:For healthcare providers in the prehospital setting, bag-valve mask (BVM) ventilation could be as efficacious and safe as endotracheal intubation. To facilitate the evaluation of efficacious ventilation, capnographs have been further developed into small and convenient devices able to provide end- tidal carb...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-18-49
更新日期：2010-09-14 00:00:00
abstract：BACKGROUND:A common dilemma in the management of pelvic fractures is recognizing the presence of associated abdominal injury. The purpose of this study was to determine the association between initial therapeutic intervention (laparotomy or transcatheter arterial embolization (TAE)) and mortality. METHODS:This was a c...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-21-82
更新日期：2013-12-03 00:00:00
abstract：BACKGROUND:After severe polytrauma the dynamic process of coagulation may deteriorate towards a trauma-induced coagulopathy (TIC) promoting a dramatic increase in morbidity and mortality. Recent evidence suggests that microparticles (MPs) play a pivotal role at the interface between cellular and plasmatic coagulation s...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,多中心研究
doi：10.1186/s13049-018-0499-9
更新日期：2018-04-27 00:00:00
abstract：BACKGROUND:Occupational stress is an undesired factor causing discomfort for healthcare workers. Stressors in work can lead to dissatisfaction and in turn, this may affect patient care adversely. The aim of this study was to evaluate the occupational stress among residents and faculty physicians of various medical spec...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-016-0225-4
更新日期：2016-03-22 00:00:00
abstract：BACKGROUND:Immediate recognition of stroke symptoms is crucial to ensure timely access to revascularisation therapy. Medical dispatchers ensure fast admission to stroke facilities by prioritising the appropriate medical response. Data on medical dispatchers' ability to recognise symptoms of acute stroke are therefore c...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,随机对照试验
doi：10.1186/s13049-016-0277-5
更新日期：2016-07-07 00:00:00
abstract：BACKGROUND:Search and rescue (SAR) operations constitute a significant proportion of Norwegian ambulance helicopter missions, and they may limit the service's capacity for medical operations. We compared the relative contribution of the different helicopter resources using a common definition of SAR-operation in order ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,多中心研究
doi：10.1186/s13049-016-0302-8
更新日期：2016-09-13 00:00:00
abstract：BACKGROUND:Prehospital advanced airway management, including prehospital endotracheal intubation is challenging and recent papers have addressed the need for proper training, skill maintenance and quality control for emergency medical service personnel. The aim of this study was to provide data regarding airway managem...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-19-10
更新日期：2011-02-08 00:00:00
abstract：INTRODUCTION:Exsanguination due to uncontrolled bleeding is the leading cause of potentially preventable deaths among trauma patients. About one third of trauma patients present with coagulopathy on admission, which is associated with increased mortality and will aggravate bleeding in a traumatized patient. Thrombelast...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-19-52
更新日期：2011-09-28 00:00:00
abstract：BACKGROUND:The current study investigates the incidence, aetiology, and outcome of hypoglycaemia of patients without diabetes in the EMS. METHODS:The study was a retrospective cohort study that utilized electronic EMS patient record system (population of one million). All patients encountered by EMS with plasma glucos...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-018-0480-7
更新日期：2018-02-01 00:00:00
