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[院前治疗。欧登塞救护车项目。一项前瞻性研究]

[Prehospital treatment. The Odense ambulance project. A prospective study].

作者信息

Larsen C F, Jørgensen H R, Nielsen J R, Skov O, Lybecker H, Hole P, Nielsen H, Haghfelt T

机构信息

Odense Sygehus, Ambulance-projektet Odense.

出版信息

Ugeskr Laeger. 1990 Jun 25;152(26):1886-91.

PMID:2363223
Abstract

No legislation exists about ambulance services in Denmark. The present Danish prehospital treatment is undertaken by Falcks Redningskorps A/S and the municipal fire services. During a period of 12 months (1.2.1988-31.1.1989) a prospective investigation was carried out in Odense concerning the effect of medical support to the ambulance service, partly in the form of a medically staffed ambulance, partly in the form of an arrangement in which an independent doctor's car (rendez-vous arrangement) was sent together with the nearest ambulance. In addition, the heart ambulance model as recommended by the Danish National Board of Health was also tested. Experience from abroad and recent Danish trial arrangements demonstrate the positive effect of extended professional prehospital treatment. The authors consider, therefore, that an ambulance law is required as this would ensure better and more uniform prehospital treatment in Denmark. Planning of the future prehospital treatment of acute and injured patients including the extent of the training, equipment and treatment must be established on the basis of a healtheconomical assessment of the Danish arrangements.

摘要

丹麦没有关于救护车服务的立法。目前丹麦的院前治疗由Falcks Redningskorps A/S和市政消防队承担。在12个月期间(1988年2月1日至1989年1月31日),在欧登塞对医疗支持救护车服务的效果进行了一项前瞻性调查,部分是以配备医务人员的救护车形式,部分是以一种安排的形式,即一辆独立的医生用车(会合安排)与最近的救护车一起派出。此外,还测试了丹麦国家卫生局推荐的心脏救护车模式。国外的经验和丹麦最近的试验安排表明了扩展专业院前治疗的积极效果。因此,作者认为需要一部救护车法,因为这将确保丹麦有更好、更统一的院前治疗。对急性和受伤患者未来院前治疗的规划,包括培训、设备和治疗的程度,必须基于对丹麦安排的卫生经济学评估来制定。

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