Emergency Medical Services, University of Turku and Turku University Hospital. PL 52, 20521 Turku, Finland.
South-Eastern Finland University of Applied Sciences, Department of Healthcare and Emergency Care, Pääskysentie 1, 48220 Kotka, Finland.
Australas Emerg Care. 2024 Mar;27(1):42-48. doi: 10.1016/j.auec.2023.07.007. Epub 2023 Aug 17.
Medical emergency teams (METs) are in place in some hospitals in Finland to respond to critical emergency events. However, in hospitals without dedicated METs, staff are instructed to call emergency medical services (EMS) to deal with emergencies. This study examined the reasons for calling EMS to hospitals and the outcomes of these calls.
Descriptive retrospective register-based study of the response and management of in-hospital emergencies by EMS in the wellbeing services county of Southwest Finland. Patient care reports of the EMS and those of the hospitals were analysed.
In total, 138 medical emergencies managed by EMS were included in this study. 108 of these related to patients, and 25 related to hospital personnel. Cardiac arrest (n = 36) and a reduced level of consciousness (n = 29) were the most common in-hospital emergencies. In 68% of in-hospital emergencies managed by the EMS team, after calling 112, hospital personnel implemented various treatment measures. In 72% of cases, follow-up treatment was required.
Hospital personnel are able to initiate medical measures in emergencies, even when no MET is available. Although EMS are important in responding to in-hospital emergencies, they seem to be performing the same role as METs.
医疗应急小组（MET）已在芬兰的一些医院中投入使用，以应对危急的紧急事件。然而，在没有专门的 MET 的医院，工作人员被指示呼叫紧急医疗服务（EMS）来处理紧急情况。本研究调查了呼叫 EMS 到医院的原因以及这些呼叫的结果。
对芬兰西南部福利服务县的 EMS 对医院内紧急情况的响应和管理进行描述性回顾性基于登记的研究。对 EMS 的患者护理报告和医院的患者护理报告进行了分析。
本研究共纳入了 138 例由 EMS 管理的医疗紧急情况。其中 108 例与患者有关，25 例与医院人员有关。院内最常见的紧急情况是心脏骤停（n=36）和意识水平降低（n=29）。在由 EMS 团队管理的 68%的院内紧急情况中，在拨打 112 后，医院人员实施了各种治疗措施。在 72%的情况下，需要后续治疗。
即使没有 MET，医院人员也能够在紧急情况下启动医疗措施。尽管 EMS 在应对院内紧急情况中很重要，但它们似乎在执行与 MET 相同的角色。
