พ.ญ.ณธิดา สุเมธโชติเมธา

รักษาทันทีมีจริงหรือ

EMS

First aidUrgent medical

careRescue squad

Emergency telephone number

Ambulance: air and ground transport

Basic life support/advanced

life support

Ems staff: EMT/paramedic/ nurse /physician

ระบบบริการการแพทย์ฉุกเฉิน (EMS system)

หมายถึง ระบบท่ีมีการจัดวางอย่างเป็นระเบียบ (organized) ครอบคลุม (integrated)เป็นไปเพื่อให้ความช่วยเหลือภาวะเร่งด่วนทางการแพทย์ส าหรับบุคคลแตล่ะคน เพื่อเข้าถึง (assess)และเข้าสู่ (enter) ระบบการให้การดูแลสุขภาพในระยะเวลาอันรวดเร็ว

Prehospital Delivery of care

• Strategies for delivering care

– ‘scoop and run’

– ‘stay and play’

– 'load and go'

• Model of care

– Franco-German

– Anglo-American

France

• SAMU (Service d'Aide Médicale d'Urgence)

• "Emergency Medical Assistance Service") is the French hospital based emergency medical service.

• It was founded in 1968 by coordinating the existing SMUR teams (prehospital care units).

• SAMU organizations operate at the Department level, and are identified by numbers, with a different number for each Department (SAMU 06=Nice, SAMU 75=Paris, etc.

• SAMU missions are defined in a law of 1986. SAMU are defined as hospital services providing permanent phone support, choosing and dispatching the proper response for the call in the shortest possible time. These responses may include:

– Medical advice (28% of the calls)– Sending ambulances, from the fire department for accidents or illnesses in public places,

or for life-threatening emergencies at home (24% of the calls),– Sending ambulances from private companies ((8% of the calls)– Sending a generalist physician to see the patient at home (22% of the calls)– Sending a resuscitation ambulance (H-MICU: hospital mobile intensive resuscitation unit,

called UMH-Unité Mobile Hospitalière), rapid response vehicle or medical helicopter for the most serious cases

– Management of crisis with large numbers of casualties (plan rouge, plan blanc), they maintain the mobile sanitary kits (postes sanitaires mobiles, PSM).

USA

• Salt Lake City is the capital and the most populous city of the U.S. state of Utah

•