[Spectrum and effectiveness of emergency care by surgeons acting as rescue unit surgeons in a large city].
From 1.1. 1985 to 31. 12. 1990 n = 10,569 emergency cases were prospectively documented. The aim of the study was to evaluate, whether surgeons on a mobile emergency care and rescue unit were able to treat surgical and non-surgical emergencies sufficiently during the prehospital period. 16.8% of the patients were trauma patients while 47% suffered from medical disorders, e.g. myocardial infarction (12%), other cardiocirculatory disorders (7%) and acute opiate and multidrug poisoning (16%). Additionally, other problems out of the broad spectrum of emergency medicine such as disorders from pediatrics, neurology/neurosurgery, gynecology, toxicology, pulmonology, endocrinology etc. had to be solved. More than 50% suffered from life-threatening emergencies, 5.6% required cardio-pulmonary resuscitation, 45% of which were primarily successful. In-field deaths where emergency treatment was not successful occurred in 3.2%. The mortality rate during transport to the next available hospital was 0.1%. It can be concluded from the study that well trained surgeons are very capable to perform high efficient in-field emergency treatment for various disorders.
Schmidt-Matthiesen
A
A
Zentrum der Chirurgie, Johann Wolfgang Goethe-Universität, Frankfurt am Main.
Kreuzer
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000552:Ambulances; D002648:Child; D002675:Child, Preschool; D004632:Emergency Medical Services / Q000458:organization & administration / Q000706:statistics & numerical data*; D005260:Female; D005392:First Aid / Q000706:statistics & numerical data; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000401:mortality / Q000601:surgery*; D010348:Patient Care Team / Q000458:organization & administration; D011785:Quality Assurance, Health Care; D015996:Survival Rate
Spektrum und Effektivität der Notfallversorgung durch Chirurgen als Notarztwagenärzte in der Grossstadt.