Skip to main content
main-content
Erschienen in: Notfall +  Rettungsmedizin 2/2015

01.03.2015 | Leitthema

Prehospital care in Sweden

From a transport organization to advanced healthcare

verfasst von: V. Lindström, K. Bohm, MD PhD L. Kurland

Erschienen in: Notfall + Rettungsmedizin | Ausgabe 2/2015

Einloggen, um Zugang zu erhalten

Abstract

Background

Prehospital care, starting from the patient’s first contact with the emergency medical call centre and including medical care provided in the ambulance, is part of the continuum of care defined as emergency medicine (EM). Sweden has a network of emergency medical call centres that are all reached by one telephone number and staffed by nurses, among other personnel.

Objective

This review presents a summary of the prehospital care systems currently in place in Sweden, the role of the physician and the future challenges in this evolving and important field.

Results and conclusions

Since 2005, the presence of registered nurses in ambulance teams has become a requirement. This proved to be a turning point in the development of advanced care in the prehospital setting in Sweden. Due to overcrowding in emergency departments, the ambulance services work to steer patients from the ambulance directly to definitive care. Although there are limited numbers of physicians in the prehospital setting today, this should change as the specialty of EM grows stronger.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat National Board of Health and Wefare.(“Socialstyrelsen föreskrifter och allmäna råd (SOSFS2008:17) om läkarnas specialiseringstjänstgöring”). http://​www.​socialstyrelsen.​se/​sosfs/​2008-17 (cited October 15th) National Board of Health and Wefare.(“Socialstyrelsen föreskrifter och allmäna råd (SOSFS2008:17) om läkarnas specialiseringstjänstgöring”). http://​www.​socialstyrelsen.​se/​sosfs/​2008-17 (cited October 15th)
2.
Zurück zum Zitat http://www.sosalarm.se (cited October 15th 2014) http://www.sosalarm.se (cited October 15th 2014)
3.
Zurück zum Zitat National Board of Health and Welfare (“Socialstyrelsen—Hälso- och sjukvårdsrapport 2009 God vård—Tillgänglig vård i rimlig tid]”) (cited December 9th 2014) National Board of Health and Welfare (“Socialstyrelsen—Hälso- och sjukvårdsrapport 2009 God vård—Tillgänglig vård i rimlig tid]”) (cited December 9th 2014)
4.
Zurück zum Zitat Leardal: The Leardal Foundation for Acute Medicine; Swedish Index to Emergency Medical Assistance.Stavanger, Norway: Laerdal A/S Leardal: The Leardal Foundation for Acute Medicine; Swedish Index to Emergency Medical Assistance.Stavanger, Norway: Laerdal A/S
5.
Zurück zum Zitat National Board of Health and Welfare. Regulations from the National Board of Health and Welfare about the Ambulance Service (“Socialstyrelsens föreskrifter om ambulanssjukvård. Socialstyrelsens författningssamling”) (2009). Stockholm Sweden National Board of Health and Welfare. Regulations from the National Board of Health and Welfare about the Ambulance Service (“Socialstyrelsens föreskrifter om ambulanssjukvård. Socialstyrelsens författningssamling”) (2009). Stockholm Sweden
6.
Zurück zum Zitat SOS Alarm. Information Swedish dispatch organization (“Information SOS Alarm) Stockholm SOS Alarm”); (cited October 15th 2014) SOS Alarm. Information Swedish dispatch organization (“Information SOS Alarm) Stockholm SOS Alarm”); (cited October 15th 2014)
7.
Zurück zum Zitat Suserud BO (2005) A new profession in the pre-hospital care field–the ambulance nurse. Nurs Crit Care 10(6):269–271 CrossRefPubMed Suserud BO (2005) A new profession in the pre-hospital care field–the ambulance nurse. Nurs Crit Care 10(6):269–271 CrossRefPubMed
8.
Zurück zum Zitat National Board of Health and Welfare. Regulations and general recommendations of medicines in the health care system (“SOSFS2000:1. Socialstyrelsens föreskrifter och allmänna råd om läkemedelshantering i hälso- och sjukvården”). Stockholm, Sweden National Board of Health and Welfare. Regulations and general recommendations of medicines in the health care system (“SOSFS2000:1. Socialstyrelsens föreskrifter och allmänna råd om läkemedelshantering i hälso- och sjukvården”). Stockholm, Sweden
9.
Zurück zum Zitat Karolinska Institutet. Study Programme in Specialist Nursing Prehospital Emergency Care 60 ECTS Stockholm Sweden 2013 (cited October 15th 2014). http://​pingpong.​ki.​se/​public/​courseId/​6376/​coursePath/​5549/​ecp/​lang-sv/​publicPage.​do?​item=​3900590 Karolinska Institutet. Study Programme in Specialist Nursing Prehospital Emergency Care 60 ECTS Stockholm Sweden 2013 (cited October 15th 2014). http://​pingpong.​ki.​se/​public/​courseId/​6376/​coursePath/​5549/​ecp/​lang-sv/​publicPage.​do?​item=​3900590
10.
Zurück zum Zitat Vicente V, Svensson L, Wireklint Sundstrom B et al (2014) Randomized controlled trial of a prehospital decision system by emergency medical services to ensure optimal treatment for older adults in Sweden. J Am Geriatr Soc 62(7):1281–1287 CrossRefPubMed Vicente V, Svensson L, Wireklint Sundstrom B et al (2014) Randomized controlled trial of a prehospital decision system by emergency medical services to ensure optimal treatment for older adults in Sweden. J Am Geriatr Soc 62(7):1281–1287 CrossRefPubMed
11.
Zurück zum Zitat Bang A, Grip L, Herlitz J et al (2008) Lower mortality after prehospital recognition and treatment followed by fast tracking to coronary care compared with admittance via emergency department in patients with ST-elevation myocardial infarction. Int J Cardiol 129(3):325–332 CrossRefPubMed Bang A, Grip L, Herlitz J et al (2008) Lower mortality after prehospital recognition and treatment followed by fast tracking to coronary care compared with admittance via emergency department in patients with ST-elevation myocardial infarction. Int J Cardiol 129(3):325–332 CrossRefPubMed
12.
Zurück zum Zitat Larsson G, Holgers KM (2011) Fast-track care for patients with suspected hip fracture. Injury 42(11):1257–1261 CrossRefPubMed Larsson G, Holgers KM (2011) Fast-track care for patients with suspected hip fracture. Injury 42(11):1257–1261 CrossRefPubMed
13.
Zurück zum Zitat Dellinger RP, Levy MM, Rhodes A et al (2013) Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med 41:580–637 CrossRefPubMed Dellinger RP, Levy MM, Rhodes A et al (2013) Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med 41:580–637 CrossRefPubMed
14.
Zurück zum Zitat Nemec M et al (2010) Patients presenting to the emergency department with non-specific complaints: the Basel Non-specific Complaints (BANC) study. Acad Emerg Med 17(3):284–292 CrossRefPubMed Nemec M et al (2010) Patients presenting to the emergency department with non-specific complaints: the Basel Non-specific Complaints (BANC) study. Acad Emerg Med 17(3):284–292 CrossRefPubMed
15.
Zurück zum Zitat Djärv T, Castrén M, Mårtenson L, Kurland L (2014) Decreased general condition in the emergency department: high in-hospital mortality and a broad range of discharge diagnoses. Eur J Emerg Med (Epub ahead of print) Djärv T, Castrén M, Mårtenson L, Kurland L (2014) Decreased general condition in the emergency department: high in-hospital mortality and a broad range of discharge diagnoses. Eur J Emerg Med (Epub ahead of print)
16.
Zurück zum Zitat Farrohknia N, Castrén M, Ehrenberg A et al (2011) Emergency department triage scales and their components: a systematic review of the scientific evidence. Scand J Trauma Resusc Emerg Med 19:42 CrossRefPubMedCentralPubMed Farrohknia N, Castrén M, Ehrenberg A et al (2011) Emergency department triage scales and their components: a systematic review of the scientific evidence. Scand J Trauma Resusc Emerg Med 19:42 CrossRefPubMedCentralPubMed
17.
Zurück zum Zitat http://www.laerdalfoundation.org/studier_hypoteser.html http://www.laerdalfoundation.org/studier_hypoteser.html
18.
Zurück zum Zitat Schuler M, Oster P (2005) Zunehmende Bedeutung der Opioide in der Geriatrie. Schmerz 19:302–307 CrossRefPubMed Schuler M, Oster P (2005) Zunehmende Bedeutung der Opioide in der Geriatrie. Schmerz 19:302–307 CrossRefPubMed
Metadaten
Titel
Prehospital care in Sweden
From a transport organization to advanced healthcare
verfasst von
V. Lindström
K. Bohm
MD PhD L. Kurland
Publikationsdatum
01.03.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Notfall + Rettungsmedizin / Ausgabe 2/2015
Print ISSN: 1434-6222
Elektronische ISSN: 1436-0578
DOI
https://doi.org/10.1007/s10049-015-1989-1

Weitere Artikel der Ausgabe 2/2015

Notfall +  Rettungsmedizin 2/2015 Zur Ausgabe

Konzepte - Stellungnahmen - Leitlinien

Traumaassoziierte Gerinnungsstörung

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update AINS und bleiben Sie gut informiert – ganz bequem per eMail.