NE HITNI POZIVI U RADU HITNE POMOĆI BEOGRAD / NON URGENT CALLS IN EMS BELGRADE
Autor:Zagorka Maksimović specijalista urgentne medicine/ Organizacija: GRADSKI ZAVOD ZA HITNU MEDICINSKU POMOĆ
The objective of the study is to evaluate the number of non-urgent interventions in the field performed by the Emergency Medical Services in Belgrade.
Methods In the retrospective analysis of the database, we have tried to evaluate 1153 calls performed by one EMS team in the period from 14.05.2003. to 17.10.2004. Due to specific organization of the healthcare services in the city, EMS takes care of even those calls that belong to the second, postponable order of urgency.
Results Out of 1153 interventions in the field, we have found that in 20% of the cases there was a severe discrepancy between what the person who called EMS had told the dispatcher and what the EMS team actually found in the field later on. In 28% of cases there was no justified medical reason to call the EMS and the callers could have treated themselves successfully with no consequences. In 8% of the cases there was no medical condition that the EMS team could have treated in the field. The EMS team was called due to fever in 3%, muscle pain in 2%, conversion reactions in 2% and due to different forms of senility with no other associated illnesses in 1% of the cases.
Conclusion It should be mentioned that it is hard for the dispatcher to evaluate over the telephone what is a serious or urgent condition and what is not, and those who call the EMS are prone to intentionally exaggerate the extent of the discomfort or even tell lies in order to be served.