Emergencies and chronic obstructive pulmonary disease in the EMS Belgrade
Autor: Slavoljub Živanović specijalista opšte medicine / Organizacija: Gradski zavod za hitnu medicinsku pomoć Beograd Oblast: urgentna medicina
Opis: Resuscitation Volume 70, Issue 2, August 2006, Pages 316-317
Purpose of the study: To show how urgent are the calls where a patient calls the EMS for COPD. Materials and methods: We analysed 2022 interventions by one EMS team from 14 May 2003 until 1 November 2005. Results: In this study, 8% of calls were for COPD (out of which 53.12% were for COPD only and 46.88% were associated with other illnesses, mostly with congestive heart failure) with an age range of 21–88 years. Seventy-six percent were people over 65 years, with 58.75% being female. At the scene, 15% were real emergencies. In 28.75% of cases the patients could have treated themselves on their own, but they still called EMS. 14.37% were transported to hospitals for further treatment, not only due to COPD but also because of other associated illnesses, and the rest was treated at the scene of accident. The most frequently used treatment is aminophylline, corticosteroids, salbutamol inhalations, oxygen, or diuretics for patients with associated heart disease. 12.5% of calls were given to the EMS team for urgent execution, and 48.12% in the first 10 min. The waiting period for execution by the dispatcher before it is given to EMS team is 0–141 min. Conclusion: EMS Belgrade also takes care of calls that are rated as a second degree of emergency. Many patients call EMS for their own convenience, some call several times during a month because EMS services are free of charge. On board an EMS Belgrade vehicle there is always a physician who determines the treatment and does the triage for further transportation to hospitals.