Summary

Application of a risk scale for interhospital transfer of critical patients by the SUMMA 112 emergency medical service of Madrid

Cardenete Reyes C, Polo Portes CE, Téllez Galán G

Affiliation of the authors

SUMMA 112. Madrid, Spain.

DOI

Quote

Cardenete Reyes C, Polo Portes CE, Téllez Galán G. Application of a risk scale for interhospital transfer of critical patients by the SUMMA 112 emergency medical service of Madrid. Emergencias. 2011;23:35-8

Summary

Objective: To classify interhospital transfers by the SUMMA 112 emergency medical

service of Madrid according to scores the patients would have received on the risk scale

for auxiliary transport services, had the scale been used before the transfers.

Methods: We reviewed records and nursing reports for SUMMA 112 interhospital

transfers in the first quarter of 2008 to extract the data needed to apply the risk

assessment scale.

Results: Sixty-six patients (16.7%) could have been transferred by 2 attendants in a

conventional ambulance (basic life support), and 275 patients (69.6%) would have

required a conventional ambulance under the care of a nurse plus 1 or 2 ambulance

attendants (intermediate life support). Only 54 patients (13.7%) would have required a

mobile intensive care unit with a physician, a nurse and 2 ambulance attendants.

Conclusion: If the risk scale had been applied before the interhospital transfer of patients

in the study period, 69.6% of the trips could have been carried out under the care of a

nurse, leading to more efficient use of resources and increasing the amount of time in

which mobile intensive care units were available.

 

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