• Like
The territorial emergency management in Italy
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

The territorial emergency management in Italy

  • 523 views
Published

 

Published in Health & Medicine , Business
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads

Views

Total Views
523
On SlideShare
0
From Embeds
0
Number of Embeds
0

Actions

Shares
Downloads
4
Comments
0
Likes
0

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. 1
    THE TERRITORIAL EMERGENCY
    MANAGEMENT IN ITALY :
    ‘‘ MANAGEMENT EXPERIENCE
    IN THE HEALTH DISTRICT N°3
    UMBRIA REGION- FOLIGNO ’’
    By
    DOCTOR F. SEPIONI
    TERRITORIAL EMERCENCY (118)
    Umbria - Foligno
    TASHKENT , 23/09/10
  • 2. 2
    District N° 3 Organization - Umbria
    • Inhabitants 170.000 Area 2.400 m2
    • 3. 1 Operational Centre for Territorial Emergency in Foligno
    • 4. 3 Main Hospitals Foligno Spoleto Norcia
    • 5. 4 Medical Stations Cascia Ponte diferro Case Nove
    Nocera Umbra
  • 6. 3
    THE TERRITORIAL EMERGENCY
    MANAGEMENT IN DISTRICT N° 3
    The health emergency service is a public service active 24 hours a day.
    FolignoOperation Centre coordinates the Extra-Hospital emergency management for any type of territorial emergency in DistrictN° 3.
    The service can be activated dialing the “118’’ number and, thanks to
    the many medical stations working round the clock and spread throughout
    the whole territory, the patient involved in a medical emergency
    is reached in 8 minutes in urban area and in 20 minutes in suburban areas.
  • 7. 4
    The operational centrewhere the call is received and processed attributes a code whose kind is decided according to this assessment parameters :
    • Presence of Consciousness
    • 8. Breathing and Cardiac Activity
    • 9. Eventual Bleeding
  • 5
    Kind of codes
    • Red Code :Life-threatening for arterial injury, penetrating trauma
    - Patient with a number of altered parameter superior to one
    • Yellow Code : minor bleeding, open fractures
    - Patient with a single altered parameter
    • Green Code : minor fractures, minor lacerations
    - Non-urgent patient
    • Black Code :
    - Patient died
  • 10. 6
    Depending on the type of the code and event it is
    chosen:
    • The most suitable vehicle ( helicopter – ambulance)
    • 11. Territorial position of the event site
    • 12. The most suitable team
    (Stretcher Bearer - Nurses – Doctor prepared and trained to Emergency )
  • 13. 7
    The patient is reached on site as soon as possible by skilled operators and specialists, a rapid rescue is done, while central station coordinates events and  provides telephone support to callers pending arrival of the operators, with First Aid advice.
    On their arrival on site the team with the doctor :
    • Stabilize patient vital functions (Pressure, Respiration, Cardiovascular Activity)
    with intravenous drugs and medical instruments.
    • Assess patient clinical conditions
    • 14. Carry out a diagnosis
    In the Ambulance the doctor can assess blood pressure , oxygen saturation,
    and do electrocardiogram sending the result by telecardiology.
  • 15. 8
    Doctor’s action is requested in case of heart attack, pneumothorax, asthma and in others pathologiesthat provide for the use of medical instruments for intubation or defibbrillator , aspirator or small surgical instruments.
    In every situation acting in the ambulance is always as quick as possible.
    The patient is then transferred to the most suitable hospital for each pathology and in the First Aid he will find the appropriate specialist depending on hispathology.
  • 16. 9
    Everything is possible thanks to constant radio connection
    between Operative Centre and ambulance.
    The Operative Centre can also send on the event site Fire Brigade or Police Force according to the need.
  • 17. 10
    Patient will only receive
    the best possible care in Emergency
    when the organization and the network is optimized reducing Time and increasing Quality.
  • 18. 11
    Latinssaid :
    “Ad MajoraSemper’’