The territorial emergency management in Italy

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The territorial emergency management in Italy

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

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