1. The document describes the territorial emergency management system in Health District No. 3 of the Umbria Region in Italy, centered around the operations center in Foligno. 2. The system allows emergency calls to be received 24/7, coordinates emergency responses, and aims to reach patients within 8 minutes in urban areas and 20 minutes in rural areas. 3. Patients are assigned a code (red, yellow, green, or black) based on their condition and vital signs, and an appropriate vehicle and medical team is dispatched to provide on-site care, stabilization, diagnosis, and transport to the most suitable hospital if needed.

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

3. 1 Operational Centre for Territorial Emergency in Foligno

4. 3 Main Hospitals Foligno Spoleto Norcia

5. 4 Medical Stations Cascia Ponte diferro Case NoveNocera 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.

8. Breathing and Cardiac Activity

11. Territorial position of the event site

12. The most suitable team (Stretcher Bearer - Nurses – Doctor prepared and trained to Emergency )

14. Carry out a diagnosisIn 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’’