Emergency medical services#Models of care
A rescue plan describes the actions of emergency personnel of the rescue service in taking their actions in an emergency.
The application of the various approaches will depend on
- The assessment of rescue specialist staff on site
- The situation on site
- The training of rescue specialist staff
- The equipment of the rescue agent on site
- The possibilities and necessities of transportation
- Regional regulations / policies at state or federal level
They are characterized with English terms. Your application is planned conceptually but can be decided individually.
Load and Go
Translated load and go about, even Scoop and Run ( collect about and run away ). The rescue service tries to bring as soon as possible on the location hospitalized patients. Especially when the diagnostic or therapeutic options of the emergency services are not sufficient or the (suspected ) diagnosis results in a disease that only a small therapeutic time window can.
"Load and Go" is the practice in the U.S., here in ambulance only " Emergency Medical Technicians " (such as " technicians for medical emergencies " ) are used, at best, with an associate degree of a private or community college " Associate of Applied Sciences - Paramedic ".
Stay and Play
Translated as " Stay and Play ": The emergency services will remain on site until the patient is medically fit for transport if possible without restrictions. The patient is not taken to the hospital as soon as possible, but the rescue service personnel to stabilize the patient's condition and tried to raise the widest possible history before the patient is transported. Thus, the significant downtime may come from the time when the patient into being in the ambulance.
Meanwhile, the concept of medical professionals is considered to be outdated, but still occasionally practiced internationally. According to the state of science must prähospital be transported as quickly as possible not to be stabilized patients to compensate for the deficit of the equipment first aid services in relation to the emergency room at the hospital.
A prominent example of an under -saving by circumstances to faster transport life is Princess Diana. The rescue concept applied in France "Stay and Play", together with the subsequent rescue ride at walking pace led to an arrival at the hospital after one hour and forty minutes - six kilometers of track to be able to counteract late to internal bleeding.
Treat and Run
The current, basic rescue philosophy aims at reaching the hospital as quickly as possible:
- The time at the site as short as possible ( about 15, up to 20 minutes)
- Only mandatory life-saving measures are established
- Further reading can and should take place in the transport
Under Treat and Run the research is considered to and with "Tele- emergency ". Due to the demographic change ( future increased bets on the basis of typical accidents / illnesses / emergencies of seniors also compared with a shortage of doctors in, for example, rural areas ) and financial constraints in public funds, there are ongoing studies (as of 2nd quarter 2013), whether life-saving minutes time savings can be provided when a via camera and microphone supplied switched emergency forces is to the side on the ground.
Areas of application
In Anglo-American EMS system is exclusively Load and Go typically applied, because there are hardly mobile emergency doctors here. Stay and Play was and is in emergency physician -based emergency services, especially in French- Germanic tradition, is widespread. The preference of a system does not automatically exclude the other.