Specialist. Specialist, Expert in Emergencies. Service of Health and Social Welfare. Castilla and leon meeting.

Specialist. Specialist, Expert in Emergencies. Service of Health and Social Welfare. Castilla and leon meeting.

**Doctor. "Mª Auxiliadora" Health Center, Béjar (Salamanca). College Specialist in Emergency and Emergency Medicine for the

College of Valladolid.

***Doctor. "Mª Auxiliadora" Health Center, Béjar (Salamanca).

**** Hospital Emergency Doctor. Healing center Virgen del Castañar, Béjar (Salamanca). Authority in Emergency Medicine and

Crises by the University of Valladolid.

Medical Non Emergency Transportation

***** DUE. Head of Nursing. Mª Auxiliadora Health Center, Béjar (Salamanca).

■ Introduction

Earnest Medical Transportation (TSU) ought to be

considered as a necessary piece of the

Wellbeing, administered by the Health Authorities (1). Is

a crucial segment in an Integrated System of

Crises (2). It is a "base substance" in the

erations and Emergencies of the profes-

the Primary Care Teams, and in addition the

administration of individual crisis, care of the

to aggregate crises and calamities and the

general to therapeutic crises (3). Its goal is to encourage

the exchange of the patient from where the patient

crisis or crisis circumstance, and/or

gets the principal participation, the reference focus or

to start with accepting focus - essential transport - or

from this to a more elevated amount focus - transport se-

auxiliary. The exchange ought to be completed in

safety efforts, while keeping up the

of the patient, without overlooking the speed and accommodation of

father It might be the TSU done with

essential, since the one interests the CAS.

■ Concepts of intrigue

- Sanitary Transport: Transfer of patients from

one place to another.

- Urgent Transport: Transfer of patients, who

by its state, it is unrealistic to postpone in time.

- Scheduled Transportation: Transfer of patients in

that his state permits his deferral in time. More often than not

patients who must be summoned must go to

conference or symptomatic administrations and that their physical

does not make it conceivable to move them in other media.

- Collective Transportation: It is the exchange of gatherings of

in extraordinarily prepared vehicles

what's more, that they routinely visit

habilitation, chemotherapy or radiotherapy.

- Assisted Transport: Transfer of patients who du-

are accepting consideration with both specialized and

as human.

- Medicalized Transport: Transfer of the patient with

therapeutic nearness in transit.

■ Types. Controls in compel

The Sanitary Transport, as per the

utilized in the trip, can be named

way:

1. By street: ambulances.

2. Via air: planes (pressurized and non-pressurized)

what's more, helicopters (light, medium and overwhelming).

3. Via ocean: sterile vessel doctor's facility.

The TSU by street is performed in vehicles called

two ambulances. By RD 619/1998, of April 17,

build up the specialized attributes, the gear

also, the staffing of

street transport (4); this arrangement

has the character of an essential govern, that is, of use

all through the state, with the exception of some of its

segments identifying with the distinguishing proof and flagging,

documentation and vehicle attributes. The term

of adjustment of the as of now working vehicles

is three years from its entrance into compel.

Characterize three sorts of ambulances:

- Assistance: Conditioned to empower help

specialized on the way. These incorporate

fundamental life bolster and those intended to give

propelled life bolster, contingent upon your hardware

wellbeing and staffing.

Semergen 25 (10): 900-907.

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901

- Non-Assistants: For the exchange of patients

on stretcher and, except for the base

built up, they won't need to be bundled or

prepared for in transit medicinal help.

- Vehicles for aggregate human services: extraordinary

stuffed with the end goal of the joint transport of

patients whose exchange is not inspected direly

nor are they burdened with irresistible infectious ailments.

Tables I and II demonstrate the general gear

furthermore, clean conditions that ambulances ought not

help, as the main

TSU, as transport vehicles

ought not be utilized for this reason.

transport.

The staffing of non-helped ambulances

must be a driver and right hand when the

benefit as required, while in the help

driver is required and no less than one other individual with

sufficient preparing in those proposed to offer help

indispensable and at any rate therapeutic and ATS/DUE in which

give propelled life bolster, both with preparing

evident in helped transport, vivification systems

furthermore, propelled life bolster strategies. the staff

driver and colleague, Technicians in Emergency Medical

(TEM), you should have the best possible planning

to do the undertakings endowed to him by

specific significance in those

give their administrations in ambulances

planned to give propelled life support or portable UVI

(5).

The light helicopter is a methods for transport

exorbitant, yet offers undoubted points of interest in view of its

pity and access to territories with troublesome orography (6). Is a sort

of helped and medicalized transport, with the goal that their in-

for EAP experts is comprehended in the

conventions for those dire circumstances

of this sort of exchange and the earlier arrangement of the

the same.

■ Pathophysiology of wellbeing transport

Patients who are to be exchanged by any

of the previously mentioned implies are liable to a

arrangement of outside components that will follow up on it

also, the staff who go to it. In the trans-

arrive transport, these occurrences are controlled by the

by various variables, including

feature the world's gravitational fascination, changes

in the speed and the claim vibrations of the vehicle. In

air transport, by the reality of the stature can

changes in temperature, varieties in temperature,

fixation and gas development marvels.

A. Ground transportation

Earth's gravitational force and changes

speed, increasing speed and deceleration.

can have repercussions in a proportionate way.

force, term and heading (7-9). The

increasing velocities, positive, with an intensi-

of 0.8 g, and those of progress of rigging, from +0.3 a

0.5 g, may deliver hypotension and tachycardia,

biosynthesis in the ST fragment and P-wave stretching

of the electrocardiogram. The same occurs in the

bends, by the transverse speeding up, of the same in-

than the past one. In hemodynamic-

are precarious, their condition might be bothered by

to loss of cognizance because of cerebral hypoperfusion.

Sudden braking or deceleration produces

negative increasing velocities, between - 0.5 and - 0.9 g