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.
***** 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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Page 2
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
