Abstract

PACHECO, A.; BURUSCO, S.  and  SENOSIAIN, M.V.. Prevalence of processes and pathologies dealt with by the pre-hospital emergency medical services in Spain. Anales Sis San Navarra [online]. 2010, vol.33, suppl.1, pp.37-46. ISSN 1137-6627.

This study was carried out by contacting 26 Medical Emergency Services (MES), through survey, with final data obtained from 22. Population covered: 42,538,730. Total number of calls: 7,656,768, with 711,228 interventions. Number of operational forces: intensive care units (mobile-ICUs): 329, rapid intervention vehicles (RIV) 20, health ambulances 39 and medical helicopters 39 (5 of them 24 hour: Canary and Balearic Islands and Castille-La Mancha) and 3 airplanes. Interventions: mobile-ICUs: 94.3%, medical helicopters: 1.4% and health ambulances: 4.3%. Number of AandE doctors/day: 388, nursing personnel 427. Pathologies dealt with, grouped according to ICE-9-MC: V-psychiatry group: 3.7%, VI-neurological group: 2.7%, VII-cardiovascular group: 9.3%, VIII-respiratory group: 3.2%, XVII-lesions poisonings group: 23.1%, IX-digestive group: 1.3%, X-XI-genital-urinary and gynaecology-obstetrics groups: 1.4%, XVI-group of other ill-defined pathologies: 40.1%. Specifically studied groups (from the MESs that provided them) were: thoracic pain- dyspnea: 3.7%, ictus/acute cerebrovascular accident: 0.9%, alteration in consciousness: 7.7%, syncope-blackout: 2.5%, self-inflicted lesions: 2,654 (0.4%). Total of pathological and syndrome groups: 59.9% and total of other ill-defined pathologies: 40.1%. Of the pathologies considered to be of greater relevance in AandE: acute coronary syndrome: 3.1%, arrhythmias: 3.2%, cardiac arrest: 1.7%, respiratory stoppage: 0.16%, total traumatisms: 34.9%, traumatisms: 1.16%, cranioencephalic traumatism: 1.77%, intoxications: 5.1%, aggressions: 6.9%, burns: 0.26%.

Keywords : Emergency medical services; Emergency medicine; Prevalence; Spain.

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