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Teleemergencias Unidad 1 - Contenido educativo

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Subido el 30 de agosto de 2023 por Olimpia Isabel C.

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Unidad 1 del módulo de FP Sanitario bilingue

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emergency services and coordinating census this video belongs to didactic 00:00:01
unit 1 the emergency coordination census and it works on learning outcome from 1 00:00:07
use center dispatch management systems emergency coordinators and identifying 00:00:16
the functions and elements of the dispatch call system in 1986 the general 00:00:23
health law established that health care in our country be organized into health 00:00:33
services one for each autonomous community. Later in 2003 the cohesion and 00:00:38
quality law of the national health system establishes benefits common to 00:00:47
all the national health system to ensure continued and comprehensive health care 00:00:52
at the appropriate level of care among these common benefits are the emergency 00:00:58
units care which are the situations that force a quick or immediate attention 00:01:05
this service is provided 24 hours a day whether in health centers at the 00:01:11
patient's home or on-site it is provided by either primary care or specialist 00:01:17
care or services dedicated to urgent care among these urgent care services are the emergency 00:01:25
medical services which are the set of devices means and professionals who attend the emergency 00:01:33
they move to the place where it happens monitor diagnose and treat the patient and also carrying 00:01:41
out the transfer when necessary transferring the patient to the appropriate health center 00:01:49
Spanish emergency services are different from each other because in each autonomous community 00:01:59
we have a different health service, but also due to its origin. In the community of Madrid, 00:02:04
same resources include Coordinating Centers for Urgencies and Emergencies, the Health Urgent 00:02:13
Transport Network and Emergency Teams, Urgent Care Centers currently called Continuous Service Points, 00:02:20
or PAC, and the emergency rooms of hospitals. 00:02:28
The Urgencies Coordination Centre and Emergencies is the physical space and the functional organisation that manages and controls the provision of healthcare, 00:02:37
being in addition the gateway for the citizen to our emergency service. 00:02:47
As we will see in the next video, all HR services must have Type 112 integrated coordination centres, 00:02:53
but this coexists with specialised coordinating centres of the 061 type that manage in various ways both emergency resources and non-urgent medical transport units. 00:03:02
The essential phases of the activity of a coordinating centre can be summarised in two parts. 00:03:16
First of all, receiving the call and processing the information. 00:03:26
In this phase we locate the incident, we classify the victim if possible and we recognise the type of problem. 00:03:30
It can be done in two phases, by a professional collecting the essential data of the call 00:03:39
call and another professional who analyzes it and proposes the type of assistance. 00:03:46
Also, if the situation has just begun, in this step we can start the assistance 00:03:54
by instructing the caller over the telephone. Let's see a video now where such assistance is 00:03:59
carried about. Samuel, good morning. Yeah, you call me from Jammol, 00:04:06
death of street number one calla metro station tell me tell me what can we yeah a patient is 00:04:12
unconscious you say we're going to try to do some painful stimulus let's see doesn't he answer 00:04:18
nothing lying on the ground doesn't he move moving his arms legs nothing no have to check if he's 00:04:23
breathing if he breathes normally like you and me no breathing we have to start doing cpr is there 00:04:30
anyone else who can help you yeah we tell tell the person to look for subway security personal please 00:04:38
get your phone on speaker mode please let's start do cardiac compressions okay 00:04:43
clear the chest you will have to do them at this rate one two three four five six seven 00:04:50
follow the rhythm of a tone you have to get the defibrillator it will be in the sub area in the 00:04:58
entrance area at the main lobby come on keep the rhythm the patient doesn't move right so 00:05:06
go on you go on don't worry the ambulance is on the way has our security arrived yeah 00:05:14
okay are they going to start doing the cbr yeah come on thank you very much 00:05:23
the second phase is the resource management assigning a specific unit of medical transport 00:05:30
to each call during the answering time or immediately after it. Let's see how this 00:05:36
assignment is made. Sabor592 from headquarters, we're going to sign you a 3.1 code, a witness, 00:05:43
cardiac arrest. They are doing a massage and they have used a defibrillator. Please inform us upon 00:05:54
your arrival. When the situation requires it, different emergency services collaborate in 00:05:59
healthcare. In our case, to facilitate intervention, the summer team requests a 00:06:07
national police unit that will facilitate healthcare and expedite the 00:06:13
transfer to the hospital. National police? Yeah. Are you already there? Right? Come on, 00:06:20
we're on our way. Finally, the patient recovers his vitals thanks to the alert 00:06:44
and the intervention of a citizen in addition to the efficient management of 00:06:49
the coordination center and the health assistance from the mobile intensive 00:06:56
care unit arriving to the scene which transfers a patient to the hospital. In 00:06:59
this occasion the critical condition of the patient requires that resource 00:07:06
management operator establishes communication by radio or by phone call 00:07:10
with the hospital 00:07:14
without adequate resources 00:07:16
to receive our patient 00:07:18
in this way we confirm 00:07:19
that they can receive him 00:07:22
and besides informing 00:07:23
the hospital doctor 00:07:25
of the assistance given 00:07:27
in the out of hospital setting 00:07:29
summary is the clinical hospital 00:07:30
is the ER doctor 00:07:35
is it the ER doctor 00:07:36
yeah look a six-year-old man 00:07:37
will be arriving 00:07:40
recovered heart arrest 00:07:41
he's a man who has fainted in public 00:07:43
and gone into cardiac arrest. 00:07:45
Witnesses have started doing CPR 00:07:47
until the arrival of the basic ambulance 00:07:49
that has given Edesa two charges, 00:07:53
after which they have kept on with the CPR 00:07:56
for about 10 minutes. 00:07:58
The mobile ICU has arrived on medication 00:08:00
and after two more shots, he has gotten a pulse. 00:08:03
He is now in a sinus rhythm 00:08:08
with a right branch block intubated 00:08:09
and with an external pacemaker. 00:08:12
right now he's got two big caliber clients and waiting for you to give us a bed 00:08:15
no no he had no history no history the only thing he was medicated for the prostate 00:08:19
well he's going there in about 15 minutes as soon as they exit towards there 00:08:34
it'll take about 15 minutes to get to the hospital when they are about five minutes away i'll tell you 00:08:44
okay okay okay perfect well that's it well there are no way what's the name of the doctor in charge 00:08:50
dr herrera right uh the door of the er okay dr herrera er door okay perfect we'll let's go there 00:08:59
thank you very much see you later to end we must know that the regulation management or dispatch 00:09:09
of calls is not the same in all emergency services. Some use a simple dispatch in which 00:09:19
a resource is always assigned to every call. An ICU or a basic ambulance will be assigned 00:09:25
at the discretion of the operator or following instructions of his company. This is the case 00:09:34
of some more civil protection. In other cases, an algorithm dispatch can be used that allows 00:09:40
to conclude different types of response as programmed. 00:09:47
In this case, using a decision tree created in the classroom, as we will learn in the 00:09:52
video Classification and Dispatch of Calls, we can get the resolution of the call that 00:09:57
may end in the transfer to a health centre, providing telephone information or assigning 00:10:03
a mobile ICU, or a basic ambulance as indicated by the algorithm. 00:10:09
Finally, some services perform a medical regulation of the demand with the aim of 00:10:17
adapting the resources assigned, resolve claims over the phone or refer to other services. 00:10:24
This is the case of the SUMA 112. After knowing the general operation of the coordinating 00:10:31
centres of emergencies, we can propose calls for different incidents as a classroom exercise. 00:10:39
for example a traffic accident with a hurt motorist or severe headache of 7 00:10:44
hours, a crushing chest pain for minutes or a possible sprain. In each case we 00:10:50
will analyze how it would be its regulation for each type of dispatch and 00:10:58
we will represent the management in the classroom. For example before a cold with 00:11:03
a calf and mucus of two days without other serious signs or symptoms, a coordinating 00:11:09
centre that applies simple algorithm would assign this call a basic ambulance. 00:11:16
If there were any indicator of severity, the operator of the company's instructions could 00:11:24
consider it as a reason to assign a mobile ICU in a dispatch using simulating algorithm. 00:11:29
determine that the call is referring to a respiratory sickness showing signs of 00:11:38
infection and does not present any danger. The applied algorithm tells us 00:11:43
that we must recommend the patient to go to a health center urgently. We would 00:11:54
provide him with information on the nearest emergency sensors and in case he 00:11:59
rejects this resolution or could not come on his own we would assign him a 00:12:04
basic ambulance. Finally, in a dispatch with medical regulation, this professional, according 00:12:09
to his training and capacity to diagnose and prescribe, may, for example, diagnose that 00:12:16
it is a common cold, recommending some rest, antibiotics and nasal decongestants and to ask 00:12:23
further help if alarming signs or symptoms would appear later on. In the 00:12:33
next video we will know more about the coordinating centres of urgencies and 00:12:39
emergencies of the 112 type which integrate their activity with the rest 00:12:44
of the intervening services. Likewise in later videos we would propose resources 00:12:49
that facilitate and encourage the realization of simulation activities in 00:12:55
class. 00:13:00
Idioma/s:
en
Idioma/s subtítulos:
en
Autor/es:
varios
Subido por:
Olimpia Isabel C.
Licencia:
Reconocimiento - No comercial
Visualizaciones:
5
Fecha:
30 de agosto de 2023 - 13:20
Visibilidad:
Clave
Centro:
EXEOI DE LA EOI DE COLLADO VILLALBA EN SAN LORENZO DE EL ESCORIAL
Duración:
13′ 04″
Relación de aspecto:
1.78:1
Resolución:
1280x720 píxeles
Tamaño:
119.46 MBytes

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