Emergency medical care in case of traffic accidents in Bavaria : actual process analysis in reference to clinical and rescue service structures

  • A change emerges in hospital landscape due to health political measures, which in consequence also influences the pre-clinical medical care of emergencies. The main focus of this study was to gather information about emergency medical care after traffic accidents on the basis of data of Bavarian emergency medical services. In Bavaria, in 2006 it was necessary to call an emergency doctor in the case of 14.261 traffic accidents. Predominantly the patients were provided by land-based life saving appliances, air rescue services were only applied in 19.1 % of the cases. 47.6 % of patients being involved in a traffic accident were transported into a primary health care hospital. A prehospital interval of more than 60 minutes was calculated in 20 % of emergency care. 96.2 % of the patients were transported to hospitals of tertiary or maximum supply by air rescue services. The life saving appliances" readiness for action is however restricted to daylight. A further limitation appeared for routine office hours in hospitals: Only 36.7 % of accidents occurred in this time frame. An increase of hospitalizations in clinics of maximum supply appeared from 2002 until 2006 while simultaneously the prehospital period was extended. To assure a sufficient medical care of seriously injured persons further on, a fulltime and area-wide expostulation of efficient facilities is necessary. For this purpose it is necessary to establish regional trauma networks as well as emergency medical service at night time. Beyond that, a cost efficient compensation of the structural, personnel and logistic expenses has to be assured.

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Author:C.K. Lackner, S. Bielmeier, Burghofer; K.
Document Type:Conference Proceeding
Date of Publication (online):2012/08/02
Contributing corporation:Institut für Notfallmedizin und Medizinmanagement <München>
Release Date:2012/08/02
Tag:Deutschland; Erste Hilfe; Konferenz; Krankenhaus; Tag (24 Stunden); Unfall; Verteilung (allg); Zeit
Accident; Conference; Day (24 hour period); Distribution (gen); First aid; Germany; Hospital; Time
Weitere beteiligte Körperschaft: Institut für Wirtschaftsgeographie <Regensburg>
Source:3rd International Conference on ESAR "Expert Symposium on Accident Research", S. 401-414
Institutes:Sonstige / Sonstige
Dewey Decimal Classification:3 Sozialwissenschaften / 36 Soziale Probleme, Sozialdienste / 360 Soziale Probleme und Sozialdienste; Verbände
collections:BASt-Beiträge / ITRD Sachgebiete / 84 Personenschäden
BASt-Beiträge / Tagungen / International Conference on ESAR / 3rd International Conference on ESAR

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