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ACİL TIP SİSTEMLERİ

Journal Name:

  • Cerrahpaşa Tıp Dergisi

Publication Year:

  • 2003

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
The modern era of EMS was created in the last decades with coordinated transport and prehospital interventions, to provide earlier, more intensive care to the community. Successful EMS systems are designed to meet the needs of the communities they serve. The state provides laws that broadly outline what is prudent, safe, and acceptable. To be effective, EMS systems must be planned and operated at the local level. Communities need to identify their individual needs and resources, develop funding mechanisms, and become involved on all levels in structuring the system. The EMS system must provide equal access to all and remain protected from forces that serve the interests of only one group. Medical direction is characterized as either immediate (on-line), or organizational (off-line). The EMS system should train physician surrogates (ie, paramedics) to deliver prehospital care. Physicians providing on-line direction should be appropriately trained and familiar with the operations and limitations of the system. Physician input, leadership, and oversight are essential in ensuring that the medical care provided is safe, effective, and in accordance with accepted standards. Physicians must be empowered and involved in planning, implementing, overseeing, and evaluating all components of the system. The objective of this paper is to outline the field and general features of an EMS system.
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Abstract (Original Language): 
Acil Tıp Sistemi (ATS), acil bir yaralanma veya hastalığın bildirilmesinden kesin tedavinin verilmesine dek geçen sürede acil bakımı sağlayan sistemdir. ATS ülkede hükümet, tıbbi direktörler, hastane yönetimi, acil tıbbi teknikerler (ATT), doktorlar ve yardımcı sağlık personelinin ortak çalışmasıyla oluşturulur. Güçlü ve etkili bir ATS, en iyi hizmeti sağlamak için hekim kontrolünü ve çok sayıda hekimin katılmas ını gerektirir. ATS’nin kurulması için tıbbi kontrol ve ekonomik kaynak gereklidir. ATS’ni tasarlayan her ülke, kendine özgü kaynakları ve ihtiya çları belirlemek zorundadır. Ocak-Mart 2003 ACİL TIP SİSTEMLERİ; SOYSAL VE ARK. 57 ATS içeriğindeki temel konular; eğitim, haberleşme ve taşımadır. Eğiticiler, halk ve acil tıbbi teknikerler eğitimi gereklidir. İletişim araçları; acil uygun araç ve personelin sağlanmas ı, zamanında hastanenin bilgilendirilmesi ve uygun tıbbi kontrol için halka yol gösterilmesinde önemli rol oynar. Halk tarafından en fazla kullanılan haberleşme aracı 112 telefonudur. Hastane öncesi acil bakım hizmeti tıbbi direktör denetiminde ATT tarafından yapılmal ıdır. ATT eğitimi 3 düzeyde tanınmaktadır; Temel ATT, orta ATT ve ileri ATT. Ambulanslar tıbbi donanım açısından iki sınıfa ayrı- lır. Temel yaşam desteği ambulanslar temel ATT eğitimi görmüş kişilere uygun ekipman taşır. İleri yaşam desteği ambulanslar paramedik yada ileri tıbbi müdahaleleri yapabilecek daha profesyonel sağlık personeli için uygun ekipman taşır. Bu yazının amacı, ATS’nin sınırlarını belirlemek ve genel tablosunu yansıtmaktır.
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