5th EuSEM Congress 2008 Abstracts

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tB@H@y sjhpKPx[\W U px7JZ@f`zp0lAi`@pXuAP0@8V=1O V XQAb@P=bX@O p4 @MQV`yPNCC@@XPU6R@Ip`wC`W 0`0P[LJcp2@ntF@Q`I tTbVD@E@03hAs:hpA834nqv@uPQpH@A `H V9Ml@jC xOAsAI`HhL8a1`MpDdERS@x wp@`o;o: 30= hdA QXlBvA`05\Xu@@@ \A R`DP8htA Pb HLY`ppxhv9 WpB 8afj 04x6`l`pX0mSn`P0h489Z@6`PAp@z@D \p DJRItB@H@y sjhpKPx[\W U px7JZ@f`zp0lAi`@pXuAP0@8V=1O V XQAb@P=bX@O p4 Mortelmans Luc Van Hellemond PeterEmergency Department \ED\tware has to be multifunctional Clinical files must be available bedside for completing as well as reading in an efficient way All actions have to be logged and time stamped Apart from clinical use the database should be available 1 The cockpit screen offers on the spot a and a full status report are available in maximum 2 mouse clicks webpage even for external licensed parties who are no active users of the program Following the needs these data can be presented with statistical interpretation offering a functional cross section of the department \eg occupation passing times reaction times\oment 3 Governmental implemented reports The authorities are very demanding on statistical information controlling the EDs and limiting the finances A part of this information can others require a supplemental registration Ethering and thus optimise financing The program can easily produce these reports witr variable demands and online reporting \eg by 4 Periodical management reports Emergency physicians have to manage their department beside their clinical work In planning staff and optimising service with items as occupation waiting and transit times point of saturation Also in discussing your needs and problems with the hospital management its important to have extensive statistical data on workload and patient adapted to the personal needs of the manager These reports will be made available at the desired time in the desired format state that ecare ED offersonic file system locappRpmaxpp nameN7i6 Mpost6 1d\EeE 0`bch 0ae0\eD0dD 1acEeE 0`bch 1CEeE 0`bch 0ae0eD0CD 1KEeE 0`bch H9@AUU ypA =00 ;60GA \sg AYXtoYRU KV1BfJKR0hM@gency care in places geographically Pagliarini Lydia Volia DominiqueSAU SMUR Cilaos Hospital In towns and villages isolated because of special geographical conditions the management of emergencies is problematic especially if the continuity of care is not is long and difficult \over 300 turns at 1200 m altitude\ not intended to accommodate emergencies The permanence of care outside usual opening hours medical offices is not assured Telemedicine has been established between emergencies outside of normal opening hours doctors offices In parallel the hospital care were written a room dedicated to emergencies has been equipped and the telemedicine has been installed In biological ECG\converse directly by phone with the mediemergency medical aid\after 6 months the telemedicine activity Methods: Patients supported by telemedicine in 6 months of activity medicine [52 men \598\en \402\average age 3601231 years \range: 18 months 77 years; median age: 380 years\patients came by their personal means of transport \n=47; 540\en \n=31; r the use of telemedicine were trauma \n=22; 253\a and t=5; 58\edical \n=59; 678\n=1; 12\edical pathologies were miscellaneous: abdominal \a \n=4\= 2\plications of diabetes \n=2\Various treatment and care have been administered to patients by nursing staff according to protocols and centre 15 doctors instruadministration in 2 patients \23\seases \acute cardiogenic pulmonary oedema acute coronary syndromsupported with intravenous drug administration normally administered in the presence of emergency department of the referral hospital for 448 of patients return home in in 172 of cases The SMUR \the French medical prehospital emergency service\intervened to 3 cases whose therapeutic had been first started after 6 months of working despite some technical problems It allows answering the absence of permanence ofopening hours medical offices proves service time in emergency Graham Colin Shum K Lam CW Cattermole GNEarly diagnosis and management may improve process times and service times through busy emergency departments The aim of this study the impact of the presence of an emergency medicine \EM\the triage station on the service time the emergency department \ED\ce of Wales Hospital between 9am and 5pm a specialist based at triage on service time was assessed Data on service time was collected for two weeks \historical control\pared emergency physician was based alongside a triage initiate investigations and treatment Xraitial treatment were then waited to see manner Demographic data and service time were compared between the two groups The number of attendances \567 in study group v 593 in control group\ographic characteristics of the two groups were similar The average service time was significantly min versus 226 1 SD 307 min pvalue = 0007\hen different triage categories were observed in semiurgent patients during the min pvalue= 0021\The presence of an EM specialist c