This article is part of the supplement: Scandinavian Update on Trauma, Resuscitation and Emergency Medicine 2009 .

Oral presentation

Improved communication between ambulance personnel and supervising doctors. A quality improvement project in central Norway

Trine Landsem and Sven E Gisvold

St. Olavs University Hospital. Department of Prehospital Medicine, Trondheim, Norway

author email corresponding author email

from Scandinavian Update on Trauma, Resuscitation and Emergency Medicine 2009
Stavanger, Norway. 23 – 25 April 2009

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2009, 17(Suppl 3):O6doi:10.1186/1757-7241-17-S3-O6

The electronic version of this abstract is the complete one and can be found online at: http://www.sjtrem.com/content/17/S3/O6

Published:

28 August 2009

© 2009 Landsem and Gisvold; licensee BioMed Central Ltd.

Introduction

In our county, we have approx 25000 ambulance missions annually, including 7200 acute emergencies. Due to organisational changes in the whole country, the Ambulance Personnel (AP) are almost always first on the scene, and usually have to act alone. It is therefore imperative that we follow them up closely, providing support and continuous education. Herein we describe our latest quality improvement efforts in this regard.

Methods

After every case of cardiorespiratory arrest, the APs send an e-mail to the supervising anaesthesiologist at the hospital. We call back as soon as possible, discuss every aspect of the case, and review the treatment on scene and during transport, making sure that no info is lost and the Utstein- form is filled in correctly. Our hope is that these contacts will be perceived as stimulating and educational and will have a general positive effect on their work.

Results

During 4 months, we have made more than 50 phone calls to APs.

Carrying out advanced medical procedures and documentation is a major challenge for the APs. The feeling of being alone can be overwhelming. Our impression so far, based on their feedback, is that this communication system is valuable and important. They feel that their work is appreciated and find the discussions to be educational.

Conclusion

The close communication between the ambulance personnel and the emergency doctors can contribute to better on scene treatment, documentation, and education. Background data for doing clinical investigations will also hopefully improve.

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