How quick is the EMS belgrade in getting to the scene of a public accident

306 References [1] Joye F, Marion F, Broche C, Plaisance P, Guitteny S. Management of severe acute asthma in adults. Presse Med 2005;34(19 Pt 1):1375—83 [Review, French]. [2] Assez N, Adriansen C, Charpentier S, Baixas C, Ducasse JL, Goldstein P. Management of acute coronary syndromes without ST elevation. Arch Mal Coeur Vaiss 2005;98(11):1123—29 [French]. [3] Ferri M, De Luca A, Rossi PG, Lori G, Guasticchi G. Does a pre-hospital emergency pathway improve early diagnosis and referral in suspected stroke patients?—–study protocol of a cluster randomised trial [ISRCTN41456865]. BMC Health Serv Res 2005;5:66. [4] Bradley EH, Roumanis SA, Radford MJ, Webster TR, McNamara RL, Mattera JA, Barton BA, Berg DN, Portnay EL, Moscovitz H, Parkosewich J, Holmboe ES, Blaney M, Krumholz HM. Achieving door-to-balloon times that meet quality guidelines: how do successful hospitals do it? J Am Coll Cardiol 2005;46(7):1236—41. doi:10.1016/j.resuscitation.2006.06.061 HOW QUICK IS THE EMS BELGRADE IN GETTING TO THE SCENE OF A PUBLIC ACCIDENT Dusanka Gojgic, Slavoljub Zivanovic, Zagorka Maksimovic. Emergency Medical Services of the City of Belgrade Purpose of study: To show how quickly the EMS team gets to the scene of a public accident from the moment someone calls the EMS number (94). Materials and methods: We have systematically followed and analysed 287 trauma accidents out of the total of 2849 calls of one EMS team that operates in the centre of the city. The study period was from 1 January 2002 until 10 April 2005. Results: Estimated time for holding on to the order by the dispatch person before it is given to the EMS team: minimum 0, maximum 53 and average time 2.653 min. How long does it take to the EMS team to leave the centre from the moment they get an order: minimum 0 min (in case they come across the injured person by chance), maximum 21 min and average 1.84 min. How fast can the EMS team get to the scene of accident: minimum 0 min (in case they come across the injured person by chance), maximum 27 min and average 6.57 min. Therefore, from the moment the call is received by a person in the telephone centre until the EMS team gets to the scene of accident it takes: minimum 0 min, maximum 64 min and on average 11.07 min. We should also mention that people who call the EMS for pub-

Abstracts lic accidents do it in the first couple of minutes to half an hour after the accident, or couple of hours. Conclusion: In the circumstances in which the EMS Belgrade operates, the speed of getting to the scene of accident is satisfactory, and could be improved with improvement of working conditions. doi:10.1016/j.resuscitation.2006.06.062 ASSISTENTIAL ACTIVITY OF A SYSTEM FOR ATTENTION TO THE CARDIORESPIRATORY ARREST INHOSPITAL Jaime Fontanals, F.J. Tercero, E. Carrero, R. Adalia. Comission Cardiorespiratory Arrest Anaesthesia, Hospital Clinic De Barcelona, Spain Purpose of the study: To determine the activity of a multidisciplinary team caring for patients with cardiorespiratory arrest (CRA). The system for cardiorespiratory arrest in-hospital response also supplies assistance to the many patients who have physiological deterioration in general ward. Patients and methods: Study place in tertiary care hospital of 710 beds. Period of study: The activity of the multidisciplinary team was analysed retrospectively during a period of 1 year. Method and materials: A multidisciplinary team cares for patients with CRA care with several trolleys distributed strategically in the hospital with medications and equipment to carry out the advanced resuscitation. Data collection: Age, sex, hospital unit, principle illness, clinical status, causes and mechanism of CPR and number of defibrillation attempts, was recorded after a supportive medical attempt. The data were analysed using the statistical software SPSS. Results: 137 cases were attended by the team in 1 year. The mean age was 65.05 ± 15.4 years. Fifty-six cases of CRA were registered (incidence 2.5/1000 patients) 29 cases recovered initially (51.8%) and 11 (20.4%) were discharged from hospital. The results showed that 41% of the total activity was assigned to caring for patients with CRA, while the 59% of the activity was assigned to caring for patients with physiological deterioration. Conclusion: Appropriate early response to detected deterioration is likely to benefit patients. This involves more of the 50% of the activity of our multidisciplinary team care for patients with CRA in-hospital. doi:10.1016/j.resuscitation.2006.06.063