According to the health care law and the national care guarantee, all individuals with mental illness have the right to good health care that is knowledge based as well as to rehabilitation where and when they need it. They also should be able to choose and have control over who is performing the care, including the design of these efforts. The purpose of this study is to investigate patients' experiences of general psychiatric emergency care and the cooperation between outpatient care, inpatient care and the municipality. This study is a descriptive cross-sectional study, conducted with a quantitative and qualitative method. The study is performed in collaboration with Akademiska Sjukhuset and is part of a larger quality improvement project.

Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

Safety, its a word not commonly associated with elderly people living alone. There is however a device that is supposed to bring safety, and enable elderly people to continue living in their present household - an emergency dialer. However these devices does not serve their own purpose in terms of design. Thepurpose of this study is to create an emergency dailer that everybody would want to put on their wrist or bedside table. The market for these devices have looked the same for the last twentyfive years, despite of society´s advancements in both design and technology.

Falls and fallinjuries are very common in peoples own homes in various institutions. Hospital inpatients often fall during daytime in connection with their visit to the toilet. Visual impairment such as cataract, glaucoma, macular degeneration and diabetic retinopathy can cause falls. The purpose of this study was to examine patient´s records where falls and fallinjuries were documented at an emergency clinic and to examine if they were registered to visual impairment. The records from 68 hospital inpatients from the age of 65 years and older who did fall during the year of 2004, were examined.

Background: The majority of patients requiring medical attention experience some degree of pain. The nurses´ assessment of pain is crucial in reducing the patients suffering in a proper and timely manner. Previous studies have shown that the treatment of pain in a emergency situation is poorly managed. The patients´ pain experience is often under assessed and undertreated which leads to increased suffering for the patient. This results in higher costs for the health care system due to prolonged hospitalization.

Background:A trauma is a potential life threatening state which demands special resources and optimal care. Trauma doesn't just mean physical violence against the body, it can also put the patient in a psychological crisis. The trauma care in the emergency department is a short and intensive assessment between the patient and the emergency staff, where there is a risk that the patient may feel exposed and uncomfortable. For the nurse to be able to provide security and meet the patients' needs of well-being during the trauma care, the nurse has to try to understand the patients' needs and experiences. Aim: The aim of this study was to illuminate the patient's experiences during trauma care in the emergency department.

A crisis is something that can happen to all of us in an unexpected situation, and the school should be prepared in a way that is the best way to handle a situation with a wide foundation through a crisis plan. On a well-defined way, you should have a developed and relevant emergency plan. Defining the word crisis can be difficult, it is an individual interpretation, and to get found out what the word stands for and it have to be discussed. The two selected schools that I have chosen to interview have discussed the understanding of the word crisis in able to get what the word means for them. The two selected schools have come to the conclusion that a crisis is something that creates disturbances for people or a person concerned to the everyday way of living.

To work in an unpredictable work environment requires communication that functions well. In every organization it?s important that employees receive information that is relevant yet not confusing. Due to that, our ambition with this study is to understand how rescue effort organizations communicate in meetings; and whether their communication is clear or not. Our subject for this case study is the Emergency Services in the region of Karlstad.

Syftet med denna studie var att undersöka vad stress innebär, hur det upplevs och orsakas inom Räddningstjänsten, samt hur det kan förebyggas. Enkäten gjordes utifrån ett kvantitativt perspektiv och skickades till larmoperatörer och brandmän på Räddningstjänsten. Enkäten besvarades av totalt 33 respondenter. Deltagarnas ålder togs inte i beaktning, enbart antalet år av yrkeserfarenhet. Datan analyserades I SPSS, med hjälp av ett Chi-tvåtest och ett Pearsons's r-test.

Background: The number of older people is increasing in Sweden. The elderly patient often requires a more complex type of care, than younger patients. The concept of frailty is often used to describe individuals who have a high biological age and a decreased physiologic reserve which could be associated with acute illness and an increased vulnerability. Emergency medical care today is not suitable for elderly patients and adaptions for these elderly patients and the demands this places on the health care is necessary. Mölndal Hospital emergency department has around 42 000 visitors per year, many of the clients have a high age.

THE CONSTANT IMPROVAL AND REFINEMENT OF THE MOBILE TECHNOLOGY HAVE MADE IT POSSIBLEto use video in settings where such use couldn't be motivated before, due to economicaland practical reasons. The purpose of the study was to identify and explore possiblechallenges in interorganizational use of video during emergency response work. Thiswas done by a case study of a system designed for the use of video in such situations.The study focused on operational challenges for the fire and rescue services and thehealthcare organisations, where the main challenges identified were intended to beanalysed and discussed in terms of design. The empirical results were gathered throughqualitative interviews with representatives from the fire and rescue services and thehealthcare organisations in Göteborg. This material made it clear that contextual aspectsof emergency response work lead to a couple of challenges connected to the use of videoin such situations.

Background: Encounters between patient and health care have been shortened and fragmented. Times when the patient is in the continuum of care is related to how well the patient feels confirmed in the meeting with his/her carers. Aim : The aim of this study is to highlight skills that nurses use to provide good care relationships with patients in the ambulance and emergency room. Method: A literature review was done. Search for articles was conducted in the databases Cinahl and Pubmed.

Vid större olyckor och kriser kan Försvarsmaktens helikoptrar nyttjas för bland annat sjukvårds-, transport-,släck-, flygräddnings- och sjöräddningsuppdrag. Sedan 2010 är Rakel det kommunikationssystem som används av de så kallade blåljusorganisationerna (Polis, Räddningstjänst, Ambulans, etc) samt vid krisledning i Sverige. I och med införandet av Rakel tappade Försvarsmaktens helikoptrar förmågan att kunna kommunicera och samverka effektivt vid olyckor och kriser med blåljusorganisationerna. Rakel är operativt i Försvarsmakten och Helikopterflottiljen men systemet finns inte att tillgå i helikoptrarna där behovet är störst.Målet med detta examensarbete var att ta fram ett tekniskt och taktiskt underlag för att undersöka om det är möjligt att installera Rakelsystemet i Försvarsmaktens helikoptrar och undersöka behovsbilden av Rakel vid insatser av civil karaktär..

Syftet med denna studie var att undersöka vad stress innebär, hur det upplevs och orsakas inom Räddningstjänsten, samt hur det kan förebyggas. Enkäten gjordes utifrån ett kvantitativt perspektiv och skickades till larmoperatörer och brandmän på Räddningstjänsten. Enkäten besvarades av totalt 33 respondenter. Deltagarnas ålder togs inte i beaktning, enbart antalet år av yrkeserfarenhet. Datan analyserades I SPSS, med hjälp av ett Chi-tvåtest och ett Pearsons's r-test.

To work in an unpredictable work environment requires communication that functions well. In every organization it?s important that employees receive information that is relevant yet not confusing. Due to that, our ambition with this study is to understand how rescue effort organizations communicate in meetings; and whether their communication is clear or not. Our subject for this case study is the Emergency Services in the region of Karlstad.