Every year, approximately 700 000 individuals´ visit an Emergency ward in Sweden as a result of injuries and to the Emergency ward at Umea University hospital (NUS) about 12 000 injured arrive every year. This study is a retrospective cross-sectional study that surveys injuries caused by crashes among 153 pedestrians and 53 bicyclists, who have been injured in a geographically well defined area during the period January to June 2009. The aim of this study is to survey injuries among pedestrians and cyclists and to examine what preventive measures could reduce these injuries in the Umeå municipality. The results show that falls caused by slipper surface are common among both pedestrians (71 %; n = 109) and bicyclists (32 %; n = 17). Almost one third of the pedestrians (34 %; n = 43) were in the age of 65 or older.

This report describes the construction work of a radar antenna for the radar systemCARABAS. CARABAS is a long wave airborne ground radar that has been developed bySAAB Microwave Systems and will now be mounted on a small helicopter, Schweizer 300.The antenna should be able to fold up and down. When the radar is in use the antenna islowered and under transport, start and landing the antenna is folded up. An Emergency dropfunction should also be included in the design of CARABAS III.The extent of this report includes construction of the antenna, frame structure attached to thehelicopter, mechanism for folding the antenna up and down and mechanism for Emergencydrop function. The mechanical design of the antenna and frame structure is based on modaland stress analysis, vibration measurement of Schweizer 300 and frequency analysis, andcalculations regarding aerodynamic drag and mechanics.The exciting frequencies of the helicopter and accelerations at those frequencies weredetermined by vibration measurement and frequency analysis.

When a child is hospitalized, it is usually more than one person who needs attention ? i.e. the child as well as its parents. The Emergency ward environment and surgery rooms are unfamiliar and the parents feel anxious, insecure and uncertain about how to act. They are expected to participate in the child?s care, cope with their own anxiety and simultaneously convey a sense of security and stability to the child.

The aim of this study was to explore how social workers interpret the part of the Swedish social services act that regulates each municipality?s responsibility of the people staying in it. The study?s general methodological approach connects to sociology of law. The research questions were: (1) What factors are considered important by the social workers in assessments of responsible municipality? (2) Are there variations in the assessments of responsible municipality and in that case; how can the variations be explained? (3) What discretion do the social workers consider that they have in assessments of responsible municipality? Previous studies have found considerable differences in professional social work assessments in Sweden.

The purpose of this study was to explore nurses' experiences of obstructed airways in the prehospital work.A qualitative interview study with a descriptive and explorative design was used. The sample consisted of nine registered nurses whereof three were women and six were men, with or without further education and varying length of experience in the ambulance service.Prehospital personnel builds up a vast plan of action based on the Emergency information provided by SOS. Simple methods for managing obstructed airways were stated often enough. Problems with obstructed airways are considered so unusual that it never becomes a routine. Several factors affect the identification and managing of obstructed airways, both external factors and the different patient categories are considered important.

The mining company LKAB extracts iron ore in three areas in the north of Sweden, Kiruna, Malmberget and Svappavaara. The iron ore is refined and in the pelletizing plants the material is rolled to finished pellet product. The different steps of pelletizing plants causes among other things emissions to the air. It occurs occasionally stops in the production and the emissions are vented via an Emergency chimney without purification. The aim for this work is to look into how LKAB may improve their monitoring of air emissions and control of ambient air quality and the analysis methods which are suitable for measuring.

Our state of Emergency is good - is the public library prepared for the future?Our state of Emergency is good! These are the words spoken by Prime Minister Per Albin Hansson in 1939. He claimed that Sweden had nothing to fear from a future war, we were safe. Today we know it was not so. Is this the situation for Swedish public library of today? Is the public library ready to face the future, or is it only fancy words?We have to form the future, not let the future form us.

The purpose of this project is to get a fully functional, automatic steering system and a variable breaking system with an Emergency breaking function to an off road vehicle. This off road vehicle is supposed to work as an aid in military situations. A team of two, Sebastian Attervall and Nichlas Gustafsson, got an order from Jonas Nyårds and the PreeRunners Project to construct a steering system that could manoeuvre an off road vehicle without any human involvement. To make this possible the vehicle would be guided by onboard sensors, cameras and computers. The team where also assigned to construct an automatic breaking system, there also no human would be involved.

Bakgrund: Sjuksköterskor som arbetar på akutmottagningar förväntas ha en hög kompetens inom traumavård. Med hög kompetens menas att de utför ett komplext och avancerat arbete och har ett stort ansvar i det initiala omhändertagandet av traumapatienter. Syfte: Syftet med studien var att beskriva sjuksköterskors självskattade kompetens inom traumavård på en akutmottagning Metod: Studien är empirisk suveystudie med kvantitativ data som samlades in genom att en enkät delades ut till sjuksköterskor på en akutmottagning. Sjuksköterskorna fick skatta sin kompetens inom traumavård utifrån svensk sjuksköterskeförenings sex kärnkompetenser samt efter deras formella och kliniska kompetens. Resultat: Huvudresultatet är att nästan alla (94%) av sjuksköterskorna vårdar traumapatienter oavsett erfarenhet och formell utbildning.

Background: Many women experience high levels of pain after caesarean birth. Adequate postoperative pain treatment is important for the mother to be able to breastfeed, take care of the infant and experience a positive birth. Objective: The overall aim is to study women?s experience of postoperative pain and pain relief after caesarean birth. Method: A quantitative retrospective survey.

Aim: The aim was to investigate the ambulance nurses experiences during a specific ambulance missions that led to usage of LUCAS ?.Method: Participating ambulance nurses were randomly assigned from a total sample group of 12 women and 39 men. Five women and five men participated. Qualitative interviews were conducted, where the Critical Incident Technique approach was used. Collected interviews were valued using qualitative content analysis.Result: Interview texts were divided into three domains, 10 subcategories could be identified which were sorted into three categories.

Inledning: Syftet med föreliggande studie var att testa interbedömarreliabiliteten för det i Sverige vanligaste triageinstrumentet Rapid Emergency Triage and Treatment System (RETTS). Instrumentet består av 42 kontaktorsaker (ESS) som kombinerat med mätta vitalparametrar, t.ex. blodtryck och puls, ger en triagefärg. För att kunna bedriva evidensbaserad omvårdnad krävs att instrument, skalor och metoder är valida och reliabla. Statens beredning för medicinsk utvärdering anser att RETTS saknar både validitets- och reliabilitetsdata.Metod: Två ESS från instrumentet valdes.

The subject of this bachelors degree project is an interior layout for road ambulances.Landstinget Västernorrland (LVN) wanted a layout concept that would be used to com- municate their design intentions to the ambulance producers during their purchase process.Designing ambulance interiors is an extremely complex process since there so many fac- tors to take into consideration. It ?s not just about taking the equipment and place it where there is space left in the cabin. You have to start with the user in focus and the tasks that are to be performed in the ambulance environment.It ishard to find design solutions that will fit 100% of the ambulance personnel?s working routines for 100% of the tasks.

Anafylaxi är en akut, oförutsedd, allergisk reaktion som kan uppkomma när som helst. Alla sjuksköterskor skall ha kunskap om anafylaxi, samt beredskap att ta hand om denna reaktion på ett korrekt sätt. I bakgrunden beskrivs den immunologiska mekanismen vid anafylaxi och allergi, symtom och behandling, samt det omvårdnadsvetenskapliga perspektivet. Syftet med denna litteraturöversikt var att identifiera och beskriva bidragande orsaker som ligger bakom osäkerheten kring anafylaxi och därmed ge en ökad kunskap om anafylaxi i sjuksköterskans professionella omhändertagande. Metoden som vi har använt oss av har varit litteraturstudie och sökning har skett via databaserna Pubmed, Cinahl och Scopus.

SammanfattningSyftet med studien var att beskriva och sammanställa befintlig forskning om de etiska konflikterna, som ambulanspersonal ställs inför i samband med HLR och att inventera om prehospitala HLR riktlinjer tar hänsyn till etiska aspekter på HLR. En litteraturstudie genomfördes där tretton vetenskapliga artiklar analyserades. Resultatet visade att etiska konflikter uppstod när det gällde ambulanspersonalens beslut om att påbörja HLR eller inte, på patienter som av litteraturen beskrevs som terminalt sjuka eller äldre terminalt sjuka patienter. Ibland kränkte ambulanspersonalen patienternas autonomi genom att påbörja HLR mot patienternas och de anhörigas vilja, trots att det existerade en Ej HLR önskan från patienterna och deras anhöriga. Den huvudsakliga orsaken till att sådana situationer uppstod var oklarheter i lagstiftningen omkring prehospitala HLR riktlinjer i USA och Kanada.