Prehospital sjukvårdsledning - sammanställning av erfarenheter från KAMEDO-rapporter
Background: An effective management of the healthcare's organization on one disaster site is considered as a condition in order to decrease damages and suffering at them as been hit of an accident. In KAMEDO-reports is described true accidents, how among other thing organizational parts been implemented and evaluations of which importance different decisions had. Aim: The aim of the study was to examine KAMEDO-reports concerning prehospital medical management on disaster sites. Method: Eight KAMEDO-reports was examined with focus on organization and management. Results: Four areas in which all could be influenced by the healthcare personnel in leading position was described: Management and Co-operation, Load and Go - Stay and Play, Priority and Triage. In most cases, the personnel that arrived in the first ambulance took the initial management responsibility. In seven of eight reports the principle of Load and Go was used which mainly depended on good transport possibilities and short distances to hospitals. A tendency could be discerned that the use of priority markings and damage cards was poorly used. About triage to the hospitals became correct in order to avoid overload depended in big part on how well the management functioned on the disaster site. Conclusion: It is important that personnel that is surely familiar with working on a disaster site also remains in conductive position in case of a big accident.