意大利急救医疗体系

UNIVERSITY HOSPITAL OF SIENA24 ore su 24 e 365 giorni allanno UNIVERSITY HOSPITAL OF SIENANational numberThe telephone number is the same all over Italy, free of charge from every telephone, operative 24 hours a dayDPR 27 march 1992 Model hub and spokeUNIVERSITY HOSPITAL OF SIENALocal emergency system ResourcesIn Tuscany, up to 31 december 2011, there were 158 stations of territorial health emergency (STE), overseen by healthcare personnel, distributed as follows: n. 97 ambulances with doctor and first aid volunteers on board; n. 34 ambulance emergency response cars; n. 5 ambulances with doctor, nurse and first aid volunteers on board; n. 22 ambulances with nurse and first aid volunteers on boardMoreover: n. 44 emergency department n. 3 air medical service (Florence, Grosseto and Massa)Excluding seasonality, in Tuscany there is a medicalized station of territorial health emergency every 24.000 inhabitans about. In the year 2011 the 118 system has assisted n. 463.220 patients sending n. 514.228 vehiclesLocal emergency system ResourcesUNIVERSITY HOSPITAL OF SIENAAir medical service3 operating stations in Tuscany: Hosp. Santa Maria Annunziata Florence: has responsibility on the entire Central Tuscany; Hosp. Misericordia, via Senese, Grosseto: has responsibility on South Tuscany and the islands of the Tuscan archipelago Massa-Cinquale airport: responsibility on North Tuscany Crew: pilot, co-pilot, doctor and nurse Coordination: Regional Operations Centre - FlorenceUNIVERSITY HOSPITAL OF SIENAOrganization of the operations centre and first aidThe functioning of the emergency-urgency system is guaranteed by the integration of two fundamental components:NHS and VOLUNTARY ASSOCIATIONSUNIVERSITY HOSPITAL OF SIENAOrganization of the operations centre and first aid The operations centre is managed by the local USL, with their own personnel Medical and nursing personnel of the ambulances, the ambulance emergency response cars and helicopters is employed by the local public utility (public utility USL) First aid vehicles are property of the AAVV, but are managed with the contribution of the Region, according to the directions of an agreement signed with the SSR Rescuers are primarily volunteers adequately instructedIntegrated and complex system adopted by the operations centres 118 that includes systematic, standardized and homogeneous actions in order to optimize telephone aid requests received from the territoryUNIVERSITY HOSPITAL OF SIENAOPERATIONS CENTRE (O.C.)Calling the number 118 answers the operations centre of the Province It assignes the priority code It decides on the most adequate vehicle to send If it is the case, it decides the hospital In case it is necessary contacts Fire Fighters, Police, Coast GuardTotal population of the Province reaches the 250.740 units with a density of 66 inhabitants per kmq,On an area of 3821,22 km2 From the valleys of the rivers Elsa and Ombrone and from the agricultural region of Chiantito the mountains Amiata and Cetona,largely on the hills of the inland (92,9 %)and in small part on the mountain (7,1 %).The maximum altitude is 1. 738 meters(mount Amiata), the minimum altitude is 67 meters. On average the highest hills are those of Chianti e mount Cetona,whereas the lowest are those around Siena.On the whole the landscape is marked by uneven elevations, narrow valleys and rare relatively flat areas. PPS PPS PPS PPS PPS PPS ActivatedPET MontalcinoPET MonticianoPET ChiancianoTo be activatedPET Rapolano TermePET Radda in ChiantiPPS HOSPITALSDistances and travel timessource TOMTOMCampostaggia Siena*25 km - 33 min.Abbadia SS Siena*80 km - 84 min.Nottola Siena*63 km - 65 min.UNIVERSITY HOSPITAL OF SIENAFunctions Medical aid on the place of the accident and at home Vehicle departure: immediate and however not over 3 minutes from the activation by C.O. 118 The Operator of the Central asks:. Where did it happen?. What happened?. From where are you calling?. How many people are involved?. In which conditions is/are the injured? First aid vehicle: medicalized ambulance (advanced rescuers) together with (followed by) the medical car (doctor and nurse) once the patient is stabilized, he/she is taken to the nearest emergency department or to the most adequate oneUNIVERSITY HOSPITAL OF SIENATuscany is divided in three Greater Areas: North-Ovest Central South-East In these Areas there are I, II and III level hospitals that differ one from the other on the basis of their specialty.The patient is taken to the hospital Emergency Department that is able to manage his/her issue.For instance, for the South-East Greater area, of which Siena is a part of, Le Scotte general hospital is the reference centre in the matter of neurosurgery and other specialties.UNIVERSITY HOSPITAL OF SIENADGRT 1235/ 2012UNIVERSITY HOSPITAL OF SIENAWHAT IS THE ROLE OF OUR GENERAL HOSPITAL IN THE EMERGENCY-URGENCY SYSTEM OF TUSCANYUniversity Hospital of Siena Helipad Local emergency point - Siena 118 Emergency department