Fraga SJM, Aguilera CA, Asensio LE

Language: Spanish
References: 13
Page: 60-67
PDF size: 209.80 Kb.

ABSTRACT

Introduction: The Mexican Emergency Medical Services (EMS) have based their model on international experiences and just a few Mexican studies. The purpose of this study is to identify the most important incident/chief complaint types that can be used as tracers of the Mexican EMS system. Methods: We sent an on line survey to EMS professionals from which 139 responded. The survey included an evaluation about the frequency and EMS impact over a list of 32 incidents/chief complaints. We also included questions to review the state from which they answered, age, gender, area to which they are dedicated, if they received a salary or were volunteers, years of experience and type of system they work in (urban, suburban, rural). We multiplied the frequency factor by the importance factor to obtain an score index (SI) of each clinical presentation and with the results identify the most important based on the combination of their frequency and the EMS impact over them. Results: We included 137 surveys in our analysis from 27 of the 31 states. The clinical presentations with higher SI were: vehicular accidents, traumatic injuries, violence related injuries, chest pain/cardiac problems, cardiac arrest, falls, diabetic related problems and hemorrhage/laceration. We found significant differences between urban and non-urban systems only for chest pain/cardiac problems SI. When comparing volunteers against professionalized individuals we found significant differences for the following SI’s: vehicular accidents, allergies, headache, back pain and abdominal pain. Conclusion: The efforts of the Mexican EMS systems should be oriented towards the appropriate response to traumatic and cardiovascular clinical presentations.

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