EMS World

NOV 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

Issue link: https://emsworld.epubxp.com/i/1042097

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Page 16 of 51

EMS AROUND THE WORLD 16 NOVEMBER 2018 | EMSWORLD.com For More Information Circle 18 on Reader Service Card fied professional principles through 19 call centers utilizing telecommunications apparatus with nationwide coverage. Each county has a coordination-dispatch center. The Budapest-based Central Coordina- tion-Dispatch Center (CCDC) is the largest. In case of need, the CCDC is permitted to command the other centers. In recent years the European Union and Hungarian government supported the development of this dispatch and coordination system with considerable financial resources. The total budget of the ambulance call and coordination project was $14.5 million. Meanwhile the NAS's previous ambulance call number (1-0-4) changed (except the central RAO, Budapest with Pest County) to 1-1-2, the common European emergency telephone number. NAS accepts 3,000 first aid calls a day nationwide, out of which the CCDC receives 1,000. Ambulance doctors or paramedics send the appropriate units from regional stations to the scene. Education From the mid-1950s to the mid-1970s, the NAS launched training courses for para- medics and ambulance personnel (EMTs). Under a 1975 provision of the Health Min- istry, the training has continued within the framework of higher education. In recent years interested young people have had the opportunity to participate in graduate courses for paramedic education at uni- versities. Paramedic education requires four years of study. Graduated paramedics can provide ALS-level care, including defibrillation, use of an esophageal transthoracic pacemak- er, cricothyrotomy, endotracheal intuba- tion, controlled ventilation with respirator, vein puncture (peripheral and central) and venous access with crystalloid and colloid solutions, and ALS CPR for adult, children, and infants. Additionally, they may apply intravenous injections with accepted sub- stances. Furthermore paramedics can perform bleeding control, provide medi- caments with Perfusor, treat thrombolysis, and fix damaged limbs and articulations. Ambulance provider qualifications at NAS could previously be obtained only through informal education. Today their education lasts two years (1,080–1,320 hours), with an additional half-year-long (360–440 hours) specialization. All trained EMTs can provide BLS-level care. In 1979 the Ministry of Health recognized a new medical science discipline, oxyol- Treat Proximal Third, Mid Shaft Fractures and More Find out more about Sager Splints models and application at www.sagersplints.com Email MINTORD@aol.com / Call 800-642-6468 for the name of Your Authorized Sager Distributor One Person Application Sager Splints immobilize long bone fractures of the leg, providing optimal and secure immobilization. h Sager Splints can be used to immobilize fractures of the Tibia & Fibula h Traction can be applied to proximal third & Mid Shaft Fractures of the Femur Use the Sager Traction Scale to set the amount of traction needed – Sager Splints do the rest. The Sager's dynamic function permits traction to decrease automatically as the muscle spasm releases. Your Patient will always have the correct amount of safe, secure traction. The Marko Station is one of 254 in Hungary.

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