Specialist. Specialist, Expert in Emergencies. Service of Health and Social Welfare. Castilla and leon meeting.

**Doctor. "Mª Auxiliadora" Health Center, Béjar (Salamanca). College Specialist in Emergency and Emergency Medicine for the

College of Valladolid.

***Doctor. "Mª Auxiliadora" Health Center, Béjar (Salamanca).

**** Hospital Emergency Doctor. Healing center Virgen del Castañar, Béjar (Salamanca). Pro in Emergency Medicine and

Crises by the University of Valladolid.

Medical Non Emergency Transportation

***** DUE. Head of Nursing. Mª Auxiliadora Health Center, Béjar (Salamanca).

■ Introduction

Pressing Medical Transportation (TSU) ought to be

considered as a fundamental piece of the

Wellbeing, managed by the Health Authorities (1). Is

a basic segment in an Integrated System of

Crises (2). It is a "base substance" in the

erations and Emergencies of the profes-

the Primary Care Teams, and the

administration of individual crisis, care of the

to aggregate crises and calamities and the

general to therapeutic crises (3). Its goal is to encourage

the exchange of the patient from where the patient

crisis or crisis circumstance, and/or

gets the principal participation, the reference focus or

to begin with accepting focus - essential transport - or

from this to a more elevated amount focus - transport se-

optional. The exchange ought to be completed in

safety efforts, while keeping up the

of the patient, without overlooking the speed and accommodation of

father It might be the TSU completed with

essential, since the one interests the CAS.

■ Concepts of intrigue

- Sanitary Transport: Transfer of patients from

one place to another.

- Urgent Transport: Transfer of patients, who

by its state, it is unrealistic to defer in time.

- Scheduled Transportation: Transfer of patients in

that his state permits his deferral in time. Ordinarily

patients who must be summoned must go to

meeting or indicative administrations and that their physical

does not make it conceivable to move them in other media.

- Collective Transportation: It is the exchange of gatherings of

in extraordinarily prepared vehicles

what's more, that they consistently visit

habilitation, chemotherapy or radiotherapy.

- Assisted Transport: Transfer of patients who du-

are getting care with both specialized and

as human.

- Medicalized Transport: Transfer of the patient with

medicinal nearness on the way.

■ Types. Directions in constrain

The Sanitary Transport, as indicated by the

utilized in the voyage, can be delegated

way:

1. By street: ambulances.

2. Via air: planes (pressurized and non-pressurized)

what's more, helicopters (light, medium and substantial).

3. Via ocean: sterile pontoon healing facility.

The TSU by street is performed in vehicles called

two ambulances. By RD 619/1998, of April 17,

build up the specialized attributes, the gear

also, the staffing of

street transport (4); this arrangement

has the character of an essential manage, that is, of use

all through the state, with the exception of some of its

segments identifying with the recognizable proof and flagging,

documentation and vehicle attributes. The term

of adjustment of the as of now working vehicles

is three years from its entrance into compel.

Characterize three sorts of ambulances:

- Assistance: Conditioned to empower help

specialized in transit. These incorporate

essential life bolster and those intended to give

propelled life bolster, contingent upon your hardware

wellbeing and staffing.

Semergen 25 (10): 900-907.

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Page 2

901

- Non-Assistants: For the exchange of patients

on stretcher and, except for the base

built up, they won't need to be bundled or

prepared for in transit therapeutic help.

- Vehicles for aggregate social insurance: exceptional

stuffed with the end goal of the joint transport of

patients whose exchange is not explored desperately

nor are they tormented with irresistible infectious maladies.

Tables I and II demonstrate the general gear

what's more, sterile conditions that ambulances ought not

help, as the main

TSU, as transport vehicles

ought not be utilized for this reason.

transport.

The staffing of non-helped ambulances

must be a driver and partner when the

benefit as required, while in the help

driver is required and no less than one other individual with

sufficient preparing in those planned to offer help

crucial and in any event restorative and ATS/DUE in which

give propelled life bolster, both with preparing

certifiable in helped transport, vivification methods

furthermore, propelled life bolster procedures. the staff

driver and right hand, Technicians in Emergency Medical

(TEM), you should have the best possible arrangement

to do the errands depended to him by

specific significance in those

give their administrations in ambulances

expected to give propelled life support or portable UVI

(5).

The light helicopter is a methods for transport

expensive, yet offers undoubted focal points as a result of its

pity and access to territories with troublesome orography (6). Is a sort

of helped and medicalized transport, with the goal that their in-

for EAP experts is comprehended in the

conventions for those pressing circumstances

of this kind of exchange and the earlier readiness of the

the same.

■ Pathophysiology of wellbeing transport

Patients who are to be exchanged by any

of the previously mentioned implies are liable to a

arrangement of outer components that will follow up on it

what's more, the staff who go to it. In the trans-

arrive transport, these episodes are dictated by the

by various variables, including

feature the world's gravitational fascination, changes

in the speed and the possess vibrations of the vehicle. In

air transport, by the reality of the tallness can

changes in temperature, varieties in temperature,

focus and gas extension marvels.

A. Ground transportation

Earth's gravitational draw and changes

speed, increasing speed and deceleration.

can have repercussions in a proportionate way.

power, length and course (7-9). The

increasing speeds, positive, with an intensi-

of 0.8 g, and those of progress of apparatus, from +0.3 a

0.5 g, may create hypotension and tachycardia,

biosynthesis in the ST section and P-wave lengthening

of the electrocardiogram. The same occurs in the

bends, by the transverse increasing speed, of the same in-

than the past one. In hemodynamic-

are shaky, their condition might be disturbed by

to loss of awareness because of cerebral hypoperfusion.

Unexpected braking or deceleration produces

negative increasing speeds, between - 0.5 and - 0.9 g