PMID- 18839122
OWN - NLM
STAT- MEDLINE
DCOM- 20090220
LR  - 20181113
IS  - 1432-055X (Electronic)
IS  - 0003-2417 (Linking)
VI  - 57
IP  - 11
DP  - 2008 Nov
TI  - [Is there an association between the rating of illness and injury severity and 
      the experience of emergency medical physicians?].
PG  - 1069-74
LID - 10.1007/s00101-008-1454-3 [doi]
AB  - BACKGROUND: The illness and injury severity of patients in emergency situations 
      is normally rated by the National Advisory Committee for Aeronautics (NACA) 
      score. Different issues seem to limit the validity of the NACA score, therefore, 
      the aim of the present investigation was to analyse the association between 
      rescue experience of pre-hospital emergency physicians and the estimated jeopardy 
      of patients' vital functions using the NACA score. MATERIAL AND METHODS: In this 
      retrospective study, the emergency chart protocols of patients in a ground-based 
      emergency system from 2004 to 2005 were evaluated concerning patients 
      demographic, diagnosis, and related NACA score. Emergency physicians were divided 
      into two groups according to their experience as pre-hospital emergency 
      physicians (group 1: less than 3 years and group 2: 3 or more years). RESULTS: 
      The patients in groups 1 and 2 were comparable concerning the mean age (58+/-24 
      years vs. 58+/-24 years) and the percentage of males (each 54%). The reasons for 
      the emergency call in both groups were comparable with respect to disease, 
      trauma, and the combination of both (both 77%, 18%, and 5%, resp.). A higher 
      percentage of emergency physicians of group 1 estimated a lower illness and 
      injury severity score in comparison to emergency physicians of group 2 with a 
      longer working experience (NACA I-III: 56% vs. 48%; p<0.05). Accordingly, 
      physicians in group 1 estimated a smaller percentage of patients to be in 
      life-threatening situations (NACA IV-V: 33% vs. 40%; p<0.05). There were no 
      significant differences in the NACA categories VI (2%) and VII (7%) between both 
      groups. CONCLUSION: The results demonstrate that emergency physicians with less 
      rescue experience rated the severity of illness or injury relatively lower in 
      comparison to colleagues who had worked in the pre-hospital setting for many 
      years.
FAU - Knapp, J
AU  - Knapp J
AD  - Sektion Notfallmedizin, Klinik fur Anaesthesiologie, Universitatsklinikum 
      Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg, Deutschland. 
      Juergen.Knapp@med.uni-heidelberg.de
FAU - Bernhard, M
AU  - Bernhard M
FAU - Hainer, C
AU  - Hainer C
FAU - Sikinger, M
AU  - Sikinger M
FAU - Brenner, T
AU  - Brenner T
FAU - Schlechtriemen, T
AU  - Schlechtriemen T
FAU - Gries, A
AU  - Gries A
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Besteht ein Zusammenhang zwischen der Einschatzung der Vitalgefahrdung und der 
      notfallmedizinischen Erfahrung des Notarztes?
PL  - Germany
TA  - Anaesthesist
JT  - Der Anaesthesist
JID - 0370525
SB  - IM
MH  - Adult
MH  - Aged
MH  - Disease/*classification
MH  - Emergency Medical Services/*standards
MH  - Emergency Medicine/*standards
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Physicians
MH  - Quality of Health Care
MH  - *Reference Standards
MH  - Rescue Work
MH  - Retrospective Studies
MH  - Wounds and Injuries/*diagnosis/*therapy
EDAT- 2008/10/08 09:00
MHDA- 2009/02/21 09:00
CRDT- 2008/10/08 09:00
PHST- 2008/10/08 09:00 [pubmed]
PHST- 2009/02/21 09:00 [medline]
PHST- 2008/10/08 09:00 [entrez]
AID - 10.1007/s00101-008-1454-3 [doi]
PST - ppublish
SO  - Anaesthesist. 2008 Nov;57(11):1069-74. doi: 10.1007/s00101-008-1454-3.