Comparison of Performances of Emergency Medical Operation between Advanced Life Support Team and Basic Life Support Team
DOI:
https://doi.org/10.14456/jemst.2021.5Keywords:
systematic review, outcomes, Advanced Life Support Team, Basic Life Support TeamAbstract
Accessibility to Emergency Medical Service of Emergency Patients in 2016 was found at 19 percent, while 46 percent could deliver the services within eight minutes resulting in the mortality rates of the patients before arriving hospitals at 14.93 per one hundred thousand population. The causes were identified to be insufficiency of emergency medical agencies and even not available in some remote areas. This literature review had the objective to compare performances of emergency medical operation between Advanced Life Support Team and Basic Life Support Team. There were 37 reports selected. Data collected were related to overall performances and results from each group of patients including survival rates in the hospital, survival rates when discharged and survival rates within 90 days. Performances of both teams were found to be improved due to (1) achieving six-minute response time; and (2) improved capacity of the team to transport the patients. In the case where performances of the Basic Life Support Team were better than the Advanced Life Support Team, the factors could be traced to (1) efficient basic life support; and (2) minimal time spent to reach the scene together with the failure of the Advanced Life Support Team to perform intervention and use more time on the scene. In the case where performances of the Advanced Life Support Team were better than the Basic Life Support Team, the factors could be traced to the reason in which the Advanced Life Support Team had a physician as team leader, and more successful intervention. There was a combination of the Advanced Life Support Team with the Basic Life Support elements using six minutes to reach the scene (mixed early BLS and ALS) which lead to better operation performances. Other factor would be the first aid given by the bystanders.
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