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Importance of emergency identification schemes
1Imperial College School of Science, Technology and Medicine, National Heart and Lung Institute, Department of Cardiothoracic Surgery, Hammersmith Hospital, London, UK. lmorton@ic.ac.uk
Emergency Medicine Journal : EMJ
|November 8, 2002
Summary
Emergency identification schemes are vital for patients with hidden conditions like Björk-Shiley convexo-concave (BSCC) heart valves. While widely recognized, their impact on emergency care decisions needs improvement.
Area of Science:
- Medical Devices
- Emergency Medicine
- Patient Safety
Background:
- Millions have hidden medical conditions (e.g., cardiac, allergies, diabetes) requiring emergency identification.
- Emergency identification schemes, like Medic Alert, provide critical information for prompt treatment.
- Mechanical failure of Björk-Shiley convexo-concave (BSCC) heart valves exemplifies a hidden condition necessitating emergency awareness.
Purpose of the Study:
- Assess awareness and credibility of emergency identification schemes among healthcare professionals.
- Determine if medical condition information influences ambulance personnel's destination hospital choices.
Main Methods:
- Surveys distributed to 380 Accident & Emergency (A&E) department senior staff and 39 UK ambulance headquarters operational directors.
- Analysis of responses across different UK regional divisions to identify geographical variations.
Main Results:
- 99% of respondents recognized emergency identification schemes; 97% of ambulance staff routinely search for emblems, compared to 71% of A&E staff.
- Over 53% of ambulance personnel indicated emblem/card information would not affect their destination hospital choice.
- High awareness of schemes but inconsistent application and limited influence on critical care decisions.
Conclusions:
- The Björk-Shiley convexo-concave (BSCC) valve issue underscores the critical need for immediate diagnosis and intervention based on pre-existing condition information.
- Routine patient searches for identification emblems are essential for all healthcare staff.
- Acting upon provided patient information is vital for survival in emergency situations.