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Updated: May 30, 2025

Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
[AmbuReg - the Swedish quality register for emergency medical services]
Glenn Larsson1, Johan Herlitz2, Christer Axelsson3
1dr med vet, ambulans-sjuksköterska, Picta (Prehospital innovationsarena), Lindholmen Science Park, Göteborg.
Abstract:
The Swedish quality register AmbuReg collects all the country's ambulance missions. There is an increasing demand on the Emergency Medical Services (EMS) due to decreasing hospital resources and referral to self-care, primary care and mobile teams. This, in combination with fast tracks for patients with myocardial infarction, stroke, hip fracture or sepsis, increases the requirement for optimal triage at the scene. The aim of the registry is to ensure the quality and identify limitations in the EMS that may threaten patient safety, such as documentation, assessment, triage and treatment. The development of decision support tools will be required in the future and in collaboration with other national quality registries. Regarding adherence to guidelines for assessment and treatment of symptoms, particularly pain, and the use and analysis of equipment such as ECG and analysis of serum glucose, different quality goals may be set. An example may be that at least 80% of strokes should be recognized at the scene.
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