Serhat Akcaalan, Merve Bozer, Mustafa Akkaya, İshak Şan, Burak Bekgöz

Ankara 112 İl Ambulans ve Çağrı Servisi ’nin Son Beş Yıl İçindeki Vaka Tepki Sürelerinin İncelenmesi

Amaç: Acil sağlık hizmetlerinin kesintisiz ve hızlı bir şekilde sunulması hastaların ilk müdahalelerinin en kısa sürede yapılabilmesi için hayati önem taşımaktadır. Bu çalışmada Ankara 112 İl Ambulans Servisi’nin son beş yıl içindeki faaliyetleri ve olaya müdahale sürelerini ayrıca 112 çağrı merkezine yapılan başvuruların incelenmesi amaçlanmıştır. Gereç ve Yöntemler: Bilgiler Ankara İl Sağlık Müdürlüğü acil sağlık otomasyon sistemi (ASOS) üzerinden geçmişe dönük son beş yıl (01.01.2015 - 31.12.2019) olarak taranmıştır. Çalışmada taranan veriler; acil sağlık hizmetindeki çağrı nedenleri ve sonuçları, ambulans hizmetlerinin vakalara ortalama ulaşım süreleri, acil yardım personeli ve ambulans sayıları olarak belirlenmiştir. Bulgular: Çalışmamızda; Ankara ilinde son 5 yılda acil sağlık hizmeti sunulan toplam 2.036.734 hasta olduğu görüldü. Veriler incelendiğinde yıllara (2015 – 2019) göre vaka kabul sayıları ve vakalara ortalama ulaşım süreleri sırası ile; 2015: 359.686 vaka ortalama 7 dakika (dk) 20 saniye (sn), 2016: 391.057 vaka ortalama 6 dk 34 sn, 2017: 417.155 vaka 6 dk 41 sn, 2018: 421.452 vaka 6 dk 9 sn, 2019: 447.384 vaka 6 dk 12 sn olduğu görülmüştür. Aramaların nedenlerine bakıldığında ise tarama yılından bağımsız olarak birinci sırada “medikal” ikinci sırada ise “sağlık tedbirleri” gelmekteydi. En son sırada gelen çağrı nedeni ise yine tarama yılından bağımsız olarak sırası ile “ex-morga nakil” olarak belirlenmiştir. Sonuç: ASH sunumunda vakalara yapılacak erken müdahaleler hayat kurtarıcı olmaktadır. Yıllar içinde artan popülasyon ve vaka sayısına rağmen acil çağrı merkezlerine yapılan yardım çağrıları sonrası benzer sayıda acil yardım ambulansı ve personeli ile uygun bir koordinasyon sistemi sayesinde kısa tepki süreleri içinde vakalara müdahale gerçekleştirebilmektedir.

Response Times of Emergency Medical Services in Ankara over the Last Five Years

_Emergency medical services (EMS) must be delivered continuously and quickly in order to treat patients as soon as possible. The purpose of this study was to assess the activities and response times of the EMS in Ankara over the last five years.Material and Methods_ Database of the Ministry of Health, Emergency Health Automation System (ASOS), was used to obtain data for the past five years (01.01.2015 - 31.12.2019). Reasons and outcomes of the calls, response times, and the number of EMS personnel and ambulances were evaluated in the study.Results_ This study showed that the total number of people who received treatment from EMS in Ankara over the past five years is 2,036,734. The number of cases was 359,686 (mean response time = 7 minutes and 20 seconds) in 2015, 391,057 (mean response time = 6 minutes and 34 seconds) in 2016, 417,155 (mean response time = 6 minutes and 41 seconds) in 2017, 421,452 (mean response time = 6 minutes and 9 seconds) in 2018, and 447,384 (mean response time = 6 minutes and 12 seconds) in 2019. Emergency calls were mostly for medical reasons, followed by health measures, whereas the least common reason of emergency calls was the need for transfer to the morgue.Conclusion_ In the provision of EMS, early intervention can save lives. EMS has a proper coordination system and a continuously increasing number of ambulances and personnel, which provides short EMS response times despite the expanding population and increasing number of cases over the years_

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