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Changes in the State Emergency Medical Service

MedExpress Team

medexpress.pl

Published June 25, 2024 15:27

Changes in the State Emergency Medical Service - Header image
Fot. Getty Images/iStockphoto
The Draft Law on Amendments to the Law on State Emergency Medical Services and Certain Other Laws has been submitted for consultation.

Based on the experience gained from the operation of the State Emergency Medical Service system, hereafter referred to as "PRM," the following issues have been identified that require regulation from scratch, or changes or additions to existing solutions:

  1. The presence of emergency motorcycles in the PRM system needs to be sanctioned. Although ambulance-equipped medical rescue teams, hereinafter referred to as "ZRM," are already supported by rescue motorcycles, the legal status of the latter, as well as how they are financed, remains unregulated. It is also necessary to establish a minimum number of three-person basic teams to ensure the safe provision of medical assistance to patients in a medical emergency, as well as the health and safety of team members.
  2. Hospital emergency departments are the only elements of the PRM system for which, to date, no parameters have been established to guide the governor in determining their number and distribution in the provincial PRM system action plan. Therefore, it is reasonable to establish indicators based on which hospital emergency departments will be planned.
  3. Medical dispensaries

Recommended solution, including planned intervention tools and expected effect

  1. Motorcycle rescue units, which have so far been a component of selected ambulance-equipped medical rescue teams, will be a separate type of team, which will be one of the elements of the provincial action plan for the PRM system and a separate product to be contracted under contracts concluded by provincial branches of the National Health Fund. The motorcycle rescue unit will reach places that cannot be reached by an ambulance, during gatherings, in congestion on the road. The rescue motorcycle will be driven by a person authorized to perform medical rescue operations, and will be equipped with the necessary medicines and medical devices, as well as with equipment to operate the SWD PRM. The number of motorcycle teams will be estimated by assuming a maximum of one for each started 400,000 residents of the province, and the operating time of these units will be from May 1 to September 30, up to 12 hours per day. A minimum threshold is also being introduced below which the number of three-person core teams cannot fall, at 3 for every 10 core teams started.
  2. It is assumed that a provision will be introduced in the Law on PRM, according to which one hospital emergency department will secure an area no larger than an area with a population of 200,000, allowing...

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