The First ALS Ambulance in the World

Document Type: Review Article

Authors

1 SOS Hungary Medical Service, Budapest, Hungary

2 Hungarian National Emergency Service, Kresz Géza Rescue Museum, Budapest, Hungary

Abstract

The survival rate of medical emergencies depends highly on the intervention time and prompt medical care on the scene. The idea of “bring the doctor and medical equipment to the spot” was born in Hungary in the mid-1950s. The demand for advanced life support was a consequence of the fast growth of industry and traffic. It is worthwhile to review the development of the idea, the therapeutic methods, and the devices used by medical emergency and rescue services based on the example of the Hungarian model. What based on the highly trained medical team and the state-of-art medical devices respectively. In this study, the researchers collected and described the contemporary memorabilia of the Hungarian Emergency Services and compared them with the existing ideas and ambulance types in the world. The basic ideas and their adaptation into practice are also reviewed. The increasing demand for the soonest possible medical treatment can be claimed the reason for special ambulances with special teams and equipment. The all-purpose ambulance proved to be the most appropriate solution to the problem. The first ambulance of this kind was first used in Hungary.

Keywords


  1. Lowell NC. Trauma analysis in paleopathology. Yearbook Physical Antropology. 1997;40:139-170.
  2. Anderson T, Carter AR. An archaeological example of medieval trauma. J Paleopathol.1994;6(3):145-150.
  3. Felkai P. First traces of resuscitation attempts in ancient Egypt. Orv Hetil. 1986;127(28):1709-1712.
  4. Brewer LA 3rd. Baron Dominique Jean Larrey (1766-1842). Father of modern military surgery, innovater, humanist. J Thorac Cardiovasc Surg. 1986;92(6):1096-1098.
  5. Bell RC. The Ambulance: A History. McFarland: Jefferson NC; 2009:146.
  6. Pulmotor fire Squad Now. New York Times. January19,1915:6.
  7. Felkai T. Fehér kocsin kék fény (Blue Light on a White Car). Budapest: Medicina; 1966.
  8. Stout J, Pepe PE, Mosesso VN Jr. All-advanced life support vs tiered-response ambulance systems. Prehosp Emerg Care. 2000;4(1):1-6. doi: 10.1080/10903120090941542.
  9. Sefrin P, Kuhnigk H. Stellung des Notarztes im Rettungsdienst (The position of the emergency physician in the emergency medical service). Anasthesiol Intensivmed Notfallmed Schmerzther. 2006;41(1):2-8. doi:10.1055/s-2006-924965.
  10. Fischer M, Krep H, Wierich D, et al. Comparison of the emergency medical services systems of Birmingham and Bonn: process efficacy and cost effectiveness. Anasthesiol Intensivmed Notfallmed Schmerzther. 2003;38(10):630-642. doi:10.1055/s-2003-42507.
  11. Langhelle A, Lossius HM, Silfvast T, et al. International EMS Systems: the Nordic countries. Resuscitation. 2004;61(1):9-21. doi:10.1016/j.resuscitation.2003.12.008.
  12. Anästhesiologische Klinik. http://www.klinikum.uni-heidelberg.de/Notaerztliche-Taetigkeit.8240.0.html. Accessed June 7, 2014.
  13. Jochen P. Qualität notärztlicher Diagnosen: Ein Vergleich von Fachärzten und Weiterbildungsassistenten der Anästhesie. Inaugural-Dissertation zur Erlangung der Doktorwürde an der Medizinischen Fakultät der Friedrich-Alexander-Universität. Erlangen-Nürnberg; 2010.
  14. Coirier R. La politique Francaise dans le domaine des secours d’urgence. 3rd ed. in: International Symposium van de Dringende Hulpverlening. Brügge; 1973.
  15. Bainton CR, Peterson DR. Deaths from Coronary Heart Disease in Persons Fifty Years of Age and Younger. N Engl J Med. 1963;268(11):569-575. doi:10.1056/NEJM196303142681102.
  16. McNeilly RH, Pemberton J. Duration of last attack in 998 fatal cases of coronary artery disease and its relation to possible cardiac resuscitation. Br Med J. 1968;3(5611):139-142. doi:10.1136/bmj.3.5611.139.
  17. Zoll PM. Resuscitation of the heart in ventricular standstill by external electric stimulation. N Engl J Med. 1952;247(20):768-771. doi:10.1056/NEJM195211132472005.
  18. Kouwenhoven WB, Jude JR, Knickerbocker GG. Closed-chest cardiac massage. JAMA. 1960;173:1064-1067. doi:10.1001/jama.1960.03020280004002
  19. Chardack WM, Gage AA, Greatbatch W. A transistorized, self-contained, implantable pacemaker for the long-term correction of complete heart block. Surgery. 1960;48:643-654.
  20. Pantridge JF, Geddes JS. A mobile intensive-care unit in the management of myocardial infarction. Lancet. 1967;2(7510):271-273. doi:10.1016/S0140-6736(67)90110-9.
  21. Chamberlain D, Baskett P, Willis M. From invalid transport corps to paramedic practitioners. Barts and the London Chronicle. 2004;6:18-21.
  22. Eisenberg MS, Pantridge JF, Cobb LA, Geddes JS. The revolution and evolution of prehospital cardiac care. Arch Intern Med. 1996;156(15):1611-1619. doi:10.1001/archinte.1996.00440140021002.
  23. O’Rourke M. Modified coronary ambulances. Med J Aust. 1972;1:875-878.
  24. Felkai T. A mentés kialakulásának fejlődéstörténeti elemzése. Kandidátusi disszertáció (The analysis of the development of rescue PhD tractate). Budapest: 1977.
  25. Felkai T. Some consideration on shock in the rescue practice [A shock-kérdés a mentőgyakorlatban]. Orvosi Hetilap. 1956;97(15):404-408.
  26. Cowley RA, Hudson F, Scanlan E, et al. An economical and proved helicopter program for transporting the emergency critically ill and injured patient in Maryland. J Trauma. 1973;13(12):1029-1038. doi:10.1097/00005373-197312000-00001.
  27. Stout J, Pepe PE, Mosesso VN Jr. All-advanced life support vs tiered-response ambulance systems. Prehosp Emerg Care. 2000;4(1):1-6. doi:10.1080/10903120090941542.