Emergency treatment in Lombardy: a new methodology for the pre-Hospital Drugs management on Advanced Rescue Vehicles: Drugs management on Advanced Rescue Vehicles

Emergency treatment in Lombardy: a new methodology for the pre-Hospital Drugs management on Advanced Rescue Vehicles

Drugs management on Advanced Rescue Vehicles

Authors

  • Elisa Perego Università degli Studi Mediolanensis
  • Federica Balzarini School of Hygiene and Preventive Medicine University Vita-Salute San Raffaele- Milan
  • Marco Botteri AREU [Lombardy EMS Regional Agency] – Milan
  • Stefania Favetti AREU [Lombardy EMS Regional Agency] – Milan
  • Alberto Zoli AREU [Lombardy EMS Regional Agency] – Milan
  • Giuseppe Maria Sechi AREU [Lombardy EMS Regional Agency] – Milan
  • Anna Odone School of Hygiene and Preventive Medicine University Vita-Salute San Raffaele- Milan
  • Carlo Signorelli School of Hygiene and Preventive Medicine University Vita-Salute San Raffaele- Milan
  • Guido Francesco Villa AREU [Lombardy EMS Regional Agency] – Milan

Keywords:

Emergency Medical System, drug supplies, drugs management, datasheet for emergency treatment

Abstract

Background and aim of the work: The main objectives of our work were the regional harmonization and standardization of pharmaceutical supplies on MSA in Lombardy. Methods: The retrospective investigation was articulated in 2 phases: the first was the collection of data in every area of the Region (2012), the second was the analysis and elaboration of the information retrieved. Results: Beginning with 24 common drugs used by 8 AATs out of 12 an evaluation of the chemical-therapeutic characteristics was performed. The temporary list, including over 80 drugs classified in more than 25 therapeutic groups, was finally reduced to provide bags that were easier to handle but at the same time complete. Between October and November 2014, the proposed supply, including 71 formulations and approved by the Technical Board of AREU, officially entered into force. At the same time, the working group followed the same procedure to define the standard equipment for the Region’s helicopters, with only 58 formulations for relatively reduced weight allowed on board. Conclusions: In conclusion, we can state that, thanks to the support of experts, of the literature review, and thanks to the practical experience of the members of the AREU working groups and thanks to the documents coming from AIFA and EMA, the first operative regional project of unified pharmacological supply for MSA was delivered.

Author Biographies

Elisa Perego, Università degli Studi Mediolanensis

pharmacist

Marco Botteri, AREU [Lombardy EMS Regional Agency] – Milan

Clinical and Medical Coordinator 

Stefania Favetti, AREU [Lombardy EMS Regional Agency] – Milan

Risk Management and Quality Officer

Alberto Zoli, AREU [Lombardy EMS Regional Agency] – Milan

CEO AREU

Giuseppe Maria Sechi, AREU [Lombardy EMS Regional Agency] – Milan

Health and Medical Director

Anna Odone, School of Hygiene and Preventive Medicine University Vita-Salute San Raffaele- Milan

Associate Professor

Carlo Signorelli, School of Hygiene and Preventive Medicine University Vita-Salute San Raffaele- Milan

Chair of Hygiene and Preventive Medicine

Guido Francesco Villa, AREU [Lombardy EMS Regional Agency] – Milan

Clinical and Scientific Consultant - Health Direction

References

[1] Società Italiana Sistema 118, website http://www.sis118.it Last seen 15/01/2020
[2] Martini E, Pierucci A, Sestili R, Marrazzo M Manuale per gli operatori dei mezzi di soccorso: controllo, verifica e procedure di pulizia e disinfezione del mezzo di soccorso, Società Italiana Sistema 118, Rieti 2010
[3] Agenzia Italiana del Farmaco (AIFA) Comunicazione sul divieto di utilizzo cautelativo per i medicinali per uso infusionale contenenti amido idrossietilico, Roma, 28 giugno 2013
[4] European Medicines Agency (EMA), website http://www.ema.europa.eu Last seen 15/01/2020
[5] CODIFA L’informatore farmaceutico, website: www.codifa.it Last seen 15/01/2020 [8] Agenzia Italiana del Farmaco (AIFA) - http://www.agenziafarmaco.gov.it Last seen 15/01/2020
[6] Minghetti P, Marchetti M, “Legislazione farmaceutica”, settima edizione, Casa Editrice Ambrosiana, Milano 2012
[7] Gazzetta Ufficiale della Repubblica Italiana, website http://www.gazzettaufficiale.it Last seen 15/01/2020

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Published

10-04-2020

How to Cite

1.
Emergency treatment in Lombardy: a new methodology for the pre-Hospital Drugs management on Advanced Rescue Vehicles: Drugs management on Advanced Rescue Vehicles. Acta Biomed [Internet]. 2020 Apr. 10 [cited 2024 Jun. 19];91(3-S):111-8. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/9421

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