Patient guidance system
Patient guidance system ( PLS ) is a term used in emergency medicine . This is used to describe white cards in Austria and orange in Switzerland , which are hung around the patient's head in the event of a large number of injured persons for clear identification and to support the care.
The German term for this is injured person attachment card , whereby the "Bielefeld model" largely corresponds to that used in Austria and Switzerland.
PLS bags
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The attachment cards are made of bright orange or white, writable plastic in the format 27 × 12 cm and form a pocket in which other forms are stored. All pockets are printed with serial numbers so that once registered patients are clearly identified. The numbers are assigned according to a nationwide uniform scheme and can be clearly assigned to a specific rescue device. There are separate number ranges for exercises.
The front side is used to enter a rough diagnosis and to identify the viewing category . While this is done in the normal model by ticking the box, in the "Bielefeld model" the category is identified by inserting different colored cards into a transparent field of vision.
The reverse side offers the most important therapeutic measures to be ticked and space for further instructions.
Two tear-off sections are handed in at the start of the transport or on arrival at the destination hospital and document the transport.
Inside the bag there is a treatment protocol and an identification protocol , which can be filled out if time is available. It also includes stickers with the number of the PLS bag, which can be stuck directly on forms and lists so that spelling mistakes can be avoided. It can also be used to mark the patient's personal belongings.
The bag also contains a label with the inscription urgent and deceased . Yellow warning stickers are also available to identify contaminated injured persons.
application
PLS bags are only used when instructed by the operations management team in the event of major damage ( mass casualties ).
As part of an initial inspection of the site of the accident, those patients are identified who are the first to be treated ( recovery services ). These are made recognizable for subsequent rescue workers by hanging around a PLS bag and are given the "Urgent" label for clarity.
All patients (those marked first) are brought to the injured assembly point. You will receive a PLS bag there (if not already done) and will be registered. In the subsequent triage , the patients are quickly and roughly examined and divided into one of four treatment categories. The appropriate category and any therapy instructions are noted on the PLS bag.
After the care has been taken, the patient's classification can be changed; a second category field is available for this purpose. Treatment and identification protocols are only filled out if the time can easily be saved.
At the beginning of the transport, the lower section of the PLS bag is torn off and remains at the loading point with the transport manager. The second section remains in the emergency room of the target hospital. The PLS bag itself remains with the patient until the final handover of the patient to the hospital staff and is then attached to the patient's medical record.
Individual evidence
- ↑ Wiener Berufsrettung: The patient guidance system (PLS) ( Memento of the original from December 8, 2015 in the Internet Archive ) Info: The archive link has been inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. (last accessed on December 4, 2015)
- ↑ Interverband für Rettungswesen: Guidelines for the patient guidance system in rescue services (PLS) ( Memento of the original dated December 8, 2015 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. (PDF, last accessed on December 5, 2015)
