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


Journal

Acta bio-medica : Atenei Parmensis
ISSN: 2531-6745
Titre abrégé: Acta Biomed
Pays: Italy
ID NLM: 101295064

Informations de publication

Date de publication:
10 04 2020
Historique:
received: 19 03 2020
accepted: 24 03 2020
entrez: 11 4 2020
pubmed: 11 4 2020
medline: 30 3 2021
Statut: epublish

Résumé

The main objectives of our work were the regional harmonization and standardization of pharmaceutical supplies on MSA in Lombardy. 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. 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. 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.

Sections du résumé

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.

Identifiants

pubmed: 32275275
doi: 10.23750/abm.v91i3-S.9421
pmc: PMC7975893
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

111-118

Auteurs

Elisa Perego (E)

Università degli Studi Mediolanensis. elisa.perego.ep@gmail.com.

Federica Balzarini (F)

School of Hygiene and Preventive Medicine University Vita-Salute San Raffaele- Milan. federica.balzarini@gmail.com.

Marco Botteri (M)

AREU [Lombardy EMS Regional Agency] - Milan. m.botteri@areu.lombardia.it.

Stefania Favetti (S)

AREU [Lombardy EMS Regional Agency] - Milan. s.favetti@areu.lombardia.it.

Alberto Zoli (A)

AREU [Lombardy EMS Regional Agency] - Milan. a.zoli@areu.lombardia.it.

Giuseppe Maria Sechi (GM)

AREU [Lombardy EMS Regional Agency] - Milan. g.sechi@areu.lombardia.it.

Anna Odone (A)

School of Hygiene and Preventive Medicine University Vita-Salute San Raffaele- Milan. odone.anna@hsr.it.

Carlo Signorelli (C)

School of Hygiene and Preventive Medicine University Vita-Salute San Raffaele- Milan. signorelli.carlo@hsr.it.

Guido Francesco Villa (GF)

AREU [Lombardy EMS Regional Agency] - Milan. gf.villa@areu.lombardia.it.

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