Introduction of Telemedicine in a Prehospital Emergency Care Setting: A Pilot Study
Table 1
Modified National Advisory Committee for Aeronautics (NACA) score used in the State of Valais.
NACA 0
No injury or disease
NACA 1
Injuries/diseases without any need for acute physician care
NACA 2
Injuries/diseases requiring examination and therapy by a physician, but hospital admission is not indicated. Including: large contusions, finger and toe fracture, second-degree burn (10%-20% of body surface), exhaustion without hypothermia
NACA 3
Injuries/diseases without acute threat to life but requiring hospital admission. Including: maxillofacial trauma, wound with vascular/neurological impact, third-degree burn (10%-20%), hypoglycaemia without coma, transient ischaemic attack, supraventricular arrhythmia with conserved haemodynamics, right iliac fossa pain syndrome, hypothermia stage I, second-degree burn (20%-30%), isolated limb fracture (femur excluded)
NACA 4
Injuries/diseases which can possibly lead to deterioration of vital signs. Including: open skull fracture, hypothermia stage II, suspicion of acute coronary syndrome, suspicion of ectopic pregnancy/placenta praevia
NACA 5
Injuries/diseases with acute threat to life. Including: head trauma , heart infarct, bradycardia (<30/min), tachycardia (>180/min), complete heart block, eclampsia, hypothermia stage III, haemodynamic shock, multiple rib fractures, acute dyspnoea, pulmonary oedema
NACA 6
Injuries/diseases transported after successful resuscitation. Including: chest trauma with severe dyspnoea, aortic rupture, total airway obstruction, central apnoea, emergency external pacing, cardiac arrest (ventricular fibrillation or asystole from any cause)
NACA 7
Lethal injuries or diseases (with or without resuscitation attempts)
