Not the endangered state of a
patient (diagnostic aspect, possibly without the therapy which is required)
but the treatment, what is actually done for the patient, should be graduated
in order to describe the value of a rescue service. For this purpose, the
ETI was developed:
| 0 | No medical examination or other
measures
(includes termination of mission before arrival of the EP) |
| 1 | Determination of death without
the EP's prior therapy
(includes CPR through paramedics before the EP's arrival) |
| 2 | Medical examination without therapy |
| 3 | Prophylactical therapy (e.g., anticonvulsive prophylaxis, i.v. line) |
| 4 | Therapy, not directed against vital threat (vital threat may exist) |
| 5 | Constant monitoring (medical surveillance)
necessary due to
suspected threat to life (e.g., by entrapment only on-site) or during transport due to potential dangers) |
| 6 | Therapy directed against vital threat to life or |
| 6B | risk of invalidity (e.g., spinal injury, amputation) |
| 7 | Endotracheal intubation and/or
anaesthesia and/or operative
invasion (e.g pleural drainage) |
| 7B
7C |
Anaesthesia without intubation
Operative invasion without general anaesthesia |
| 8 | Defibrillation and/or cardiac massage before admission |
| 9 | Defibrillation and/or cardiac massage, death without admission |
The Emergency Therapy Index [ETI].
Schou J. Emergency Therapy Index
for Classification of missions in pre-hospital emergency medicine. Theor
Surg 1989;4:190-9.
