Description of the prehospital emergency healthcare system in Norway

• Published in: Resuscitation plus Vol. 17; p. 100509
• Main Authors: Kjærvoll, Hege K., Andersson, Lars-Jøran, Bakkelund, Karin E.N., Harring, Astrid K.V., Tjelmeland, Ingvild B.M.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01.03.2024; Elsevier
• Subjects: Cardiac arrest registries; Dispatch; Emergency medical communication centres (EMCC); Emergency medical services (EMS); Out-of-hospital cardiac arrest (OHCA); Prehospital; Emergency medical services (EMS); Out-of-hospital cardiac arrest (OHCA); Dispatch; Emergency medical communication centres (EMCC); Cardiac arrest registries; Prehospital
• ISSN: 2666-5204; 2666-5204
• DOI: 10.1016/j.resplu.2023.100509

Norway has a long coastline, steep mountains, and wide fjords, which presents some challenges to the prehospital emergency healthcare system. In recent years, the prehospital emergency medical services (EMS) have undergone significant changes, structurally, in terms of professionalisation of the services and in the education level of the personnel. In this article, we aim to describe the current structure for handling prehospital medical emergencies. For healthcare, Norway is divided into four Regional Health Authorities, consisting of 19 Health Trusts, where 18 have an EMS. There is a dedicated medical emergency number, 113, that terminates in 16 emergency medical communication centres. The use of air and boat ambulances, in addition to traditional ambulances, seeks to meet the challenges in the EMS system. The Norwegian EMS is an advanced system with highly educated staff; however, this level of care comes with an equally high cost. The Norwegian EMS can handle emergencies nationwide, providing advanced care at the scene and during transport. The geography and demography challenge the idea of equal care, but the open publishing of data from national quality registries seeks to identify and address potential differences.