Urgent and emergency medical and health care
The main objective of SAMUR-Civil Protection as an emergency service is to rapidly deploy Life Support Units to the scene of an incident and, once there, to provide professional, high-quality medical care.
To achieve this objective, SAMUR-Civil Protection implements the following measures:
· A strict policy ensuring a minimum number of operational medical units 24/7/365.
· Homogeneous distribution of medical units across operational stations.
· Progressive increase in personnel and operational stations throughout the city.
· Continuous updating of procedures and technological equipment.
Interventions
During 2024, SAMUR – Civil Protection units were requested by individuals and institutions for 133,774 incidents related to out-of-hospital emergencies which occurred on Madrid’s streets and public areas (124,105 persons treated and 113,841 activations).
Response Time
Response time is the time elapsed from the moment a medical unit is activated until it arrives at the scene of the incident.
In 2024, the overall average response time was 9 minutes and 19 seconds. This is the time which elapses from the moment the call is received until the ambulance arrives.
Strategic Medical Care Indicators
The main medical care performance indicators of SAMUR-PC, which also constitute the strategic indicators of our Service Charter, are:
Survival rate of critically ill patients transferred to hospital 7 days following admission
This is the oldest indicator of the service, as the first data dates to 1998. In 2024, 86.49% of these patients survived 7 days following admission.
Seven-day survival rate for patients with severe trauma
This indicator was implemented in 2005. It is of considerable interest to the service given the high percentage of patients treated by SAMUR-PC with this pathology. During 2024, the 7-day survival rate was 93.40%.
Survival rate without neurological impairment in unwitnessed cardiac arrests
This is the most specific indicator for an emergency service. At SAMUR-PC, it is an extremely critical indicator: it includes traumatic cardiac arrests, which are generally excluded from these statistics.
In 2024, 20.44% of patients were discharged in good neurological condition (CPC I-II).
In addition to the high medical care quality standards, the key to attaining these survival rates is the implementation of special codes. These codes are developed in collaboration with hospitals as referral centres for the transfer of patients with serious pathologies.
Complaints
Throughout 2024, 16 complaints were received, representing 0.011% of the total number of intervention