SAMUR-Civil Protection is the EMS of the City of Madrid.
Dependent of the Madrid City Council, it is the service responsible for emergency care on public roads and public places in the City. Likewise, it is the service responsible for the assistance to the situations of Catastrophe and multiple victims of the City.
With a staff of 800 professionals and more than 1500 volunteers, SAMUR performs 135,000 operations per year from the 22 operational bases it has in the city.
In addition, its functions include the prevention of risk situations, such as political and social demonstrations, sporting events, religious and cultural activities, etc. Globally, it attends more than 2500 events of this type every year.
Operationally, this is a double-level service, consisting of ALS units (composed of emergency physicians, emergency nurses and emergency technicians) and BLS units (composed of two emergency technicians).
Together with them, quality control units, psychological intervention units and logistic support units (CBRN unit and mass casualty unit) are in operation in real time.
Main features of SAMUR
- All processes are protocolized. The procedures are available on the website: http://www.madrid.es/samur . The Physicians college supervises SAMUR protocols.
- Commitment to the citizen. SAMUR is committed to the citizen through more than 50 commitments written on its website, including response time, survival in cardiac arrest, survival in critical trauma or patient satisfaction survey. Each year, SAMUR must publish its results on the website of Madrid City Council
- Assistance activity based on the control of the entire process.
- Quality control on the scene. Daily, 3 physicians on duty assess the rest of the professionals of the ALS units. This way, all serious patients, in the city of Madrid, are assisted by two doctors. More than 5% of all care activity is audited on the scene. At the same time, two nurses monitor the activity of BLS units.
- Monitoring of the evolution of severe patients in the Hospital for up to 7 days.
- Process control in the dependent time pathologies.
- Specific mandatory training of the staff during working hours. Regarding the training of the staff, doctors and nurses must be accredited in Emergency Medicine. They must renew this accreditation every three years.
- Training for citizens. SAMUR trains, free of charge, more than 40,000 citizens per year, so that they become the first link in the chain of survival.
- Preparation for the catastrophe. SAMUR can simultaneously attend 4 multiple victim sites in less than one hour. For that, it has developed what is called a “column of catastrophes”, equipped with specific logistic vehicles operating daily, circulating on the street, and a series of larger vehicles in order to fulfill that commitment.
- Optimization of the care process. SAMUR has implemented, together with the main units of Madrid hospitals, joint assistance procedures to increase survival in time-dependent pathologies, such as the Trauma Code, Stroke Code, CPR Code or the heart not beating donors procedure, among others.
- Social sensitivity. SAMUR has implemented, together with other agencies, procedures aimed at socio-sanitary situations, such as assistance to child abuse, gender violence, sexual assault or elder abuse.
- International response to disasters. SAMUR has participated in all the last major disasters, such as the earthquake in Haiti, the tsunami in the Pacific, earthquakes in Peru, Chile, the Philippines, etc.