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Search Results: 1 - 10 of 16924 matches for " Emergency medical services "
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Do the Right Patients use the Ambulance Service in South-Eastern Finland?  [PDF]
Bj?rn-Ove Suserud, Lena Beillon, Ingvar Karlberg, Jukka Pappinen, Maaret Castren, Johan Herlitz
International Journal of Clinical Medicine (IJCM) , 2011, DOI: 10.4236/ijcm.2011.25089
Abstract: Background: Several Emergency Medical Systems use a criteria-based prioritization system for ambulance response. The emergency medical priority dispatching of ambulances was introduced in the 1980s. In a system of this kind, the operators at the medical emergency dispatch centers have to assess the patients’ symptoms and the need for ambulance response. The prioritization of the ambulance response is based on the seriousness of the patient’s symptoms, his/her current condition and, in the case of trauma, the trauma mechanism. The priority system is supposed to optimize the use of the ambulance service and to match and meet the patients’ needs with an adequate response from the ambulances. The aim of this study was to describe the dispatching and utilization of the ambulance service in a part of Finland. Results: There was a substantial divergence between the initial priority assigned and the patients’ medical status at the scene. The ambulance staff confirmed the need for ambulance transport for 65% of all the patients who were assigned an ambulance by the dispatch center. Conclusions: Using a criteria-based dispatch protocol, the dispatch operator works with a wider safety margin in the priority assessments for ambulance response than was actually confirmed by the ambulance personnel at the scene. In this sample, there may be some overuse of the ambulance service. According to the assessments made by the ambulance staff, 35% of the patients did not require ambulance transport. The emergency system has to accept and work with safety margins. At the same time, there must be a balance between a safety margin and a waste of limited resources.
Helicopter EMS beyond Trauma: Utilization of Air Transport for Non-Trauma Conditions  [PDF]
Stephen H. Thomas, Lori J. Whelan, Emily Williams, Loren Brown
International Journal of Clinical Medicine (IJCM) , 2013, DOI: 10.4236/ijcm.2013.412090

Helicopter Emergency Medical Services (HEMS) use in civilian medical transport has its roots in the use of rotor-wing trauma transport in the military setting. Much of the literature and evidence based on the use of HEMS is therefore related to scene and interfacility transport of injured patients. Regionalization of care and increased understanding of time-criticality of various non-trauma conditions has contributed to growing utilization of HEMS for non-trauma conditions over recent decades. It is common for HEMS to be utilized for a variety of non-trauma situations ranging from neonatal and obstetrics transports to cardiac and stroke transports. The purpose of this review is to overview the use of HEMS for non-trauma, focusing on situations in which there is evidence addressing possible HEMS utility.

Tecnological organization of team’s health-related work in an emergency room – previous note.
Estela Regina Garlet,Maria Alice Dias da Silva Lima
Online Brazilian Journal of Nursing , 2008,
Abstract: The following paper aims at analyzing the technological organization of team’s health-related work in an emergency room of a public hospital in the state of Rio Grande do Sul, describing the context of the work in the emergency room, as well as the conceptions of the professionals who perform such work. It is a qualitative research performed as a case study. The research constituted a Master’s Degree Project of the Nursing Graduation Program of the Nursing School of the Federal University of Rio Grande do Sul.
Emergency Medical Services In Iran: An Overview
Mohammadkarim Bahadori
Australasian Medical Journal , 2010,
Abstract: Someone in Iran is killed in an automobile accident every three hours. The loss of young people or those who are likely to have dependents causes great hardship to Iranian society. Furthermore, because of heavy traffic and road problems in Tehran, it is sometimes difficult to get to injured persons. For these reasons, it is essential to design the emergency services system so that the potential distances between injured people and the emergency bases are decreased. This paper reviews the emergency service provision in Iran.
Living and working conditions of the professionals of the a Mobile Emergency Service
Vegian, Camila Fernanda Louren?on;Monteiro, Maria Inês;
Revista Latino-Americana de Enfermagem , 2011, DOI: 10.1590/S0104-11692011000400022
Abstract: the assistance provided by the mobile emergency service (samu) may result in changes in the health of the workers. this is a cross-sectional epidemiological study which aimed to evaluate the sociodemographic, health and lifestyle characteristics and the working conditions among professionals of the samu in campinas, sp, brazil. a questionnaire was used to collect sociodemographic, lifestyle, health and work data. the sample consisted of 197 workers - nurses, physicians, nursing technicians, auxiliary nurses, drivers and administrative personnel. there was a prevalence of males (61.4%), mean age 39.1 years (sd=8.3); married (63.5%), with children (76.7%); of the category of drivers (30.5%), monitored by physicians (18.3%) and auxiliary nurses (16.8%); 42.1% had additional employment, 48% performed overtime and 25.3% worked more than 70 hours per week. the majority practiced physical (56.5%) and leisure (96.5%) activities. new facets of the life of these workers were revealed and may contribute to programs aimed at health promotion.
Emergency medical epidemiology in Assam, India
Saddichha Sahoo,Saxena Mukul,Pandey Vibha,Methuku Mithilesh
Journal of Emergencies, Trauma and Shock , 2009,
Abstract: Background: Assam, with its capital in Dispur has one of the highest rates of infant and maternal mortality in India. Being under both tribal and hilly regions, it has lacked adequate healthcare and emergency services. We therefore aimed to conduct a cross-sectional survey of medical emergencies and identify various types of emergencies presenting to emergency departments, prior to launching emergency services across the state. Materials and Methods: On a prospective basis and using a stratified random sampling design, all emergencies presenting to the three government hospitals in Guwahati, Assam, which handle 90% of all emergencies currently, were studied on specially designed datasheets in order to collect data. Emergency medical technicians (EMTs) were placed in the Casualty of the medical colleges and recorded all emergencies on the datasheet. The collected data was then analysed for stratification and mapping of emergencies. In addition, retrospective data for a period of 15 days was collected from the emergency case registers of all three hospitals and the adjoining district civil hospitals, in order to give a wider perspective of the nature of emergencies. Results: A total of 2169 emergencies were recorded over a seven-day prospective and fifteen-day retrospective period. Guwahati Medical College Hospital attended to majority of emergencies (42%), which were mainly of the nature of pregnancies (22.7%), accidents (12.2%) or assaults (15.4%) and fever related. Maximum emergencies also presented from the border districts, and occurred among young males in the age group of 19-45 years. Males were also more prone to accidents and assaults, while females presented with pregnancies as emergencies. Conclusion: Potential emergency services need to target young pregnant females. Law and order needs to be also tightened in order to curb accidents and assaults among young males.
Current situation of mechanical CPR devices in donors after cardiac death  [PDF]
Alonso A. Mateos Rodríguez, José María Navalpotro Pascual, Vicnete Sanchez Brunete Ingelmo, Francesc Carmona Jiménez
Open Journal of Emergency Medicine (OJEM) , 2013, DOI: 10.4236/ojem.2013.12002

Mechanical CPR (cardiopulmonary resuscitation) devices help performing correct chest compressions in the event of a cardiorespiratory arrest. These devices are comfortable and useful, they keep chest compression following the recommendations as they do not depend on interpersonal variability, they do not get tired, their use is simple and one of the rescuers is released from this task, thus facilitating the assistance. Besides, their use in transport conditions makes it safer. However, when coming to results, these mechanical CPR devices have not clearly demonstrated such an advantage, neither in the field of cardiac arrest, nor in organ preservation in the case of donors after cardiac death. In donors after cardiac death they are widely used by most of the emergency services involved, but a number of injuries produced in lungs during the early years of their use have made it controversial. In this paper we make a review of the road traveled by mechanical CPR devices and of the main articles which mark the way.

Beneficiaries’ Willingness to Pay for Resuscitation Provided by Ambulance Attendants: A Survey Using the Contingent Valuation Approach  [PDF]
Yukie Ito, Manabu Akahane, Akie Maeyashiki, Toshio Ogawa, Tomoaki Imamura
Health (Health) , 2017, DOI: 10.4236/health.2017.910100
Abstract: Background: Japanese emergency medical services (EMS) can be used by anyone for free. Recently, EMS usage has increased; the increased costs and the prolonged time for ambulance transport have become recent social problems. Objective: We surveyed the willingness to pay (WTP) for resuscitation provided by EMS. Methods: In November 2011, men and women (3160) aged 20 - 59 years were asked to assume that they were experiencing a cardiopulmonary arrest (CPA), and their WTP for EMS services was assessed in the following three situations: Case A, ambulance transport alone; Case B, chest compression in addition to ambulance transport; and Case C, artificial ventilation through chest compression and intratracheal intubation, in addition to ambulance transport. We calculated the mean WTP for each case. Results: The WTP for Case A, B, and C were ¥6,696 ($65.0), ¥16,081 ($156.1), and ¥27,505 ($267.0), respectively. The WTP for Case B was significantly higher in respondents aged 40 - 59 years compared to those aged 20 - 39 years. The WTP for case B and C were significantly higher in males compared to females. WTP was significantly lower in students than it was in private employees. Although women’s intention to pay was higher than that of men, their WTP was lower than that of men. Public employees’ and students’ intention to pay was significantly lower than that of private employees. Conclusions: Our study provides information about the optimal fee for EMS, which will be useful for discussions on the feasibility of introducing a fee for EMS in Japan.
O processo comunicativo no servi?o de atendimento móvel de urgência (SAMU-192)
Santos, Maria Claudia dos;Bernardes, Andrea;Gabriel, Carmen Silvia;évora, Yolanda Dora Martinez;Rocha, Fernanda Ludmilla Rossi;
Revista Gaúcha de Enfermagem , 2012, DOI: 10.1590/S1983-14472012000100010
Abstract: this study aims to characterize the communication process among nursing assistants who work in vehicles of the basic life support of the mobile emergency service, in the coordination of this service, and in the unified medical regulation service in a city of the state of s?o paulo, brazil. this descriptive and qualitative research used the thematic content analysis for data analysis. semi-structured interviews were used for the data collection, which was held in january, 2010. results show difficulties in communication with both the medical regulation service and the coordination. among the most highlighted aspects are failures during the radio transmission, lack of qualified radio operators, difficult access to the coordination and lack of supervision by nurses. however, it was possible to detect solutions that aim to improve the communication and, consequently, the service offered by the mobile emergency service.
Helicopter emergency medical services (HEMS) response to out-of-hospital cardiac arrest
Lyon Richard M,Nelson Magnus J
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , 2013, DOI: 10.1186/1757-7241-21-1
Abstract: Background Out-of-hospital cardiac arrest (OHCA) is a common medical emergency with significant mortality and significant neurological morbidity. Helicopter emergency medical services (HEMS) may be tasked to OHCA. We sought to assess the impact of tasking a HEMS service to OHCA and characterise the nature of these calls. Method Retrospective case review of all HEMS calls to Surrey and Sussex Air Ambulance, United Kingdom, over a 1-year period (1/9/2010-1/9/2011). All missions to cases of suspected OHCA, of presumed medical origin, were reviewed systematically. Results HEMS was activated 89 times to suspected OHCA. This represented 11% of the total HEMS missions. In 23 cases HEMS was stood-down en-route and in 2 cases the patient had not suffered an OHCA on arrival of HEMS. 25 patients achieved return-of-spontaneous circulation (ROSC), 13 (52%) prior to HEMS arrival. The HEMS team were never first on-scene. The median time from first collapse to HEMS arrival was 31 minutes (IQR 22–40). The median time from HEMS activation to arrival on scene was 17 minutes (IQR 11.5-21). 19 patients underwent pre-hospital anaesthesia, 5 patients had electrical or chemical cardioversion and 19 patients had therapeutic hypothermia initiated by HEMS. Only 1 post-OHCA patient was transported to hospital by air. The survival to discharge rate was 6.3%. Conclusion OHCA represents a significant proportion of HEMS call outs. HEMS most commonly attend post-ROSC OHCA patients and interventions, including pre-hospital anaesthesia and therapeutic hypothermia should be targeted to this phase. HEMS are rarely first on-scene and should only be tasked as a first response to OHCA in remote locations. HEMS may be most appropriately utilised in OHCA by only attending the scene if a patient achieves ROSC.
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