Impact of shift duration on alertness among air-medical emergency care clinician shift workers

2019 ◽  
Vol 62 (4) ◽  
pp. 325-336 ◽  
Author(s):  
P. Daniel Patterson ◽  
Matthew D. Weaver ◽  
Mark A. Markosyan ◽  
Charity G. Moore ◽  
Frank X. Guyette ◽  
...  
Keyword(s):  
Emergency Care ◽  
Medical Emergency ◽  
Shift Workers

scholarly journals Evaluating the Management Information System of Integrated Medical Emergency Care in Batang Regency, Indonesia

2020 ◽  
Vol 16 (07) ◽  
pp. 75
Author(s):  
Wahyu Sulistiadi ◽  
Siti Nurhidayah ◽  
Al Asyary
Keyword(s):  
Developing Countries ◽  
Data Collection ◽  
Emergency Care ◽  
Traffic Accidents ◽  
Emergency Services ◽  
Health Sector ◽  
Medical Emergency ◽  
Easy Access ◽  
Central Java

An emergency can happen anywhere and anytime, especially in developing countries with a high potential for emergencies, such as Eastern European countries as well as Indonesia. This study aimed to find out the quality of PSC 119 Si Slamet as a prehospital emergency service innovation. The data collection in this study was carried out in a location, namely, Batang Regency, Indonesia, in May–June 2018. The qualitative data collection methods used in this study are in-depth interviews and document reviews. This study was using Service Quality (Servqual) questionnaire. The results show that PSC 119 Si Slamet provides easy access to emergency services to the community 24 hours a day and 7 days a week by simply calling 119 numbers, sending messages via SMS and WhatsApp, or using the Android-based application, with a maximum response time target of 10 minutes. Batang is one of the regencies (rural area) in Central Java province, located on the main coastline, with a hilly geographic condition with many derivatives, climbs, and sharp curves, which is one of the causes of the high number of traffic accidents in the area. This emergency care information systems, with Android-based application, was aimed at improving the quality of services in the health sector, especially emergency services. This service is of good quality as seen from the tangible, reliability, responsiveness, assurance, and empathy dimensions. However, in the implementation, the socialization aspect is not the best to some people. The recommendation given was the need to increase the PSC 119 socialization of Si Slamet not only regionally but also internationally to be massive, especially in developing countries.

scholarly journals Medical Emergency Education Using Emergency Care Simulators in the School of Pharmaceutical Sciences

2008 ◽  
Vol 128 (7) ◽  
pp. 1045-1055 ◽  
Author(s):  
Jin TOKUNAGA ◽  
Norito TAKAMURA ◽  
Kenji OGATA ◽  
Hiroki YOSHIDA ◽  
Kazuhiro TOTORIBE ◽  
...  
Keyword(s):  
Emergency Care ◽  
Medical Emergency ◽  
Pharmaceutical Sciences ◽  
Emergency Education

Medical Legal Implications When Providing Emergency Care on a Commercial Flight

2021 ◽  
Vol 92 (7) ◽  
pp. 588-592
Author(s):  
Pascal J. de Caprariis ◽  
Ann Di Maio
Keyword(s):  
Emergency Care ◽  
Health Care Professionals ◽  
Medical Emergency ◽  
Medical Documentation ◽  
Legal Assistance ◽  
Good Samaritan ◽  
Legal Implications ◽  
Malpractice Insurance ◽  
Commercial Flight ◽  
Airline Crews

INTRODUCTION: U.S. airlines often request a healthcare professional to volunteer to assist an ill passenger. Litigation from a Good Samaritans care of an in-flight medical emergency (IME) is considered improbable. The 1998 Aviation Medical Assistance Act (AMAA) encourages health care professionals to volunteer with indemnity for standard and good medical care. It does not offer legal or financial assistance. Our review explored the legal support malpractice companies and U.S. airlines provide if litigation is initiated for IME care. Malpractice insurance policies can differ on IME coverage. We found most private practice physicians policies include IME. Medical institutions may have policies restricting their physicians coverage to the institutions location. Those without malpractice coverage will need to retain and pay for a legal defense to demonstrate no gross negligence and no willful misconduct. The physicians, airline crews, and on-ground IME documentation support should be retained by the Good Samaritan especially for a pediatric or adolescent ill passenger. U.S. airlines consider a Good Samaritan medical volunteer as a passenger and do not extend legal assistance. This contrasts with some foreign airlines that do provide liability protection. Knowledge of the malpractice policy IME coverage is essential prior to traveling by air. After completing care for an ill passenger, physicians should generate their medical documentation and request the IME documentation generated by the airline and on-ground medical expert. We also believe U.S. airlines should assume responsibility to provide legal assistance to a Good Samaritan physician in the event of IME litigation.de Caprariis PJ, Di Maio A. Medical legal implications when providing emergency care on a commercial flight. Aerosp Med Hum Perform. 2021; 92(7):588592.

scholarly journals PreSSUB II: The prehospital stroke study at the Universitair Ziekenhuis Brussel II

2015 ◽  
Vol 3 (2) ◽  
pp. 57-63 ◽  
Author(s):  
Alexis Valenzuela Espinoza ◽  
Robbert-Jan Van Hooff ◽  
Ann De Smedt ◽  
Maarten Moens ◽  
Laetitia Yperzeele ◽  
...  
Keyword(s):  
Emergency Care ◽  
Therapeutic Process ◽  
Health Economic Evaluation ◽  
Well Being ◽  
Stroke Care ◽  
Medical Emergency ◽  
Hospital Treatment ◽  
Diagnostic Process ◽  
Efficacy Analysis ◽  
Intervention Team

Abstract Rationale: Stroke is a time-critical medical emergency requiring specialized treatment. Prehospital delay contributes significantly to delayed or missed treatment opportunities. In-ambulance telemedicine can bring stroke expertise to the prehospital arena and facilitate this complex diagnostic and therapeutic process. Aims: This study evaluates the efficacy, safety, feasibility, reliability and cost-effectiveness of in-ambulance telemedicine for patients with suspicion of acute stroke. We hypothesize that this approach will reduce the delay to in-hospital treatment by streamlining the diagnostic process and that prehospital stroke care will be improved by expert stroke support via telemedicine during the ambulance transportation. Design: PreSSUB II is an interventional, prospective, randomized, open-blinded, end-point, single-center trial comparing standard emergency care by the Paramedic Intervention Team of the Universitair Ziekenhuis Brussel (control) with standard emergency care complemented with in-ambulance teleconsultation service by stroke experts (PreSSUB). Study Outcomes: The primary efficacy endpoint is the call-to-brain imaging time. Secondary endpoints for the efficacy analysis include the prevalence of medical events diagnosed and corrected during in-ambulance teleconsultation, the proportion of patients with ischemic stroke receiving recanalization therapy, the assessment of disability, functional status, quality of life and overall well-being. Mortality at 90 days after stroke is the primary safety endpoint. Secondary safety analysis will involve the registration of any adverse event. Other analyses include assessment of feasibility and reliability and a health economic evaluation.

scholarly journals The FIFA medical emergency bag and FIFA 11 steps to prevent sudden cardiac death: setting a global standard and promoting consistent football field emergency care

2013 ◽  
Vol 47 (18) ◽  
pp. 1199-1202 ◽  
Author(s):  
Jiri Dvorak ◽  
Efraim B Kramer ◽  
Christian M Schmied ◽  
Jonathan A Drezner ◽  
David Zideman ◽  
...  
Keyword(s):  
Sudden Cardiac Death ◽  
Emergency Care ◽  
Cardiac Death ◽  
Medical Emergency ◽  
Football Field

scholarly journals Moscow ambulance station. From origin to modern times

2019 ◽  
Vol 2 (31) ◽  
pp. 5-10
Author(s):  
N. F. Plavunov ◽  
V. A. Kadyshev ◽  
A. M. Sidorov ◽  
A. N. Rozhenetskiy ◽  
L. F. Verkhoturova
Keyword(s):  
Medical Care ◽  
Emergency Care ◽  
100Th Anniversary ◽  
Medical Emergency ◽  
Time Of Arrival ◽  
Emergency Medical Care ◽  
Medical Sciences ◽  
Modern Times ◽  
Emergency Medical ◽  
Analysis Of Performance

This article is dedicated to the 100th anniversary of the establishment of the Ambulance and Medical Emergency Care Station n. a. A. S. Puchkov in Moscow. Alexander Sergeyevich Puchkov, Doctor of Medical Sciences, Honored Doctor of the RSFSR, steadily led her from 1923 to 1952. The data presented in the articles of Mr. Puchkov served as the basis for comparing indicators about the station’s activities during its formation and the modern ambulance and emergency medical services in Moscow. Some features, characteristics and conditions for the provision of emergency and emergency medical care in Moscow in the year 1926 are shown. So, for example, the number of brigades increased by 68.7 times (from 15 in 1926 to 1,031 in 2018). The average time of arrival of the brigade for an accident both in 1926 and in 2018 is 10–12 minutes long. The share of calls by ambulance teams to children under 15 years of age has also increased significantly. The analysis of performance over the years has made it possible to trace the development of the ambulance station from the time of its creation to the present day. The fundamental principles laid down by Alexander S. Puchkov remain in the ambulance work at the present time. Doctors and paramedics of ambulance and emergency medical care teams continue to promptly provide medical care to all those in need, guided by many provisions that were developed and implemented over 90 years ago.

Maritime Pre-Hospital Emergency Care Primary Retrieval Team – Operational Considerations

2012 ◽  
Vol 98 (1) ◽  
pp. 16-18
Author(s):  
D Newman
Keyword(s):  
Emergency Response ◽  
Emergency Care ◽  
Clinical Skills ◽  
Medical Emergency ◽  
Nurse Specialist ◽  
Hospital Emergency ◽  
Retrieval Team ◽  
Response Team ◽  
And Training ◽  
Maritime Environment

AbstractThis article examines the non clinical skills and training required for effective maritime pre-hospital emergency care provision within a Role Two Afloat facility, allowing for a Primary Retrieval Team to be deployed in support of boarding operations. The provision of pre-hospital emergency care and sending a retrieval team forward has been trialled in various forms. In 2010 and 2011 a R2A team was deployed aboard RFA FORT VICTORIA. This included a Primary Retrieval Team consisting of an Emergency Nurse Specialist, a Medical Assistant which can be enhanced when required by an Emergency Care or Anaesthetic Consultant. This differs from the land operations support provided by the airborne Medical Emergency Response Team (MERT) as the maritime environment requires a bespoke solution for casualty retrieval as the method of deployment and the type of casualties and their locations may be more varied, requiring greater flexibility of approach.

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