Modeling Earthquake-Related Medical Evacuation

2016 ◽  
pp. 57-89
Author(s):  
Xu Liu ◽  
Hongyang Yang ◽  
Haiping Chen ◽  
Lulu Zhang
Keyword(s):  
Medical Evacuation

Penetapan Tarif Ambulans Untuk Evakuasi Medis Berbasis Unit Cost

2021 ◽  
Vol 7 (1) ◽  
pp. 167-173
Author(s):  
Kelvin Riupassa ◽  
Narizma Nova ◽  
Endah Lestari ◽  
Sri Juniarti Azis ◽  
Wahyu Sulistiadi
Keyword(s):  
Recovery Rate ◽  
Unit Cost ◽  
Cost Recovery ◽  
Maintenance Costs ◽  
Total Cost ◽  
Medical Evacuation ◽  
Operational Costs ◽  
Emergency Ambulance ◽  
The Cost ◽  
Cost Components

Background: An ambulance is a vehicle designed to be able to handle emergency patients, provide first aid and carry out intensive care while on the way to a referral hospital. Ambulance operations require a large amount of funds obtained from APBD funds through tariffs that were passed through the DKI Jakarta Governor Regulation five years ago. For this reason, a new tariff is required to adjust to current conditions. Objectives: The purpose of this study is to calculate the unit cost of ambulance services in DKI Jakarta to be a consideration in the tariff setting policy in DKI Jakarta province. Research Metodes: This study uses a quantitative descriptive approach to obtain information about the unit cost of the Jakarta ambulance production unit. The method used is the calculation of real cost using the basis of the causes of costs. This research was conducted at the DKI Jakarta Emergency Ambulance using secondary data on investment costs, operational costs and maintenance costs in 2018. Results: The total cost of emergency ambulance in 2018 is known that the proportion of three cost components, namely operational costs, is 76%, followed by investment costs of 20% and maintenance costs of 3%. The calculation of the total cost of medical evacuation using the double distribution method is Rp. 98,915,016,805.00 divided by the number of medical evacuations in 2018 of 37,564 activities, the unit cost of medical evacuation for the AGD of DKI Jakarta Health Office is Rp. 2,633,215.00 without subsidies. APBD costs, while if the subsidy component is included in the calculation, the unit cost for one trip to the AGD of the Health Office is Rp. 604,071.00. This is still far above the current tariff of Rp. 450.00, so the cost recovery rate (CRR) is still below. 100%. Conclusion: From the three cost components consisting of investment, operational and maintenance costs,the largest proportion was operational costs at 76%. The Cost Recovery Rate has not reached 100% so that the existing rates have not covered the costs incurred.   Keywords: ambulance; price fixing; unit cost

670 Delayed Enzymatic Debridement of Burn Wounds using the Proteolytic Gel SN514

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S191-S192
Author(s):  
Angela R Jockheck-Clark ◽  
Randolph Stone ◽  
Michelle Holik ◽  
Lucy Schaffer ◽  
Shanmugasundaram Natesan ◽  
...  
Keyword(s):  
Burn Injury ◽  
Vehicle Control ◽  
Surrounding Tissue ◽  
Burn Wound ◽  
Burn Wounds ◽  
Delayed Treatment ◽  
Medical Evacuation ◽  
Contamination Levels

Abstract Introduction Thermal burns account for 5–10% of casualties sustained in present-day conflicts and are expected to be one of the most common wounds to occur in future conflicts. In prolonged field care (PFC) situations, medical evacuation could be delayed for days. During this time, burn wounds can become infected, detrimentally impact neighboring tissue, and cause systemic immune responses. Therefore, it is essential to test and evaluate non-surgical debridement agents that could be implemented prior to reaching a Role 3 military treatment facility. This work details how the proprietary proteolytic gel SN514 impacts burn debridement when applied within a PFC-like timeline. SN514 contains an enzyme formulation that is thermostable, easy to apply, and selectively degrades non-viable tissue in vitro and in vivo. Methods Deep-partial thickness contact burns were created using an established porcine model and covered with gauze or an antimicrobial incise drape. Four days later, the burns were treated with one of five treatments: 0.2% SN514, 0.8% SN514, a vehicle control, gauze, or an antimicrobial silver dressing. Treatments were re-applied every 24 hours for 72 to 96 hours. The effects of the treatment regiments were compared histologically. Biopsies were also taken to monitor bacterial contamination levels. Results Burns treated with SN514 were partially debrided and visually distinct from those treated with gauze, the silver dressing, or the vehicle control. Preliminary analyses suggest that SN514-treated burns that had been covered with “dry” gauze had a much lower debridement efficiency than those treated with the incise drape. This suggests that SN514 debridement efficiency may depend on the presence of a moist eschar. Preliminary analyses also suggest that there was little difference in burn wound bacterial counts among the five treatment groups. Conclusions SN514 is able to debride burns that experienced delayed treatment, without any evidence of harm to the surrounding tissue or evidence of exacerbating the original burn injury. SN514-treated wounds displayed little to no blood loss and did not increase burn wound infection levels compared to wounds treated with gauze or an antimicrobial silver dressing.

Legal and clinical aspects of emergency burns

2020 ◽  
Vol 22 (4) ◽  
pp. 208-211
Author(s):  
V. A. Sokolov ◽  
I. F. Shpakov ◽  
Ya. L. Butrin
Keyword(s):  
Russian Federation ◽  
Clinical Aspects ◽  
Practical Skills ◽  
Federal Law ◽  
Emergency Rescue ◽  
Medical Evacuation ◽  
Emergency Situations ◽  
The Russian Federation ◽  
Key Questions

The key questions concerning particular sections of the topic Burns in Emergencies are presented. Particular attention is paid to the presentation of terminology. For this, the wording of the Federal Laws, Government Resolutions and Orders of the Ministry of Health of the Russian Federation were used. In accordance with the latter, the classification of emergency situations is given, as well as the criteria by which their damage is assessed. It has been established that the involvement of the forces and means of the Ministry of Defense in the elimination of the consequences of emergency situations is spelled out in the Federal Law. In addition, an argument is made on what basis the citizens of the Russian Federation are obliged to constantly improve their knowledge and practical skills in studying numerous issues of protecting the population, providing assistance to victims, in carrying out emergency rescue operations, etc. situations that led to massive burns. Key features of burns as injuries sustained in emergency situations are formulated. Also, aggravating circumstances are listed that negatively affect the general condition of the victims. The role and place of clinical guidelines as a fundamental development governing the sequence of the organization and content of medical care for those burned at the stages of medical evacuation are indicated. Attention is drawn to the legal significance of the problem.

The first German Helicopter Medical Evacuation Mission in World War 2

2021 ◽  
Author(s):  
Konrad Schwarzkopf ◽  
Charlotte Schwarzkopf
Keyword(s):  
World War ◽  
World War 2 ◽  
Medical Evacuation

scholarly journals Early Pregnancy Failure: Medical versus Surgical Management

2021 ◽  
Vol 16 (2) ◽  
pp. 63-67
Author(s):  
Nasima Begum ◽  
Shahnaz Akhter ◽  
Luna Laila
Keyword(s):  
Surgical Treatment ◽  
Medical Treatment ◽  
Early Pregnancy ◽  
Randomized Study ◽  
First Trimester ◽  
Patient’S Satisfaction ◽  
Medical Evacuation ◽  
Early Pregnancy Failure ◽  
Surgical Evacuation ◽  
Treatment Use

Introduction: Misoprostol is increasingly used to treat women who have a failed pregnancy may be due to blighted ovum (anembryonic gestation), incomplete abortion, missed abortion, inevitable abortion in the first trimester. Medical treatment with Misoprostol is an alternative to conventional surgical treatment. Use of Misoprostol is simple, highly acceptable, noninvasive and preferred by women. In addition to surgical risk and patient's preference, medical evacuation reduces the need for hospital stay and the overall management cost. Objective: To determine the efficacy and safety of Misoprostol for evacuation of uterus in early pregnancy loss and to compare the result with surgical evacuation. Materials and Methods: It was a prospective randomized study conducted on 50 patients at the department of Obstetrics and Gynaecology, Border Guard Hospital, Dhaka during the period from February 2018 to July 2019. Here 25 patients received Misoprostol as medical treatment and 25 patients received surgical treatment. Results: Of the 25 women assigned to receive Misoprostol, 19(76%) had complete expulsion by 24 hours and 22(88%) by 7 days. Complete evacuation after 1st dose was 68% and after 2nd dose 88%. Misoprostol treatment failed in 3(12%) cases and required surgical evacuation. Among the respondents 80% women stated that they would use Misoprostol again if the need arises. Conclusion: Medical treatment with Misoprostol is a cheaper alternative to surgery. Given its success rate near about 88% with mild side effects controllable with additional medication and above all patient’s satisfaction, it should be prioritized over the evacuation curettage in patients who meet the treatment criteria. JAFMC Bangladesh. Vol 16, No 2 (December) 2020: 63-67

scholarly journals Prevalence, Structure and Nature of Injuries in City of Ryazan and Ryazan Region, According to Records of Emergency Medical Teams

2021 ◽  
pp. 31-34
Author(s):  
S.V. Yankina ◽  
◽  
N.V. Shatrova ◽  
A.Ju Efratov ◽  
Keyword(s):  
Medical Care ◽  
Statistical Data ◽  
Emergency Medical Care ◽  
Medical Evacuation ◽  
Emergency Medical ◽  
Medical Teams ◽  
The City

The aim of the study is to study the prevalence, structure and nature of injuries, to identify the frequency of deaths at the stage of medical evacuation, and to determine the number of injured people who need medical care in medical organizations (LMO), according to the data on requests of the population of the Ryazan region and the city of Ryazan for emergency medical care (SMP). Materials and methods of research. Statistical data on the requests of victims with injuries for emergency medical care in the Ryazan region and the city of Ryazan are analyzed. Materials of the study – maps of calls of the SMP teams in Ryazan and statistical data for the Ryazan region for 2017-2019. The results of the study and their analysis. The most frequent causes of injuries, their nature, the frequency of requests of the population of the Ryazan region and the city of Ryazan for emergency medical care, the number of deaths and the frequency of hospitalizations for injuries were determined.

scholarly journals Airfild evacuation center: experience of the interaction between the medical service of the Armed Forces of the Russian Federation, the Disaster Medicine Service and the Ambulance Service

2019 ◽  
pp. 39-45
Author(s):  
A. U. Mursalov ◽  
R. I. Minnullin ◽  
A. I. Makhnovskii
Keyword(s):  
Medical Care ◽  
Medical Service ◽  
Tension Pneumothorax ◽  
Armed Forces ◽  
Disaster Medicine ◽  
Ambulance Service ◽  
Leningrad Region ◽  
Medical Evacuation ◽  
Abdominal Bleeding ◽  
Medicine Service

Relevance. One of the important tasks in the provision of emergency medical care to victims of the mass-causalty incident is a medical triage in order to determine the priority of medical care and the priority of medical evacuation.Intention. To work out issues of interaction between the medical service of the Armed Forces of Russia, the Disaster Medicine Service and the Ambulance Service.Methodology. The program of the 16th All-Russian Congress “Ambulance 2017”, tactical and special exercises on the deployment of airfield evacuation center were included as a training and demonstration event . According to the plan of the exercise, several mass-causalty areas resulted from terrorist attacks along the border of the Leningrad Region.Results and discussion. To accomplish the tasks, an evacuation center was deployed with a capacity of up to 200 wounded and sick per day, evacuation capability of 32 stretcher wounded, and 4 h deployment time. During the exercise, non-invasive screening studies to proactively diagnose intracranial hematomas (portable infrared scanner), tension pneumothorax, hemopericardium, intrapleural and intra-abdominal bleeding (portable US device using FAST protocol), acute blood loss (portable laboratory analyzer) were performed in addition to standard examinations. To determine the priority of medical evacuation of victims, an improved Revised Trauma Score (RTS) scale with user-friendly software for Android mobile devices (smartphone, tablet) was used. In case of mass-causalty event and a shortage of specialized sanitary transport, those who needed urgent specialized medical care were transferred from an evacuation center via radial evacuation to specialized medical organizations subordinated to the Ministry of Defense, the Ministry of Health and the subjects of Russia.Conclusion. The feasibility of deploying an airfield evacuation center to eliminate the health effects of emergencies was determined by potential discrepancy between evacuation capacities of air transport and ambulances, on one hand, and the need to temporarily accommodate (including isolation) and provide emergency health care to victims. 

Role of the sanitary aviation in cases of emergent medical assistance and medical evacuation of the population in the Republic of Sakha (Yakutia)

2020 ◽  
pp. 57-60
Author(s):  
S.A. Evseeva ◽  
N.M. Gogolev ◽  
V.A. Sotnikov ◽  
T.E. Burtseva ◽  
E.A. Borisova ◽  
...  
Keyword(s):  
Medical Assistance ◽  
Medical Evacuation ◽  
The Republic
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