scholarly journals Emergency Medicine and Hospital Care in the Home and Community

Aging Well ◽  
2019 ◽  
pp. 91-115
Author(s):  
Jean Galiana ◽  
William A. Haseltine
Keyword(s):  
Emergency Medicine ◽  
Hospital Care

Pre-hospital, Maritime In-Transit Care from a Role 2 Afloat Platform

2013 ◽  
Vol 99 (3) ◽  
pp. 135-136
Author(s):  
L Whalley ◽  
S Smith
Keyword(s):  
Emergency Medicine ◽  
Hospital Care ◽  
Medical Assistant ◽  
Personal Experiences ◽  
In Transit ◽  
Maritime Environment

AbstractMaritime In-Transit Care (MITC) is a new concept to allow the provision of pre-hospital care in the maritime environment within Role 2 Afloat (R2A) teams. This article describes the experiences of an Emergency Medicine nurse and a Medical Assistant who made up the MITC team on the recent R2A exercise on RFA CARDIGAN BAY. As well as describing their personal experiences, the concept of the MITC team is introduced and their role within R2A outlined.

Pre-Hospital Care: The New Perspective in the International Rotational Program of Emergency Medicine Residents

2021 ◽  
Vol 104 (Suppl. 1) ◽  
pp. S16-S19
Keyword(s):  
Emergency Medicine ◽  
Hospital Care ◽  
Demographic Data ◽  
Internship And Residency ◽  
Cross Sectional Study ◽  
Choice Test ◽  
Cross Sectional ◽  
Keywords Emergency Medicine ◽  
Post Test ◽  
New Perspective

Background: Cooperation between Japan (Tsukuba University), Laos (The University of Health Sciences), and Thailand (Khon Kaen University) had been established in order that the teaching of doctors in the Emergency Medicine Training Program in Laos could be developed so that these doctors could have the opportunity to be the observers of EMS in Thailand. However, as of this time, no studies related to the pre-hospital care perspective in the International Rotational Program for residents of Emergency Medicine have been conducted. Objective: To survey the perspectives of pre-hospital care for residents from Laos, who were participating in the International Rotational Program of Emergency Medicine. Materials and Methods: This was a retrospective cross-sectional study conducted between January and March 2020 with thirdyear residents in Emergency Medicine from Laos, who had come to gain practice at the EMS of Srinagarind Hospital in Thailand. Before starting the session, data was collected from all participants, which consisted of responses to a multiple-choice test, demographic data, and satisfaction surveys. Results: A total of eight emergency medicine residents were enrolled and were then divided into three groups. Under normal conditions, the EMS duration time was thirty-two hours for each group. During the first week of the course, knowledge was disseminated through lectures. During the second week, the participants were placed on duty. After that, they received calls from the 1669 center and were dispatched with the EMS operation team. Finally, over the duration of a two-week period, they were placed in the role of being observers on ambulance duty. When comparing the Pre-test and Post-test assessment of their EMS knowledge, a significant increase in their scores from 3.4 to 8.5 (p = 0.010) was found. In addition, the medical oversight had increased from 2.4 to 8.4 (p = 0.005), while the EMS systems had significantly increased from 4.2 to 8.6 (p = 0.014). Conclusion: The International Rotational Program for Emergency Medicine residents, which had focused on the EMS aspects with EMS knowledge, Medical Oversight, and on the EMS systems, was found to be successful for the doctors from Laos. Keywords: Emergency medicine, Internship and Residency, Emergency Medical Services, Learning

The hostile environment

2020 ◽  
pp. 539-562
Author(s):  
Ian Greaves ◽  
Keith Porter
Keyword(s):  
Emergency Medicine ◽  
Hospital Care ◽  
Cold Injury ◽  
Hostile Environment ◽  
Near Drowning ◽  
Diagnosis And Management

Pre-hospital care and emergency medicine in the hostile environment poses particular challenges for those providing care to the patient. This chapter covers hypothermia, cold injury, avalanche rescue, heat-related illness, drowning and near drowning, diving emergencies, and electrocution injury. For each environment, mechanisms, diagnosis, and management are listed.

scholarly journals Applying Hospital Evidence to Paramedicine: Issues of Indirectness, Validity and Knowledge Translation

CJEM ◽  
2015 ◽  
Vol 17 (3) ◽  
pp. 281-285 ◽  
Author(s):  
Blair Bigham ◽  
Michelle Welsford
Keyword(s):  
Emergency Medicine ◽  
Economic Evaluation ◽  
Best Practices ◽  
Resource Availability ◽  
Hospital Care ◽  
Critical Appraisal ◽  
Scientific Evidence ◽  
Hospital Setting ◽  
Hospital Environment ◽  
Mobile Environment

AbstractThe practice of emergency medicine (EM) has been intertwined with emergency medical services (EMS) for more than 40 years. In this commentary, we explore the practice of translating hospital based evidence into the prehospital setting. We will challenge both EMS and EM dogma—bringing hospital care to patients in the field is not always better. In providing examples of therapies championed in hospitals that have failed to translate into the field, we will discuss the unique prehospital environment, and why evidence from the hospital setting cannot necessarily be translated to the prehospital field. Paramedicine is maturing so that the capability now exists to conduct practice-specific research that can inform best practices. Before translation from the hospital environment is implemented, evidence must be evaluated by people with expertise in three domains: critical appraisal, EM, and EMS. Scientific evidence should be assessed for: quality and bias; directness, generalizability, and validity to the EMS population; effect size and anticipated benefit from prehospital application; feasibility (including economic evaluation, human resource availability in the mobile environment); and patient and provider safety.

scholarly journals Described Practices for Assessing Fluid Resuscitation in Acute Hospital Care: A Qualitative Study

2019 ◽  
Vol 18 (4) ◽  
pp. 223-231
Author(s):  
Edward Lloyd ◽  
◽  
Agnieszka Ignatowicz ◽  
Elizabeth Sapey ◽  
Daniel Lasserson ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Qualitative Study ◽  
Thematic Analysis ◽  
Fluid Resuscitation ◽  
Hospital Care ◽  
Structured Interview ◽  
Acute Hospital ◽  
History Taking ◽  
Acute Hospital Care ◽  
Screening Assessment

Fluid resuscitation is a widely-used treatment in acute and emergency medicine, however, the process used to perform a fluid assessment has never been studied. This qualitative study explored how acute physicians describe their approach to assessing for fluid resuscitation. 18 clinicians of varying grades consented to a semi-structured interview. Transcripts were coded and analysed using thematic analysis. Participants described three subtypes of assessment; screening assessment, emergency assessment and formal assessment. Whether a patient was ‘sick’ was key to determining which assessment they would receive. Marked heterogeneity was noted in the assessment processes, particularly regarding the use of history-taking. Further research is required to determine how the information gathered in these assessments is used to decide when fluid resuscitation is indicated.

scholarly journals Emergency Medical Service System: World and the Changing Indian Scenario

JMS SKIMS ◽  
2012 ◽  
Vol 15 (2) ◽  
pp. 101-105
Author(s):  
Sameena Mufti ◽  
Showkat Ali Mufti
Keyword(s):  
Emergency Medicine ◽  
Emergency Medical Service ◽  
Hospital Care ◽  
Medical Service ◽  
Life Support ◽  
Service System ◽  
Medical Council ◽  
Emergency Medical Service System ◽  
Emergency Medical ◽  
Medical Service System

Emergency Medical Service System(EMSS) is a specialty in which time is critical. Broadly, EMSS consists of pre-hospital care (synonyms, out of hospital care), emergency medical services and in-hospital care (popularly called emergency medicine). Dynamic as it is, EMSS is fast changing throughout the world. It may be in its infancy in India but change is imminent and can be perceived in many states and union territories where the pre-hospital care is becoming organized; life-support ambulances can be visualized on the roads. Medical Council of India's recent stand by permitting universities to start the MD course in Emergency Medicine and documenting the minimum standard requirements regarding infrastructure & manpower for recognition are steps in the right direction. JMS 2012;15(2):101-105

scholarly journals Planning Recommendations for International Emergency Medicine and Out-of-hospital Care System Development

2000 ◽  
Vol 7 (8) ◽  
pp. 911-917 ◽  
Author(s):  
C. James Holliman ◽  
Michael J. VanRooyen ◽  
Gary B. Green ◽  
Thomas D. Kirsch ◽  
Herman H. Delooz ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Hospital Care ◽  
System Development ◽  
International Emergency Medicine ◽  
Care System

Oxford Handbook of Clinical Specialties

2016 ◽  
Author(s):  
Andrew Baldwin ◽  
Nina Hjelde ◽  
Charlotte Goumalatsou ◽  
Gil Myers
Keyword(s):  
Primary Care ◽  
Emergency Medicine ◽  
Medical Students ◽  
Hospital Care ◽  
Unique Feature ◽  
Junior Doctors ◽  
Specialty Area ◽  
Medical Specialties ◽  
The Core ◽  
Core Content

This title provides a unique resource for medical students and junior doctors as a definitive guide to the medical specialties. It is divided into 14 chapters, each covering a specialty area, including obstetrics, paediatrics, gynaecology, psychiatry, ophthalmology, primary care, ENT, dermatology, anaesthesia, eponymous syndromes, orthopaedics, trauma, emergency medicine, and pre-hospital care. Each chapter aims to cover the core content of the specialty in a concise and logical way, focussing on presentation, diagnosis and management of specific conditions and giving clear advice on clinical management. A unique feature of both books is the use of humour, anecdotes and philosophical asides, helping ensure a rounded, patient-centred approach to the practise of medicine.

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