Recognition and Treatment of Eclampsia on a Rural Scene Call: A Case Study of Coordinated Ground and Air Emergency Medical Services

2017 ◽  
Vol 36 (6) ◽  
pp. 341-343
Author(s):  
Harinder S. Dhindsa ◽  
Jessica H. Burns ◽  
Beverly G. Harris ◽  
Clinton C. Schott ◽  
Lisa M. Dodd
2018 ◽  
Vol 192 ◽  
pp. 01038 ◽  
Author(s):  
Pakinai Chaicharoenwut ◽  
Jarotwan Koiwanit ◽  
Pannapa Changpetch ◽  
Sirisuda Buatongkue ◽  
Chumpol Yuangyai

Dedicated emergency medical services (EMS) are important to patients’ chances of survival. In particular, the quicker such services arrive at the scene of an incident, the higher the survival rate. Therefore, the management of ambulance bases is an essential aspect of emergency medical services. Further, the locations of ambulance bases are determined based on patient demand. However, in practice, many elements should be taken into account in a risk assessment of given areas within a locale. Specifically, each area should be assessed for the number and severity of accidents that ordinarily take place there, the number and size of the public events it hosts, its population density, and the number of elderly people resident. In this study, we use a spatial-temporal approach to integrate those factors into a risk assessment of areas relative to each other in a locale. Based on this risk assessment, we determine the optimal locations for ambulance bases in order to minimize response time. We validate our approach using Bangkok as a case study.


2018 ◽  
Vol 10 (4) ◽  
Author(s):  
Jari Haverinen ◽  
Maarit Kangas ◽  
Lasse Raatiniemi ◽  
Matti Martikainen ◽  
Jarmo Reponen

The field of emergency medical services (EMS) is a challenging environment for ensuring fluent information exchange between stakeholders because several different kinds of organizations are involved in EMS missions. Solutions for information and communication technology can vary significantly depending on the organization. This study aims to identify current communication bottlenecks between EMS professionals, understand the technological challenges behind them, and describe technologies that can improve EMS communication in the future. Information for the study about current EMS processes, technologies, and technology needs was collected from EMS professionals during three workshops, five personal interviews, and one email questionnaire. All surveyed health care professionals were working in the county of Northern Ostrobothnia. Information about proposed technologies for EMS was obtained from literature and interviews with five technology companies. The principal problem in EMS communication is scattered health data. This leads to a lack of common situational awareness for professionals and incomplete medical histories for patients. The reasons behind those problems are different information systems which do not communicate with each other and the lack of a common electronic patient care record (ePCR) for use by stakeholders. Personal health measurements, sensors, telemedicine, and artificial intelligence will create opportunities for further improving the flow of communication in EMS, provided those tools can be integrated into decision-making systems. 


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