Teleconsultation in pre-hospital emergency medical services: Real-time telemedical support in a prospective controlled simulation study

Resuscitation ◽  
2012 ◽  
Vol 83 (5) ◽  
pp. 626-632 ◽  
Author(s):  
Max Skorning ◽  
Sebastian Bergrath ◽  
Daniel Rörtgen ◽  
Stefan K. Beckers ◽  
Jörg C. Brokmann ◽  
...  
2021 ◽  
Vol 136 (1_suppl) ◽  
pp. 40S-46S
Author(s):  
Benjamin D. Hallowell ◽  
Laura C. Chambers ◽  
Jason Rhodes ◽  
Melissa Basta ◽  
Samara Viner-Brown ◽  
...  

Objective No case definition exists that allows public health authorities to accurately identify opioid overdoses using emergency medical services (EMS) data. We developed and evaluated a case definition for suspected nonfatal opioid overdoses in EMS data. Methods To identify suspected opioid overdose–related EMS runs, in 2019 the Rhode Island Department of Health (RIDOH) developed a case definition using the primary impression, secondary impression, selection of naloxone in the dropdown field for medication given, indication of medication response in a dropdown field, and keyword search of the report narrative. We developed the case definition with input from EMS personnel and validated it using an iterative process of random medical record review. We used naloxone administration in consideration with other factors to avoid misclassification of opioid overdoses. Results In 2018, naloxone was administered during 2513 EMS runs in Rhode Island, of which 1501 met our case definition of a nonfatal opioid overdose. Based on a review of 400 randomly selected EMS runs in which naloxone was administered, the RIDOH case definition accurately identified 90.0% of opioid overdoses and accurately excluded 83.3% of non–opioid overdose–related EMS runs. Use of the case definition enabled analyses that identified key patterns in overdose locations, people who experienced repeat overdoses, and the creation of hotspot maps to inform outbreak detection and response. Practice Implications EMS data can be an effective tool for monitoring overdoses in real time and informing public health practice. To accurately identify opioid overdose–related EMS runs, the use of a comprehensive case definition is essential.


2010 ◽  
Vol 50 (3) ◽  
pp. 356-360 ◽  
Author(s):  
Pembe Keskinoglu ◽  
Turhan Sofuoglu ◽  
Okan Özmen ◽  
Melih Gündüz ◽  
Mehmet Ozkan

2013 ◽  
Vol 3 (4) ◽  
pp. 172-177 ◽  
Author(s):  
Nichole Bosson ◽  
Michael A. Redlener ◽  
George L. Foltin ◽  
Maria C. Raven ◽  
Mark P Foran ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fateme Mohammadi ◽  
Banafsheh Tehranineshat ◽  
Mostafa Bijani ◽  
Ali Asghar Khaleghi

Abstract Background As the first link in the chain of providing healthcare services in the frontline of the battle against COVID-19, emergency medical services (EMS) personnel are faced with various challenges, which affect their professional performance. The present study aimed to identify some strategies to manage the COVID-19-related challenges faced by the pre-hospital emergency care personnel in the south of Iran. Methods In this qualitative descriptive study, 27 pre-hospital emergency care personnel who were selected through the purposeful sampling method. Data were collected through 27 semi-structured, in-depth, individual interviews. The collected data were then analyzed based on the Granheim and Lundman’s method. Results Analysis of the data resulted in the identification of 3 main themes and eight sub-themes. These three main themes were as follows: comprehensive and systematic planning, provision of medical equipment, and reduction of professional challenges. Conclusion The findings of the present study showed that, during the COVID-19 crisis, emergency medical services personnel should be provided with a comprehensive and systematic protocol to provide pre-hospital care and their performance should be assessed in terms of a set of scientific standards. Due to lack of equipment and work overload in the current crisis, emergency medical services personnel are faced with many psychological challenges, which adversely affect their quality of pre-hospital emergency care. Furthermore, emergency care senior managers should develop comprehensive protocols, provide more equipment, and eliminate professional challenges to pave the ground for improving the quality and safety of the healthcare services in pre-hospital emergency care during the current COVID-19 crisis.


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