scholarly journals Global positioning system alerted volunteer first responders arrive before emergency medical services in more than four out of five emergency calls

Resuscitation ◽  
2020 ◽  
Vol 152 ◽  
pp. 170-176 ◽  
Author(s):  
Laura Sarkisian ◽  
Hans Mickley ◽  
Henrik Schakow ◽  
Oke Gerke ◽  
Gitte Jørgensen ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Global Positioning System ◽  
First Responders ◽  
Medical Services ◽  
Positioning System ◽  
Emergency Calls ◽  
Emergency Medical ◽  
Global Positioning

Review of "Rhetorical work in emergency medical services: Communicating in the unpredictable workplace by Elizabeth Angeli," Angeli, E. L. (2019). Rhetorical work in emergency medical services: communicating in the unpredictable workplace. Routledge

2021 ◽  
Vol 9 (1) ◽  
pp. 39-41
Author(s):  
Elizabeth E. Weems
Keyword(s):  
Emergency Medical Services ◽  
Rhetorical Analysis ◽  
First Responders ◽  
Professional Communication ◽  
Medical Services ◽  
Emergency Medical

In Rhetorical Work in Emergency Medical Services: Communicating in the Unpredictable Workplace (2019), Elizabeth L. Angeli explores the unpredictable workplaces which are the locations of emergency medical services provided by first responders, the EMS personnel who receive 911 calls but may have little idea about what to expect once they arrive at the site of the emergency. While rhetoric of health medicine (RHM) is not a new area of rhetoric, Angeli found little research about EMS professional rhetoric, leaving a void in understanding the modes of communication in these ever-changing, life-altering workplaces. Her text began as part of her dissertation project but morphed into a rhetorical analysis/EMS rhetorical training pedagogy for Technical Professional Communication (TPC) and RHM as well as EMS trainers and trainees.

scholarly journals Mapping Spatiotemporal Diffusion of COVID-19 in Lombardy (Italy) on the Base of Emergency Medical Services Activities

2020 ◽  
Vol 9 (11) ◽  
pp. 639
Author(s):  
Lorenzo Gianquintieri ◽  
Maria Antonia Brovelli ◽  
Andrea Pagliosa ◽  
Gabriele Dassi ◽  
Piero Maria Brambilla ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Medical Services ◽  
Strongly Correlated ◽  
Spatiotemporal Evolution ◽  
Lombardy Region ◽  
Respiratory Problems ◽  
Emergency Calls ◽  
Emergency Medical ◽  
And Gender ◽  
Early Phases

The epidemic of coronavirus-disease-2019 (COVID-19) started in Italy with the first official diagnosis on 21 February 2020; hence, it is now known how many cases were already present in earlier days and weeks, thus limiting the possibilities of conducting any retrospective analysis. We hypothesized that an unbiased representation of COVID-19 diffusion in these early phases could be inferred by the georeferenced calls to the emergency number relevant to respiratory problems and by the following emergency medical services (EMS) interventions. Accordingly, the aim of this study was to identify the beginning of anomalous trends (change in the data morphology) in emergency calls and EMS ambulances dispatches and reconstruct COVID-19 spatiotemporal evolution on the territory of Lombardy region. Accordingly, a signal processing method, previously used to find morphological features on the electrocardiographic signal, was applied on a time series representative of territorial clusters of about 100,000 citizens. Both emergency calls and age- and gender-weighted ambulance dispatches resulted strongly correlated to COVID-19 casualties on a provincial level, and the identified local starting days anticipated the official diagnoses and casualties, thus demonstrating how these parameters could be effectively used as early indicators for the spatiotemporal evolution of the epidemic on a certain territory.

Narrative Therapy to Address Trauma for Emergency Medical Services and Firefighters

2020 ◽  
pp. 243-257
Author(s):  
Amanda C. DeDiego ◽  
Isabel C. Farrell ◽  
Andrea M. McGrath
Keyword(s):  
Mental Health ◽  
Emergency Medical Services ◽  
Mental Health Treatment ◽  
Narrative Therapy ◽  
First Responders ◽  
Medical Services ◽  
Mental Health Stigma ◽  
First Responder ◽  
Emergency Medical ◽  
Peer Perception

First responders, including Emergency Medical Services personnel and firefighters, support community members in times of crisis. When responding to emergencies, first responders often experience both direct and vicarious trauma. Over time, the pace and intensity of a career as a first responder leads to poor health habits and high risk for mental health issues including posttraumatic stress disorder. Due to concern about peer perception and mental health stigma, these professionals are less likely to seek mental health supports to manage and process trauma. This chapter explores Narrative Therapy as an ideal option for mental health treatment of first responder trauma, providing a collaborative approach to therapy using the natural coping strategy of storytelling.

Narrative Therapy to Address Trauma for Emergency Medical Services and Firefighters

2021 ◽  
pp. 503-517
Author(s):  
Amanda C. DeDiego ◽  
Isabel C. Farrell ◽  
Andrea M. McGrath
Keyword(s):  
Mental Health ◽  
Emergency Medical Services ◽  
Mental Health Treatment ◽  
Narrative Therapy ◽  
First Responders ◽  
Medical Services ◽  
Mental Health Stigma ◽  
First Responder ◽  
Emergency Medical ◽  
Peer Perception

First responders, including Emergency Medical Services personnel and firefighters, support community members in times of crisis. When responding to emergencies, first responders often experience both direct and vicarious trauma. Over time, the pace and intensity of a career as a first responder leads to poor health habits and high risk for mental health issues including posttraumatic stress disorder. Due to concern about peer perception and mental health stigma, these professionals are less likely to seek mental health supports to manage and process trauma. This chapter explores Narrative Therapy as an ideal option for mental health treatment of first responder trauma, providing a collaborative approach to therapy using the natural coping strategy of storytelling.

scholarly journals Trends and Characteristics of Emergency Medical Services in Italy: A 5-Years Population-Based Registry Analysis

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 551
Author(s):  
Sara Campagna ◽  
Alessio Conti ◽  
Valerio Dimonte ◽  
Marco Dalmasso ◽  
Michele Starnini ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Emergency Departments ◽  
Healthcare Services ◽  
Population Based ◽  
Medical Services ◽  
Chi Square ◽  
Quality Healthcare ◽  
Emergency Calls ◽  
Emergency Medical ◽  
Private Citizens

Background: Emergency Medical Services (EMS) plays a fundamental role in providing good quality healthcare services to citizens, as they are the first responders in distressing situations. Few studies have used available EMS data to investigate EMS call characteristics and subsequent responses. Methods: Data were extracted from the emergency registry for the period 2013–2017. This included call and rescue vehicle dispatch information. All relationships in analyses and differences in events proportion between 2013 and 2017 were tested against the Pearson’s Chi-Square with a 99% level of confidence. Results: Among the 2,120,838 emergency calls, operators dispatched at least one rescue vehicle for 1,494,855. There was an estimated overall incidence of 96 emergency calls and 75 rescue vehicles dispatched per 1000 inhabitants per year. Most calls were made by private citizens, during the daytime, and were made from home (63.8%); 31% of rescue vehicle dispatches were advanced emergency medical vehicles. The highest number of rescue vehicle dispatches ended at the emergency department (74.7%). Conclusions: Our data showed that, with some exception due to environmental differences, the highest proportion of incoming emergency calls is not acute or urgent and could be more effectively managed in other settings than in an Emergency Departments (ED). Better management of dispatch can reduce crowding and save hospital emergency departments time, personnel, and health system costs.

Reaction times as indicators of the quality of expert work of belgrade municipal institutions for emergency medical services

Open Medicine ◽  
2013 ◽  
Vol 8 (1) ◽  
pp. 90-95
Author(s):  
Slađana Anđelic ◽  
Nenad Ivančević ◽  
Snežana Bogunović
Keyword(s):  
Emergency Medical Services ◽  
Reaction Times ◽  
Objective Evaluation ◽  
Quality Of Healthcare ◽  
Medical Services ◽  
Time Interval ◽  
Call Centre ◽  
Emergency Calls ◽  
Emergency Medical

AbstractIntroduction. Methodological Instructions for Procedures of Healthcare Institution Reports on the Indicators of the Quality of Healthcare from 2007 also involve reaction times (RTs) I, II, I+II, III and IV, as the obligatory indicator of the quality of expert work of Emergency Medical Services (EMS). Objective. Evaluation of the quality of expert work of Belgrade EMS based on RTs. Methods. A retrospective analysis of priority 1 emergency calls in September 2009 vs September 2010, and RTs from I to IV as the recommended indicators of the quality of expert work of Belgrade EMS. Results. As detected, in 2010 there has been decrease in the total number of calls for physicians, and the total number of priority 1 emergency calls. By comparing RTs, the obtained data showed that in 2010 the time elapsed from when a priority 1 call was received until it was handed to the EMS team for implementation (RT I) was on average faster by 0.1 min (p<0.01), that the time elapsed from the dispatcher’s receipt of the call until the EMS team arrived to the patient (RT II) was faster on average by 0.42 min (p<0.05), and that the time for the team to reach the patient after the received call through the call centre (RT I+II) was faster by 0.15 min. Also, in 2010, RT III was shortened by 1.27 min and RT IV by 1.00 min. By summing RTs I, II and III, independently resolved level I emergency calls at the scene are obtained. In 2009, this time interval was, on average 38.02 min, and in 2010 it was an average of 36.23 min. By summing RTs I, II and IV, the time elapsed from the call received through the call centre until the patient’s hospital admission is obtained. In 2009 this time was average 31.08 min, and in 2010 it was average 29.16 min. Conclusion. One of the major advances in emergency medicine is providing assistance to a request for emergency medical care where this is produced. Therefore, the indicator of RTs may measure the quality of care provided by pre-hospital services.

Improving Rural Emergency Medical Service Response Time With Global Positioning System Navigation

2009 ◽  
Vol 67 (5) ◽  
pp. 899-902 ◽  
Author(s):  
Richard P. Gonzalez ◽  
Glenn R. Cummings ◽  
Madhuri S. Mulekar ◽  
Shana M. Harlan ◽  
Charles B. Rodning
Keyword(s):  
Response Time ◽  
Emergency Medical Service ◽  
Global Positioning System ◽  
Medical Service ◽  
Positioning System ◽  
Emergency Medical ◽  
Global Positioning ◽  
Service Response Time

scholarly journals Experiences of trauma, depression, anxiety, and stress in western-Canadian HEMS personnel

2018 ◽  
Vol 3 (2) ◽  
pp. 18
Author(s):  
Sebastian Harenberg ◽  
Michelle C. E. McCarron ◽  
R. Nicholas Carleton ◽  
Thomas O'Malley ◽  
Terry Ross
Keyword(s):  
Mental Health ◽  
Posttraumatic Stress Disorder ◽  
Emergency Medical Services ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
First Responders ◽  
Medical Services ◽  
Health Concerns ◽  
Emergency Medical ◽  
Mental Health Concerns

Mental health in first responders and other public safety personnel has received substantial research attention in the past decade. Emergency medical services (EMS) demonstrate a heightened prevalence of maladaptive mental health concerns compared to other first responders (e.g., police, fire fighters). Interestingly, there is an absence of research examining helicopter emergency medical services (HEMS) personnel, who respond to what are often life-threatening cases in chal­lenging circumstances. Hence, the purpose of the present study was to assess the experiences of Posttraumatic Stress Disorder (PTSD) and associated mental health conditions (i.e., depression, anxiety, stress) in HEMS workers. HEMS work­ers from a single mid-western Canadian organization (n = 100) participated in the study. The participants completed the Posttraumatic Stress Disorder Checklist (PCL-5) and the Depression, Anxiety and Stress Scale (DASS-21) as part of an online survey. The results revealed that five per cent of HEMS personnel experienced heightened PTSD symptoms. Few participants exhibited signs of mild to severe depression, anxiety, and stress (< 17%). HEMS personnel experienced fewer mental health concerns than other first responder groups as reported in the literature; indeed, these figures are similar to levels observed within the general population. These findings may be explained by organizational or personality charac­teristics. Underreporting of mental health concerns may be an alternate explanation. Future qualitative and quantitative research is needed to explain and replicate the results of the present study. 

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