Prehospital Medical Care and the National Ski Patrol: How Does Outdoor Emergency Care Compare to Traditional EMS Training?

2012 ◽  
Vol 23 (2) ◽  
pp. 177-189 ◽  
Author(s):  
Benjamin B. Constance ◽  
Paul S. Auerbach ◽  
David H. Johe
Keyword(s):  
Medical Care ◽  
Emergency Care ◽  
Prehospital Medical Care

Knowledge-Based System supported by Chatbot to assist the Risk Classification Process of Patients in Hospital Emergency care (Preprint)

2021 ◽  
Author(s):  
Marciane Mueller ◽  
Rejane Frozza ◽  
Liane Mählmann Kipper ◽  
Ana Carolina Kessler
Keyword(s):  
Medical Care ◽  
Knowledge Base ◽  
Language Processing ◽  
Emergency Care ◽  
Risk Classification ◽  
Conversational Agent ◽  
Conversational Agents ◽  
Hospital Emergency ◽  
Knowledge Based System ◽  
Knowledge Based

BACKGROUND This article presents the modeling and development of a Knowledge Based System, supported by the use of a virtual conversational agent called Dóris. Using natural language processing resources, Dóris collects the clinical data of patients in care in the context of urgency and hospital emergency. OBJECTIVE The main objective is to validate the use of virtual conversational agents to properly and accurately collect the data necessary to perform the evaluation flowcharts used to classify the degree of urgency of patients and determine the priority for medical care. METHODS The agent's knowledge base was modeled using the rules provided for in the evaluation flowcharts comprised by the Manchester Triage System. It also allows the establishment of a simple, objective and complete communication, through dialogues to assess signs and symptoms that obey the criteria established by a standardized, validated and internationally recognized system. RESULTS Thus, in addition to verifying the applicability of Artificial Intelligence techniques in a complex domain of health care, a tool is presented that helps not only in the perspective of improving organizational processes, but also in improving human relationships, bringing professionals and patients closer. The system's knowledge base was modeled on the IBM Watson platform. CONCLUSIONS The results obtained from simulations carried out by the human specialist allowed us to verify that a knowledge-based system supported by a virtual conversational agent is feasible for the domain of risk classification and priority determination of medical care for patients in the context of emergency care and hospital emergency.

scholarly journals The dynamics of age structure of out-patient visits and calls of emergency medical care in population of small town during 2011-2015

2019 ◽  
Vol 61 (1) ◽  
pp. 17-22
Author(s):  
I. P. Artyukhov ◽  
F. V. Kapitonov ◽  
Vladimir F. Kapitonov
Keyword(s):  
Medical Care ◽  
Age Structure ◽  
Emergency Care ◽  
Small Town ◽  
Working Hours ◽  
Small Towns ◽  
Emergency Medical Care ◽  
Primary Medical Care ◽  
Emergency Medical ◽  
Care Support

The shortcomings offunctioning of ambulatory polyclinic service and overrated volume ofprovided emergency medical care became actual propblemin primary medical care support of population in small towns due to age structure of population. Purpose of study. To investigate dynamics of age structure of out-patient visits and calls of emergency care by population of small town in 2011-2015. The analysis of out-patient visits and calls emergency care in 2011-2015 demonstrated that during five years number of visits to polyclinic decreased up to 5.3% mainly (14%) at the expense of residents of able-bodied age while number ofpatients of junior and senior able-bodied age increased on 1.5% and 5.1% correspondingly. The analysis of calls of emergency medical care revealed shortcomings in organization of ambulatory polyclinic care: more than a half (70.4%) of all calls because of instant diseases and conditions falls on the period of working hours of polyclinic (from 8 to 20 h.) The occasion of call by population of junior able-bodied age in 68.7% became acute diseases of respiratory organs (acute respiratory viral infection - in 93.6%) and by patients of senior ablebodied age in 72.6% - exacerbation of chronic pathology (ischemic heart disease, hypertension disease). The correction of these calls could be implemented by ambulatory polyclinic service itself. The acquired data corresponds to publication data and indicates to existing problems of primary medical care support of rural population in various regions of the Russian Federation. The investigation of age structure of out-patient visits, calls of emergency medical care of data of sociological survey of respondents revealed shortcomings in organization of functioning of municipal polyclinic related to population of senior able-bodied age that result in increasing of volume of work implemented by teams of emergency care.

Attitudes to Living and Working in Pandemic Conditions among Emergency Prehospital Medical Care Personnel

2010 ◽  
Vol 25 (1) ◽  
pp. 13-19 ◽  
Author(s):  
Kerrianne Watt ◽  
Vivienne C. Tippett ◽  
Steven G. Raven ◽  
Konrad Jamrozik ◽  
Michael Coory ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Avian Influenza ◽  
Medical Care ◽  
Risk Perceptions ◽  
Influenza Pandemic ◽  
Care Staff ◽  
Care Providers ◽  
Apparent Lack ◽  
Infection Transmission ◽  
Prehospital Medical Care

AbstractIntroduction:Little is known about the risk perceptions and attitudes of healthcare personnel, especially of emergency prehospital medical care personnel, regarding the possibility of an outbreak or epidemic event.Problem:This study was designed to investigate pre-event knowledge and attitudes of a national sample of the emergency prehospital medical care providers in relation to a potential human influenza pandemic, and to determine predictors of these attitudes.Methods:Surveys were distributed to a random, cross-sectional sample of 20% of the Australian emergency prehospital medical care workforce (n = 2,929), stratified by the nine services operating in Australia, as well as by gender and location. The surveys included: (1) demographic information; (2) knowledge of influenza; and (3) attitudes and perceptions related to working during influenza pandemic conditions. Multiple logistic regression models were constructed to identify predictors of pandemic-related risk perceptions.Results:Among the 725 Australian emergency prehospital medical care personnel who responded, 89% were very anxious about working during pandemic conditions, and 85% perceived a high personal risk associated with working in such conditions. In general, respondents demonstrated poor knowledge in relation to avian influenza, influenza generally, and infection transmission methods. Less than 5% of respondents perceived that they had adequate education/training about avian influenza. Logistic regression analyses indicate that, in managing the attitudes and risk perceptions of emergency prehospital medical care staff, particular attention should be directed toward the paid, male workforce (as opposed to volunteers), and on personnel whose relationship partners do not work in the health industry.Conclusions:These results highlight the potentially crucial role of education and training in pandemic preparedness. Organizations that provide emergency prehospital medical care must address this apparent lack of knowledge regarding infection transmission, and procedures for protection and decontamination. Careful management of the perceptions of emergency prehospital medical care personnel during a pandemic is likely to be critical in achieving an effective response to a widespread outbreak of infectious disease.

A new model for providing prehospital medical care in large stadiums

1988 ◽  
Vol 17 (8) ◽  
pp. 825-828 ◽  
Author(s):  
Daniel W Spaite ◽  
Elizabeth A Criss ◽  
Terence D Valenzuela ◽  
Harvey W Meislin ◽  
Roger Smith ◽  
...  
Keyword(s):  
Medical Care ◽  
New Model ◽  
Prehospital Medical Care

scholarly journals Anticipated Behaviors of Emergency Prehospital Medical Care Providers during an Influenza Pandemic

2010 ◽  
Vol 25 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Vivienne C. Tippett ◽  
Kerrianne Watt ◽  
Steven G. Raven ◽  
Heath A. Kelly ◽  
Michael Coory ◽  
...  
Keyword(s):  
Medical Care ◽  
Pandemic Influenza ◽  
Health Workers ◽  
Influenza Pandemic ◽  
Infectious Agents ◽  
Care Providers ◽  
Knowledge And Attitudes ◽  
Adequate Knowledge ◽  
Willingness To Change ◽  
Prehospital Medical Care

AbstractIntroduction:Emergency prehospital medical care providers are frontline health workers during emergencies. However, little is known about their attitudes, perceptions, and likely behaviors during emergency conditions. Understanding these attitudes and behaviors is crucial to mitigating the psychological and operational effects of biohazard events such as pandemic influenza, and will support the business continuity of essential prehospital services.Problem:This study was designed to investigate the association between knowledge and attitudes regarding avian influenza on likely behavioral responses of Australian emergency prehospital medical care providers in pandemic conditions.Methods:Using a reply-paid postal questionnaire, the knowledge and attitudes of a national, stratified, random sample of the Australian emergency prehospital medical care workforce in relation to pandemic influenza were investigated. In addition to knowledge and attitudes, there were five measures of anticipated behavior during pandemic conditions: (1) preparedness to wear personal protective equipment (PPE); (2) preparedness to change role; (3) willingness to work; and likely refusal to work with colleagues who were exposed to (4) known and (5) suspected influenza. Multiple logistic regression models were constructed to determine the independent predictors of each of the anticipated behaviors, while controlling for other relevant variables.Results:Almost half (43%) of the 725 emergency prehospital medical care personnel who responded to the survey indicated that they would be unwilling to work during pandemic conditions; one-quarter indicated that they would not be prepared to work in PPE; and one-third would refuse to work with a colleague exposed to a known case of pandemic human influenza.Willingness to work during a pandemic (OR = 1.41; 95% CI = 1.0−1.9), and willingness to change roles (OR = 1.44; 95% CI = 1.04−2.0) significantly increased with adequate knowledge about infectious agents generally. Generally, refusal to work with exposed (OR = 0.48; 95% CI = 0.3−0.7) or potentially exposed (OR = 0.43; 95% CI = 0.3−0.6) colleagues significantly decreased with adequate knowledge about infectious agents. Confidence in the employer's capacity to respond appropriately to a pandemic significantly increased employee willingness to work (OR = 2.83; 95% CI = 1.9−4.1); willingness to change roles during a pandemic (OR = 1.52; 95% CI = 1.1−2.1); preparedness to wear PPE (OR = 1.68; 95% CI = 1.1−2.5); and significantly decreased the likelihood of refusing to work with colleagues exposed to (suspected) influenza (OR = 0.59; 95% CI = 0.4−0.9).Conclusions:These findings indicate that education and training alone will not adequately prepare the emergency prehospital medical workforce for a pandemic. It is crucial to address the concerns of ambulance personnel and the perceived concerns of their relationship with partners in order to maintain an effective prehospital emergency medical care service during pandemic conditions.

The Epidemiology of Female Rape Victims Who Seek Immediate Medical Care

2004 ◽  
Vol 19 (1) ◽  
pp. 3-12 ◽  
Author(s):  
David J. Magid ◽  
Debra Houry ◽  
Thomas D. Koepsell ◽  
Andrew Ziller ◽  
Michael R. Soules ◽  
...  
Keyword(s):  
Emergency Department ◽  
Sexual Assault ◽  
Medical Care ◽  
Emergency Care ◽  
Annual Incidence ◽  
Surveillance Data ◽  
Rape Victims ◽  
Assault Victims

Women who seek medical care following sexual assault are usually evaluated and treated in an emergency department (ED). Therefore, EDs can be an important source of sexual assault surveillance data. The authors compared the incidence of sexual assault presenting for emergency care in a single county during July to November of 1974 and 1991. Participants included all female sexual assault victims aged 14 and older who presented for ED evaluation. Treating physicians prospectively collected data using standardized forms. The z statistic was used to compare sexual assault incidence. There was a 60% increase in the incidence of sexual assault victims presenting for emergency care in 1991 compared to 1974, primarily due to an increase in the incidence of women presenting to the ED after rapes by known assailants. In contrast, the annual incidence of reported stranger assaults was similar in the two study years.

scholarly journals THERAUPEUTIC AND TACTICAL MEASURES FOR ACUTE INFECTIOUS QUARANTINE DISEASES AT THE PRE-HOSPITAL STAGE OF MEDICAL CARE

2020 ◽  
Vol 21 (3) ◽  
pp. 44-47
Author(s):  
V. M. Shaytor ◽  
D. A. Zemlyanoy ◽  
M. V. Ponyatishina ◽  
A. N. Galustyan
Keyword(s):  
Medical Care ◽  
Emergency Care ◽  
Coronavirus Infection ◽  
Basic Ideas

The paper presents the basic ideas about quarantine infections, especially coronavirus infection, and proposes an algorithm for routing patients with COVID‑2019 at the prehospital stage of emergency and emergency care.

scholarly journals Evaluation of the Quality of Medical Care to the Population at the Level of Day Stations and Emergency Stations

2022 ◽  
Vol 8 (1) ◽  
pp. 114-121
Author(s):  
B. Niyazov ◽  
S. Niyazovа
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Chronic Diseases ◽  
Emergency Care ◽  
Rural Population ◽  
Medical Services ◽  
Emergency Medical ◽  
Medical Institutions ◽  
Quality Of Medical Care

Insufficient availability of emergency medical services to the rural population is noted. The dynamics of the growth of calls to emergency medical services testifies to the fact that emergency medical institutions have taken over part of inpatient services for the provision of emergency care to patients with chronic diseases and acute colds.

scholarly journals EVALUATION OF DIAGNOSTIC QUALITY CRITERIA OF EMERGENCY CARE FOR DISEASES OF SURGICAL PROFILE AT EMERGENCY DEPARTMENTS

2020 ◽  
Vol 21 (3) ◽  
pp. 11-17
Author(s):  
R. R. Alimov ◽  
A. G. Miroshnichenko ◽  
E. L. Lataria ◽  
I. A. Turov
Keyword(s):  
Emergency Medicine ◽  
Medical Care ◽  
Diagnostic Criteria ◽  
Emergency Care ◽  
Emergency Departments ◽  
Quality Evaluation ◽  
Evaluation Criteria ◽  
Quality Criteria ◽  
Diagnostic Quality ◽  
High Level

The article presents an analysis of diagnostic criteria of quality evaluation for emergency medicine and specialized medical care in emergency departments. The results of the study of emergency medicine care in compliance with quality evaluation criteria showed that in groupe of general criteria for quality evaluation it was achieved in 100 prc cases, in groupe of evaluation criteria of extent of medical aid - in 97,4 prc cases, n groupe of evaluation criteria of timely diagnosis and treatment — 98,2 prc. It also shows the high level of medical care in this department.

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