scholarly journals P084: The sky is not the limit! Protocol for a rapid systematic review on the use of drones in emergency medicine

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S93-S94
Author(s):  
L. Lapointe ◽  
C. Buisson ◽  
R. Fleet
Keyword(s):  
Systematic Review ◽  
Emergency Medicine ◽  
Cardiac Arrest ◽  
Medical Care ◽  
Empirical Research ◽  
Search Strategy ◽  
Bibliographic Databases ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Literature Reviews

Introduction: Drones are already being used in medicine. They are employed to transport blood products and laboratory samples in rural and remote areas and they are increasingly being tested to deliver external defibrillators outside the hospital to patients with cardiac arrest. As this technology rapidly develops and attracts the attention of the scientific community, we present a rapid systematic review protocol that aims to synthesize the scientific evidence that has tested the use of drones to provide emergency medical care. Methods: A search strategy incorporating the concepts of ‘drone’ and ‘emergency medicine’ was launched in 52 bibliographic databases, including CINAHL and PubMed. Using the artificial intelligence module included in DistillerSR, a reviewer completed the first screening phase by reading the title and abstract of the retrieved articles. To be included, articles had to report empirical research projects that tested the potential uses of drones to improve the quality and accessibility of emergency medical care. These selection criteria were applied to the full text of the included articles during the second screening phase by a single reviewer. The results of these two screening phases will be validated by a second independent reviewer. The bibliography of included studies, relevant scientific journals and literature reviews will be manually searched for relevant articles. Results: The search strategy retrieved 1809 articles, of which 22 met our inclusion criteria in the first and second screening phases. Of these, one study used an empirical research design (qualitative interviews) to evaluate the usefulness of drones in emergency medicine, 17 used simulations or scenarios, and four were comprehensive literature reviews on the use of drones to provide healthcare. The final review will synthesize evidence related to the use of drones in emergency medicine and its impact on emergency medical services: nature of the emergency situation (cardiac arrest, blood transfusion), type of drone (fixed wing, quadcopter), tasks performed by drones (transport, surveillance), improvement in access or quality of care (patient's health, time saved in providing services). Conclusion: Drone technology is evolving rapidly and the indications for its use in providing emergency care is increasing. This rapid systematic review will focus on scientific studies aimed at testing the effectiveness of drones to improve the quality and access to emergency medical care.

A Survey of National Physicians Working in an Active Conflict Zone: The Challenges of Emergency Medical Care in Iraq

2012 ◽  
Vol 27 (2) ◽  
pp. 153-161 ◽  
Author(s):  
Ross I. Donaldson ◽  
Patrick Shanovich ◽  
Pranav Shetty ◽  
Emma Clark ◽  
Sharaf Aziz ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Medical Care ◽  
Emergency Departments ◽  
Large Scale ◽  
Road Traffic ◽  
Health Workers ◽  
Emergency Medical Care ◽  
Convenience Sample ◽  
Emergency Medical ◽  
Conflict Zone

AbstractIntroductionThere has been limited research on the perspectives and needs of national caregivers when confronted with large-scale societal violence. In Iraq, although the security situation has improved from its nadir in 2006-2007, intermittent bombings, and other hostilities continue. National workers remain the primary health resource for the affected populace.ProblemTo assess the status and challenges of national physicians working in the Emergency Departments of an active conflict area.MethodsThis study was a survey of civilian Iraqi doctors working in Emergency Departments (EDs) across Iraq, via a convenience sample of physicians taking the International Medical Corps (IMC) Doctor Course in Emergency Medicine, given in Baghdad from December 2008 through August 2009.ResultsThe 148 physician respondents came from 11 provinces and over 50 hospitals in Iraq. They described cardiovascular disease, road traffic injuries, and blast and bullet injuries as the main causes of death and reasons for ED utilization. Eighty percent reported having been assaulted by a patient or their family member at least once within the last year; 38% reported they were threatened with a gun. Doctors reported seeing a median of 7.5 patients per hour, with only 19% indicating that their EDs had adequate physician staffing. Only 19% of respondents were aware of an established triage system for their hospital, and only a minority had taken courses covering ACLS- (16%) or ATLS-related (24%) material. Respondents reported a wide diversity of prior training, with only 3% having some type of specialized emergency medicine degree.ConclusionsThe results of this study describe some of the challenges faced by national health workers providing emergency care to a violence-stricken populace. Study findings demonstrate high levels of violent behavior directed toward doctors in Iraqi Emergency Departments, as well as staffing shortages and a lack of formal training in emergency medical care.Donaldson RI, Shanovich P, Shetty P, Clark E, Aziz S, Morton M, Hasoon T, Evans G. A survey of national physicians working in an active conflict zone: the challenges of emergency medical care in Iraq. Prehosp Disaster Med. 2012;27(2):1-9.

Emergency Medical Care in Belgium

1986 ◽  
Vol 2 (1-4) ◽  
pp. 121-122
Author(s):  
Paul Lust
Keyword(s):  
Emergency Medicine ◽  
Critical Care ◽  
Medical Care ◽  
Medical System ◽  
Emergency Medical System ◽  
Emergency Medical Care ◽  
System A ◽  
Emergency Medical ◽  
The Moment ◽  
Further Development

The object of this paper is to discuss the philosophy of the emergency medical system in Belgium.In critical situations we should give the best possible treatment as early as possible. As a patient I would like to get the best doctor at the moment I am most in need of him and not when the doctor is badly in need of a patient. The anaesthesiologist is a most suitable practitioner for critical care, trained as he is by the surgeons to protect their patient against all sorts of manmade disasters, very often in distressing conditions.In Belgium it has been possible to involve anesthesiologists in all aspects of emergency medicine. We are satisfied with this way of handling the problem, and we are not looking for another solution, although we are aware that in other circumstances other solutions may be requested. Nevertheless, we are all well aware that inside our system a further development is needed.

Client satisfaction on Emergency department services and quality of emergency medical care in Ethiopia: A systematic review

2019 ◽  
Vol 27 ◽  
pp. 23-31
Author(s):  
Addis Adera Gebru ◽  
Ali Mohammad Mosadeghrad ◽  
Ali Akbari Sari ◽  
Tadesse Bekele Tafesse ◽  
Woldegebriel Gebreegziabher Kahsay
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Medical Care ◽  
Client Satisfaction ◽  
Emergency Medical Care ◽  
Emergency Medical

scholarly journals FEATURES OF THE ORGANIZATION AND PROVISION OF EMERGENCY MEDICAL CARE IN POLTAVA REGION

2021 ◽  
Vol 74 (2) ◽  
pp. 351-354
Author(s):  
Iryna A. Holovanova ◽  
Oksana I. Krasnovа ◽  
Svetlana M. Tanianskaia ◽  
Irina A. Kolenko ◽  
Mariya O. Rumyantseva ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Medical Care ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Disaster Medicine ◽  
Laboratory Diagnostics ◽  
Emergency Medical Care ◽  
Surgical Interventions ◽  
Use Of Resources ◽  
Emergency Medical

The aim: Is to study and analyze the dynamics of the indicators of the emergency medical service of the Ukrainian and the Poltava region in the context of the reforms of the healthcare system in Ukraine. Materials and methods: In this work, the indicators of development of the emergency medical service of the Ukrainian and the Poltava region were studied and analyzed. Conclusions: The provision of emergency medical care in the Poltava region is provided by the Poltava Regional Center for Emergency Medicine and Disaster Medicine. The structure of the center includes 4 emergency medical stations, which are located in cities such as Poltava, Kremenchuk, Lubny, Mirgorod. А modern telemedicine center was built іn 2018 for emergency counseling on-line in new directions was carried out: ultrasound and endoscopic diagnostics, radiology, counseling during surgical interventions, laboratory diagnostics, etc. Emergency medical care reform Poltava Regional should be aimed at increasing the efficiency of the use of resources; provision of the EMC system by the relevant vehicles; qualitative training of doctors in emergency medicine; informatization of the EMC system.

scholarly journals The choice of the method of patients triage in the system of emergency medicine

2021 ◽  
Vol 22 (2) ◽  
pp. 17-24
Author(s):  
L. T. Mirvarisova ◽  
Kh. E. Anvarov
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Medical Care ◽  
Emergency Medical Care ◽  
Medical Care System ◽  
Emergency Medical ◽  
Number Of Patients ◽  
Care System

For the timely provision of a full-fledged volume of emergency medical care, it is necessary to triage patients admitted to the emergency department. The article highlights the tool for the prompt and adequate prioritization of the growing number of patients for the provision of emergency medical care, corresponding to the features of the emergency medical care system in Uzbekistan, during which the opinions of experts working in the emergency medicine system were actively accepted.

scholarly journals Breadth of Emergency Medical Training in Pakistan

2013 ◽  
Vol 28 (2) ◽  
pp. 179-183 ◽  
Author(s):  
Janet Y. Lin ◽  
Saroosh Ahmed ◽  
Caroline Brander
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Medical Care ◽  
Chart Review ◽  
Medical Training ◽  
University Hospital ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Medical Education And Training ◽  
Medical Discipline

AbstractIntroductionEmergency medical care in Pakistan has not been a priority of medical education and training because of the country's need to address its lack of primary care. Resources and trained personnel are scarce. Despite these challenges, the value of emergency medical care is gaining attention. The objective of this study was to explore the breadth of Emergency Medicine training in Pakistan through an analysis of an Emergency Medicine residency in a teaching hospital. The Aga Khan University Hospital in Karachi is a teaching institution with the only Emergency Medicine residency program in the region. It was started in 2000, led by US-trained physicians, and it laid the foundation for Emergency Medicine in the country.MethodsThe study was conducted over a four-week period in January of 2009. Data collection consisted of three components: (1) a survey of the Emergency Department and hospital services; (2) a survey of the Emergency Medicine training curriculum; and (3) a retrospective chart review of every tenth patient seen in the Aga Khan Emergency Department from December 1-14, 2008.ResultsThe training program is similar to that of the US models. Of the 153 patients selected for the chart review, the majority presented with GI complaints. Of these, 51 (33%) were admitted to the hospital; 20% (n = 15) left against medical advice; the remaining 57% (n = 87) were discharged.Discussion/ConclusionThe hospital admitted patients with complaints that were expected in the region. Although Aga Khan University Hospital is a pioneer in establishing Emergency Medicine as an official medical discipline in the region, the hospital's obstetrics and gynecology, trauma, toxicology and prehospital services training do not meet current curriculum standards set forth by the Society of Academic Emergency Medicine and the Council of Emergency Medicine Residency Directors. Nevertheless, the review provides a snapshot of the development of Emergency Medical Services in a developing nation. This information may assist other nations that are interested in developing such programs.LinJY, AhmedS, BranderC. Breadth of emergency medical training in Pakistan. Prehosp Disaster Med. 2013;28(2):1-5.

scholarly journals EXPERIENCE IN APPLYING EDUCATIONAL PROGRAM FOR PEDIATRICIANS ON EMERGENCY CARE FOR CHILDREN USING MOBILE SIMULATION EQUIPMENT

2018 ◽  
Vol 63 (5) ◽  
pp. 207-211
Author(s):  
D. I. Sadykova ◽  
R. Sh. Khasanov ◽  
N. Z. Yusupova ◽  
M. V. Belousova ◽  
Т. V. Mikhaylova ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Medical Care ◽  
Emergency Care ◽  
Educational Program ◽  
Professional Competence ◽  
Sudden Cardiac Arrest ◽  
International Standards ◽  
Urgent Care ◽  
Emergency Medical Care ◽  
Emergency Medical

The article describes the experience of implementing the “Emergency pediatrics” educational program with the use of simulation training methods, mobile simulation equipment, and distance educational technologies. The program is aimed at improving the doctors’ professional competence in emergency medical care for children. This format of the training helps to train the largest number of doctors in accordance with the international standards for emergency medical care on-the-job. The educational program makes it possible to assess the level of initial and final knowledge, to monitor professional skills, to determine the degree of the doctor’s readiness for emergency medical care for children. Based on the results of the incoming test control and assessment of basic cardiopulmonary resuscitation skills, we can conclude that the pediatricians have insufficient theoretical and practical skills of emergency care. As a promising direction, we plan to create a Register for sudden cardiac arrest, the Register of survival after sudden cardiac arrest in children at hospital and outside the hospital, which improve the quality of emergency and urgent care for children.

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