Finnish National Training Centre for Emergency Services

2000 ◽  
Vol 15 (2) ◽  
pp. 26-28 ◽  
Author(s):  
Tapio A. Kettunen ◽  
Matti A.K. Mattila ◽  
Osmo O. Hänninen
Keyword(s):  
Emergency Services ◽  
University Hospital ◽  
Medical Community ◽  
Industrial Accidents ◽  
Service Workers ◽  
Training Centre ◽  
Center Staff ◽  
Emergency Service Workers ◽  
National Training ◽  
The University

AbstractThis is a review of the facilities and programmes of the Finnish National Centre for Emergency Services in Kuopio, Finland. It includes the Emergency Services College that provides all of the training for emergency service workers in Finland and provides some services for the international community. There are needs for training by the medical community in Finland that relate both to skills and knowledge. Education and training focus on the demonstration of evidence-based competence. The facility includes a training ground for the provision of immediate emergency medical care, scene safety, extrication, industrial accidents, and water rescue. It is used for the training of paramedic students, nurses, medical students, firefighters, dispatch center staff, and officers. Computer-aided simulations are used to enhance the learning process. Plans are underway for adding tele-education and/or virtual-reality facilities. Close liaison is maintained with the University of Kuopio, Kuopio University Hospital, and with the Pohjois-Savo Polytechnic Institute.

scholarly journals [Availability and use of emergency services in Tunisia:main results of a comprihensive national survey]

2001 ◽  
Vol 7 (4-5) ◽  
pp. 805-811
Author(s):  
M. K. Chahed ◽  
N. Somrani ◽  
H. Achour
Keyword(s):  
Emergency Service ◽  
Emergency Services ◽  
Health Workers ◽  
University Hospital ◽  
Emergency Rooms ◽  
Hospital Emergency ◽  
Public Emergency ◽  
Use Of Emergency Services ◽  
The University

In order to assess hospital emergency rooms, a comprehensive national epidemiological investigation was conducted in all 155 public emergency structures in Tunisia. Here we present the main results of the levels of availability and use of emergency services. Coverage of the population by services is adequate [one emergency service per 60, 000 people]. Emergency wards admit about 2, 500, 000 patients every year [a quarter of the population of the country]. The university hospital emergency services are the most heavily used [150 patients per day on average]. Emergency services are sought for medical [60%], surgical [18%], paediatric [14%] and gynaecological reasons [5%]. It would be useful to assess the quality of care delivered and the satisfaction of citizens and health workers.

Organization of Hospital for Intra-Hospital Emergencies

1985 ◽  
Vol 1 (3) ◽  
pp. 285-286
Author(s):  
E. Tresalti ◽  
A. Cicchetti ◽  
G. Rossi ◽  
P. Contegiacomo
Keyword(s):  
Criminal Code ◽  
University Hospital ◽  
Work Safety ◽  
Industrial Accidents ◽  
Emergency Plan ◽  
Homogeneous Groups ◽  
Official Gazette ◽  
Training Plan ◽  
The University ◽  
Emergency Measures

The need to arrange the assistance beforehand and therefore prepare for the prevention of damage to people and property that may result from accidents or events of considerable magnitude occurring inside the University Hospital, “A. Gemelli,” has led to several laws of the Constitution of the Italian Republic (Article 35), the Criminal Code (Articles 437 and 451), and the Civil Code (Article 2087): The law of Feb 12, 1955, #51 (Official Gazette 54, March 7, 1955); Decree 547 of April 27, 1955 “Regulations for the prevention of industrial accidents” and Decree 302 of March 19, 1956.The study of these assistance procedures has led to the formulation of an emergency plan divided into two basic parts: prevention of accidents, and rescue operations.By prevention we mean: a) The training of all staff and Managing Bodies of our Faculty/Staff to take effective action in the case of an intra-hospital accident, b) The need for detailed information on the various procedures to be used depending on the gravity of the event, c) Awareness of the civil and criminal responsibilities relating to the various management and non-management levels in case of emergency.The training plan for the whole staff, approved by the management administrative, technical and medical bodies, consists of theoretical and practical courses. These courses, which started in June 1983 are “modular.” The staff will take part in them as homogeneous groups, for a period of time which will vary, in regard to the number of hours and kind of instruction, and in relation to what each group has to learn about work safety, fire prevention and emergency measures.

Regulation in research ethics: a scarecrow for physicians?

2021 ◽  
pp. 147775092098357
Author(s):  
T Haaser ◽  
D Berdaï ◽  
S Marty ◽  
V Berger ◽  
E Augier ◽  
...  
Keyword(s):  
Research Ethics ◽  
Research Process ◽  
University Hospital ◽  
Medical Community ◽  
Clinical Practices ◽  
The Past ◽  
Institutional Review ◽  
General Data ◽  
Research Initiatives ◽  
The University

Background Regulations on research ethics in France have evolved considerably over the past four years: the implementation of the Jardé law and of the General Data Protection Regulations have changed the landscape of research ethics for research involving or not involving human persons. In a context of creation of an Institutional Review Board at the University of Bordeaux, France, we sought to explore research ethics practices and perceptions in the medical community of our University Hospital. Methods A short questionnaire was sent to all physicians of the University Hospital of Bordeaux. The questionnaire included closed questions and main topics were: physicians’ education in research ethics, ethics practices concerning researches non implying human persons, and physicians’ perceptions about current regulations. Results 86 questionnaires were sent back (response rate: 24.2%). If a majority of physicians have validated Good Clinical Practices (GCPs) trainings (76%), there was a low rate of specific training on fundamental references in research ethics and a high proportion of responders do not consider themselves as educated in research ethics after completion of GCPs (56%). Regulations on research ethics have many implications on medical research, especially by inducing changes in protocols in order to alleviate ethical requirements (57%). Malpractices were acknowledged like false mention of positive opinion from an ethics committee (21%). If If a majority of responders considers regulations as a positive answer to research ethics, a large majority considers it as a constraint and a complexification of research process. For 58%, regulations in research ethics are perceived as a hindrance for research initiatives. Conclusion Because of their impact on research process, regulations seem to constitute a scarecrow for physicians. Lack of training, bad representations and questionable practices (or even malpractices) highlight the need to improve education and to propose concrete guidance for medical researchers.

scholarly journals PARTITIONING KNOWN ENVIRONMENTS FOR MULTI-ROBOT TASK ALLOCATION USING GENETIC ALGORITHMS

2020 ◽  
pp. 480-490
Author(s):  
Md Maksudur R. Mazumder ◽  
Chris Phillips
Keyword(s):  
Genetic Algorithm ◽  
Emergency Services ◽  
Search Time ◽  
Service Workers ◽  
Comprehensive Search ◽  
Robot Task ◽  
Emergency Service Workers ◽  
Multiple Domains ◽  
Good Coverage ◽  
Multi Robot

A common challenge facing emergency services, particularly in response to fires and/or earthquakes, is the location and subsequent extraction of people from hazardous buildings in a timely manner. This usually requires emergency service workers to enter the building and put their own lives at risk, even when there may be no people to extract. However, given recent advances in autonomous robotics, drones are expected to help humans in tasks such as search and rescue, and similar tasks, where coverage and time are key parameters. The aim is to complete a comprehensive search of the environment as quickly as feasible. Using multiple drones rather than a single drone can reduce search time, although performance can be poor if the searching is non-coordinated. Therefore, partitioning a terrain is important in order to effectively distribute the drone search work so that good coverage can be achieved in a reasonable amount of time and redundant searching is eliminated. In this paper a novel Square Based Terrain Partitioning (SBTP) algorithm is presented using a genetic algorithm to partition a known environment into multiple domains in a multi-robot exploration system. In addition, a second genetic algorithm is presented to allocate the domain search workload such that, given a certain number of drones, the overall search time is minimized.

scholarly journals Angiostrongylus costaricensis infection in Martinique, Lesser Antilles, from 2000 to 2017

Parasite ◽  
2018 ◽  
Vol 25 ◽  
pp. 22 ◽  
Author(s):  
Céline Dard ◽  
Duc Nguyen ◽  
Charline Miossec ◽  
Katia de Meuron ◽  
Dorothée Harrois ◽  
...  
Keyword(s):  
Descriptive Analysis ◽  
Case Series ◽  
Epidemiological Studies ◽  
Human Infection ◽  
University Hospital ◽  
Medical Community ◽  
Diagnostic Tools ◽  
Intestinal Lesions ◽  
Life Threatening ◽  
The University

Human abdominal angiostrongyliasis (HAA) is a parasitic disease caused by the accidental ingestion of the nematode Angiostrongylus costaricensis in its larval form. Human infection can lead to severe ischemic and inflammatory intestinal lesions, sometimes complicated by life-threatening ileal perforations. Only one case had been reported in Martinique, an Island in the French Antilles, in 1988. We retrospectively reviewed the medical charts of patients diagnosed with abdominal angiostrongyliasis at the University Hospital of Martinique between 2000 and 2017. The objectives of this study were to evaluate the incidence and perform a descriptive analysis of the clinical, biological, radiological, and histopathological features of HAA in Martinique. Two confirmed cases and two probable cases were identified in patients aged from 1 to 21 years during the 18-year period, with an estimated incidence of 0.2 cases per year (0.003 case/year/100.000 inhabitants (IC95% = 0.00–0.05)). All patients presented with abdominal pain associated with high blood eosinophilia (median: 7.24 G/L [min 4.25; max 52.28 G/L]). Two developed ileal perforation and were managed by surgery, with diagnostic confirmation based on histopathological findings on surgical specimens. The other two cases were probable, with serum specimens reactive to Angiostrongylus sp. antigen in the absence of surgery. All cases improved without sequelae. The description of this case series highlights the need to increase awareness of this life-threatening disease in the medical community and to facilitate access to specific diagnostic tools in Martinique. Environmental and epidemiological studies are needed to broaden our knowledge of the burden of this disease.

Some ethical conflicts in emergency care

2014 ◽  
Vol 22 (5) ◽  
pp. 548-560 ◽  
Author(s):  
Maria F Jiménez-Herrera ◽  
Christer Axelsson
Keyword(s):  
Emergency Services ◽  
Ethical Issues ◽  
University Hospital ◽  
Ethical Conflict ◽  
Ethical Guidelines ◽  
Ethical Considerations ◽  
Emergency Nurses ◽  
Emergency Situations ◽  
Ethical Conflicts ◽  
The University

Background: Decision-making and assessment in emergency situations are complex and result many times in ethical conflicts between different healthcare professionals. Aim: To analyse and describe situations that can generate ethical conflict among nurses working in emergency situations. Methods: Qualitative analysis. A total of 16 emergency nurses took part in interviews and a focus group. Ethical considerations: Organisational approval by the University Hospital, and informed consent and confidentiality were ensured before conducting the research. Result/conclusion: Two categories emerged: one in ‘ethical issues’ and one in ‘emotions and feelings in caring’. The four ethical subcategories are presented: Autonomy, the first sub category: first, the nurse’s ability to practise care on an emergency ward and, second, to support the patient and/or relatives in terms of care and medical treatment. The conflicts arise when the nurse ends up in the middle between the patient and the physician responsible for the diagnosis and treatment from a nature scientific perspective. Reification of injured body: patient was often reified and fragmented, becoming just a leg or arm. Different factors contributed in this perspective. Pain: pain relief was often inadequate but more effectively treated in the emergency medical services than at the emergency department. The nurses highlighted the phenomenon of suffering because they felt that pain was only an object, forgetting the patients’ care need, like separating mind from body. Death: the nurses felt that the emergency services are only prepared to save lives and not to take care of the needs of patients with ‘end-of-life’ care. Another issue was the lack of ethical guidelines during a cardiac arrest. Resuscitation often continues without asking about the patient’s ‘previous wishes’ in terms of resuscitation or not. In these situations, the nurses describe an ethical conflict with the physician in performing their role as the patient’s advocate. The nurses express feelings of distress, suffering, anger and helplessness.

scholarly journals Sleep in Emergency Services Workers: What Do We Know and Why Does It Matter?

2019 ◽  
Vol 34 (s1) ◽  
pp. s166-s167
Author(s):  
Sally Ferguson ◽  
Brad Aisbett ◽  
Alexander Wolkow ◽  
Sarah Jay ◽  
Nicola Ridgers ◽  
...  
Keyword(s):  
Emergency Service ◽  
Ad Hoc ◽  
Emergency Services ◽  
Multiple Stressors ◽  
Health And Safety ◽  
Physical Work ◽  
Service Workers ◽  
Sleep Quantity ◽  
Working Environments ◽  
Emergency Service Workers

Introduction:Emergency service workers perform physical work while being subjected to multiple stressors and adverse, volatile working environments for extended periods. Recent research has highlighted sleep as a significant and potentially modifiable factor impacting operational performance.Aim:This presentation would (a) examine the existing literature on emergency service workers’ sleep quantity and quality during operations, (b) synthesize the operational and environmental factors that impact sleep (e.g., shift start times, shift length, sleeping location, smoke, noise, heat), and (c) assess how sleep impacts aspects of emergency service workers’ health and safety, including mental and physical health and performance.Methods:This presentation would be based on a narrative review conducted by the authors which used a systematic search strategy of health-related databases. Articles that were not relevant, duplicate or from non-peer-reviewed sources were excluded.Results:Sleep is restricted during emergency service deployments, particularly when shifts have early start times, are long duration, and/or when sleeping in temporary accommodation (e.g., tents, vehicles). Shortened sleep impairs cognitive but not physical performance under simulated emergency services conditions.Discussion:Depending on the organization and jurisdiction, these findings warrant re-evaluation of existing policies, formalization of beneficial but currently ad-hoc practice, or provide support for current procedures. Work shifts should be structured, wherever possible, to provide regular and sufficient recovery opportunities (rest during and sleep between shifts), especially in dangerous working environments where fatigue-related errors have more severe consequences. For agencies to continue to defend local communities against natural hazards, strategies should be implemented to improve and manage emergency service workers sleep and reduce any adverse impacts on work.

Symptomatic vascular complications after vascular closure device use following diagnostic and interventional catheterisation

VASA ◽  
2004 ◽  
Vol 33 (2) ◽  
pp. 78-81 ◽  
Author(s):  
Thalhammer ◽  
Aschwanden ◽  
Jeanneret ◽  
Labs ◽  
Jäger
Keyword(s):  
Current Literature ◽  
Vascular Complications ◽  
University Hospital ◽  
Closure Device ◽  
Ultrasound Guided ◽  
Vascular Closure Device ◽  
Device Use ◽  
Arterial Stenoses ◽  
The University ◽  
Stenotic Lesions

Background: Haemostatic puncture closure devices for rapid and effective hemostasis after arterial catheterisation are a comfortable alternative to manual compression. Implanting a collagen plug against the vessel wall may become responsible for other kind of vascular injuries i.e. thrombotic or stenotic lesions and peripheral embolisation. The aim of this paper is to report our clinically relevant vascular complications after Angio-Seal® and to discuss the results in the light of the current literature. Patients and methods: We report the symptomatic vascular complications in 17 of 7376 patients undergoing diagnostic or therapeutic catheterisation between May 2000 and March 2003 at the University Hospital Basel. Results: Most patients presented with ischaemic symptoms, arterial stenoses or occlusions and thrombotic lesions (n = 14), whereas pseudoaneurysms were extremely rare (n = 3). Most patients with ischaemic lesions underwent vascular surgery and all patients with a pseudoaneurysm were successfully treated by ultrasound-guided compression. Conclusions: Severe vascular complications after Angio-Seal® are rare, consistent with the current literature. There may be a shift from pseudoaneurysms to ischaemic lesions.

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