Disaster Triage by Advanced Emergency Medical Technicians

1987 ◽  
Vol 3 (2) ◽  
pp. 6-8
Author(s):  
Constance J. Doyle ◽  
Richard E. Birney
Keyword(s):  
Medical Care ◽  
Rural Areas ◽  
First Responders ◽  
Environmental Hazards ◽  
Field Conditions ◽  
Emergency Medical Technicians ◽  
Trauma Patients ◽  
Paramedical Personnel ◽  
Emergency Medical

Many disaster plans are based on the presence of a physician at the scene to perform triage. This requirement originated when there were no trained paramedical personnel in the field and may actually delay care in rural areas where a physician may not be readily available or may be the only physician at the hospital.It is our hypothesis that properly trained Advanced Emergency Medical Technicians (AEMT's) may serve as triage officers for rural disasters with little difference, and perhaps improvement, in the outcomes of medical care. AEMT's are among the first responders to arrive at scenes of accidents and often triage from three to five trauma patients in multiple victim accidents on the highway. They are on duty, available and strategically located both day and night. The AEMT's are familiar with working under field conditions, i.e. at night by headlight, in rain, snow, and darkness, and know extrication procedures. They are aware of environmental hazards. They have radio and telemetry communication with a physician when needed.

scholarly journals Measles, Mumps, Rubella, and Varicella Immunization Status of First Responders—A Policy Proposal

AAOHN Journal ◽  
2009 ◽  
Vol 57 (5) ◽  
pp. 187-189
Author(s):  
Dana Drew Nord ◽  
Frances Childre
Keyword(s):  
Occupational Health ◽  
First Responders ◽  
Emergency Medical Technicians ◽  
Policy Proposal ◽  
Immunization Status ◽  
Emergency Medical ◽  
Health Nursing ◽  
Occupational Health Nursing

The responsibility of occupational health nursing often extends to the communities that workers serve. This is especially true for first responders (i.e., firefighters, paramedics, and emergency medical technicians) and their measles, mumps, rubella, and varicella status.

ANALYSIS OF ORGANIZATIONAL COMPONENTS OF EMERGENCY MEDICAL CARE FOR PATIENTS WITH ACUTE CORONARY SYNDROME IN POLTAVA REGION OF UKRAINE

2021 ◽  
Vol 8 (2) ◽  
pp. 90-99
Author(s):  
Vyacheslav M. Zhdan ◽  
Iryna A. Holovanova ◽  
Grygori A. Oksak ◽  
Maksym V. Khorosh
Keyword(s):  
Acute Coronary Syndrome ◽  
Medical Care ◽  
Rural Areas ◽  
Emergency Medical Care ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
Emergency Medical ◽  
St Segment ◽  
Number Of Patients ◽  
The One

The aim of our research was to study the structure of patients with acute coronary syndrome and determine the organizational components of medical care for patients with suspected acute coronary syndrome in Poltava region. Material and methods: For our study was on the one hand statistical reports of health care institutions for 2016-2018, and on the other – a survey of doctors and paramedics of emergency medical care teams on tactics management of patients with AMI. The methodological apparatus used to achieve the set goals was based on the determination of relative values and analysis of time series. Results: The number of patients hospitalized with acute coronary syndrome is growing every year: from 82 people in 2012 to 489 in 2018. According to the monitoring conducted in Poltava region, emergency medical care for patients with acute coronary syndrome with ST segment elevation in 2018 in the cities was provided in the amount of 717, while in rural areas – 288. Conclusions: Data from the analysis of emergency medical care for patients with acute coronary syndrome showed that among patients with ST-segment elevation, urban residents predominate; in 90.6% of cases, the time to the patient’s hospitalization was less than 120 minutes.

Results of the reform of the emergency medical service in the Pavlodar Region

2020 ◽  
pp. 67-71
Author(s):  
Kanadan Kanashevich Akhmetzhanov
Keyword(s):  
Medical Care ◽  
Emergency Medical Service ◽  
Rural Areas ◽  
Medical Equipment ◽  
Medical Service ◽  
Medical Personnel ◽  
Emergency Medical ◽  
Medical Teams ◽  
Service Introduction ◽  
And Training

Improving the organization of medical care allows providing standardized and timely medical care of higher quality not only to residents of cities, but also to the population living in rural areas. This is achieved by the gradual reorganization of the emergency medical service, introduction of innovative technologies, 100 % provision of ambulances with medical equipment, and training of medical personnel of emergency medical teams.

scholarly journals Emergency Medical Services (EMS) Transportation of Trauma Patients by Geographic Locations and In-Hospital Outcomes: Experience from Qatar

2021 ◽  
Vol 18 (8) ◽  
pp. 4016
Author(s):  
Hassan Al-Thani ◽  
Ahammed Mekkodathil ◽  
Attila J. Hertelendy ◽  
Ian Howland ◽  
Tim Frazier ◽  
...  
Keyword(s):  
Response Time ◽  
Emergency Medical Services ◽  
Rural Areas ◽  
Prehospital Care ◽  
Hospital Length Of Stay ◽  
Medical Services ◽  
Trauma Patients ◽  
Hospital Outcomes ◽  
Emergency Medical ◽  
Urban And Rural Areas

Background: Prehospital care provided by emergency medical services (EMS) plays an important role in improving patient outcomes. Globally, prehospital care varies across countries and even within the same country by the geographic location and access to medical services. We aimed to explore the prehospital trauma care and in-hospital outcomes within the urban and rural areas in the state of Qatar. Methods: A retrospective analysis was conducted utilizing data from the Qatar National Trauma Registry for trauma patients who were transported by EMS to a level 1 trauma center between 2017 and 2018. Data were analyzed and compared between urban and rural areas and among the different municipalities in which the incidents occurred. Results: Across the study duration, 1761 patients were transported by EMS. Of that, 59% were transported from an urban area and 41% from rural areas. There were significant differences in the on-scene time and total prehospital time as a function of urban and rural areas and municipalities; however, the response time across the study groups was comparable. There were no significant differences in blood transfusion, intubation, hospital length of stay, and mortality. Conclusion: Within different areas in Qatar, the EMS response time and in-hospital outcomes were comparable. This indicates that the provision of prehospital care across the country is similar. The prehospital and acute in-hospital care are accessible for everyone in the country at no cost. Understanding the differences in EMS utilization and prehospital times contributes to the policy development in terms of equitable distribution of healthcare resources.

scholarly journals Immobilization and evacuation of accident victims by first responders in Delhi, India: a survey

2021 ◽  
Vol 8 (6) ◽  
pp. 2874
Author(s):  
Teena Elsa Joseph ◽  
Rajesh Sharawat ◽  
Vandana Phadke ◽  
Smita Chakraboraty Acharya ◽  
Gaurav Sachdev ◽  
...  
Keyword(s):  
Hospital Care ◽  
First Responders ◽  
First Aid ◽  
Medical Emergency ◽  
Emergency Medical Technicians ◽  
Ambulance Personnel ◽  
Emergency Medical ◽  
Initial Care ◽  
Police Personnel ◽  
Better Than

Background: Despite many improvements, pre-hospital care is known to be inconsistent and inefficient across India. This contributes to high mortality and morbidity of accident and medical emergency victims. Pre-hospital care may be provided by bystanders, but they are known to hesitate due to multiple reasons. The first aiders (ambulance staff or police personnel) who are responsible for providing appropriate initial care are not adequately trained to manage all aspects of emergency situations including extrication, cardiopulmonary resuscitation, management of bleeding, and protection of the spine evacuation and transfer. The current study was conducted to gauge the knowledge of first aid among bystanders and first aiders in Delhi national capital region.Methods: Two separate surveys with closed-ended questions were formulated for the bystanders and first aiders in english and hindi.  A sample of 511 bystanders and 309 first aiders (108 ambulance and 201 police personnel) completed the survey between February 2019 and April 2019. Data was analysed descriptively. Comparison were made across demographic variables for the bystanders. For first aiders, comparisons were made between ambulance staff and police personnel, and between emergency medical technicians and drivers.Results: The average total scores for the bystanders were 38.5±14.2%. Slight differences across age and educational qualifications were found. The average total score for the first aiders was 34.3±12.3%. Ambulance personnel scored significantly better than police personnel in evacuation (70.3±26.6% versus 42.6±26.5%) and CPR subdomains (37.6±19.4% versus 21.9±14.7%). The emergency medical technicians scored better than the driver in their total and first aid subdomain scores.Conclusions: The knowledge amongst first responders including bystanders and first aiders was low and efforts to educate and train them would improve the much-needed quality of pre-hospital care.

Stroke Knowledge Among Urban and Frontier First Responders and Emergency Medical Technicians in Montana

2008 ◽  
Vol 24 (2) ◽  
pp. 189-193 ◽  
Author(s):  
Michael J. McNamara ◽  
Carrie Oser ◽  
Dorothy Gohdes ◽  
Crystelle C. Fogle ◽  
Dennis W. Dietrich ◽  
...  
Keyword(s):  
First Responders ◽  
Emergency Medical Technicians ◽  
Emergency Medical ◽  
Stroke Knowledge
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