An Analysis of Demand for First-Aid Care at a Major Public Event

1996 ◽  
Vol 11 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Arthas Flabouris ◽  
Franklin Bridgewater
Keyword(s):  
Medical Care ◽  
Presentation Rate ◽  
First Aid ◽  
Poor Correlation ◽  
Public Event ◽  
Initial Symptoms ◽  
Initial Care ◽  
Presentation Time ◽  
Daily Attendance ◽  
Delivery Of Medical Care

AbstractIntroduction:First aid is the initial care of the ill or injured. It aims to preserve and protect life, prevent further injury or deterioration of illness, and help promote recovery. At major public events, there is a large gathering of people, physical spectacles, and equipment within a concentrated area, where organized first-aid care is provided.Objective:To analyze the demand for primary medical care at a public event by identifying the patients and initial symptoms that may predict that demand, and to use such information to improve the efficiency and delivery of medical care.Methods:A questionnaire was completed by St. John Operations Branch personnel after each patient consultation and a retrospective analysis of the data was conducted.Results:A total of 1,276 questionnaires were returned. Mean patient presentation rate (PPR) was 1.9±0.47 per 1,000 show attendees. This correlated best with the maximum daily temperature (r = 0.715, p <0.02) and show day (r = 0.615, p <0.05). There was poor correlation with daily attendance (r = −0.235, p >0.54). Mean presentation time was 15:13 h. Of those whose gender was recorded, 58.4% were females, and 41.6% were males. The most frequent age group was 13 to 20 years. The nature and number of initial symptoms are listed. Basic first-aid skills were used for 96.7% of symptoms; 2.4% of patients were referred to the hospital.Conclusions:Temperature and show day significantly contributed to variability of PPR. These factors, together with an estimated PPR and predicted attendance, can be used to forecast demand. Most cases required only basic first-aid skills. Guidelines are suggested for management by nonmedical personnel. A medical officer's role is not reliably defined, but involvement in consultation is suggested.

ANALYSIS OF THE MAIN INDICATORS CHARACTERIZING MEDICAL CARE FOR CHILDREN WITH CANCER IN SAINT-PETERSBURG AND IN THE LENINGRAD REGION IN 2013-2017

2019 ◽  
Vol 65 (1) ◽  
pp. 77-82
Author(s):  
Maksim Rykov ◽  
Ivan Turabov ◽  
Yuriy Punanov ◽  
Svetlana Safonova
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Statistical Data ◽  
Leningrad Region ◽  
Children With Cancer ◽  
Health Committee ◽  
The Government ◽  
Delivery Of Medical Care ◽  
One Year ◽  
The One

Background: St. Petersburg is a city of federal importance with a large number of primary patients, identified annually. Objective: analysis of the main indicators characterizing medical care for children with cancer in St. Petersburg and the Leningrad region. Methods: The operative reports for 2013-2017 of the Health Committee of the Government of St. Petersburg and the Health Committee of the Leningrad Region were analyzed. Results. In 2013-2017 in the Russian Federation, 18 090 primary patients were identified, 927 (5.1%) of them in the analyzed subjects: in St. Petersburg - 697 (75,2%), in the Leningrad Region - 230 (24,8%). For 5 years, the number of primary patients increased in St. Petersburg - by 36%, in the Leningrad Region - by 2,5%. The incidence increased in St. Petersburg by 18,1% (from 14,9 in 2013 to 17,6 in 2017 per 100 000 of children aged 0-17). The incidence in the Leningrad Region fell by 4.9% (from 14.4 in 2013 to 13.7 in 2017). Mortality in 2016-2017 in St. Petersburg increased by 50% (from 2 to 3), in the Leningrad Region - by 12,5% (from 2,4 to 2,7). The one-year mortality rate in St. Petersburg increased by 3,9% (from 2,5 to 6,4%). In the Leningrad Region, the one-year mortality rate decreased from 6,5% in 2016 to 0 in 2017. The number of pediatric oncological beds did not change in St. Petersburg (0,9 per 10,000 children aged 0-17 years) and the Leningrad Region (0). In St. Petersburg patients were not identified actively in 2016-2017; in the Leningrad Region their percentage decreased from 8,7 to 0. The number of oncologists increased in St. Petersburg from 0,09 to 0.12 (+33,3%), in the Leningrad Region - from 0 to 0,03. Conclusion: Morbidity in St. Petersburg and the Leningrad region is significantly different, which indicates obvious defects in statistical data. Patients were not identified during routine preventive examinations which indicate a low oncologic alertness of district pediatric physicians. Delivery of medical care for children with cancer and the statistical data accumulation procedures should be improved.

The Delivery of Medical Care in China

1974 ◽  
Vol 230 (4) ◽  
pp. 19-27 ◽  
Author(s):  
Victor W. Sidel ◽  
Ruth Sidel
Keyword(s):  
Medical Care ◽  
Delivery Of Medical Care

Mass Gathering Events: Retrospective Analysis of Patient Presentations over Seven Years

2002 ◽  
Vol 17 (3) ◽  
pp. 147-150 ◽  
Author(s):  
Kathryn M. Zeitz ◽  
David P.A. Schneider ◽  
Dannielle Jarrett ◽  
Christopher J. Zeitz
Keyword(s):  
Formal Analysis ◽  
Presentation Rate ◽  
Evidence Base ◽  
First Aid ◽  
Event Analysis ◽  
Mass Gathering ◽  
Medical Problems ◽  
Maximum Daily Temperature ◽  
Day Of The Week ◽  
Crowd Size

AbstractIntroduction:St John Ambulance Operations Branch Volunteers have been providing first-aid services at the Royal Adelaide Show for 90 years. The project arose from a need to more accurately predict the workload for first-aid providers at mass gathering events. A formal analysis of workload patterns and the determinants of workload had not been performed.Hypothesis:Casualty presentation workload would be predicted by factors including day of the week, weather, and crowd size.Method:Collated and analyzed casualty reports over a seven-year period representing >7,000 patients who presented for first-aid assistance for that period (63 show days) were reviewed retrospectively.Results:Casualty presentations correlated significantly with crowd size, maximum daily temperature, humidity, and day of the week. Patient presentation rate had heterogeneous determinants. The most frequent presentation was minor medical problems with Wednesdays attracting higher casualty presentations and more major medical categories.Conclusion:Individual event analysis is a useful mechanism to assist in determining resource allocation at mass gathering events providing an evidence base upon which to make decisions about future needs. Subsequent analysis of other events will assist in supporting accurate predictor models.

How Much does Improved Medical Service Affect Infant Mortality?

PEDIATRICS ◽  
1972 ◽  
Vol 49 (4) ◽  
pp. 638-638
Author(s):  
Arnold Gilbert
Keyword(s):  
Infant Mortality ◽  
Medical Care ◽  
Community Health ◽  
Medical Service ◽  
Health Programs ◽  
Community Health Programs ◽  
Delivery Of Medical Care

The meaning of the article by Dr. Chabot in Pediatrics, June 1971 concerning improved infant mortality between 1964 and 1968 in Denver puzzled me. I wonder whether there is any relation between the improved community health programs described and the happy results presented. Surely, many factors other than medical care affect infant mortality. For example, I wonder whether the author would suggest that the startling (to me) rise in infant mortality noted in Table II for Boston, Buffalo, Phoenix, Pittsburgh and Seattle, resulted from poorer delivery of medical care.

First aid to the injured

2020 ◽  
pp. 48-52
Author(s):  
Stanislav Leonidovich Manerov
Keyword(s):  
Medical Care ◽  
First Aid ◽  
National Council ◽  
Labor Protection ◽  
Improvement Program ◽  
Practical Conference

Who can provide first aid, how to act when a victim is found, what actions should be taken first of all before providing medical care - these issues were considered at a practical conference as part of the work improvement program. The speaker of the conference was an expert in the field of labor protection, director of the National Council for First Aid Manerov Stanislav Leonidovich.

Rationing Medical Technology

1987 ◽  
Vol 3 (2) ◽  
pp. 199-221 ◽  
Author(s):  
Ann Lennarson Greer
Keyword(s):  
Decision Making ◽  
Medical Care ◽  
Medical Technology ◽  
Consumer Preferences ◽  
The United States ◽  
Essential Elements ◽  
Patient Trust ◽  
American Hospital ◽  
Delivery Of Medical Care ◽  
English National Health

AbstractThis paper analyzes medical technology decision making in the United States and England in terms of the appropriateness of different decision-making models to the organization and delivery of medical care, and to the rationing of technology among and within hospitals. It examines the effect on the American hospital of prospective payment programs from the perspective of organizational structure and decision making. The strategies of central control and specification which characterize these programs are contrasted with decision-making procedures in the English National Health Service, which have emphasized decentralization, delegation, and consensus. The analysis suggests that decentralized models of decision making are more supportive of essential elements of medical care including doctor-patient trust and professional responsibility and are more able to achieve rationing decisions which are compatible with professional and consumer preferences.

scholarly journals Estimation of biomarker distributions using laboratory data collected during routine delivery of medical care

2014 ◽  
Vol 24 (10) ◽  
pp. 754-761 ◽  
Author(s):  
Maurice Alan Brookhart ◽  
Jonathan V. Todd ◽  
Xiaojuan Li ◽  
B. Diane Reams ◽  
Virginia Pate ◽  
...  
Keyword(s):  
Medical Care ◽  
Laboratory Data ◽  
Delivery Of Medical Care

Paradoxes of Practice Guidelines, Professional Expertise, and Patient Centeredness: The Medical Care Triangle

2018 ◽  
Vol 76 (4) ◽  
pp. 359-385 ◽  
Author(s):  
L. Michele Issel
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Practice Guidelines ◽  
Health Care Professionals ◽  
Health Care Organizations ◽  
Professional Expertise ◽  
Work Processes ◽  
Patient Centeredness ◽  
Medical Practitioners ◽  
Delivery Of Medical Care

The coexistence of institutionalized evidence-based practice guidelines, professional expertise of medical practitioners, and the patient centeredness approach form a triangle. Each component of this Medical Care Triangle has characteristics that create paradoxes for health care professionals and their patients. The value of a paradox lies in uncovering and utilizing the contradiction to better understand the underlying organizational phenomenon. Method: Following Poole and van de Ven’s (1989) suggested approaches to resolving paradoxes, each paradox of the Medical Care Triangle is defined and analyzed. Results: A total of 10 paradoxes related to practice guidelines, professional expertise, and patient centeredness are revealed. The resolution of each paradox yields insights specific to structuring health care organizations in ways that support the delivery of medical care. Implications: The results renew an emphasis on the centrality of practitioners’ work processes to health care organizations; this has potential benefits for organizations, clinicians/employees, and patients.

scholarly journals Medical Care at Mass Gatherings: Emergency Medical Services at Large-Scale Rave Events

2012 ◽  
Vol 27 (1) ◽  
pp. 71-74 ◽  
Author(s):  
Jan Krul ◽  
Björn Sanou ◽  
Eleonara L Swart ◽  
Armand R J Girbes
Keyword(s):  
Medical Care ◽  
Large Scale ◽  
Life Support ◽  
Advanced Life Support ◽  
Field Research ◽  
Severity Index ◽  
First Aid ◽  
Disaster Medicine ◽  
Medical Problems ◽  
Mass Gatherings

AbstractObjective: The objective of this study was to develop comprehensive guidelines for medical care during mass gatherings based on the experience of providing medical support during rave parties.Methods: Study design was a prospective, observational study of self-referred patients who reported to First Aid Stations (FASs) during Dutch rave parties. All users of medical care were registered on an existing standard questionnaire. Health problems were categorized as medical, trauma, psychological, or miscellaneous. Severity was assessed based on the Emergency Severity Index. Qualified nurses, paramedics, and doctors conducted the study after training in the use of the study questionnaire. Total number of visitors was reported by type of event.Results: During the 2006–2010 study period, 7,089 persons presented to FASs for medical aid during rave parties. Most of the problems (91.1%) were categorized as medical or trauma, and classified as mild. The most common medical complaints were general unwell-being, nausea, dizziness, and vomiting. Contusions, strains and sprains, wounds, lacerations, and blisters were the most common traumas. A small portion (2.4%) of the emergency aid was classified as moderate (professional medical care required), including two cases (0.03%) that were considered life-threatening. Hospital admission occurred in 2.2% of the patients. Fewer than half of all patients presenting for aid were transported by ambulance. More than a quarter of all cases (27.4%) were related to recreational drugs.Conclusions: During a five-year field research period at rave dance parties, most presentations on-site for medical evaluation were for mild conditions. A medical team of six healthcare workers for every 10,000 rave party visitors is recommended. On-site medical staff should consist primarily of first aid providers, along with nurses who have event-specific training on advanced life support, event-specific injuries and incidents, health education related to self-care deficits, interventions for psychological distress, infection control, and disaster medicine. Protocols should be available for treating common injuries and other minor medical problems, and for registration, triage, environmental surveillance and catastrophe management and response.

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