The Rendezvous System Using Emergency Doctors' Vehicles in the Federal Republic of Germany (FRG)

1985 ◽  
Vol 1 (S1) ◽  
pp. 145-147 ◽  
Author(s):  
P. Sefrin
Keyword(s):  
Federal Republic ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Federal Republic Of Germany ◽  
Emergency Patients ◽  
Rescue Service ◽  
Rescue Services ◽  
Emergency Medical ◽  
Life Threatening ◽  
Threatening Situation

In the Federal Republic of Germany, 1.2 million people per year get into a life-threatening situation from which they can be saved only by immediate medical assistance. Progress in intensive care therapy and the improved organization of rescue services have led to a greater number of doctors being available for first aid at the scene of the accident. The creation of an emergency medical service was designed to ensure medical treatment of emergency patients by medically qualified personnel. The Emergency Medical Service is defined as an organization within the framework of rescue services providing care for emergency patients. The emergency physician is trained and equipped particularly to recognize and treat life-threatening conditions. Through the rescue service, the physician can be taken to the scene of the accident by the quickest and shortest way. For this need, two systems have become established in the Federal Republic of Germany.

scholarly journals Incidence and Mortality of Emergency Patients Transported by Emergency Medical Service Personnel during the Novel Corona Virus Pandemic in Osaka Prefecture, Japan: A Population-Based Study

2021 ◽  
Vol 10 (23) ◽  
pp. 5662
Author(s):  
Yusuke Katayama ◽  
Kenta Tanaka ◽  
Tetsuhisa Kitamura ◽  
Taro Takeuchi ◽  
Shota Nakao ◽  
...  
Keyword(s):  
Emergency Medical Service ◽  
Medical Service ◽  
Population Based ◽  
Emergency Medical Service Personnel ◽  
Emergency Patients ◽  
Emergency Medical ◽  
Number Of Patients ◽  
Incidence And Mortality ◽  
Osaka Prefecture ◽  
The Impact

Although the COVID-19 pandemic affects the emergency medical service (EMS) system, little is known about the impact of the COVID-19 pandemic on the prognosis of emergency patients. This study aimed to reveal the impact of the COVID-19 pandemic on the EMS system and patient outcomes. We included patients transported by ambulance who were registered in a population-based registry of patients transported by ambulance. The endpoints of this study were the incident number of patients transported by ambulance each month and the number of deaths among these patients admitted to hospital each month. The incidence rate ratio (IRR) and 95% confidence interval (CI) using a Poisson regression model with the year 2019 as the reference were calculated. A total of 500,194 patients were transported in 2019, whereas 443,321 patients were transported in 2020, indicating a significant decrease in the number of emergency patients transported by ambulance (IRR: 0.89, 95% CI: 0.88–0.89). The number of deaths of emergency patients admitted to hospital was 11,931 in 2019 and remained unchanged at 11,963 in 2020 (IRR: 1.00, 95% CI: 0.98–1.03). The incidence of emergency patients transported by ambulance decreased during the COVID-19 pandemic in 2020, but the mortality of emergency patients admitted to hospital did not change in this study.

A city-scale assessment of emergency response accessibility to vulnerable populations and facilities under normal and pluvial flood conditions for Shanghai, China

2020 ◽  
pp. 239980832097130
Author(s):  
Jie Yin ◽  
Dapeng Yu ◽  
Banggu Liao
Keyword(s):  
Surface Water ◽  
Emergency Medical Service ◽  
Vulnerable Populations ◽  
Medical Service ◽  
Emergency Services ◽  
Large City ◽  
Water Flooding ◽  
Rescue Service ◽  
Emergency Medical ◽  
The City

This paper describes the development of a scenario-based approach that couples 2D hydrodynamic modeling with Geographic Information System (GIS) network analysis to assess the vulnerability of emergency services to surface water flooding at a large city scale. The method is demonstrated for Emergency Medical Service and Fire & Rescue Service in the city of Shanghai, China. Considering four representative traffic conditions, accessibility in terms of service area, response time, and population coverage within specified timeframes (8-, 12-, and 15-minute for Emergency Medical Service and 5-, 10-, and 15-minute for Fire & Rescue Service) is quantified and mapped under normal as well as pluvial flood scenarios of various magnitudes (5-, 20-, and 100-year return periods). Results show that the performance of operational responses largely depends on the functioning of transportation system, dramatically decreasing from unobstructed to congested traffic. Surface water flooding is found to result in limited (i.e. site-specific) but nonlinear impacts on the city-wide emergency service provisions. The results provide detailed information for optimizing the distribution of emergency stations and developing strategic contingency planning for vulnerable populations and facilities.

scholarly journals Working Together to Develop Best Practice: Rescue Operations in Confined Settings

2019 ◽  
Vol 34 (s1) ◽  
pp. s179-s179
Author(s):  
Sofia Karlsson ◽  
Lina Gyllencreutz ◽  
Britt-Inger Saveman
Keyword(s):  
Best Practices ◽  
Emergency Medical Service ◽  
Best Practice ◽  
Medical Service ◽  
Research Process ◽  
Disaster Medicine ◽  
Full Scale ◽  
Major Incident ◽  
Rescue Service ◽  
Emergency Medical

Introduction:Major injury incidents in confined settings such as tunnels and underground mineral- and metalliferous mines are rare, but when they do happen, the consequences may be severe with potential for many injured. The incident site is underground and it is difficult for the rescue and emergency medical service to get an overview and reach the injured. Therefore, it is important for the emergency medical service, rescue service, and the company responsible for the underground environment to have a good collaboration.Aim:To develop best practices of conducting rescue response from a disaster medicine perspective in tunnels and underground mines through increased education.Method:Within an EU-program, the university collaborates with stakeholders such as rescue service, emergency medical service, and two mining companies. Within this project, an explorative case study with participatory research is conducted. This is managed with the help of representatives of the stakeholders, workshops, and through planning for and conducting observations of table-top and full-scale exercises.Results:At the first workshop the stakeholders built a timeline presenting their activities from a major incident occurring in an underground mine until the last injured was transported to the hospital. Thereafter, several workshops were conducted to find improvements that could be made regarding collaboration between the organizations. Table-top and full-scale exercises have also revealed further challenges. Within the project, prototypes are being developed and will be presented during the conference.Discussion:This project involves stakeholders in the research process, and they, therefore, have a direct impact on the development of best practices of rescue in major underground incidents.

From Legislative Shortcomings towards Better Human Rights Protection — Analysis of Legislation on the Emergency Medical Services in Finland and Estonia

2018 ◽  
Vol 25 (4) ◽  
pp. 389-406
Author(s):  
Jenna Uusitalo
Keyword(s):  
Human Rights ◽  
Medical Care ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Human Rights Protection ◽  
Rights Protection ◽  
Legal Provisions ◽  
Emergency Medical ◽  
Life Threatening ◽  
Protection Of Human Rights

Abstract Emergency medical service (EMS) is designed, above all, to provide urgent treatment for patients with sudden life-threatening diseases or injuries. In wider context, however, EMS is a part of state’s constitutional obligation to guarantee adequate medical care. Therefore, this analysis of how EMS legislation has been drafted and implemented in practice can also be seen to reflect the state’s attitude towards the protection of human rights. A comparison between legal provisions on EMS in Finland and Estonia has been performed in order to illustrate these differentiations. Essentially, the article argues that Estonian EMS legislation seems to contribute more significantly to human rights protection, whereas Finland is more economically oriented in its attitude. However, both jurisdictions also contain some advantageous provisions, which could enhance the quality and improve the recognition of human rights in other states as well.

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