Planning and Principles of Operational Tactics for Major Medical Incidents

1985 ◽  
Vol 1 (2) ◽  
pp. 114-114
Author(s):  
Maximilian Puchner
Keyword(s):  
Emergency Service ◽  
Emergency Services ◽  
West Germany ◽  
Technical Aspects ◽  
Fire Brigade ◽  
Emergency Personnel ◽  
Skilled Personnel ◽  
Service Control ◽  
Injured Patients ◽  
Operational Tactics

Major disasters require extensive activity by the fire-fighting, technical and emergency services. Simultaneously, victims have to be rescued, fires have to be fought and other technical aspects of assistance have to be employed. Ill and injured patients have to be removed from danger, prepared for transport, and taken by ambulance, under the care of skilled personnel, to hospitals. The responsibility for these actions lies in West Germany in the hands of the Fire Brigades.The Alert. Emergency calls arriving at Fire Brigade communication centers or emergency service control centers are often inaccurate. It is necessary for professional emergency personnel to give detailed information from the incident site. This should include the nature and gravity of the damage, the number of injured and their severity, and the best possible access.Exploration of the Site. In major medical incidents it is highly important to gain a full overview of the scale of the danger and damage. Often incident sites with a great number of injured are difficult to reach and to survey.Searching for the Injured. It is a matter of high priority to search all over the site for injured persons and those suffering from shock. In large areas, which are difficult to survey, this must still remain a priority. Additional personnel may have to be called in.

Outreach Psychiatric Emergency Service

Crisis ◽  
2020 ◽  
Vol 41 (5) ◽  
pp. 375-382
Author(s):  
Remco F. P. de Winter ◽  
Mirjam C. Hazewinkel ◽  
Roland van de Sande ◽  
Derek P. de Beurs ◽  
Marieke H. de Groot
Keyword(s):  
General Practitioner ◽  
General Hospital ◽  
Suicidal Behavior ◽  
Emergency Service ◽  
Attempted Suicide ◽  
Emergency Services ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Services ◽  
Psychiatric Emergency Service ◽  
Suicidal Patients

Abstract. Background: Outreach psychiatric emergency services play an important role in all stages of a suicidal crisis; however, empirical assessment data are scarce. This study describes characteristics of patients assessed by these services and involved in suicidal crises. Method: During a 5-year period, detailed information from psychiatric emergency service assessments was recorded; 14,705 assessments were included. Characteristics of patients with/without suicidal behavior and with/without suicide attempts were compared. Outcomes were adjusted for clustering of features within individual patients. Results: Suicidal behavior was assessed in 32.2% of patients, of whom 9.2% attempted suicide. Suicidal behavior was most commonly associated with depression or adjustment disorder and these patients were referred to the service by a general practitioner or a general hospital, whereas those who attempted suicide were less likely to be referred by a general practitioner. Those who attempted suicide were more likely to be female and have had a referral by a general hospital. Self-poisoning by medication was the most common method of attempting suicide. Limitations: Bias could be due to missed or incomplete assessments. Primary diagnoses were based on clinical observation at the time of the assessment or on the primary diagnosis previously recorded. In addition, suicidal behavior or attempted suicide might have been underestimated. Conclusions: Suicidal behavior is commonplace in assessments by psychiatric emergency services. Suicidal patients with/without a suicide attempt differed with respect to demographic features, primary diagnoses, and referring entities, but not with respect to treatment policy. About 40% of the suicidal patients with/without an attempt were admitted following assessment.

Efektivitas Layanan Darurat Jakarta Siaga 112 dalam Penanganan Kebakaran oleh UPT. Pusat Data & Informasi Kebencanaan BPBD Provinsi DKI Jakarta

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Musa Musa
Keyword(s):  
Emergency Service ◽  
Fire Management ◽  
Emergency Services ◽  
The Public ◽  
Information Center ◽  
Disaster Data ◽  
In Fire ◽  
Document Review

This research was conducted to determine the Effectiveness of Jakarta Siaga 112 Emergency Services in Fire Management by UPT. Disaster Data & Information Center of BPBD DKI Jakarta Province by paying attention to aspects contained in the Effectiveness of the Jakarta Siaga Emergency Service Program 112. The research method was carried out with a case study method with data collection techniques using interview methods and document review. Interviews were conducted on 10 (ten) key informants, document review focused on documents related to the Jakarta Emergency Alert Service 112 Effectiveness research in Fire Management. The results showed that the Effectiveness of Jakarta Siaga 112 Emergency Services in Fire Management by UPT. The Center for Disaster Data & Information BPBD DKI Jakarta Province Its effectiveness is still low, due to the Implementation of Emergency Services Jakarta Standby 112 in Fire Management implemented by UPT. Disaster Data & Information Center of BPBD DKI Jakarta Province in terms of the Target Group Understanding of the Program, the Achievement of the Program Objectives aspects, and the Program Follow-up aspects. It is recommended to continue to disseminate this Emergency Service to the public, it is necessary to increase the firm commitment of the Head of 8 SKPD related to fire management so that all units play a role in accordance with the Standard Operating Procedures (SOPs) for Fire Management and the evaluation and follow-up of program services that are held periodically 3 once a month.Keywords: Effectiveness, Emergency Services, Fire Handling

scholarly journals Determination of Nearest Emergency Service Office using Haversine Formula Based on Android Platform

2018 ◽  
Vol 5 (2) ◽  
pp. 270-278 ◽  
Author(s):  
M. Basyir ◽  
M. Nasir ◽  
Suryati Suryati ◽  
Widdha Mellyssa
Keyword(s):  
Emergency Service ◽  
Emergency Services ◽  
Message Delivery ◽  
Test Results ◽  
Average Delay ◽  
Accuracy Test ◽  
Calculation Results ◽  
Testing Accuracy ◽  
Selection Of

Emergency Reporting Application is an android-based application that serves to help the community in reporting the emergency condition. This application allows users to choose and contact the emergency services office, without the need to notice their position and phone number. Selection of emergency services office is also automatically selected by the system by taking into account the distance between the complainant and the emergency services office. The selected emergency services office is the nearest emergency service office from the complainant so that the delay in coming assistance can be minimized. Therefore, this proposed application requires a GPS feature to recording, reporting and SMS positioning for message delivery of reports. The distance between the position of the complainant and the position of the emergency service office, in the form of latitude and longitude data, is requested using the Haversine formula taking into account the degree of curvature of the earth. Emergency service offices include police and hospital offices spread over 25 different districts. Furthermore, the reporter's position calculation results were compared with all selected emergency service offices and obtained 1 nearest emergency service office. Calculating the accuracy and delay value of the system will do system testing. Accuracy test results using the method of 100% Haversine and the average delay of the system is 4.5 seconds.

scholarly journals Performance of scores in the prediction of clinical outcomes in patients admitted from the emergency service

2021 ◽  
Vol 29 ◽  
Author(s):  
Luana Matuella Figueira da Silva ◽  
Luciano Passamini Diogo ◽  
Letícia Becker Vieira ◽  
Fabiano Da Costa Michielin ◽  
Michelle Dornelles Santarem ◽  
...  
Keyword(s):  
Septic Shock ◽  
Systemic Inflammatory Response Syndrome ◽  
Inflammatory Response ◽  
Clinical Outcomes ◽  
Emergency Service ◽  
Emergency Services ◽  
Early Recognition ◽  
Systemic Inflammatory Response ◽  
The Relationship

Objective: to evaluate the performance of the quickSOFA scores and Systemic Inflammatory Response Syndrome as predictors of clinical outcomes in patients admitted to an emergency service. Method: a retrospective cohort study, involving adult clinical patients admitted to the emergency service. Analysis of the ROC curve was performed to assess the prognostic indexes between scores and outcomes of interest. Multivariate analysis used Poisson regression with robust variance, evaluating the relationship between variables with biological plausibility and outcomes. Results: 122 patients were selected, 58.2% developed sepsis. Of these, 44.3% had quickSOFA ≥2 points, 87% developed sepsis, 55.6% septic shock and 38.9% died. In the evaluation of Systemic Inflammatory Response Syndrome, 78.5% obtained results >2 points; of these, 66.3% developed sepsis, 40% septic shock and 29.5% died. quickSOFA ≥2 showed greater specificity for diagnosis of sepsis in 86% of the cases, for septic shock 70% and for mortality 64%, whereas the second score showed better results for sensitivity with diagnosis of sepsis in 87.5%, septic shock in 92.7% and death in 90.3%. Conclusion: quickSOFA showed by its practicality that it can be used clinically within the emergency services, bringing clinical applicability from the risk classification of patients for the early recognition of unfavorable outcomes.

scholarly journals Prepaid Mobile Phone Service and the Anonymous Caller: Considering Wireless E9-1-1 in Canada.

2002 ◽  
Vol 1 (4) ◽  
Author(s):  
Gordon A. Gow ◽  
Mark Ihnat
Keyword(s):  
Mobile Phone ◽  
Emergency Service ◽  
Emergency Services ◽  
Service Providers ◽  
Privacy Rights ◽  
Privacy Concerns ◽  
Wireless Service ◽  
Commercial Networks ◽  
Phone Service ◽  
The Right

This paper reports on a recently concluded empirical study into the development of Wireless E9-1-1 (emergency service) in Canada that initially focussed on privacy concerns raised in the context of an emerging location based service (LBS) for mobile phone users. In light of existing regulatory arrangements this paper concludes that in Canada the emerging Wireless E9-1-1 system establishes a reasonable level of protection for the privacy rights of mobile phone users who choose to contact emergency services. However, an important and surprising issue was raised in the proceedings regarding the obligation of wireless service providers offering prepaid mobile phone service to obtain verifiable subscriber records from their customers. This paper provides details regarding the issue and contributes a number of points to an emerging debate concerning the right to anonymity for customers who elect to use prepaid or other services provided over commercial networks.

UNIFORMED SERVICES AND EMERGENCY CALL SYSTEM COOPERATION

2021 ◽  
Vol 142 (2) ◽  
pp. 278-287
Author(s):  
RENATA OSTROWSKA
Keyword(s):  
Emergency Services ◽  
Emergency Call ◽  
Alert System ◽  
Fire Brigade ◽  
Call System ◽  
Emergency Alert System

The study contains the most important information regarding the functioning of uniformed services in the emergency alert system. The matter of the utmost importance is to provide operation and cooperation of the Police and State Fire Brigade with emergency alert system centres. Smooth coordination in terms of sending emergency services units, emergency aid units and extensive cooperation with uniformed services in case of major disasters, are the advantages of the 112 alert system implemented by Poland.

scholarly journals The role of psychological screening for emergency service responders

2019 ◽  
Vol 8 (1) ◽  
pp. 4-19 ◽  
Author(s):  
Noreen Tehrani ◽  
Ian Hesketh
Keyword(s):  
Psychological Health ◽  
Emergency Service ◽  
Emergency Services ◽  
Health And Safety ◽  
Well Being ◽  
High Exposure ◽  
Psychological Screening ◽  
Content Type ◽  
Screening And Surveillance ◽  
Emergency Service Workers

Purpose The purpose of this paper is to examine the role that psychological screening and surveillance can take in improving the delivery of psychological support to emergency service responders (ESRs) at a time of increasing demands and complexity. Design/methodology/approach The study aims to present and discuss the use of psychological screening and surveillance of trauma exposed emergency service workers. Findings The evidence supports the use of psychological screening and surveillance using appropriate validated questionnaires and surveys. Research limitations/implications The findings suggest that emergency services should be using psychological screening and surveillance of ESRs in roles where there is high exposure to traumatic stress. Originality/value These findings will help emergency service organisations to recognise how psychological screening and surveillance can be used as part of a wider programme of well-being support. This approach can also help them meet their legal health and safety obligations to protect the psychological health and well-being of their ESRs.

Social Media and Emergency Services?

2015 ◽  
Vol 7 (2) ◽  
pp. 36-58 ◽  
Author(s):  
Christian Reuter ◽  
Thomas Ludwig ◽  
Therese Friberg ◽  
Sylvia Pratzler-Wanczura ◽  
Alexis Gizikis
Keyword(s):  
Social Media ◽  
Emergency Service ◽  
Emergency Services ◽  
European Countries ◽  
European Research ◽  
Service Staff ◽  
Use Of Social Media ◽  
Participation In Research ◽  
Potential Use ◽  
Future Plans

Social media is much just used for private as well as business purposes, obviously, also during emergencies. Emergency services are often confronted with the amount of information from social media and might consider using them – or not using them. This article highlights the perception of emergency services on social media during emergencies. Within their European research project EMERGENT, the authors therefore conducted an interview study with emergency service staff (N=11) from seven European countries and eight different cities. Their results highlight the current and potential use of social media, the emergency service's participation in research on social media as well as current challenges, benefits and future plans.

scholarly journals Tracking and Minimization of Adverse Events in the Patient Care Process while in a Hospital Emergency Service Area

Proceedings ◽  
2019 ◽  
Vol 31 (1) ◽  
pp. 48
Author(s):  
María Martínez Pérez ◽  
Carlos Dafonte ◽  
Ana Belén Pérez Boado ◽  
Ángel Gómez
Keyword(s):  
Radio Frequency Identification ◽  
Emergency Service ◽  
Emergency Services ◽  
Care Process ◽  
Hospital Emergency Service ◽  
Frequency Identification ◽  
Time Determination ◽  
Patient Care Process ◽  
Hospital Center

The aim of this work was to integrate and computerize into a single program the most important tasks in the process of prescription, dispensation, and administration of medication to patients during their stay in a hospital center. This will increase quality, efficiency, and safety in the care process. An interface was also developed that allows for real-time determination of the whereabouts of a patient within the emergency services unit and the implementation of solutions provided by identification technologies, such as RFID (Radio Frequency Identification), to calculate the location of a patient with more precision and at a reduced cost.

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