Emergency Medicine in the United States. Role in Disaster Planning and Management

1985 ◽  
Vol 1 (3) ◽  
pp. 272-275
Author(s):  
Bruce Feldstein
Keyword(s):  
United States ◽  
Emergency Medicine ◽  
Medical Care ◽  
Full Range ◽  
Disaster Planning ◽  
The United States ◽  
Disaster Medicine ◽  
Emergency Medical Care ◽  
Planning And Management ◽  
Emergency Medical

International organizations such as the World Association for Emergency and Disaster Medicine (Club of Mainz) have brought attention to the need for improved worldwide emergency medical services (EMS) systems and disaster preparedness (1). Similar concerns in the United States (US) for improved emergency medical care have resulted in the organization of emergency medicine as a new medical specialty (2). The practice of this specialty of medicine in some ways differs from the practice of emergency medicine, reanimation medicine, or resuscitology, in Europe. In the United States, emergency medicine specialists provide emergency care for the full range of emergency health conditions, including accidents and trauma, medical emergencies, toxicologic emergencies, psychiatric and social emergencies, and disasters. This care is provided primarily in hospital emergency departments and includes the immediate initial recognition, evaluation, treatment and disposition of these patients with acute illness and injury. For continuing care, patients are referred to their own physicians.Emergency medicine physicians provide medical direction for community EMS and supervise the prehospital emergency medical care provided by non-physicians (emergency medical technicians and paramedics). Emergency physicians engage in the administration, research and teaching of all aspects of emergency medical care. They also provide consultation to governmental and nongovernmental organizations on emergency health care issues. Recently, with the basic framework of emergency medicine established, attention is being given to disaster planning and management.

scholarly journals FEATURES OF THE ORGANIZATION AND PROVISION OF EMERGENCY MEDICAL CARE IN POLTAVA REGION

2021 ◽  
Vol 74 (2) ◽  
pp. 351-354
Author(s):  
Iryna A. Holovanova ◽  
Oksana I. Krasnovа ◽  
Svetlana M. Tanianskaia ◽  
Irina A. Kolenko ◽  
Mariya O. Rumyantseva ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Medical Care ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Disaster Medicine ◽  
Laboratory Diagnostics ◽  
Emergency Medical Care ◽  
Surgical Interventions ◽  
Use Of Resources ◽  
Emergency Medical

The aim: Is to study and analyze the dynamics of the indicators of the emergency medical service of the Ukrainian and the Poltava region in the context of the reforms of the healthcare system in Ukraine. Materials and methods: In this work, the indicators of development of the emergency medical service of the Ukrainian and the Poltava region were studied and analyzed. Conclusions: The provision of emergency medical care in the Poltava region is provided by the Poltava Regional Center for Emergency Medicine and Disaster Medicine. The structure of the center includes 4 emergency medical stations, which are located in cities such as Poltava, Kremenchuk, Lubny, Mirgorod. А modern telemedicine center was built іn 2018 for emergency counseling on-line in new directions was carried out: ultrasound and endoscopic diagnostics, radiology, counseling during surgical interventions, laboratory diagnostics, etc. Emergency medical care reform Poltava Regional should be aimed at increasing the efficiency of the use of resources; provision of the EMC system by the relevant vehicles; qualitative training of doctors in emergency medicine; informatization of the EMC system.

scholarly journals Interaction of aviation medical teams with ambulance, emergency medical care teams and hospitals in the management of mechanically ventilated patients

2021 ◽  
pp. 27-35
Author(s):  
S. A. Gumenyuk ◽  
G. V. Sheptunov ◽  
V. I. Potapov
Keyword(s):  
Medical Care ◽  
Full Range ◽  
Health Department ◽  
Disaster Medicine ◽  
High Tech ◽  
Emergency Medical Care ◽  
Medical Evacuation ◽  
Medical Response ◽  
Emergency Medical ◽  
Medical Teams

Relevance. Acute respiratory failure (ARF) and acute cardiopulmonary failure (ACPF) are unavoidable, and often – the leading syndromes in any critical condition, especially in case of multiple organ failure syndrome as a regular stage in the course of previously incurable conditions. Even a full range of intensive care measures in this category of patients does not always give the desired result. According to various authors, with the development of acute respiratory distress syndrome, the mortality rate reaches 80 %.Intention is to determine the role of the aviation medical teams of the emergency medical service-disaster medicine in ensuring the timely availability of high-tech methods for patients who need them, regardless of the patient’s location.Methodology. Activities of the aviation medical teams of the Scientific and Practical Center for Emergency Medical Care of the Moscow City Health Department for the medical evacuation of patients and victims in emergency situations with ARF and ACPF were analyzed.Results and Discussion. There were analyzed interactions of aviation medical teams with the emergency medical response units of the territorial center for disaster medicine and with medical organizations during the medical evacuation of patients with ARF and ACPF. An algorithm and a scheme of interaction between air medical teams are proposed to optimize medical evacuation of these patients.Conclusion. An analysis of the activities of air medical teams revealed their advantages in providing care for patients with ARF and ACPF.

A Survey of National Physicians Working in an Active Conflict Zone: The Challenges of Emergency Medical Care in Iraq

2012 ◽  
Vol 27 (2) ◽  
pp. 153-161 ◽  
Author(s):  
Ross I. Donaldson ◽  
Patrick Shanovich ◽  
Pranav Shetty ◽  
Emma Clark ◽  
Sharaf Aziz ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Medical Care ◽  
Emergency Departments ◽  
Large Scale ◽  
Road Traffic ◽  
Health Workers ◽  
Emergency Medical Care ◽  
Convenience Sample ◽  
Emergency Medical ◽  
Conflict Zone

AbstractIntroductionThere has been limited research on the perspectives and needs of national caregivers when confronted with large-scale societal violence. In Iraq, although the security situation has improved from its nadir in 2006-2007, intermittent bombings, and other hostilities continue. National workers remain the primary health resource for the affected populace.ProblemTo assess the status and challenges of national physicians working in the Emergency Departments of an active conflict area.MethodsThis study was a survey of civilian Iraqi doctors working in Emergency Departments (EDs) across Iraq, via a convenience sample of physicians taking the International Medical Corps (IMC) Doctor Course in Emergency Medicine, given in Baghdad from December 2008 through August 2009.ResultsThe 148 physician respondents came from 11 provinces and over 50 hospitals in Iraq. They described cardiovascular disease, road traffic injuries, and blast and bullet injuries as the main causes of death and reasons for ED utilization. Eighty percent reported having been assaulted by a patient or their family member at least once within the last year; 38% reported they were threatened with a gun. Doctors reported seeing a median of 7.5 patients per hour, with only 19% indicating that their EDs had adequate physician staffing. Only 19% of respondents were aware of an established triage system for their hospital, and only a minority had taken courses covering ACLS- (16%) or ATLS-related (24%) material. Respondents reported a wide diversity of prior training, with only 3% having some type of specialized emergency medicine degree.ConclusionsThe results of this study describe some of the challenges faced by national health workers providing emergency care to a violence-stricken populace. Study findings demonstrate high levels of violent behavior directed toward doctors in Iraqi Emergency Departments, as well as staffing shortages and a lack of formal training in emergency medical care.Donaldson RI, Shanovich P, Shetty P, Clark E, Aziz S, Morton M, Hasoon T, Evans G. A survey of national physicians working in an active conflict zone: the challenges of emergency medical care in Iraq. Prehosp Disaster Med. 2012;27(2):1-9.

scholarly journals P084: The sky is not the limit! Protocol for a rapid systematic review on the use of drones in emergency medicine

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S93-S94
Author(s):  
L. Lapointe ◽  
C. Buisson ◽  
R. Fleet
Keyword(s):  
Systematic Review ◽  
Emergency Medicine ◽  
Cardiac Arrest ◽  
Medical Care ◽  
Empirical Research ◽  
Search Strategy ◽  
Bibliographic Databases ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Literature Reviews

Introduction: Drones are already being used in medicine. They are employed to transport blood products and laboratory samples in rural and remote areas and they are increasingly being tested to deliver external defibrillators outside the hospital to patients with cardiac arrest. As this technology rapidly develops and attracts the attention of the scientific community, we present a rapid systematic review protocol that aims to synthesize the scientific evidence that has tested the use of drones to provide emergency medical care. Methods: A search strategy incorporating the concepts of ‘drone’ and ‘emergency medicine’ was launched in 52 bibliographic databases, including CINAHL and PubMed. Using the artificial intelligence module included in DistillerSR, a reviewer completed the first screening phase by reading the title and abstract of the retrieved articles. To be included, articles had to report empirical research projects that tested the potential uses of drones to improve the quality and accessibility of emergency medical care. These selection criteria were applied to the full text of the included articles during the second screening phase by a single reviewer. The results of these two screening phases will be validated by a second independent reviewer. The bibliography of included studies, relevant scientific journals and literature reviews will be manually searched for relevant articles. Results: The search strategy retrieved 1809 articles, of which 22 met our inclusion criteria in the first and second screening phases. Of these, one study used an empirical research design (qualitative interviews) to evaluate the usefulness of drones in emergency medicine, 17 used simulations or scenarios, and four were comprehensive literature reviews on the use of drones to provide healthcare. The final review will synthesize evidence related to the use of drones in emergency medicine and its impact on emergency medical services: nature of the emergency situation (cardiac arrest, blood transfusion), type of drone (fixed wing, quadcopter), tasks performed by drones (transport, surveillance), improvement in access or quality of care (patient's health, time saved in providing services). Conclusion: Drone technology is evolving rapidly and the indications for its use in providing emergency care is increasing. This rapid systematic review will focus on scientific studies aimed at testing the effectiveness of drones to improve the quality and access to emergency medical care.

scholarly journals EMERGENCY MEDICINE: PROBLEMS OF VIOLENCE AND SAFETY AT WORK

2019 ◽  
Vol 7 (4) ◽  
pp. 351-357
Author(s):  
Yu. V. Shkatula ◽  
Y. O. Badion ◽  
M. V. Novikov ◽  
Ya. V. Khyzhnia
Keyword(s):  
Medical Care ◽  
Close Contact ◽  
Medical Personnel ◽  
Disaster Medicine ◽  
Third Parties ◽  
Emergency Medical Care ◽  
Medical Worker ◽  
Emergency Medical ◽  
Emergency Medical Personnel ◽  
Victims Of Violence

The work of medical workers is associated with constant psycho-emotional stress, which is caused by close contact with human suffering, the need to make immediate decisions, uncomfortable conditions of the pre-hospital stage and cases of aggressive and violent actions by patients or third parties. Statistics show that 54 to 84.8 % of medical workers have become victims of verbal or physical aggression annually. In 2013-2017, 543 crimes against life and health of medical workers on duty were registered in Ukraine. The purpose of the research was to study the causes, nature and risk factors of violent actions against emergency medical personnel with finding the ways to normalize the situation. Material and methods. An anonymous non-personified survey was conducted among 127 workers of the Sumy Regional Centre for Emergency Medical Care and Disaster Medicine. A modified questionnaire “Violence and aggression in the Health Service” (B. Mullan, F. Badger, 2007) was used in the study. It has been established that 74.8 % of emergency medical care and disaster medicine personnel were victims of violence caused by patients, their relatives or friends. Most often, the reasons for aggressive behaviour of the patient or third parties were the time of waiting for a medical worker and the suspicion of incompetence. According to the results of the survey, 35.43 % of employees believe that it is possible to improve the situation by completing and forming ambulance teams of a mixed type. Almost a third of the surveyed medical workers (24.41 %) indicated the need to provide personal protective equipment, another 14.96 % of respondents wanted better legal support and assistance. The authors come to the conclusion that it is necessary to solve the problem of the safety of a medical worker during an emergency call at the state legislative level. Particular attention should be paid to the further improvement of legal assistance, as well as to the development of measures to prevent violence.

Emergency Medical Care in Belgium

1986 ◽  
Vol 2 (1-4) ◽  
pp. 121-122
Author(s):  
Paul Lust
Keyword(s):  
Emergency Medicine ◽  
Critical Care ◽  
Medical Care ◽  
Medical System ◽  
Emergency Medical System ◽  
Emergency Medical Care ◽  
System A ◽  
Emergency Medical ◽  
The Moment ◽  
Further Development

The object of this paper is to discuss the philosophy of the emergency medical system in Belgium.In critical situations we should give the best possible treatment as early as possible. As a patient I would like to get the best doctor at the moment I am most in need of him and not when the doctor is badly in need of a patient. The anaesthesiologist is a most suitable practitioner for critical care, trained as he is by the surgeons to protect their patient against all sorts of manmade disasters, very often in distressing conditions.In Belgium it has been possible to involve anesthesiologists in all aspects of emergency medicine. We are satisfied with this way of handling the problem, and we are not looking for another solution, although we are aware that in other circumstances other solutions may be requested. Nevertheless, we are all well aware that inside our system a further development is needed.

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