Prehospital System Development in Jaffna, Sri Lanka

2013 ◽  
Vol 28 (5) ◽  
pp. 509-516 ◽  
Author(s):  
John R. Zimmerman ◽  
Kecia M. Bertermann ◽  
Paul J. Bollinger ◽  
Donnie R. Woodyard
Keyword(s):  
Sri Lanka ◽  
Medical Care ◽  
System Development ◽  
Prehospital Emergency Care ◽  
First Year ◽  
Emergency Medical Care ◽  
Middle Income ◽  
Emergency Medical ◽  
Prehospital Emergency ◽  
Care System

AbstractIntroductionThe building of prehospital emergency medical care systems in developing and lower middle-income countries (as defined by the World Bank) is a critical step in those countries’ efforts to reduce unnecessary morbidity and mortality. This case report presents the development of a prehospital care system in Jaffna District, Sri Lanka and provides the results of the system's first year of operations, the likely reasons for the results, and the prospects for sustained operations of the system. The goal of this report is to add to the literature surrounding Emergency Medical Services (EMS) in developing countries by providing insight into the implementation of a prehospital emergency care system in developing and lower middle-income settings.MethodsThe level of utilization and the financial performance of the system during its first year of operation were analyzed using data from the Jaffna Regional Director of Health Services (RDHS) Call Center database and information from the implementing organization, Medical Teams International.ResultsThe system responded to >2000 emergency calls in its first 11 months of operation. The most utilized ambulance of the system experienced only a US $13.50 loss during the first 12 months of operation. Factors such as up-front support, a systematic approach, and appropriateness contributed to the successful implementation of the Jaffna prehospital EMS system.ConclusionThe implementation of a prehospital EMS system and its functioning were successful in terms of utility and, in many regards, financial stability. The system's success in development may serve as a potential model for implementing prehospital emergency medical care in other developing and lower middle-income country settings, keeping in mind factors outside of the system that were integral to its developmental success.ZimmermanJR, BertermannKM, BollingerPJ, WoodyardDR. Prehospital system development in Jaffna, Sri Lanka. Prehosp Disaster Med. 2013;28(5):1-8.

scholarly journals EMERGENCY MEDICAL CARE IN UKRAINE IN 2020, THE MAIN INDICATORS OF ACTIVITY

2021 ◽  
pp. 48-54
Author(s):  
E. D. Moroz ◽  
M. D. Blyznyuk ◽  
V. D. Voloshin ◽  
E. M. Horoshun ◽  
I. M. Todurov ◽  
...  
Keyword(s):  
Medical Care ◽  
Detailed Analysis ◽  
Systematic Approach ◽  
Negative Impact ◽  
Positive Experience ◽  
Emergency Medical Care ◽  
Medical Care System ◽  
Emergency Medical ◽  
Effective Use ◽  
Care System

Summary. Purpose. It consists in the study of the main indicators of the activity of the emergency medical care system in 2020 based on the results of reports from the centers of emergency medical care and medicine of disasters in the regions in comparison with 2019. Study of positive experience and ways to optimize the organizational and staff structure of emergency medical care, which will allow the most effective use of forces and resources in the process of performing tasks as intended. Materials and methods. In the course of researching the reports of the centers of emergency medical care, the following research methods were used: analytical, systematic approach. The regulatory legal acts regulating the activities of emergency medical care were used. Results. A detailed analysis of the reports of the centers of emergency medical care in 2020 was carried out, the factors of positive and negative impact on the results of activities were identified. Conclusions. In general, the emergency medical care system copes with the tasks set to perform the tasks as prescribed, but there are a number of problematic issues that negatively affect its activities.

An Analysis of Prehospital Mortality in an Earthquake

1994 ◽  
Vol 9 (2) ◽  
pp. 107-117 ◽  
Author(s):  
Ernesto A. Pretto ◽  
Derek C. Angus ◽  
Joel I. Abrams ◽  
Bern Shen ◽  
Richard Bissell ◽  
...  
Keyword(s):  
Costa Rica ◽  
Medical Care ◽  
Cause Of Death ◽  
Crush Injury ◽  
Emergency Medical Care ◽  
Principal Mechanism ◽  
Medical Response ◽  
Emergency Medical ◽  
Life Saving ◽  
Prehospital Emergency

AbstractIntroduction:Anecdotal observations about prehospital emergency medical care in major natural and human-made disasters, such as earthquakes, have suggested that some injured victims survive the initial impact, but eventually die because of a delay in the application of life-saving medical therapy.Methods:A multidisciplinary, retrospective structured interview methodology to investigate injury risk factors, and causes and circumstances of prehospital death after major disasters was developed. In this study, a team of United States researchers and Costa Rican health officials conducted a survey of lay survivors and health care professionals who participated in the emergency medical response to the earthquake in Costa Rica on 22 April 1991.Results:Fifty-four deaths occurred prior to hospitatization (crude death rate = 0.4/1,000 population). Seventeen percent of these deaths (9/54) were of casualties who survived the initial impact but died at the scene or during transport. Twenty-two percent (2/9) were judged preventable if earlier emergency medical care had been available. Most injuries and deaths occurred in victims who were inside wooden buildings (p <.O1) as opposed to other building types or were pinned by rubble from building collapse. Autopsies performed on a sample of victims showed crush injury to be the predominant cause of death.Conclusions:A substantial proportion of earthquake mortality in Costa Rica was protracted. Crush injury was the principal mechanism of injury and cause of death. The rapid institution of enhanced prehospital emergency medical services may be associated with a significant life- saving potential in these events.

scholarly journals (P2-4) Prehospital System Development in Jaffna, Sri Lanka

2011 ◽  
Vol 26 (S1) ◽  
pp. s136-s136
Author(s):  
P. Bollinger ◽  
J. Zimmerman ◽  
K. Bertermann ◽  
R. Nominathan ◽  
D.R. Woodyard
Keyword(s):  
Sri Lanka ◽  
Call Center ◽  
Financial Stability ◽  
System Development ◽  
Prehospital Care ◽  
First Year ◽  
Middle Income ◽  
Life Saving ◽  
Indicators Of Success

IntroductionThis case study presents the development of a prehospital system in Jaffna, Sri Lanka. The case then outlines the development of the system, examines its first year of operations, and investigates possible reasons for the results of the development of the prehospital system in Jaffna. Finally, the case discusses the continued operations of the system.MethodsThis case study qualitatively researches the development of the Jaffna prehospital care system by looking at indicators of success in human resources, technical knowledge and community awareness. The case study also quantitatively examines the utilization and financial performance of the system during its first year of operation.ResultsAccording to indicators, the implementation of the model and its functioning can arguably be considered successful in terms of utility, and in many regards financial stability. The system has already responded to over 2,000 emergency calls in its first eleven months of operation. The main ambulance and call center has managed to operate at only a $13.50 USD loss during its first twelve months of operation. It has established quality standards by utilizing trained Emergency Medical Technicians (EMT) and ambulances featuring basic life saving equipment. The system has also integrated itself as a part of the overall health system of the community it is serving.ConclusionsThe system's success in development should be examined as a potential model for implementing prehospital care in a developing and middle-income country setting, while keeping in mind factors outside of the system that were integral to its developmental success.

The Emergency Medical Care System

JAMA ◽  
1967 ◽  
Vol 200 (4) ◽  
pp. 300 ◽  
Author(s):  
Richard F. Manegold
Keyword(s):  
Medical Care ◽  
Emergency Medical Care ◽  
Medical Care System ◽  
Emergency Medical ◽  
Care System

Older Persons in the Emergency Medical Care System

2002 ◽  
Vol 50 (12) ◽  
pp. 2103-2105 ◽  
Author(s):  
Jane McCusker ◽  
MD Drph ◽  
Josee Verdon ◽  
Gideon A. Caplan ◽  
Stephen W. Meldon ◽  
...  
Keyword(s):  
Medical Care ◽  
Older Persons ◽  
Emergency Medical Care ◽  
Medical Care System ◽  
Emergency Medical ◽  
Care System
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