scholarly journals Epidemic Thunderstorm Asthma

2019 ◽  
Vol 34 (s1) ◽  
pp. s7-s7
Author(s):  
Alison McMillan
Keyword(s):  
Emergency Departments ◽  
Public Hospital ◽  
Emergency Services ◽  
Lessons Learned ◽  
List Type ◽  
Hospital Emergency ◽  
Forecasting System ◽  
Management Recommendations ◽  
Hospital Emergency Departments ◽  
Thunderstorm Asthma

Introduction:On November 21 and 22 of 2016, Victoria witnessed an unprecedented epidemic thunderstorm asthma emergency event in size acuity and impact. This scenario was never exercised nor contemplated. The event resulted in a 73% increase in calls to the Emergency Services Telecommunications Authority and 814 ambulance cases in the six hours from 6 pm on November 21, 2016. A 58% increase in people presented to public hospital emergency departments in Melbourne and Geelong on November 21 and 22, 2016 (based on the three-year average). 313 calls were made to the nurse on call from people with breathing, respiratory, and allergy problems (compared to an average of 63 calls for the previous month). Tragically, ten deaths are linked to this event.Methods:A substantial amount of work has been completed, much of which goes towards addressing the Inspector-General for Emergency Management recommendations following a review of the event, including: Release of an epidemic thunderstorm asthma campaign and education programs which were rolled out across Victoria for the community and health professionals from September through November 2017;Development of a new epidemic thunderstorm asthma forecasting system on 1 October 2017 and updated warning protocols during the 2017 grass pollen season;Implementation of a Real-time Health Emergency Monitoring System to alert the department of demands on public hospital emergency departments on the system; andIntroduction of a new State Health Emergency Response Plan in October 2017 to improve coordination and communications before and during a health emergency.Discussion:The presentation will concentrate on the lessons learned more than two years down the track from the event in November 2016.

Emergency Services Utilization in Jakarta (Indonesia): A Cross-Sectional Study of Patients Attending Hospital Emergency Departments

2021 ◽  
Author(s):  
Syaribah Noor Brice ◽  
Justin James Boutilier ◽  
Daniel Gartner ◽  
Paul Harper ◽  
Vincent Knight ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Emergency Services ◽  
Survey Design ◽  
P Value ◽  
Medical Conditions ◽  
Hospital Emergency ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Time To Treatment ◽  
Hospital Emergency Departments

Abstract Background Pre-hospital and emergency services in Indonesia are still developing. Despite recent improvements in the Indonesian healthcare system, issues with the provision of pre-hospital and emergency services persist. The demand for pre-hospital and emergency services has not been the subject of previous research and, therefore, has not been fully understood. Our research explored the characteristics of patients attending hospital emergency departments in Jakarta, Indonesia. Methods The study used a cross-sectional survey design involving five general hospitals (four government-funded and one private). The patients’ demographic profile, medical conditions, time to treatment based on different medical conditions, and methods of transport to reach the hospitals were analysed using descriptive statistics. The Kruskal-Wallis test was used to compare groups and the result was considered significant if the p-value < 0.05. Results A total of 1,964 patients was surveyed. The median age of patients was 44 years with an interquartile range (IQR) of 26 to 58 years. IQR describes the range of the middle 50% of values in the data when it is ordered from lowest to highest. Life-threatening conditions such as trauma and cardiovascular diseases were found in 8.6% and 6.6% of patients respectively, the general medical category accounted for 63%. The majority of patients with trauma travelled to the hospital using a motorcycle or car (59.8%). Ambulance was used by 9.3% of the patients, 38% of patients were not aware of the availability of ambulances. The median travel time by ambulances to the hospital was 42 minutes (IQR: 12 to 54 minutes). The median time to treatment for patients with cardiovascular disease was 102 minutes (IQR: 66 to 300 minutes). Conclusion Investing resources in pre-hospital and emergency services in Indonesia and in particular the provision of ambulance services, would create real benefits for the population and result in a significant reduction in deaths following heart disease and stroke.

scholarly journals (A229) Financing Emergency and Disaster Treatment: A Proactive Funding Approach

2011 ◽  
Vol 26 (S1) ◽  
pp. s62-s62
Author(s):  
E.K. Oladimeji ◽  
B.O. Adebiyi ◽  
D. Akeredolu
Keyword(s):  
Emergency Departments ◽  
Public Hospital ◽  
Traumatic Event ◽  
The Political ◽  
Patient Records ◽  
Hospital Emergency ◽  
Funding Model ◽  
Pros And Cons ◽  
Set Up ◽  
Hospital Emergency Departments

Financing the care and treatment of victims of emergencies and disasters is a critically important area for policy. It needs deliberations to evolve policies that will be relevant, robust and enduring. This is more so as the ideological and political leanings of a people determine what will be allowed and what policies endure. The sustainability of the funding model makes a large impact on the success of the treatment, in this case the specialized treatment needed in the traumatic event of emergency and disaster. The paper defined emergencies and disasters and observed that though the timing of funding is critical in the events, the volume and complexity of funding is higher in the latter. The paper reviewed the several current models in use today, particularly with locus on costs which should be incorporated in a payment model, including flag fall or set-up costs (for instance managing new patient records), consumables, investigations (such as pathology and diagnostic imaging) and pharmacological services (prescriptions, logistics of procurement under crisis, etc,) staffing costs which in public hospital emergency departments often do not vary within a shift i.e. emergency departments rarely draw staff from ward areas to the emergency departments to assist with unpredicted demand peaks- but which may become significant in event of disasters. These models are essentially public funded. The paper also highlighted the political underpinnings which make each of the current models popular in each of the ideological settings. The pros and cons associated with the models are reviewed in depth. The paper concludes, after the ideological/funding analysis, by recommending a private/public mix of funding. Details of this proactive funding approach are given and ways to modify and adapt them to different ideological (political) backgrounds suggested.

scholarly journals The Culture of Emergency Department in a Public Hospital

2019 ◽  
Vol IV (I) ◽  
pp. 34-44
Author(s):  
Rabbiyah ◽  
Mahwish Zeeshan
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Public Hospital ◽  
Emergency Services ◽  
Medical Personnel ◽  
Road Accident ◽  
Time Of Arrival ◽  
Emergency Vehicle ◽  
Hospital Emergency Departments ◽  
Calculated Number

The research revolves around the culture of emergency department. Hospital emergency departments make a distinctive subculture inside the healthcare, in an atmosphere of social interaction and variation. Every organization can create its own values. Hospitals or other primary care centers having emergency departments usually. Initially, the emergency room was planned as a treatment room for emergency cases such as road accident cases or other acute conditions in which life is on risk. This department later specialized in the treatment of emergency cases which were presented with no consultation, by an emergency vehicle or any transport available at that time. It was taken place in the Emergency department of Tehsil Headquarter Hospital Pind Dadan Khan. The patients were interviewed regarding their experience, their time of arrival, the medical personnel who received them and their satisfaction level with the provided treatment and care. The other method which was used is participant as observer. The most consistently observed finding associated with higher levels of satisfaction, was the patient-oriented care provided by doctors, nurses and paramedic staff. Doctors and nurses who spent more time with the patient, had better communication skills, showed more empathy and treated the patients within 5 minutes of arrival in the emergency resulted in more patient satisfaction. On the basis of these characteristics, the calculated number of satisfied patients turned was more than the patients who were not satisfied. However, major emergency patients responded that they would not prefer emergency departments of public sector hospitals of Tehsil Pind Dadan Khan for future because major emergency services were not available.

Sign in / Sign up

Export Citation Format

Share Document