Fatal motor vehicle crashes in Texas: needs for and access to emergency medical services

The timely response of emergency medical services (EMS) personnel at a crash site may help prevent loss of life and thereby impact the quality of life for an individual at risk. Thus, availability of and access to quantitative data on EMS activities is critical. This study was conducted to review the data collected by the Michigan Department of Community Health, Emergency Medical Services Section, from a five-year period starting in 2010. The intent was to identify current EMS response, treatment, and transport trends. Among the results noted in this paper, it was identified that on average, the total times involved from the dispatch call to the drop-off of a patient from a motor vehicle collision (MVC) in Michigan were approximately 56 and 43 min for rural and urban areas, respectively. The results from this study could be utilized to guide and direct future EMS initiatives relating to MVCs. The analysis might also be beneficial in predicting the types of injuries that occur in specific types of vehicle crashes. Several challenges and recommendations are provided in the paper.

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In-Field Extremity Amputation: Prevalence and Protocols in Emergency Medical Services

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00042370 ◽

1996 ◽

Vol 11 (1) ◽

pp. 63-66 ◽

Cited By ~ 10

Author(s):

Kathryn E. Kampen ◽

Jon R. Krohmer ◽

Jeffrey S. Jones ◽

J.M. Dougherty ◽

Robert K. Bonness

Keyword(s):

North America ◽

Emergency Medical Services ◽

Motor Vehicle ◽

Epidemiological Survey ◽

Medical Services ◽

Cross Sectional ◽

Vehicle Accidents ◽

Emergency Medical ◽

Trauma Surgeons ◽

And Training

AbstractObjective:To determine current experience, attitudes, and training concerning the performance of in-field extremity amputations in North America.Design:Cross-sectional, epidemiological survey.Participants:Emergency medical services (EMS) directors from the 200 largest metropolitan areas in North America and attendees at the 1992 Mid-Year National Association of EMS Physicians Meeting.Interventions:The survey consisted of five questions focusing on demographic and operational data, the frequency of occurrence of the performance of in-field amputations, personnel responsible for performing the procedure, existing written protocols for the procedure, and the scope of training provided.Results:A total of 143 surveys was completed. Eighteen respondents (13%) reported a total of 26 in-field extremity amputations in the past five years. The most common cause for the injuries requiring amputations was motor-vehicle accidents. In the majority of cases (53.2%), trauma surgeons were responsible for performing the amputation, followed by emergency physicians (36.4%). Of respondents, 96% stated that there was no training available through their EMS agencies related to the performance of in-field extremity amputations. Only two EMS systems had an existing protocol regarding in-field amputations.Conclusions:The results suggest a need for established protocols to make the procedure easily accessible when needed, especially in large metropolitan EMS systems. This information should be emphasized during EMS training and reinforced through continuing education.

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Comparison of motor vehicle damage documentation in emergency medical services run reports compared with photographic documentation

Annals of Emergency Medicine ◽

10.1016/s0196-0644(05)81842-6 ◽

1993 ◽

Vol 22 (4) ◽

pp. 651-656 ◽

Cited By ~ 19

Author(s):

Richard C Hunt ◽

Robert L Brown ◽

Kathleen A Cline ◽

Jon R Krohmer ◽

John B McCabe ◽

...

Keyword(s):

Emergency Medical Services ◽

Motor Vehicle ◽

Medical Services ◽

Photographic Documentation ◽

Emergency Medical

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Epidemiological Characteristics of Traffic and Non-traffic Injuries and Quality of Emergency Medical Services in Southern Thailand

Journal of Health Science and Medical Research ◽

10.31584/jhsmr.2021783 ◽

2021 ◽

Author(s):

Patcharee Prommoon ◽

Thanom Phibalsak ◽

Janya Netwachirakul ◽

Mayuree Mekthat ◽

Walailuk Jitpiboon ◽

...

Keyword(s):

Emergency Medical Services ◽

Motor Vehicle ◽

Care Staff ◽

Medical Services ◽

Health Care Staff ◽

Emergency Medical ◽

Number Of Patients ◽

Southern Thailand ◽

Injured Patients ◽

Epidemiological Characteristics

Objective: This study aimed to report the situation of injuries and emergency medical services in southern Thailand.Material and Methods: Data from the Injury Surveillance system of a Level 1 Trauma Center Hospital in lower southern Thailand during 2012-2016 were extracted. Trends in epidemiological characteristics of both traffic and non-traffic injuries and emergency medical services were described. Logistic regression was used for the analysis.Results: The number of patients admitted to emergency departments due to traffic and non-traffic injuries was stable over the five-year period (n=102, 840). Traffic injuries involving motorcycles and falls were the two leading causes of injury. Most were adults aged 19-60 years (62.5%). The most common risky behaviors were driving a motor vehicle without wearing a seatbelt (81.9%) and riding a motorcycle without wearing a helmet (71.7%). Alcohol and drug use were relatively low but significantly increased the odds of sustaining a severe/critical injury. Significant predictors of severe/ critical non-traffic injury included drowning [odds ratio (OR)=29.7, 95% confidence interval (CI)=11.9-74.7], self-harm/ suicide (OR=12.6, 95% CI=9.2-17.3), and bites/stings from poisonous animals (OR=8.1, 95% CI=6.1-10.8). The use of Emergency Medical Services (EMS) was low but increased over time. The main challenge was delivering appropriate EMS for different levels of injury. The percentage of health care staff who performed advanced life support appropriately for critically injured patients ranged from 95.5% to 100.0% while for severely injured patients, ranged from 93.9% to 100.0%.Conclusion: Traffic and non-traffic injuries were high and the use of EMS was still low in southern Thailand.

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