scholarly journals 120: NATIONAL EMERGENCY TELE-CRITICAL CARE NETWORK EMERGENCY MEDICAL SERVICES PILOT: LESSONS LEARNED

2021 ◽  
Vol 50 (1) ◽  
pp. 43-43
Author(s):  
Christopher Colombo ◽  
Christopher Palmer ◽  
Jarone Lee ◽  
Oren Kodish ◽  
Justin Valovich ◽  
...  
Keyword(s):  
Critical Care ◽  
Emergency Medical Services ◽  
Lessons Learned ◽  
Medical Services ◽  
Care Network ◽  
Emergency Medical ◽  
National Emergency

scholarly journals Lessons learned from an analysis of the Emergency Medical Services’ COVID-19 drive-through testing facilities in Israel

2021 ◽  
pp. 1-18
Author(s):  
Itay Zmora ◽  
Evan Avraham Alpert ◽  
Uri Shacham ◽  
Nisim Mishraki ◽  
Eli Jaffe
Keyword(s):  
Emergency Medical Services ◽  
Cost Effective ◽  
Lessons Learned ◽  
Medical Services ◽  
Improvement Program ◽  
Emergency Medical ◽  
Home Testing ◽  
Operational Improvement ◽  
October 17 ◽  
National Emergency

Abstract One strategy for the containment of a pandemic is mass testing. Magen David Adom (MDA), the Israeli National Emergency Medical Services (EMS) Organization undertook this mission by operating a nationwide series of drive-through testing complexes. The objective of this study is to learn lessons from an analysis of these centers. Data from 198 stationary and mobile drive-through complexes from March 20, 2020, through October 17, 2020, were analyzed for temporal and geographic factors, and cost. Also, an operational improvement program was implemented and analyzed. A total of 931,074 patients were sampled in the MDA drive-through system: 46.9% in stationary complexes, and 53.1% in mobile complexes. The optimized cost per patient of home testing was estimated at 74.5 USD compared to 6.55 USD in the drive-through centers. An operational improvement program lowered the total sampling time from 128 seconds per patient to 98 seconds and decreased the total cost per patient from 6.55 USD to 6.27 USD. The EMS led drive-through complexes were cost-effective and efficient in performing large numbers of viral tests, especially when compared to home testing. Established concepts in clinical operations should be implemented to increase the number of persons that can be tested and decrease cost.

scholarly journals Drawing on Israel’s Experience Organizing Volunteers to Operationalize Drive-Through Coronavirus Testing Centers

2020 ◽  
pp. 1-3 ◽  
Author(s):  
Edward Kim
Keyword(s):  
Health Care ◽  
Emergency Medical Services ◽  
Health Care Professionals ◽  
Lessons Learned ◽  
Medical Services ◽  
Tel Aviv ◽  
Emergency Medical ◽  
National Emergency

ABSTRACT To increase the country’s capacity to test and track suspected coronavirus disease 2019 (COVID-19) cases, Israel launched drive-through testing centers in key cities, including Tel Aviv, Jerusalem, Be’er Sheva, and Haifa. This article examines the challenges that the national emergency medical services and volunteers faced in the process of implementing drive-through testing centers to offer lessons learned and direction to health-care professionals in other countries.

EMS Knowledge and Skills in Rural North Carolina: A Comparison with the National EMS Education and Practice Blueprint

1996 ◽  
Vol 11 (4) ◽  
pp. 254-260 ◽  
Author(s):  
Lawrence H. Brown ◽  
Terry W. Copeland ◽  
John E. Gough ◽  
Herbert G. Garrison ◽  
Kathleen A. Dunn
Keyword(s):  
North Carolina ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Similar Action ◽  
Knowledge And Skills ◽  
Emergency Medical ◽  
State And Local ◽  
Ems Education ◽  
National Emergency ◽  
Eastern North Carolina

AbstractIntroduction:Many state and local emergency medical services (EMS) systems may wish to modify provider levels and their scope of practice to align their systems with the recommendations of the National Emergency Medical Services Education and Practice Blueprint. To determine any changes that may be needed in a typical EMS system, the knowledge and skills of EMS providers in one rural area of North Carolina were compared with the knowledge and skills recommended in the National Emergency Medical Services Education and Practice Blueprint.Methods:A survey listing 175 items of patient care-oriented knowledge and skills described in the National Emergency Medical Services Education and Practice Blueprint was developed. EMS providers from five rural eastern North Carolina counties were asked to identify on the survey those items of knowledge and skills they believed they possessed. The skills and knowledge selected by the respondents at the five different North Carolina levels of certification were compared with the knowledge and skills listed for comparable provider levels delineated by the National Emergency Medical Services Education and Practice Blueprint. The proportions of the recommended skills reported to be possessed by the respondents were compared to determine which North Carolina certification levels best correlate with the Blueprint.Results:One hundred forty-five EMS providers completed the survey. The proportion of recommended skills and knowledge reported to be possessed by Emergency Medical Technicians (EMTs) ranked significantly lower than did the skills and knowledge reported to be possessed by respondents at other levels in five of the 10 Blueprint elements. The proportion of recommended skills and knowledge reported to be possessed by EMT-Defibrillator-level personnel ranked lower than did those reported to be possessed by respondents at other levels in seven of the 10 Blueprint elements. The proportion of recommended skills and knowledge reported to be possessed by EMT-Intermediates ranked lower than did those reported to be possessed by respondents at other levels in nine of the 10 Blueprint elements. The proportion of recommended skills and knowledge reported to be possessed by EMT-Advanced Intermediates ranked lower than were the skills and knowledge reported to be possessed by respondents at other levels in two of the 10 Blueprint elements. Finally, the proportion of recommended skills and knowledge reported to be possessed by EMT-Paramedics ranked lower than were those reported to be possessed by respondents at other levels in one of the 10 Blueprint elements.Conclusion:In North Carolina, combining the EMT and EMT-Defibrillator levels and eliminating the EMT-Intermediate level would create three levels of certification, which would be more consistent with levels recommended by the Blueprint. The results of this study should be considered in any effort to revise the levels of EMS certification in North Carolina and in planning the training curricula for bridging those levels. Other states may require similar action to align with the National Emergency Medical Services Education and Practice Blueprint.

scholarly journals Analysis of the Adequacy of Prehospital Emergency Medical Services Use of Patients Who Visited Emergency Departments in Korea from 2016 to 2018: Data from the National Emergency Department Information System

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Sung Joon Park ◽  
Jung-Youn Kim ◽  
Young-Hoon Yoon ◽  
Eu Sun Lee ◽  
Hyun-Jin Kim ◽  
...  
Keyword(s):  
Emergency Department ◽  
Information System ◽  
Emergency Medical Services ◽  
Secondary Data ◽  
The Other ◽  
Limited Resources ◽  
Medical Services ◽  
Emergency Medical ◽  
Prehospital Emergency ◽  
National Emergency

Introduction. Proper ambulance use is important not only due to the patient’s transport quality but also because of the need for efficient use of limited resources allotted by the system. Therefore, this study was conducted to check for overuse or underuse of the ambulance system by patients who visited the emergency department (ED). Methods. In this study, a secondary data analysis was conducted using the existing database of the National Emergency Department Information System with all patients who visited EDs over the three-year study period from 2016 to 2018. The study subjects were classified into the following groups: (1) appropriate Emergency Medical Services (EMS) usage; (2) appropriate no EMS usage; (3) underuse; and (4) overuse groups. Results. Of 18,298,535 patients, 11,668,581 (63.77%) were classified under the appropriate usage group, while 6,629,954 (36.23%) were classified under the inappropriate usage group. In the appropriate EMS usage group, there were 2,408,845 (13.16%) patients. In the appropriate no EMS usage group, there were 9,259,706 (50.60%) patients. As for the inappropriate usage group, there were 5,147,352 (28.13%) patients categorized under the underuse group. On the other hand, there were 1,482,602 (8.10%) patients under the overuse group. Conclusion. There are many patients who use ambulances appropriately, but there are still many overuse and underuse. Guidelines on ambulance use are necessary for the efficient use of emergency medical resources and for the safety of patients.

ERRATUM

PEDIATRICS ◽  
1995 ◽  
Vol 96 (3) ◽  
pp. 423-423
Keyword(s):  
Emergency Medical Services ◽  
Human Services ◽  
Medical Services ◽  
Institute Of Medicine ◽  
Call To Action ◽  
Health And Human Services ◽  
Department Of Health ◽  
Emergency Medical ◽  
The Us ◽  
National Emergency

The July supplement to Pediatrics, "A Call to Action: the Institute of Medicine Report on Emergency Medical Services for Children," Jane F. Knapp, MD, Editor, was sponsored by the National Emergency Medical Services for Children Resource Alliance, through a grant from the US Department of Health and Human Services. This information was inadvertently omitted from the supplement.

Sign in / Sign up

Export Citation Format

Share Document