Lateral Hostilities Among Nurses Employed in Intensive Care Units, Emergency Departments, Operating Rooms, and Emergency Medical Services

2014 ◽  
Vol 33 (6) ◽  
pp. 347-354 ◽  
Author(s):  
Stefano Bambi ◽  
Giovanni Becattini ◽  
Gian Domenico Giusti ◽  
Andrea Mezzetti ◽  
Andrea Guazzini ◽  
...  
Keyword(s):  
Intensive Care ◽  
Emergency Medical Services ◽  
Intensive Care Units ◽  
Emergency Departments ◽  
Operating Rooms ◽  
Medical Services ◽  
Emergency Medical

scholarly journals Identification of Serious Adverse Events in Patients with Traumatic Brain Injuries, from Prehospital Care to Intensive-Care Unit, Using Early Warning Scores

2020 ◽  
Vol 17 (5) ◽  
pp. 1504
Author(s):  
Francisco Martín-Rodríguez ◽  
Raúl López-Izquierdo ◽  
Alicia Mohedano-Moriano ◽  
Begoña Polonio-López ◽  
Clara Maestre Miquel ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Traumatic Brain Injury ◽  
Intensive Care ◽  
Emergency Medical Services ◽  
Early Warning ◽  
Brain Injuries ◽  
Traumatic Brain Injuries ◽  
Medical Services ◽  
Emergency Medical ◽  
Early Warning Scores

Traumatic brain injuries are complex situations in which the emergency medical services must quickly determine the risk of deterioration using minimal diagnostic methods. The aim of this study is to analyze whether the use of early warning scores can help with decision-making in these dynamic situations by determining the patients who need the intensive care unit. A prospective, multicentric cohort study without intervention was carried out on traumatic brain injury patients aged over 18 given advanced life support and taken to the hospital. Our study included a total of 209 cases. The total number of intensive-care unit admissions was 50 cases (23.9%). Of the scores analyzed, the National Early Warning Score2 was the best result presented with an area under the curve of 0.888 (0.81–0.94; p < 0.001) and an odds ratio of 25.4 (95% confidence interval (CI):11.2–57.5). The use of early warning scores (and specifically National Early Warning Score2) can help the emergency medical services to differentiate traumatic brain injury patients with a high risk of deterioration. The emergency medical services should use the early warning scores routinely in all cases for the early detection of high-risk situations.

Lessons Learned from Chlorine Intoxications in Swimming Pools: The Challenge of Pediatric Mass Toxicological Events

2008 ◽  
Vol 23 (1) ◽  
pp. 90-95 ◽  
Author(s):  
Ofer Lehavi ◽  
Adi Leiba ◽  
Yehudit Dahan ◽  
Dagan Schwartz ◽  
Odeda Benin-Goren ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Emergency Departments ◽  
Pediatric Emergency ◽  
Lessons Learned ◽  
Medical Services ◽  
Swimming Pools ◽  
Systematic Analysis ◽  
Specific Patient ◽  
Emergency Medical ◽  
Wide Range

AbstractIntroduction:The classical doctrine of mass toxicological events provides general guidelines for the management of a wide range of “chemical” events. The guidelines include provisions for the: (1) protection of medical staff with personal protective equipment; (2) simple triage of casualties; (3) airway pro-tection and early intubation; (4) undressing and decontamination at the hos-pital gates; and (5) medical treatment with antidotes, as necessary. A number of toxicological incidents in Israel during the summer of 2005 involved chlo-rine exposure in swimming pools. In the largest event, 40 children were affected. This study analyzes its medical management, in view of the Israeli Guidelines for Mass Toxicological Events.Methods:Data were collected from debriefings by the Israeli Home Front Command, emergency medical services (EMS), participating hospitals, and hospital chart reviews. The timetable of the event, the number and severity of casualties evacuated to each hospital, and the major medical and logistical problems encountered were analyzed according to the recently described methodology of Disastrous Incident Systematic Analysis Through-Components, Interactions, Results (DISAST-CIR).Results:The first ambulance arrived on-scene seven minutes after the first call. Emergency medical services personnel provided supplemental oxygen to the vic-tims at the scene and en route when required. Forty casualties were evacuated to four nearby hospitals. Emergency medical services classified 26 patients as mild-ly injured, 13 as mild-moderate, and one as moderate, suffering from pulmonary edema. Most children received bronchodilators and steroids in the emergency room; 20 were hospitalized. All were treated in pediatric emergency rooms. None of the hospitals deployed their decontamination sites.Conclusions:Event management differed from the standard Israeli toxico-logical doctrine. It involved EMS triage of casualties to a number of medical centers, treatment in pediatric emergency departments, lack of use of protec-tive gear, and omission of decontamination prior to emergency department entrance. Guidelines for mass toxicological events must be tailored to unique scenarios, such as chlorine intoxications at swimming pools, and for specific patient populations, such as children. All adult emergency departments always should be prepared and equipped for taking care of pediatric patients.

scholarly journals Telehealth-Enabled Emergency Medical Services Program Reduces Ambulance Transport to Urban Emergency Departments

2016 ◽  
Vol 17 (6) ◽  
pp. 713-720 ◽  
Author(s):  
James Langabeer ◽  
Michael Gonzalez ◽  
Diaa Alqusairi ◽  
Tiffany Champagne-Langabeer ◽  
Adria Jackson ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Emergency Departments ◽  
Medical Services ◽  
Emergency Medical ◽  
Ambulance Transport

scholarly journals Trends and Characteristics of Emergency Medical Services in Italy: A 5-Years Population-Based Registry Analysis

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 551
Author(s):  
Sara Campagna ◽  
Alessio Conti ◽  
Valerio Dimonte ◽  
Marco Dalmasso ◽  
Michele Starnini ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Emergency Departments ◽  
Healthcare Services ◽  
Population Based ◽  
Medical Services ◽  
Chi Square ◽  
Quality Healthcare ◽  
Emergency Calls ◽  
Emergency Medical ◽  
Private Citizens

Background: Emergency Medical Services (EMS) plays a fundamental role in providing good quality healthcare services to citizens, as they are the first responders in distressing situations. Few studies have used available EMS data to investigate EMS call characteristics and subsequent responses. Methods: Data were extracted from the emergency registry for the period 2013–2017. This included call and rescue vehicle dispatch information. All relationships in analyses and differences in events proportion between 2013 and 2017 were tested against the Pearson’s Chi-Square with a 99% level of confidence. Results: Among the 2,120,838 emergency calls, operators dispatched at least one rescue vehicle for 1,494,855. There was an estimated overall incidence of 96 emergency calls and 75 rescue vehicles dispatched per 1000 inhabitants per year. Most calls were made by private citizens, during the daytime, and were made from home (63.8%); 31% of rescue vehicle dispatches were advanced emergency medical vehicles. The highest number of rescue vehicle dispatches ended at the emergency department (74.7%). Conclusions: Our data showed that, with some exception due to environmental differences, the highest proportion of incoming emergency calls is not acute or urgent and could be more effectively managed in other settings than in an Emergency Departments (ED). Better management of dispatch can reduce crowding and save hospital emergency departments time, personnel, and health system costs.

Epidemiology of Emergency Medical Services (EMS) Utilization in Four Indian Emergency Departments

2016 ◽  
Vol 31 (6) ◽  
pp. 675-679 ◽  
Author(s):  
Olindi Wijesekera ◽  
Amanda Reed ◽  
Parker S. Chastain ◽  
Shauna Biggs ◽  
Elizabeth G. Clark ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Emergency Medical Services ◽  
Emergency Departments ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Medical Services ◽  
Publication Type ◽  
Patient Demographics ◽  
Emergency Medical ◽  
Chief Complaints

AbstractIntroductionWithout a universal Emergency Medical Services (EMS) system in India, data on the epidemiology of patients who utilize EMS are limited. This retrospective chart review aimed to quantify and describe the burden of disease and patient demographics of patients who arrived by EMS to four Indian emergency departments (EDs) in order to inform a national EMS curriculum.MethodsA retrospective chart review was performed on patients transported by EMS over a three-month period in 2014 to four private EDs in India. A total of 17,541 patient records were sampled from the four sites over the study period. Of these records, 1,723 arrived by EMS and so were included for further review.ResultsA range of 1.4%-19.4% of ED patients utilized EMS to get to the ED. The majority of EMS patients were male (59%-64%) and adult or geriatric (93%-99%). The most common chief complaints and ED diagnoses were neurological, pulmonary, cardiovascular, gastrointestinal, trauma, and infectious disease.ConclusionsNeurological, pulmonary, cardiovascular, gastrointestinal, trauma, and infectious disease are the most common problems found in patients transported by EMS in India. Adult and geriatric male patients are the most common EMS utilizers. Emergency Medical Services curricula should emphasize these knowledge areas and skills.WijesekeraO, ReedA, ChastainPS, BiggsS, ClarkEG, KoleT, ChakrapaniAT, AshishN, RajhansP, BreaudAH, JacquetGA. Epidemiology of Emergency Medical Services (EMS) utilization in four Indian emergency departments. Prehosp Disaster Med. 2016;31(6):675–679.

Planning for a Filmless Hospital

2010 ◽  
pp. 72-91
Author(s):  
Carrison K.S. Tong ◽  
Eric T.T. Wong
Keyword(s):  
Intensive Care ◽  
Real Time ◽  
Intensive Care Units ◽  
Emergency Departments ◽  
Cost Effective ◽  
Operating Rooms ◽  
Access To Information ◽  
X Ray ◽  
Effective Manner

Filmless hospital is transforming at an unprecedented rate. Physicians, nurses, clinicians, pharmacists, radiologists, emergency departments, local doctor’s offices, operating rooms, intensive care units, and insurance offices all must have instantaneous access to information from CT, MR, and X-ray images to treat their patients. Considering that these individuals could be on different floors of a hospital, across a campus, or scattered over several states, connecting them in real-time and in a cost-effective manner to the information they need is a monumental IT challenge. Detail planning is important in a filmless hospital project.

Physiological Scoring: An Aid to Emergency Medical Services Transport Decisions?

2010 ◽  
Vol 25 (4) ◽  
pp. 320-323 ◽  
Author(s):  
Kirsty Challen ◽  
Darren Walter
Keyword(s):  
Emergency Department ◽  
Hospital Admission ◽  
Emergency Medical Services ◽  
Emergency Departments ◽  
Characteristic Curve ◽  
Medical Services ◽  
Care Providers ◽  
Emergency Medical ◽  
Unscheduled Care ◽  
Difficulty Breathing

AbstractIntroduction:Attendance at UK emergency departments is rising steadily despite the proliferation of alternative unscheduled care providers. Evidence is mixed on the willingness of emergency medical services (EMS) providers to decline to transport patients and the safety of incorporating such an option into EMS provision. Physiologically based Early Warning Scores are in use in many hospitals and emergency departments, but not yet have been proven to be of benefit in the prehospital arena.Hypothesis:The use of a physiological-social scoring system could safely identify patients calling EMS who might be diverted from the emergency department to an alternative, unscheduled, care provider.Methods:This was a retrospective, cohort study of patients with a presenting complaint of “shortness of breath” or “difficulty breathing” transported to the emergency department by EMS. Retrospective calculation of a physiologicalsocial score (PMEWS) based on first recorded data from EMS records was performed. Outcome measures of hospital admission and need for physiologically stabilizing treatment in the emergency department also were performed.Results:A total of 215 records were analyzed. One hundred thirty-nine (65%) patients were admitted from the emergency department or received physiologically stabilizing treatment in the emergency department. Area Under the Receiver Operating Characteristic Curve (AUROC) for hospital admission was 0.697 and for admission or physiologically stabilizing treatment was 0.710. No patient scoring <2 was admitted or received stabilizing treatment.Conclusions:Despite significant over-triage, this system could have diverted 79 patients safely from the emergency department to alternative, unscheduled, care providers.

Sign in / Sign up

Export Citation Format

Share Document