Epidemiological study of emergency ambulance activation in the British Eastern Sovereign Base Area of Cyprus, September 2013 to August 2016

2018 ◽  
Vol 165 (3) ◽  
pp. 159-162
Author(s):  
Sophie Jefferys ◽  
A J Martin-Bates ◽  
A Harold ◽  
R Withnall
Keyword(s):  
Epidemiological Study ◽  
Local Community ◽  
Road Traffic ◽  
Clinical Skills ◽  
Ambulance Service ◽  
Significant Shift ◽  
Hospital Emergency ◽  
Traffic Incidents ◽  
Base Area ◽  
Emergency Ambulance

ObjectivesTo record the activation and use of the Eastern Sovereign Base Area (ESBA) emergency ambulance service of British Forces Cyprus between 1 September 2013 and 31 August 2016. To reflect on these findings in light of data from 1995 to 1998 to identify current treads and areas of development.MethodRetrospective epidemiological study of all activations of the ESBA emergency ambulance service within the study period.Results812 patients were treated over 3 years, an 80% increase in workload, of which 41% were entitled personnel. Forty-two per cent of activations were for medical complaints compared with 41% for trauma. The number of deaths remained static (n=15). Road traffic incidents (RTI) remain the top activation by type, but accounting for a smaller proportion of workload. RTI mortality has declined by 50%.ConclusionThe ESBA emergency ambulance service responded to double the activations, when compared with 18 years ago, with a significant shift to medical cases over trauma. This ESBA emergency ambulance provides a varied and vital service for the local community that also benefits Defence Medical Services personnel interested in the Pre-Hospital Emergency Medicine environment in order to maintain clinical skills and currency for the benefit of future deployments, both humanitarian and kinetic in nature.

Winning in winter with marginal gains: enhancing welfare on the frontline

2021 ◽  
Vol 13 (5) ◽  
pp. 204-208
Author(s):  
Mark Robert-Blunn
Keyword(s):  
Urban Areas ◽  
Waiting Times ◽  
Service Performance ◽  
Ambulance Service ◽  
Hospital Emergency ◽  
Positive Difference ◽  
Performance Targets ◽  
Emergency Ambulance ◽  
Hospital Emergency Departments ◽  
Second Wave

Winter pressures on the NHS challenge every one of us. Patients may experience delays waiting for emergency ambulances and face extended waiting times at hospital emergency departments (ED). During this season, GPs, hospitals, NHS organisations and staff will face increased demand for services; yet are still required to deliver on agreed performance targets with only a finite availability of resources. Add Brexit and the second wave of COVID-19 wave into the mix and it might appear difficult to make improvements in any of these areas. During the winter of 2019–2020, a large ambulance service in England introduced a ‘welfare van’ to support busy emergency ambulance crews in one of its busy urban areas. It was tasked to see if it could make a positive difference to staff welfare and uphold or improve on ambulance service performance during a period of expected increased demand.

Epidemiological Study of Road Traffic Accident Cases Attending the Civil Hospital, Ahmedabad

2012 ◽  
Vol 3 (8) ◽  
pp. 282-283
Author(s):  
Dr. Chhaya Lakhani ◽  
◽  
Dr. Rachana Kapadia ◽  
Dr. Dhara Prajapati ◽  
Dr. A.Bhagyalaxmi Dr. A.Bhagyalaxmi
Keyword(s):  
Epidemiological Study ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Civil Hospital

Planning for emergency ambulance service systems

1984 ◽  
Vol 1 (4) ◽  
pp. 331-338 ◽  
Author(s):  
Eugene D. Hill ◽  
Joan Luise Hill ◽  
Lenworth M. Jacobs
Keyword(s):  
Service Systems ◽  
Ambulance Service ◽  
Emergency Ambulance

scholarly journals Trends in diagnostic patterns and mortality in emergency ambulance service patients in 2007−2014: a population-based cohort study from the North Denmark Region

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e014508 ◽  
Author(s):  
Erika Frischknecht Christensen ◽  
Mette Dahl Bendtsen ◽  
Thomas Mulvad Larsen ◽  
Flemming Bøgh Jensen ◽  
Tim Alex Lindskou ◽  
...  
Keyword(s):  
Cohort Study ◽  
Relative Risk ◽  
Population Based ◽  
Ambulance Service ◽  
Annual Number ◽  
Adjusted Relative Risk ◽  
Risk Of Death ◽  
The North ◽  
Emergency Ambulance ◽  
Age And Sex

ObjectiveDemand for ambulances is growing. Nevertheless, knowledge is limited regarding diagnoses and outcomes in patients receiving emergency ambulances. This study aims to examine time trends in diagnoses and mortality among patients transported with emergency ambulance to hospital.DesignPopulation-based cohort study with linkage of Danish national registries.SettingThe North Denmark Region in 2007–2014.ParticipantsCohort of 148 757 patients transported to hospital by ambulance after calling emergency services.Main outcome measuresThe number of emergency ambulance service patients, distribution of their age, sex, hospital diagnoses, comorbidity, and 1-day and 30-day mortality were assessed by calendar year. Poisson regression with robust variance estimation was used to estimate both age-and sex-adjusted relative risk of death and prevalence ratios for Charlson Comorbidity Index (CCI) to allow comparison by year, with 2007 as reference year.ResultsThe annual number of emergency ambulance service patients increased from 24.3 in 2007 to 40.2 in 2014 per 1000 inhabitants. The proportions of women increased from 43.1% to 46.4% and of patients aged 60+ years from 39.9% to 48.6%, respectively. The proportion of injuries gradually declined, non-specific diagnoses increased, especially the last year. Proportion of patients with high comorbidity (CCI≥3) increased from 6.4% in 2007 to 9.4% in 2014, corresponding to an age- and sex-adjusted prevalence ratio of 1.27 (95% CI 1.16 to 1.39). The 1-day and 30 day mortality decreased from 2.40% to 1.21% and from 5.01% to 4.36%, respectively, from 2007 to 2014, corresponding to age-adjusted and sex-adjusted relative risk of 0.43 (95% CI 0.37 to 0.50) and 0.72 (95% CI 0.66 to 0.79), respectively.ConclusionDuring the 8-year period, the incidence of emergency ambulance service patients, the proportion of women, elderly, and non-specific diagnoses increased. The level of comorbidity increased substantially, whereas the 1-day and 30-day mortality decreased.

scholarly journals The system analysis and mathematical modeling road accidents in the metropolis

2019 ◽  
pp. 4-8
Author(s):  
A. G. Davidovsky ◽  
A. M. Linnik
Keyword(s):  
Mathematical Modeling ◽  
Traffic Safety ◽  
System Analysis ◽  
Safety Management ◽  
Road Traffic ◽  
Time Of Day ◽  
Road Accidents ◽  
Traffic Incidents ◽  
Day Of The Week ◽  
Pedestrian Collisions

The article presents the results of correlation analysis of the causes of road accidents in such a modern metropolis as Minsk. Has been identified the most frequent causes of road accidents, including pedestrian collisions caused by drivers, collisions at intersections, incidents at controlled and unregulated pedestrian crossings, as well as on the roadway. The dependence of transport incidents on the time of day, day of the week and month of the year was investigated. Shows the periods when road traffic incidents occur from 3.00 to 6.00 h, from 15.00 to 18.00 and from 21.00 to 24.00 on Monday, Friday and Sunday in January, March, June, September, October and November. Methods of correlation and multiple regression analysis can be the basis of preventive traffic safety management in a modern metropolis.

scholarly journals Epidemiological study of fatal road traffic accident cases

2021 ◽  
Vol 8 (4) ◽  
pp. 255-257
Author(s):  
O Gambhir Singh
Keyword(s):  
Epidemiological Study ◽  
Traffic Accident ◽  
Road Traffic ◽  
Head Injuries ◽  
Case Fatality ◽  
Lower Limbs ◽  
Care Centre ◽  
Health Care Centre ◽  
Female Ratio ◽  
Male Female Ratio

The present study is an epidemiological study of fatal Road Traffic (RTA) cases brought and admitted in our tertiary health care centre from Nov 2017 to December 2019. There were 148 fatal RTA cases involving 112 males and 36 female. In the present study males cases outnumbered the female with an approximate male female ratio of 3.1:1. Many cases of fatal head injuries were due to four & two wheelers. Most commonly seen external injuries were abrasions. Lower limbs showed fractured in 31 cases, 20.95%, and upper limbs showed fractured in 22 cases, 14.89%. So, far case fatality is concerned involvement of head plays the most important role.

PP34 The experiences and attitudes of ambulance staff towards the counter-terrorism ‘PREVENT’ training: a survey-based service evaluation

2021 ◽  
Vol 38 (9) ◽  
pp. A14.2-A14
Author(s):  
Tessa Mochrie ◽  
Theresa Foster ◽  
Larissa Prothero ◽  
Nigel South
Keyword(s):  
Service Evaluation ◽  
Ambulance Service ◽  
Future Research ◽  
Duty Of Care ◽  
Training Module ◽  
Counter Terrorism ◽  
Service Setting ◽  
Emergency Ambulance ◽  
Question Survey ◽  
Do So

BackgroundUnderstanding the views and opinions of ambulance clinicians about counter-terrorism is limited, as are the roles they have in identifying individuals vulnerable to radicalisation. The aim of this survey was to investigate ambulance clinician views and preparedness to identify individuals at risk of radicalisation and whether the current national PREVENT training offered is suitable for this clinical setting.MethodsA purpose-designed, 18-question survey, was developed to understand staff attitudes and content knowledge of the national PREVENT training module. The survey was opened to all emergency ambulance clinicians in one UK ambulance service during August 2020, resulting in a sample of 123 responses which were analysed using descriptive and thematic approaches.ResultsMost respondents (87%; n=107) were aware of the PREVENT strategy, with almost three-quarters (73%; n=90) receiving training within the previous three years. Respondents were asked to score training received: the majority (89%; n=110) reported 5/10 or less. Whilst most (79%; n=97) identified the correct way to refer an individual, few had completed a PREVENT referral (9%; n=11). ‘Gut instinct’ was utilised by respondents to support their knowledge obtained via PREVENT training (70%, n=86). Respondents felt the national PREVENT training lacked relevance to their role and recommended ambulance-specific training packages be made available. They recognised their responsibility of identifying radicalisation and the opportunities their unique position offered to do so. Having a ‘duty of care’ and ‘moral responsibilities’ to make PREVENT referrals, and the importance of treating individuals as patients (not criminals), was also highlighted.ConclusionsAmbulance staff have highlighted the importance of a clear and robust referral pathway for individuals vulnerable to radicalisation. Current training lacks specificity and effectiveness for the ambulance service setting. As this survey was limited to one ambulance service, future research is warranted to ensure PREVENT training is appropriate for all ambulance staff.

Being Known as a Generalist Will Position My Practice Well in the Community

2019 ◽  
pp. 17-24
Author(s):  
Jeffrey E. Barnett ◽  
Jeffrey Zimmerman
Keyword(s):  
Mental Health ◽  
Private Practice ◽  
Local Community ◽  
Clinical Skills ◽  
Clinical Care ◽  
Local Market ◽  
Mental Health Clinicians ◽  
Treatment Needs ◽  
Private Practitioners ◽  
Specialty Practice

Although mental health clinicians share a range of general clinical skills, and although each of these skills is important to providing excellent clinical care, such skills are not sufficient for success in the business of private practice. This chapter addresses this myth and shares how mental health clinicians must position themselves in their local market in order to be successful. Specific guidance is provided on how to develop specialty areas and niche areas of practice. It is made clear how these will assist private practitioners to differentiate themselves from local competitors and to better meet the treatment needs of their local community. Concrete steps for developing and building a successful niche practice are provided along with useful resources that may be consulted and utilized to help ensure success in developing and running a niche or specialty practice.

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