scholarly journals Keywords reflecting sepsis presentation based on mode of emergency department arrival: a retrospective cross-sectional study

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Ulrika Margareta Wallgren ◽  
Eric Larsson ◽  
Anna Su ◽  
Jennifer Short ◽  
Hans Järnbert-Pettersson ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Medical Services ◽  
Vital Signs ◽  
Cross Sectional Study ◽  
Screening Tools ◽  
Medical Services ◽  
Cross Sectional ◽  
Emergency Department Arrival ◽  
Emergency Medical ◽  
Sepsis Screening

Abstract Background Current sepsis screening tools are predominantly based on vital signs. However, patients with serious infections frequently present with normal vital signs and there has been an increased interest to include other variables such as symptoms in screening tools to detect sepsis. The majority of patients with sepsis arrive to the emergency department by emergency medical services. Our hypothesis was that the presentation of sepsis, including symptoms, may differ between patients arriving to the emergency department by emergency medical services and patients arriving by other means. This information is of interest to adapt future sepsis screening tools to the population in which they will be implemented. The aim of the current study was to compare the prevalence of keywords reflecting the clinical presentation of sepsis based on mode of arrival among septic patients presenting to the emergency department. Methods Retrospective cross-sectional study of 479 adult septic patients. Keywords reflecting sepsis presentation upon emergency department arrival were quantified and analyzed based on mode of arrival, i.e., by emergency medical services or by other means. We adjusted for multiple comparisons by applying Bonferroni-adjusted significance levels for all comparisons. Adjustments for age, gender, and sepsis severity were performed by stratification. All patients were admitted to the emergency department of Södersjukhuset, Stockholm, and discharged with an ICD-10 code compatible with sepsis between January 1, and December 31, 2013. Results “Abnormal breathing” (51.8% vs 20.5%, p value < 0.001), “abnormal circulation” (38.4% vs 21.3%, p value < 0.001), “acute altered mental status” (31.1% vs 13.1%, p value < 0.001), and “decreased mobility” (26.1% vs 10.7%, p value < 0.001) were more common among patients arriving by emergency medical services, while “pain” (71.3% vs 40.1%, p value < 0.001) and “risk factors for sepsis” (50.8% vs 30.8%, p value < 0.001) were more common among patients arriving by other means. Conclusions The distribution of most keywords related to sepsis presentation was similar irrespective of mode of arrival; however, some differences were present. This information may be useful in clinical decision tools or sepsis screening tools.

Keywords Reflecting Sepsis Presentation and Mode of Emergency Department Arrival: A Retrospective Cross-sectional Study

2020 ◽  
Author(s):  
Ulrika Margareta Wallgren ◽  
Eric Larsson ◽  
Anna Su ◽  
Jennifer Short ◽  
Hans Järnbert-Pettersson ◽  
...  
Keyword(s):  
Emergency Department ◽  
Clinical Presentation ◽  
Vital Signs ◽  
Cross Sectional Study ◽  
Screening Tools ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Department Arrival ◽  
Sepsis Screening

Abstract Background: Current sepsis screening tools rely predominantly on vital signs. Since patients with serious infections frequently present with normal vital signs there is a need for other variables to be included to detect sepsis. As a first step, it is essential to understand the clinical presentation of septic patients. The aim was to compare the prevalence of keywords reflecting the clinical presentation of sepsis and mode of arrival, among septic patients presenting to the emergency department. Methods: Retrospective cross-sectional study of 479 adult septic patients. Keywords reflecting sepsis presentation upon emergency department arrival were quantified and analyzed based on mode of arrival, i.e. by emergency medical services or by other means. We adjusted for multiple comparisons by applying Bonferroni-adjusted significance levels for all comparisons. Adjustments for age, gender and sepsis severity were performed by stratification. All patients were admitted to the emergency department of Södersjukhuset, Stockholm, and discharged with an ICD-10 code compatible with sepsis between January 1stand December 31st, 2013. Results: “Abnormal breathing” (51.8% vs 20.5%, p-value <0.001), “abnormal circulation” (38.4% vs 21.3%, p-value <0.001), “acute altered mental status” (31.1% vs 13.1%, p-value <0.001) and “decreased mobility” (26.1% vs 10.7%, p-value <0.001) were more common among patients arriving by emergency medical services, while “pain” (71.3% vs 40.1%, p-value <0.001) and “risk factors for sepsis” (50.8% vs 30.8%, p-value <0.001) were more common among patients arriving by other means.Conclusions: The distribution of most keywords related to sepsis presentation was similar irrespective of mode of arrival, however, some differences were present. This information may be useful in clinical decision tools or sepsis screening tools.

scholarly journals Humanização da assistência: acolhimento e triagem na classificação de risco

2019 ◽  
Vol 13 (4) ◽  
pp. 997
Author(s):  
Alexandre Lins Werneck ◽  
Carla Fernanda Batista Paula ◽  
Rita de Cássia Helu Mendonça Ribeiro
Keyword(s):  
Emergency Medical Services ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Risk Classification ◽  
Medical Services ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Medical ◽  
Number Of Patients ◽  
Practical Implications

RESUMOObjetivo: estabelecer relações entre a humanização da assistência e o acolhimento e a triagem na classificação de risco pela enfermagem nos serviços médicos de emergência. Método: trata-se de um estudo quantitativo, analítico, transversal. Utilizou-se um questionário e entrevistaram-se 80 pacientes que estavam em consulta de enfermagem. Utilizaram-se a análise descritiva, médias, desvio padrão, mediana, mínimo e máximo, frequência e percentual. Apresentaram-se os resultados em forma de tabelas. Resultados: verificou-se que, dos 64 pacientes, a maioria era do sexo feminino, na faixa etária entre 21 a 40 anos e casada, e cinco pacientes esperaram mais que o tempo preconizado, sendo que a Ortopedia/Traumatologia foi a especialidade com maior número de pacientes atendidos. Conclusão: chegou-se à conclusão de que os usuários estão satisfeitos com a atuação da Enfermagem na humanização da assistência, no acolhimento e na triagem com classificação de risco, nos serviços médicos de emergência. Infere-se que as considerações sobre as implicações teóricas ou práticas dos resultados e a contribuição do estudo para o avanço do conhecimento científico são estabelecer relações entre a humanização da assistência e o acolhimento e a triagem com classificação de risco nos serviços médicos de emergência. Espera-se encontrar situações em que há falta de humanização e colocá-las em evidência, propondo mudanças. Descritores: Humanização da Assistência; Acolhimento; Triagem; Classificação; Risco; Enfermagem de Emergência.ABSTRACT Objective: to establish relations between the humanization of care and the reception and screening in risk classification by nursing in emergency medical services. Method: this is a quantitative, analytical, cross-sectional study. A questionnaire was used and 80 patients who were in nursing consultation were interviewed. Descriptive analysis, means, standard deviation, median, minimum and maximum, frequency and percentage were used. Results were presented in the form of tables. Results: it was verified that, of the 64 patients, the majority were female, between the ages of 21 and 40 years and married, and five patients waited longer than the recommended time, and Orthopedics/Traumatology was the specialty with greater number of patients attended. Conclusion: it was concluded that the users are satisfied with the Nursing performance in the humanization of care, in the reception and in the classification with risk classification, in emergency medical services. It is inferred that considerations about the theoretical or practical implications of the results and the contribution of the study to the advancement of scientific knowledge are to establish relations between the humanization of care and the reception and sorting with risk classification in emergency medical services. It is hoped to find situations in which there is a lack of humanization and to put them in evidence, proposing changes. Descriptors: Humanization of Care; Reception; Screening; Ranking; Risk; Emergency Nursing. RESUMEN Objetivo: establecer relaciones entre la humanización de la asistencia y la acogida y el tamizaje en la clasificación de riesgo por la enfermería en los servicios médicos de emergencia. Método: se trata de un estudio cuantitativo, analítico, transversal. Se utilizó un cuestionario y se entrevistaron a 80 pacientes que estaban en consulta de enfermería. Se utilizó el análisis descriptivo, promedios, desviación estándar, mediana, mínimo y máximo, frecuencia y porcentual. Se presentaron los resultados en forma de tablas. Resultados: se verificó que, de los 64 pacientes, la mayoría era del sexo femenino, en el grupo de edad entre 21 a 40 años y casada, y cinco pacientes esperaron más que el tiempo preconizado, siendo que la Ortopedia / Traumatología fue la especialidad con mayor el número de pacientes atendidos. Conclusión: se llegó a la conclusión de que los usuarios están satisfechos con la actuación de la Enfermería en la humanización de la asistencia, en la acogida y en el tamizaje con clasificación de riesgo, en los servicios médicos de emergencia. Se espera encontrar situaciones en que hay falta de humanización y ponerlas en evidencia, proponiendo cambios. Descriptores: Humanización de la Atención; Acogimiento; Triagem; Classificación; Risco; Enfermería de Urgencia.

scholarly journals Using Routine Ambulance Inspection Report Application to Reduce Wasted Time in Emergency Medical Services

2021 ◽  
Vol 9 (E) ◽  
pp. 298-301
Author(s):  
Korakot Apiratwarakul ◽  
Kamonwon Ienghong ◽  
Takaaki Suzuki ◽  
Ismet Celebi ◽  
Vajarabhongsa Bhudhisawasdi ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Compliance Rate ◽  
Data Gathering ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Medical Services ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Medical ◽  
Action Time

BACKGROUND: Ambulance inspections make up part of the emergency medical services (EMS) to keep operations running smoothly as well as to maximize and maintain the safety of vehicles used for delivery of both staff and patients. The EMS of Srinagarind Hospital has been using an ambulance inspection report application since January 2020. Nevertheless, there has been no comparative study of the benefits associated with the use of this specification. AIM: The aim of this study was to compare the advantages of an ambulance inspection report application and paper checklist. METHODS: This cross-sectional study was conducted amid the EMS at a university hospital in Thailand. Data gathering was carried out by employing the Srinagarind Hospital database and ambulance inspection report application throughout January 1, 2019, and December 31, 2020. RESULTS: A total of 2350 ambulance inspections were recorded during the 2-year study period. Recognition times for ambulance inspections incorporating paper checklist and inspection with application were 35.5 ± 9.4 min and 1.02 ± 0.5 min, respectively (P < 0.001). Action times were 25.2 ± 5.1 min and 1.04 ± 0.2 min, respectively. Ambulance inspection compliance rate with the application was 95.3% and 70.1% with a paper checklist. CONCLUSION: Ambulance inspections carried out with an application can reduce recognition and action time, and increase ambulance inspection compliance rate.

scholarly journals Neighborhood Influences on Emergency Medical Services Use for Acute Stroke: A Population-Based Cross-sectional Study

2016 ◽  
Vol 67 (3) ◽  
pp. 341-348.e4 ◽  
Author(s):  
William J. Meurer ◽  
Deborah A. Levine ◽  
Kevin A. Kerber ◽  
Darin B. Zahuranec ◽  
James Burke ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Emergency Medical Services ◽  
Population Based ◽  
Cross Sectional Study ◽  
Medical Services ◽  
Sectional Study ◽  
Cross Sectional ◽  
Neighborhood Influences ◽  
Emergency Medical ◽  
Services Use

scholarly journals National study of Saudi Arabian emergency medical services professional profiles: an inferential analysis

2019 ◽  
Vol 16 ◽  
Author(s):  
Talal AlShammari ◽  
Paul Jennings ◽  
Brett Williams
Keyword(s):  
Emergency Medical Services ◽  
Sampling Technique ◽  
Access Point ◽  
Cross Sectional Study ◽  
Medical Services ◽  
National Study ◽  
Future Research ◽  
Cross Sectional ◽  
Demographic Profiles ◽  
Emergency Medical

IntroductionInternationally, emergency medical services (EMS) are an essential access point to the healthcare system. Building an understanding of the professional, educational and demographic profiles of an EMS workforce is important. The aim of this study is to statistically test the professional profiles of EMS providers against the Saudi ParamEdic Competency Scale (SPECS) model factors.MethodsHealthcare providers working for the Saudi Red Crescent Authority (SRCA) were surveyed using a cross-sectional study design with purposive sampling technique. The independent variables were tested against the five SPECS model factors of ‘Professionalism’, ‘Preparedness’, ‘Communication’, ‘Clinical’ and ‘Personal’.ResultsOf the 1260 surveys distributed, 909 surveys were returned (72.14% response rate). A total of 927 EMS healthcare professionals contributed to the study of whom 866 (93.4%) were male and 61 (6.6%) female. Of the participants, 552 (59.5%) were aged 29–39 years and 508 (54.8%) had 5–9 years’ experience. ConclusionThis is the first national study to explore and contextualise the diverse professional stakeholders in Saudi EMS. The study was able to employ the professional profiles of the participants in understanding the different perceptions of the SPECS model. We recommend that future research address the specific differences identified in the demographic, professional and educational aspects of this study.

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