scholarly journals Communication of preclinical emergency teams in critical situations: A nationwide study

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0250932
Author(s):  
Matthias Zimmer ◽  
Daria Magdalena Czarniecki ◽  
Stephan Sahm
Keyword(s):  
Patient Safety ◽  
Medical Service ◽  
Leadership Behavior ◽  
Team Communication ◽  
Patient Harm ◽  
Rescue Service ◽  
Rescue Workers ◽  
Emergency Medical ◽  
Blinded Study ◽  
Main Factor

Background The emergency medical service as a high-risk workplace is a danger to patient safety. A main factor for patient safety, but also at the same time a main factor for patient harm, is team communication. Team communication is multidimensional and occurs before, during, and after the patient’s treatment. Methods In an online based, anonymous and single-blinded study, medical and non-medical employees in the emergency medical services were asked about team communication, and communication errors. Results Seven hundred and fourteen medical and non-medical rescue workers from all over Germany took part. Among them, 72.0% had harmed at least one patient during their work. With imprecise communication, 81.7% rarely asked for clarification. Also, 66.3% saw leadership behavior as the cause of poor communication; 46.0% could not talk to their superiors about errors. Of note, 96.3% would like joint training of medical and non-medical employees in communication. Conclusion Deficits in team communication occur frequently in the rescue service. There is a clear need for uniform training in team and communication skills in all professions.

A city-scale assessment of emergency response accessibility to vulnerable populations and facilities under normal and pluvial flood conditions for Shanghai, China

2020 ◽  
pp. 239980832097130
Author(s):  
Jie Yin ◽  
Dapeng Yu ◽  
Banggu Liao
Keyword(s):  
Surface Water ◽  
Emergency Medical Service ◽  
Vulnerable Populations ◽  
Medical Service ◽  
Emergency Services ◽  
Large City ◽  
Water Flooding ◽  
Rescue Service ◽  
Emergency Medical ◽  
The City

This paper describes the development of a scenario-based approach that couples 2D hydrodynamic modeling with Geographic Information System (GIS) network analysis to assess the vulnerability of emergency services to surface water flooding at a large city scale. The method is demonstrated for Emergency Medical Service and Fire & Rescue Service in the city of Shanghai, China. Considering four representative traffic conditions, accessibility in terms of service area, response time, and population coverage within specified timeframes (8-, 12-, and 15-minute for Emergency Medical Service and 5-, 10-, and 15-minute for Fire & Rescue Service) is quantified and mapped under normal as well as pluvial flood scenarios of various magnitudes (5-, 20-, and 100-year return periods). Results show that the performance of operational responses largely depends on the functioning of transportation system, dramatically decreasing from unobstructed to congested traffic. Surface water flooding is found to result in limited (i.e. site-specific) but nonlinear impacts on the city-wide emergency service provisions. The results provide detailed information for optimizing the distribution of emergency stations and developing strategic contingency planning for vulnerable populations and facilities.

The Rendezvous System Using Emergency Doctors' Vehicles in the Federal Republic of Germany (FRG)

1985 ◽  
Vol 1 (S1) ◽  
pp. 145-147 ◽  
Author(s):  
P. Sefrin
Keyword(s):  
Federal Republic ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Federal Republic Of Germany ◽  
Emergency Patients ◽  
Rescue Service ◽  
Rescue Services ◽  
Emergency Medical ◽  
Life Threatening ◽  
Threatening Situation

In the Federal Republic of Germany, 1.2 million people per year get into a life-threatening situation from which they can be saved only by immediate medical assistance. Progress in intensive care therapy and the improved organization of rescue services have led to a greater number of doctors being available for first aid at the scene of the accident. The creation of an emergency medical service was designed to ensure medical treatment of emergency patients by medically qualified personnel. The Emergency Medical Service is defined as an organization within the framework of rescue services providing care for emergency patients. The emergency physician is trained and equipped particularly to recognize and treat life-threatening conditions. Through the rescue service, the physician can be taken to the scene of the accident by the quickest and shortest way. For this need, two systems have become established in the Federal Republic of Germany.

scholarly journals Working Together to Develop Best Practice: Rescue Operations in Confined Settings

2019 ◽  
Vol 34 (s1) ◽  
pp. s179-s179
Author(s):  
Sofia Karlsson ◽  
Lina Gyllencreutz ◽  
Britt-Inger Saveman
Keyword(s):  
Best Practices ◽  
Emergency Medical Service ◽  
Best Practice ◽  
Medical Service ◽  
Research Process ◽  
Disaster Medicine ◽  
Full Scale ◽  
Major Incident ◽  
Rescue Service ◽  
Emergency Medical

Introduction:Major injury incidents in confined settings such as tunnels and underground mineral- and metalliferous mines are rare, but when they do happen, the consequences may be severe with potential for many injured. The incident site is underground and it is difficult for the rescue and emergency medical service to get an overview and reach the injured. Therefore, it is important for the emergency medical service, rescue service, and the company responsible for the underground environment to have a good collaboration.Aim:To develop best practices of conducting rescue response from a disaster medicine perspective in tunnels and underground mines through increased education.Method:Within an EU-program, the university collaborates with stakeholders such as rescue service, emergency medical service, and two mining companies. Within this project, an explorative case study with participatory research is conducted. This is managed with the help of representatives of the stakeholders, workshops, and through planning for and conducting observations of table-top and full-scale exercises.Results:At the first workshop the stakeholders built a timeline presenting their activities from a major incident occurring in an underground mine until the last injured was transported to the hospital. Thereafter, several workshops were conducted to find improvements that could be made regarding collaboration between the organizations. Table-top and full-scale exercises have also revealed further challenges. Within the project, prototypes are being developed and will be presented during the conference.Discussion:This project involves stakeholders in the research process, and they, therefore, have a direct impact on the development of best practices of rescue in major underground incidents.

Clinical Cybersecurity Training Through Novel High Fidelity Simulations (Preprint)

2018 ◽  
Author(s):  
Christian Dameff ◽  
Jordan Selzer ◽  
Jonathan Fisher ◽  
James Killeen ◽  
Jeffrey Tully
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Medical Devices ◽  
Healthcare Systems ◽  
High Fidelity ◽  
Protected Health Information ◽  
Patient Harm ◽  
Security Vulnerabilities ◽  
Clinical Simulations ◽  
Medical Infrastructure

BACKGROUND Cybersecurity risks in healthcare systems have traditionally been measured in data breaches of protected health information but compromised medical devices and critical medical infrastructure raises questions about the risks of disrupted patient care. The increasing prevalence of these connected medical devices and systems implies that these risks are growing. OBJECTIVE This paper details the development and execution of three novel high fidelity clinical simulations designed to teach clinicians to recognize, treat, and prevent patient harm from vulnerable medical devices. METHODS Clinical simulations were developed which incorporated patient care scenarios with hacked medical devices based on previously researched security vulnerabilities. RESULTS Clinician participants universally failed to recognize the etiology of their patient’s pathology as being the result of a compromised device. CONCLUSIONS Simulation can be a useful tool in educating clinicians in this new, critically important patient safety space.

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