On the Question Concerning the Creation of Unified Accounting Data Form “The Protocol of Cardiopulmonary Resuscitation” for Mobile Teams of Emergency Medical Services

Significant decrease in death rates from out-of-hospital cardiac arrest (OHCA) can be achieved by developing and implementing an integrated program of administrative interventions focused on improvements in the provision of the first aid and emergency medical care. However, both identification of the foreground and reasonable components of the program, and evaluation of its efficiency are impossible in the absence of reliable tools for collecting and analyzing data on epidemiology of OHCA and performance of the prehospital care system. This paper discusses the development of unified form for collecting data on cases of OHCA with attempted cardiopulmonary resuscitation (CPR), addresses the promising data form “The protocol of CPR” that is recommended by the Specialized Board on Emergency Medical Care of the Ministry of Health of Russia, and offers a set of proposals for optimizing the form with consideration for the international guidelines for uniform reporting of data from OHCA.Author declare lack of the conflicts of interests.

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Infectious safety of patients in the provision of prehospital care for burns

Medsestra (Nurse) ◽

10.33920/med-05-2004-13 ◽

2020 ◽

pp. 71-75

Author(s):

Marina Dmitryeva

Keyword(s):

Medical Care ◽

Prehospital Care ◽

Medical Professionals ◽

Emergency Medical Care ◽

Emergency Medical

The article describes the measures taken by medical professionals of emergency medical care to observe infectious safety of patients in the provision of pre-medical care in case of burns.

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Knowledge and Attitudes of the Out-Of-Hospital Emergency Care Consumers in Santo Domingo, Dominican Republic

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00006038 ◽

2008 ◽

Vol 23 (4) ◽

pp. 373-376 ◽

Cited By ~ 1

Author(s):

Amado Alejandro Báez ◽

Ediza Giraldez ◽

Peter L. Lane ◽

Charles Pozner ◽

Juan Rodriguez ◽

...

Keyword(s):

Dominican Republic ◽

Medical Care ◽

Prehospital Care ◽

Statistical Significance ◽

Medical Emergency ◽

Categorical Variables ◽

Continuous Variables ◽

Emergency Medical Care ◽

Santo Domingo ◽

Emergency Medical

AbstractIntroduction:Prehospital emergency services are a vital public service, and consumer access to the system is an important factor in their use. The Dominican Republic recently experienced “the epidemiological transition” leading to increased morbidity and mortality secondary to traumatic and cardiac conditions—thus, increasing the need for prompt and adequate delivery of emergency medical care.Methods:A survey was administered to 90 subjects from diverse backgrounds, all living in Santo Domingo. Survey items included questions on emergency medical services (EMS) systems knowledge (i.e., access numbers), confidence in the system, first-aid education and prior experience with the EMS system. Chi-square was used to measure statistical significance for categorical variables and Student's t-test for continuous variables (JMP 2.0 software was used for statistical processing).Results:A total of 90 subjects were surveyed. The average age of respondents was 36 ± 12 years SD. More than one-fifth (22.2%) of respondents did not know the established universal emergency number (9-1-1), and 37.8% responded that they would access a different telephone number in case of a medical emergency.Conclusions:Important deficiencies and access-to-care concerns were interpreted from the results. An adequate understanding of the current state of prehospital care could lead to creation of policies by system administrators to further improve the delivery of emergency medical care. This study will assist system administrators in future design and policy issues.

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FOREIGN EXPERIENCE OF EMERGENCY MEDICAL SERVICE TO A VICTIM OF A MAJOR TRAUMA IN REGIONAL TRAUMA SYSTEMS

EMERGENCY MEDICAL CARE ◽

10.24884/2072-6716-2020-21-2-40-47 ◽

2020 ◽

Vol 21 (2) ◽

pp. 40-47

Author(s):

Yu. G. Shapkin ◽

P. A. Seliverstov ◽

N. Yu. Stekolnikov

Keyword(s):

Medical Care ◽

Major Trauma ◽

Medical Service ◽

Prehospital Care ◽

Severe Trauma ◽

Emergency Medical Care ◽

Trauma Systems ◽

Severe Injuries ◽

Foreign Experience ◽

Emergency Medical

The review discusses the current problems of organizing prehospital care for victims of severe trauma in overseas developed regional trauma systems. The results of studies on the features of pre-hospital triage, the choice of the amount of emergency medical care, the route and type of transportation of victims in the functioning of trauma systems are systematized. Foreign experience in providing emergency medical care for severe injuries can be useful for the creation and implementation of domestic trauma systems.

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Incidence and Outcomes of Out‐of‐Hospital Cardiac Arrest in Singapore and Victoria: A Collaborative Study

Journal of the American Heart Association ◽

10.1161/jaha.119.015981 ◽

2020 ◽

Vol 9 (21) ◽

Author(s):

Shir Lynn Lim ◽

Karen Smith ◽

Kylie Dyson ◽

Siew Pang Chan ◽

Arul Earnest ◽

...

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Emergency Medical Services ◽

Prehospital Care ◽

Survival Rates ◽

World Health ◽

Medical Services ◽

Emergency Medical ◽

Bystander Cardiopulmonary Resuscitation ◽

Hospital Cardiac Arrest

Background Incidence and outcomes of out‐of‐hospital cardiac arrest (OHCA) vary between communities. We aimed to examine differences in patient characteristics, prehospital care, and outcomes in Singapore and Victoria. Methods and Results Using the prospective Singapore Pan‐Asian Resuscitation Outcomes Study and Victorian Ambulance Cardiac Arrest Registry, we identified 11 061 and 32 003 emergency medical services‐attended adult OHCAs between 2011 and 2016 respectively. Incidence and survival rates were directly age adjusted using the World Health Organization population. Survival was analyzed with logistic regression, with model selection via backward elimination. Of the 11 061 and 14 834 emergency medical services‐treated OHCAs (overall mean age±SD 65.5±17.2; 67.4% males) in Singapore and Victoria respectively, 11 054 (99.9%) and 5595 (37.7%) were transported, and 440 (4.0%) and 2009 (13.6%) survived. Compared with Victoria, people with OHCA in Singapore were older (66.7±16.5 versus 64.6±17.7), had less shockable rhythms (17.7% versus 30.3%), and received less bystander cardiopulmonary resuscitation (45.7% versus 58.5%) and defibrillation (1.3% versus 2.5%) (all P <0.001). Age‐adjusted OHCA incidence and survival rates increased in Singapore between 2011 and 2016 ( P <0.01 for trend), but remained stable, though higher, in Victoria. Likelihood of survival increased significantly ( P <0.001) with arrest in public locations (adjusted odds ratio [aOR] 1.81), witnessed arrest (aOR 2.14), bystander cardiopulmonary resuscitation (aOR 1.72), initial shockable rhythm (aOR 9.82), and bystander defibrillation (aOR 2.04) but decreased with increasing age (aOR 0.98) and emergency medical services response time (aOR 0.91). Conclusions Singapore reported increasing OHCA incidence and survival rates between 2011 and 2016, compared with stable, albeit higher, rates in Victoria. Survival differences might be related to different emergency medical services practices including patient selection for resuscitation and transport.

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Quality of services of emergency medical care in terms of health care reform

Services in Russia and abroad ◽

10.12737/20187 ◽

2016 ◽

Vol 10 (4) ◽

pp. 102-111

Author(s):

Алексей Белобородов ◽

Aleksey Beloborodov ◽

Елена Данилина ◽

Elena Danilina ◽

Екатерина Яковлева ◽

...

Keyword(s):

Health Care ◽

Medical Care ◽

Performance Indicators ◽

Structural Model ◽

Medical Services ◽

Emergency Medical Care ◽

Emergency Medical ◽

And Performance ◽

Definition Of

The article deals with the question of quality assurance of emergency medical care. It is of vital importance in terms of reforming the system of healthcare in the Russian Federation, as the quality and availability of various types of medical services are priority indicators of reform. Quality ensuring of emergency medical care is the most important socially significant task of health care, which lies in maintaining the health of people in extreme conditions and in meeting the challenges of mortality reduction. This is resulted in increased attention to research in this area. Quality ensuring of emergency medical services actualizes the task of improving of its assessment methodology. The methodological problems of services quality assessment in the system of emergency medical care limiting applied research are the subject of the study. The structure of emergency medical care is specified, the separation of concepts of "medical service" and "medical care" of services of emergency medical care is accomplished, and the concept of "medical care" is defined in the article. Based on the results of market research of patients’ satisfaction with quality of medical care in emergency hospital of Krasnoyarsk a structural model of services of emergency medical care has been created. This model reflects the patients’ understanding that the quality of service of emergency medical care is an integrated category, combining the quality of the result of medical services and quality of care. Content analysis of the definition of basic concepts in the field of quality of health care has allowed to formulate the concept of "service quality of emergency medical care”. Its difference is that the definition includes goal-setting of quality of emergency medical care as ensuring the effective medical care, as well as performance indicators of emergency medical care are formulated. The proposed concept and performance indicators of emergency medical care stimulate new directions for research in this area.

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