scholarly journals Emergency Medical Service to Psychiatric Patients

2020 ◽  
Vol 9 (2) ◽  
pp. 215-220
Author(s):  
E. Y. Tyavokina ◽  
I. M. Barsukova
Keyword(s):  
Mental Disorders ◽  
Medical Care ◽  
Russian Federation ◽  
Emergency Care ◽  
Medical Service ◽  
Psychiatric Patients ◽  
Emergency Medical Care ◽  
Current State ◽  
Emergency Medical ◽  
Social Importance

Abstract The issues of providing medical care to patients with mental disorders are of exceptional medical and social importance. The aim of the study was to analyze the current state of medical care for psychiatric patients under emergency medical care (EMC) conditions. We used regulatory, statistical and analytical methods. The gaps of the normative legal support of the activities of the teams in the provision of ambulance care for patients with mental disorders and behavioral disorders are considered. In order to improve legislation in the field of ambulance care, it was proposed to amend the Procedure for the provision of emergency, including specialized medical care, approved by the Order of the Ministry of Health of Russian Federation dated 06.06.2013 No. 388n “On the Approval of the Procedure for the Provision of Emergency Care, Including Specialized Medical Care”.

scholarly journals The dynamics of age structure of out-patient visits and calls of emergency medical care in population of small town during 2011-2015

2019 ◽  
Vol 61 (1) ◽  
pp. 17-22
Author(s):  
I. P. Artyukhov ◽  
F. V. Kapitonov ◽  
Vladimir F. Kapitonov
Keyword(s):  
Medical Care ◽  
Age Structure ◽  
Emergency Care ◽  
Small Town ◽  
Working Hours ◽  
Small Towns ◽  
Emergency Medical Care ◽  
Primary Medical Care ◽  
Emergency Medical ◽  
Care Support

The shortcomings offunctioning of ambulatory polyclinic service and overrated volume ofprovided emergency medical care became actual propblemin primary medical care support of population in small towns due to age structure of population. Purpose of study. To investigate dynamics of age structure of out-patient visits and calls of emergency care by population of small town in 2011-2015. The analysis of out-patient visits and calls emergency care in 2011-2015 demonstrated that during five years number of visits to polyclinic decreased up to 5.3% mainly (14%) at the expense of residents of able-bodied age while number ofpatients of junior and senior able-bodied age increased on 1.5% and 5.1% correspondingly. The analysis of calls of emergency medical care revealed shortcomings in organization of ambulatory polyclinic care: more than a half (70.4%) of all calls because of instant diseases and conditions falls on the period of working hours of polyclinic (from 8 to 20 h.) The occasion of call by population of junior able-bodied age in 68.7% became acute diseases of respiratory organs (acute respiratory viral infection - in 93.6%) and by patients of senior ablebodied age in 72.6% - exacerbation of chronic pathology (ischemic heart disease, hypertension disease). The correction of these calls could be implemented by ambulatory polyclinic service itself. The acquired data corresponds to publication data and indicates to existing problems of primary medical care support of rural population in various regions of the Russian Federation. The investigation of age structure of out-patient visits, calls of emergency medical care of data of sociological survey of respondents revealed shortcomings in organization of functioning of municipal polyclinic related to population of senior able-bodied age that result in increasing of volume of work implemented by teams of emergency care.

scholarly journals Hospital-based emergency care in the Russian Federation: a historical analysis of statutory regulations

2015 ◽  
Vol 11 (1) ◽  
Author(s):  
Sergei Bagnenko ◽  
Aleksandr Miroshnichenko ◽  
Ruslan Alimov ◽  
Ildar Minnullin ◽  
Anthony Rodigin
Keyword(s):  
Russian Federation ◽  
Emergency Care ◽  
Historical Analysis ◽  
Healthcare Management ◽  
Emergency Medical Care ◽  
Short Term ◽  
Medicine Development ◽  
Current State ◽  
Legal Foundation ◽  
The Russian Federation

The ongoing changes the system of emergency care (EC) in the Russian Federation (RF), especially its in-hospital component, require modifications of applicable laws. This paper analyzes past development and evaluates the current state of regulations pertinent to hospital-based EC in RF. We have reviewed and analyzed the regulatory statutes that governed hospital-based emergency care in Russia between 1735 and 2013. The study traces the development of past regulations (legal and normative acts) applicable to EC in RF. Main regulations currently in effect are characterized. At present, there already exists a body of laws supporting further modernization of hospital-based EC in Russia. Most recently, the legal foundation has been laid for previously novel concepts such as short-term observation, and for the creation of hospitalbased centers of EC. Work in progress involves active steps towards clinical recommendations and protocols for the envisioned new structure of EC in the RF. The paper will be of interest to professionals studying global emergency medicine development. It will help researchers and clinical practitioners in the fields of emergency medical care and healthcare management by understanding the link between regulatory deficiencies and barriers to improving emergency department operations.

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

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.

scholarly journals Alcohol intoxication: evaluation of the population appealability and emergency medical care in Kazan

2017 ◽  
Vol 98 (2) ◽  
pp. 243-247
Author(s):  
V L Paykov ◽  
E I Zamaleeva ◽  
D A Zhukov ◽  
O L Chernova
Keyword(s):  
Medical Care ◽  
Emergency Care ◽  
Alcohol Intoxication ◽  
Care Service ◽  
Medical Personnel ◽  
Urgent Care ◽  
Emergency Medical Care ◽  
Calendar Time ◽  
Emergency Medical ◽  
Medical Care Service

Aim. To study population appealability for emergency medical care with alcohol intoxication as well as the features of medical care service for them in Kazan at modern stage. Methods. The data from emergency call cards from 2015 with the diagnosis «alcohol intoxication» (form No.11/u) were studied. A survey of 271 responders (medical personnel of mobile teams of emergency care and admission departments of the hospitals) of medical care service for people with alcohol intoxication in the streets was performed. Results. In the structure of performed calls for adult popultion the ratio of patients who called an ambulance because of alcohol intoxication was 2.1% and because of the need for urgent care - 5.7%. Males were more prevalent than females: 82.1 and 17.9% respectively. Predominantly people younger than 60 years appealed: among males 82.7%, among females - 79%. Maximum appealability was registered in July (7.4 calls per 10 000 adults); during the week - on Saturday (11.9 per 10 000 adults), and during the day - during the period from 5 to 6 pm. The survey of the teams of ambulances and admission departments demonstrated the need for re-establishment of medical sobering-up stations (83.5 and 80% respectively) and more rarely the responders suggested development of specialized medical departments and active delivery of people with alcohol intoxication to specialized institutions involving law enforcement officials and personnel of specialized sobering-up stations (13 and 14.3% respectively). Conclusion. In the structure of the calls performed by emergency care stations the ratio of patients who called an ambulance because of alcohol intoxication among adults was 2.1% and because of the need for urgent care - 5.7%; the appealability was affected by sex, age and calendar time; analysis of the survey results demonstrated the need for re-establishment of recently closed medical sobering-up stations and for development of specialized medical departments.

scholarly journals FEATURES OF THE ORGANIZATION AND PROVISION OF EMERGENCY MEDICAL CARE IN POLTAVA REGION

2021 ◽  
Vol 74 (2) ◽  
pp. 351-354
Author(s):  
Iryna A. Holovanova ◽  
Oksana I. Krasnovа ◽  
Svetlana M. Tanianskaia ◽  
Irina A. Kolenko ◽  
Mariya O. Rumyantseva ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Medical Care ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Disaster Medicine ◽  
Laboratory Diagnostics ◽  
Emergency Medical Care ◽  
Surgical Interventions ◽  
Use Of Resources ◽  
Emergency Medical

The aim: Is to study and analyze the dynamics of the indicators of the emergency medical service of the Ukrainian and the Poltava region in the context of the reforms of the healthcare system in Ukraine. Materials and methods: In this work, the indicators of development of the emergency medical service of the Ukrainian and the Poltava region were studied and analyzed. Conclusions: The provision of emergency medical care in the Poltava region is provided by the Poltava Regional Center for Emergency Medicine and Disaster Medicine. The structure of the center includes 4 emergency medical stations, which are located in cities such as Poltava, Kremenchuk, Lubny, Mirgorod. А modern telemedicine center was built іn 2018 for emergency counseling on-line in new directions was carried out: ultrasound and endoscopic diagnostics, radiology, counseling during surgical interventions, laboratory diagnostics, etc. Emergency medical care reform Poltava Regional should be aimed at increasing the efficiency of the use of resources; provision of the EMC system by the relevant vehicles; qualitative training of doctors in emergency medicine; informatization of the EMC system.

scholarly journals Moscow ambulance station. From origin to modern times

2019 ◽  
Vol 2 (31) ◽  
pp. 5-10
Author(s):  
N. F. Plavunov ◽  
V. A. Kadyshev ◽  
A. M. Sidorov ◽  
A. N. Rozhenetskiy ◽  
L. F. Verkhoturova
Keyword(s):  
Medical Care ◽  
Emergency Care ◽  
100Th Anniversary ◽  
Medical Emergency ◽  
Time Of Arrival ◽  
Emergency Medical Care ◽  
Medical Sciences ◽  
Modern Times ◽  
Emergency Medical ◽  
Analysis Of Performance

This article is dedicated to the 100th anniversary of the establishment of the Ambulance and Medical Emergency Care Station n. a. A. S. Puchkov in Moscow. Alexander Sergeyevich Puchkov, Doctor of Medical Sciences, Honored Doctor of the RSFSR, steadily led her from 1923 to 1952. The data presented in the articles of Mr. Puchkov served as the basis for comparing indicators about the station’s activities during its formation and the modern ambulance and emergency medical services in Moscow. Some features, characteristics and conditions for the provision of emergency and emergency medical care in Moscow in the year 1926 are shown. So, for example, the number of brigades increased by 68.7 times (from 15 in 1926 to 1,031 in 2018). The average time of arrival of the brigade for an accident both in 1926 and in 2018 is 10–12 minutes long. The share of calls by ambulance teams to children under 15 years of age has also increased significantly. The analysis of performance over the years has made it possible to trace the development of the ambulance station from the time of its creation to the present day. The fundamental principles laid down by Alexander S. Puchkov remain in the ambulance work at the present time. Doctors and paramedics of ambulance and emergency medical care teams continue to promptly provide medical care to all those in need, guided by many provisions that were developed and implemented over 90 years ago.

scholarly journals THE ESTABLISHMENT OF THE EMERGENCY MEDICAL SERVICE IN THE TVER REGIONABLISHMENT OF THE EMERGENCY MEDICAL SERVICE IN THE TVER REGION

2021 ◽  
Vol 22 (1) ◽  
pp. 4-9
Author(s):  
A. M. Morozov ◽  
E. A. Grafi ◽  
D. S. Shishkova ◽  
V. A. Kadykov ◽  
A. V. Panova ◽  
...  
Keyword(s):  
Medical Care ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Emergency Medical Care ◽  
Chronological Order ◽  
Emergency Medical ◽  
History Of ◽  
Tver Region

The article is devoted to the history of the ambulance services’ establishment in Tver and Tver region. The stages of the development of the emergency medical care in the region are characterized, also the chronological order of various units is considered. 

scholarly journals Corona-Independent Excess Mortality Due to Reduced Use of Emergency Medical Care in the Corona Pandemic: A Population-Based Observational Study

2020 ◽  
Author(s):  
S. Kortüm ◽  
P. Frey ◽  
D. Becker ◽  
H.-J. Ott ◽  
H-P. Schlaudt
Keyword(s):  
Medical Care ◽  
Emergency Care ◽  
Excess Mortality ◽  
Chronically Ill ◽  
Collateral Damage ◽  
Emergency Medical Care ◽  
Medical Assistance ◽  
Emergency Medical ◽  
Number Of Patients ◽  
Investigation Period

AbstractBackgroundA significant decrease in the number of cases of emergency medical care during the first phase of the Corona pandemic has been reported from various regions of the world. Due to the lack of or delayed use of medical assistance, particularly in the case of time-critical clinical pictures (myocardial infarction, stroke), a corona collateral damage syndrome is postulated regarding possible health consequences. The present study investigates changes in the use of preclinical and clinical emergency care and effects on overall mortality in a rural area.MethodsThe number of patients in the emergency department at the Klinikum Hochrhein and the ambulance service were retrospectively aggregated and analyzed regarding the total number and selected tracer diagnoses and alarm keywords. The investigation period was the 9th to 22nd calendar week 2020 compared to the identical period of the previous year. In addition, the death rates in the district were collected directly from the registries and related to the number of patients in emergency care.ResultsOverall, the number of patients in clinical and preclinical emergency care declined significantly during the investigation period. This concerned in particular emergency inpatient treatment of patients with exacerbations or complications of severe chronic diseases. At the same time, excess mortality occurred in April 2020, which was still highly significant even after excluding deaths on or with COVID-19.DiscussionOnly about 55 % of the excess mortality in April 2020 can be attributed to COVID-19 and is associated with the decline in inpatient emergency treatment, especially of chronically ill patients. Since a drift of patients with the use of other service providers is unlikely, we assume that fears of infection in overburdened hospitals, one-sided public communication and reporting, and the extent of contact restrictions have contributed significantly to the decline in case numbers and to excess mortality (collateral damage).ConclusionFor similar situations in the future, it is strongly recommended to make crisis communication and media coverage more balanced so as not to prevent people with acute health problems from receiving medical assistance. Contact restrictions should be critically reviewed and limited to the objectively necessary minimum.

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