scholarly journals SYPHILIS IN EMERGENCY DEPARTMENT: CONDITION OF THE ISSUE AND UNRESOLVED PROBLEMS

2019 ◽  
Vol 25 (4) ◽  
pp. 39-47 ◽  
Author(s):  
I. A. Bagretsova ◽  
A. V. Sukharev ◽  
I. M. Barsukova
Keyword(s):  
Emergency Department ◽  
Medical Care ◽  
Medical Records ◽  
Treatment Process ◽  
Medical Personnel ◽  
Emergency Medical Care ◽  
Serological Reaction ◽  
Diagnostic Measures ◽  
Current State ◽  
Medical Process

Introduction. The development of the system of emergency medical care in emergency department inevitably brings up issues of its availability and quality. Moreover, if the leading pathological syndrome resulting in the hospitalization and threating to the patient’s life deserves priority attention, so the accompanying pathology often remains in the shadow. Thus, venereal diseases, in particular, syphilis is epidemiologically dangerous disease as for the patients having this illness and for the patients surrounding them and the medical personnel carrying out the medical process. The objective of the study was to assess the current state of the problem of medical care for patients with venereal pathology in an emergency department.Material and methods. The material for the study was the data of medical records of patients in multispecialised emergency department of St. Petersburg for 4 years: 1088 – with positive serological reaction and 4500 – without dermatovenereal pathology (DVP).Results. By the results of the research, the diagnosis of syphilis was based only on the enzyme immunoassay test for syphilis and the diagnosis of syphilis remained unspecified; the efforts to prevent the spread of syphilis in emergency department were insufficient, did not allow carrying out appropriate preventive, therapeutic and diagnostic measures.Conclusion. Development of new models and principles of the organization of the diagnostic and treatment process, including the introduction of methods of express diagnosis in emergency department is required. 

scholarly journals EMERGENCY MEDICINE: PROBLEMS OF VIOLENCE AND SAFETY AT WORK

2019 ◽  
Vol 7 (4) ◽  
pp. 351-357
Author(s):  
Yu. V. Shkatula ◽  
Y. O. Badion ◽  
M. V. Novikov ◽  
Ya. V. Khyzhnia
Keyword(s):  
Medical Care ◽  
Close Contact ◽  
Medical Personnel ◽  
Disaster Medicine ◽  
Third Parties ◽  
Emergency Medical Care ◽  
Medical Worker ◽  
Emergency Medical ◽  
Emergency Medical Personnel ◽  
Victims Of Violence

The work of medical workers is associated with constant psycho-emotional stress, which is caused by close contact with human suffering, the need to make immediate decisions, uncomfortable conditions of the pre-hospital stage and cases of aggressive and violent actions by patients or third parties. Statistics show that 54 to 84.8 % of medical workers have become victims of verbal or physical aggression annually. In 2013-2017, 543 crimes against life and health of medical workers on duty were registered in Ukraine. The purpose of the research was to study the causes, nature and risk factors of violent actions against emergency medical personnel with finding the ways to normalize the situation. Material and methods. An anonymous non-personified survey was conducted among 127 workers of the Sumy Regional Centre for Emergency Medical Care and Disaster Medicine. A modified questionnaire “Violence and aggression in the Health Service” (B. Mullan, F. Badger, 2007) was used in the study. It has been established that 74.8 % of emergency medical care and disaster medicine personnel were victims of violence caused by patients, their relatives or friends. Most often, the reasons for aggressive behaviour of the patient or third parties were the time of waiting for a medical worker and the suspicion of incompetence. According to the results of the survey, 35.43 % of employees believe that it is possible to improve the situation by completing and forming ambulance teams of a mixed type. Almost a third of the surveyed medical workers (24.41 %) indicated the need to provide personal protective equipment, another 14.96 % of respondents wanted better legal support and assistance. The authors come to the conclusion that it is necessary to solve the problem of the safety of a medical worker during an emergency call at the state legislative level. Particular attention should be paid to the further improvement of legal assistance, as well as to the development of measures to prevent violence.

scholarly journals Emergency Department Online Patient-Caregiver Scheduling

2019 ◽  
Vol 33 ◽  
pp. 10013-10014
Author(s):  
Hanan Rosemarin ◽  
Ariel Rosenfeld ◽  
Sarit Kraus
Keyword(s):  
Emergency Department ◽  
Deep Learning ◽  
Medical Care ◽  
Real World ◽  
Ad Hoc ◽  
Performance Metrics ◽  
Empirical Evaluation ◽  
Medical Personnel ◽  
Real World Data ◽  
The Right

Emergency Departments (EDs) provide an imperative source of medical care. Central to the ED workflow is the patientcaregiver scheduling, directed at getting the right patient to the right caregiver at the right time. Unfortunately, common ED scheduling practices are based on ad-hoc heuristics which may not be aligned with the complex and partially conflicting ED’s objectives. In this paper, we propose a novel online deep-learning scheduling approach for the automatic assignment and scheduling of medical personnel to arriving patients. Our approach allows for the optimization of explicit, hospitalspecific multi-variate objectives and takes advantage of available data, without altering the existing workflow of the ED. In an extensive empirical evaluation, using real-world data, we show that our approach can significantly improve an ED’s performance metrics.

Application of new approaches in the organization and conduct of classes on combat and special training of military medical personnel

2020 ◽  
Vol 22 (3) ◽  
pp. 217-220
Author(s):  
R. R. Kasimov ◽  
A. A. Zavrazhnov ◽  
I. V. Blinda ◽  
K. S. Puchin
Keyword(s):  
Medical Care ◽  
High Efficiency ◽  
Medical Personnel ◽  
Emergency Medical Care ◽  
Major Life ◽  
Military Hospitals ◽  
Special Training ◽  
Hospital Units ◽  
Emergency Medical ◽  
The Military

Abstract. Considers an example of organizing and conducting practice-oriented classes on providing emergency medical care for injuries with medical personnel of the military level, garrison and base military hospitals in the Western military district. In large garrisons of the military district in 2019, we conducted four rounds of field training on the organization of emergency medical care for major life-threatening conditions. The format of classes included master classes and blitz lectures on various topics: cardiopulmonary resuscitation, stopping ongoing external bleeding, eliminating asphyxia and pneumothorax, transport immobilization, and features of the use of modern means of emergency medical care. An important practical part of the training was training with surgeons of military and hospital units on living biological objects. At the beginning and end of the course, primary and control tests of the level of knowledge were conducted. During the initial testing, the percentage of correct answers in the groups averaged: surgeons (n=20) 53,9%, doctors of other specialties (n=25) 56,5%, average medical staff (n=34) 52,8%, health instructors (n=52) 52,6%. During the control testing, the following results were obtained: 71,5; 83,5; 84,3 and 83,9% respectively. The format of classes reliably (p˂0,05) showed their high efficiency in all groups. Thus, the need to actively introduce a practice-oriented form of training in the form of demonstration classes, including the use of biological models and simulators, into the combat and special training of military medical personnel is obvious and beyond doubt.

Client satisfaction on Emergency department services and quality of emergency medical care in Ethiopia: A systematic review

2019 ◽  
Vol 27 ◽  
pp. 23-31
Author(s):  
Addis Adera Gebru ◽  
Ali Mohammad Mosadeghrad ◽  
Ali Akbari Sari ◽  
Tadesse Bekele Tafesse ◽  
Woldegebriel Gebreegziabher Kahsay
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Medical Care ◽  
Client Satisfaction ◽  
Emergency Medical Care ◽  
Emergency Medical

scholarly journals Emergency Department Online Patient-Caregiver Scheduling

2019 ◽  
Vol 33 ◽  
pp. 695-701 ◽  
Author(s):  
Hanan Rosemarin ◽  
Ariel Rosenfeld ◽  
Sarit Kraus
Keyword(s):  
Emergency Department ◽  
Deep Learning ◽  
Medical Care ◽  
Real World ◽  
Ad Hoc ◽  
Performance Metrics ◽  
Empirical Evaluation ◽  
Medical Personnel ◽  
Real World Data ◽  
The Right

Emergency Departments (EDs) provide an imperative source of medical care. Central to the ED workflow is the patientcaregiver scheduling, directed at getting the right patient to the right caregiver at the right time. Unfortunately, common ED scheduling practices are based on ad-hoc heuristics which may not be aligned with the complex and partially conflicting ED's objectives. In this paper, we propose a novel online deep-learning scheduling approach for the automatic assignment and scheduling of medical personnel to arriving patients. Our approach allows for the optimization of explicit, hospital-specific multi-variate objectives and takes advantage of available data, without altering the existing workflow of the ED. In an extensive empirical evaluation, using real-world data, we show that our approach can significantly improve an ED's performance metrics.

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 Client’s satisfaction towards emergency medical care at Ayder comprehensive specialized hospital, Mekelle, Ethiopia

2020 ◽  
Author(s):  
Goitom Molalign Takele ◽  
Negash Abreha Weldesenbet ◽  
Birhan Gebresillassie Gebregiorgis
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Emergency Room ◽  
Medical Care ◽  
Emergency Department Patient ◽  
Family Satisfaction ◽  
Emergency Medical Care ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Emergency Medical

Abstract Background: As assessing client’s experience are important guide towards services improvement, providers will need to fully understand patient satisfaction level and their determinants. This study was aimed to assess the level of satisfaction towards the emergency medical care and associated factors at emergency department of Ayder specialized comprehensive hospital, Mekelle, Ethiopia.Methods: A cross-sectional study was conducted from March 1–30, 2019. Systematic random sampling method was used to enroll study participants. Data was collected using a standard Brief Emergency Department Patient Satisfaction Scale questionnaire by trained data collectors. Data was entered into EpiData 3.1 then exported and analyzed by SPSS version 22. Binary and multiple logistic regression was used to assess the predictor’s patient satisfaction.Results: A total of 299 participants were enrolled in the study with a response rate of 99.3%. The overall client’s satisfaction was 81.9%. The lowest satisfaction rate was reported towards emergency room environment, and patient family satisfaction 37.5%, and 49.8% respectively. Educational status those who were able to read and write (AOR = 3.9, 95% CI: 1.4, 10, P = 0.008), those who arrived during the morning shift of the day (AOR = 3.6, 95% CI: 1.6, 8.7, p = 0.002), those who waited < 15 minutes to be seen by a doctor (AOR = 1.3, 95% CI: 1.003, 1.4), having felt discriminated (AOR = 1.5, 95% CI: 1.003, 1.4) were significantly associated determinants of client satisfaction.Conclusions: The overall client’s satisfaction in this study was found to be good. There is a low satisfaction towards emergency room environment and patient’s family courtesy. It is important to readjust emergency room services to improve client’s courtesy, avoid feeling of discrimination by clients and overall to improve the quality of care in the emergency department.

scholarly journals Current State of the Problem of Organizing and Conducting Medical Evacuation of Victims in Emergencies

2020 ◽  
pp. 57-65
Author(s):  
N.N. Baranova ◽  
◽  
S.F. Goncharov ◽  
◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Information Search ◽  
Information Technologies ◽  
Medical Personnel ◽  
Armed Conflicts ◽  
Technical Equipment ◽  
Social Infrastructure ◽  
Medical Evacuation ◽  
Current State ◽  
Terrorist Acts

Relevance of the study. The increase in the number of natural and man-made emergencies (ChS), terrorist acts, social and armed conflicts leads to an increase in the number of victims and suffered, a shortage of medical personnel, medicines and equipment, and a delay in the provision of medical care in the conditions of failure of medical organizations (LMO). Each disaster is usually prolonged in nature, poses a danger to the social infrastructure and requires organized medical and evacuation measures. The relevance of the problem of improving the quality and efficiency of medical care and medical evacuation of victims in ChS is confirmed by the data of state reports "On the state of protection of the population and territories from natural and man-made emergencies..." for 2018-2019. The purpose of the study is to analyze the organization and conduct of medical evacuation of victims in ChS in modern conditions. Materials and methods of research. Based on the analysis of experience in organizing and conducting medical evacuation measures in emergencies, analysis of the results of scientific research on various aspects of medical evacuation of patients and victims of natural disasters, man-made accidents, terrorist acts and armed conflicts, materials on the use of digital technologies, and many years of own experience, an information search was conducted for ways to improve the medical evacuation system using technical means. Research results and their analysis. Based on the experience of eliminating the medical and sanitary consequences of known emergencies, it is shown that insufficient attention was paid to the organization and conduct of medical evacuation of victims, taking into account the principles of routing and creating a three–level system of medical care. Transfer from the hearth of emergencies to nearby hospitals, the lack of monitoring of victims, unproper routing, lack of medical air transport, weak medico-technical equipment of vehicles, lack of training and a number of other circumstances have led to a growing number of different complications and increased fatality rate among the victims in an emergency. It is concluded that the organization and conduct of medical evacuation of victims in emergencies require: high – quality application of information technologies that allow predicting routing and monitoring of victims, including using telemedicine systems; development and use of new modular kits and other medical equipment, primarily for sanitary aviation evacuation.

scholarly journals The choice of the method of patients triage in the system of emergency medicine

2021 ◽  
Vol 22 (2) ◽  
pp. 17-24
Author(s):  
L. T. Mirvarisova ◽  
Kh. E. Anvarov
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Medical Care ◽  
Emergency Medical Care ◽  
Medical Care System ◽  
Emergency Medical ◽  
Number Of Patients ◽  
Care System

For the timely provision of a full-fledged volume of emergency medical care, it is necessary to triage patients admitted to the emergency department. The article highlights the tool for the prompt and adequate prioritization of the growing number of patients for the provision of emergency medical care, corresponding to the features of the emergency medical care system in Uzbekistan, during which the opinions of experts working in the emergency medicine system were actively accepted.

Respiratory tract burns in emergency medical care

2020 ◽  
Vol 7 (4) ◽  
pp. 291-295
Author(s):  
Piotr Białoń ◽  
Rafał Bobiński ◽  
Monika Mikulska ◽  
Robert Kijanka ◽  
Michał Szlagor ◽  
...  
Keyword(s):  
Respiratory Tract ◽  
Medical Care ◽  
Sudden Cardiac Arrest ◽  
Medical Personnel ◽  
Mortality Rates ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Specialist Treatment ◽  
Emergency Medical Personnel ◽  
Serious Injuries

Respiratory tract burns are among the most serious injuries. Complications include rapid swelling of the respiratory tract, which is the cause of high mortality rates. Such injuries require appropriate specialist treatment. The priority in emergency medical care is to ensure the airways remain unobstructed. If symptoms appear that suggest rapidly increasing swelling of the respiratory tract, intubation becomes essential to ensure the airways remain open. The aim of this article is to discuss the issue of the necessity to develop guidelines for emergency medical personnel attending patients with respiratory tract burns. Currently, according to the State Emergency Medical Care statute, paramedics may carry out intubation on patients suffering from sudden cardiac arrest. According to the Regulation of the Minister of Health of the 20th April 2016, the list of actions that a paramedic may freely undertake does not include intubation of patients with rapidly increasing swelling of the respiratory tract caused by burns. Taking into consideration the decrease in the number of specialist teams, recommendations should be developed as quickly as possible on indications for prompt intubation of patients with inhalation injuries. The scope of emergency medical treatment carried out independently by paramedics should also be expanded.

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