scholarly journals RESPIRATORY SUPPORT AT PREHOSPITAL STAGE OF EMERGENCY MEDICAL CARE: CURRENT STATUS, PROBLEMS AND PROSPECTS OF DEVELOPMENT

2018 ◽  
Vol 18 (4) ◽  
pp. 53-59
Author(s):  
A. L. Ershov
Keyword(s):  
Respiratory Distress ◽  
Medical Care ◽  
Patient Outcomes ◽  
Current Status ◽  
Emergency Medical Care ◽  
Study Objective ◽  
Emergency Medical ◽  
The Impact ◽  
Subsequent Patient

Patients with respiratory distress often seek emergency medical care and are frequently transported by emergency medical services (EMS). Some of them are in need of urgent respiratory support.EMSencounters with patients in respiratory distress and the role of mechanical ventilation (MV) in their treatment have not been well documented. The study objective was to characterize the epidemiology of prehospital respiratory distress and the impact of MV at subsequent patient outcomes. Some of the new trends in prehospital respiratory therapy have also been described.

scholarly journals Management of pandemic or large-scale emergencies in Germany with a focus on the current and potential role of university schools of dentistry: Can it help in COVID-19 time?

2020 ◽  
Vol 44 (1) ◽  
Author(s):  
Marcus Schiller ◽  
Marijatta Pilette ◽  
Björn Rahlf ◽  
Constantin von See ◽  
N.-C. Gellrich
Keyword(s):  
Medical Care ◽  
Large Scale ◽  
Potential Role ◽  
Mass Casualty ◽  
Current Status ◽  
Patient Treatment ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Available Resources

Abstract Background The study presented here systematically examines the potential involvement of dental, oral and maxillofacial centres (ZMK) in the management of pandemia or in large-scale emergencies. It looks at available material and infrastructural resources and how they can be brought to bear in such incidents or situations. The aim was to gain an initial scientific overview of how ZMK can potentially contribute to the handling of a pandemia or mass casualty (MASCAL) situation in terms of available resources as well as their location within the hospital as a whole and their integration into the existing infrastructure. The study was conducted on the basis of a questionnaire consisting of 70 individual questions, which was sent to all universities in Germany that offer a course of study in dental medicine. The responses were then statistically evaluated. Results The study outlines the current status of ZMK and discusses what could be an important component of emergency medical care in the overall hospital context. Conclusion The involvement of ZMK—with their own resources and existing infrastructural links to the hospital as a whole—could lead to faster and more effective patient treatment in the event of a pandemic or MASCAL situation.

Analyzing the Role of the Helicopter in Emergency Medical Care for a Community

Medical Care ◽  
1967 ◽  
Vol 5 (5) ◽  
pp. 343-350 ◽  
Author(s):  
Arthur R. Jacobs ◽  
Curtis P. McLaughlin
Keyword(s):  
Medical Care ◽  
Emergency Medical Care ◽  
Emergency Medical

scholarly journals THE FORMATION OF THE AMBULANCE SERVICE IN THE TERRITORY OF SOVIET BELARUS (1919–1939)

2018 ◽  
Vol 63 (3) ◽  
pp. 306-316
Author(s):  
A. A. Kapliyev
Keyword(s):  
Medical Care ◽  
Ambulance Service ◽  
Service Development ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Three Stages ◽  
Major Factors ◽  
Care Development

Article contains analysis of the ambulance service`s development in Soviet Belarus during the interbellum period. Major factors that caused the emergency medical care origins and evolution were highlighted. Author divided the studied period in three stages: “epidemic”, “institutional” and “technogenic” that influenced the ambulance service development. Author underlined a huge role of sanitary transport modernization that became the most important factor of emergency medical care development during the studied period. 

Role of forensic expert in emergency medical care

2020 ◽  
Vol 20 (1) ◽  
pp. 183
Author(s):  
Rajendra Singh ◽  
O P Saini ◽  
Pramod Kumar Saini ◽  
Sanjeev Buri
Keyword(s):  
Medical Care ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Forensic Expert

Improving emergency medical care for psychiatric inpatients

2011 ◽  
Vol 26 (S2) ◽  
pp. 1722-1722
Author(s):  
C. Gordon ◽  
F. Cheema ◽  
J. Graham
Keyword(s):  
Medical Care ◽  
Qualitative Interviews ◽  
Primary Objective ◽  
Medical Emergency ◽  
Psychiatric Ward ◽  
Emergency Medical Care ◽  
Modest Improvement ◽  
Emergency Medical ◽  
Psychiatric Staff ◽  
The Impact

IntroductionAt the European Psychiatric Association's International Congress 2010, we reported on psychiatric staff confidence regarding emergency medical care in our poster: “How Well Prepared is a Psychiatric Ward for Dealing with a Medical Emergency?”. This work highlighted areas for improvement, including staff confidence and familiarity with equipment. Consequently, several aspects of practice were enhanced, including addressing training shortfalls alongside adopting a uniform layout for emergency trolleys. In order to identify improvement, the process was re-audited with a new qualitative component to gather staff opinion.ObjectivesOur primary objective was to examine whether our interventions had improved staff confidence with regard emergency medical care. Our secondary objectives included exploring staff attitudes toward delivery of such care and to identify further areas for improvement.AimsOur primary aim was to evaluate the impact of our interventions on delivery of emergency medical careMethodsOur original questionnaire survey was repeated and the results compared with those obtained previously. Additionally, a series of semi-structured qualitative interviews will be performed with staff to compliment the questionnaires.ResultsResults will be available in February 2011.ConclusionsGiven that psychiatric patients often suffer from significant physical health problems, it is imperative that staff are comfortable in delivering initial emergency medical care. We anticipate our results will demonstrate modest improvement. Clinical governance is an ongoing process, therefore the most important conclusions to be drawn will be our recommendations for future work, which will encompass the next step in our efforts to improve delivery of emergency medical care.

The Development of Civilian Emergency Medical Care During an Insurgency: Current Status and Future Outlook in Iraq

2010 ◽  
Vol 56 (2) ◽  
pp. 172-177 ◽  
Author(s):  
Ross I. Donaldson ◽  
Tariq Hasson ◽  
Sharaf Aziz ◽  
Waleed Ansari ◽  
Gerald Evans
Keyword(s):  
Medical Care ◽  
Current Status ◽  
Emergency Medical Care ◽  
Future Outlook ◽  
Emergency Medical

scholarly journals Hospital Referral Patterns: How Emergency Medical Care Is Accessed in a Disaster

2010 ◽  
Vol 4 (3) ◽  
pp. 226-231 ◽  
Author(s):  
Michael J. Reilly ◽  
David Markenson
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Major Incident ◽  
Emergency Medical Care ◽  
Referral Patterns ◽  
Disaster Victims ◽  
Emergency Medical ◽  
The Impact

ABSTRACTBackground:A prevalent assumption in hospital emergency preparedness planning is that patient arrival from a disaster scene will occur through a coordinated system of patient distribution based on the number of victims, capabilities of the receiving hospitals, and the nature and severity of illness or injury. In spite of the strength of the emergency medical services system, case reports in the literature and major incident after-action reports have shown that most patients who present at a health care facility after a disaster or other major emergency do not necessarily arrive via ambulance. If these reports of arrival of patients outside an organized emergency medical services system are accurate, then hospitals should be planning differently for the impact of an unorganized influx of patients on the health care system. Hospitals need to consider alternative patterns of patient referral, including the mass convergence of self-referred patients, when performing major incident planning.Methods:We conducted a retrospective review of published studies from the past 25 years to identify reports of patient care during disasters or major emergency incidents that described the patients' method of arrival at the hospital. Using a structured mechanism, we aggregated and analyzed the data.Results:Detailed data on 8303 patients from more than 25 years of literature were collected. Many reports suggest that only a fraction of the patients who are treated in emergency departments following disasters arrive via ambulance, particularly in the early postincident stages of an event. Our 25 years of aggregate data suggest that only 36% of disaster victims are transported to hospitals via ambulance, whereas 63% use alternate means to seek emergency medical care.Conclusions:Hospitals should evaluate their emergency plans to consider the implications of alternate referral patterns of patients during a disaster. Additional consideration should be given to mass triage, site security, and the potential need for decontamination after a major incident.(Disaster Med Public Health Preparedness. 2010;4:226-231)

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