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 ◽  
...  

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. 

2021 ◽  
Vol 74 (2) ◽  
pp. 351-354
Author(s):  
Iryna A. Holovanova ◽  
Oksana I. Krasnovа ◽  
Svetlana M. Tanianskaia ◽  
Irina A. Kolenko ◽  
Mariya O. Rumyantseva ◽  
...  

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.


2020 ◽  
pp. 61-66
Author(s):  
Galina Smirnova

The relevance of the article is due to an increase in the level of stress of patients during the epidemic of coronavirus infection. The author analyzes the literature in order to improve the readiness of emergency medical service employees to work with patients in a state of stress reaction.


2018 ◽  
Vol 19 (1) ◽  
pp. 48-54 ◽  
Author(s):  
A. L. Ershov ◽  
A. G. Miroshnichenko ◽  
A. A. Bojkov ◽  
A. Yu. Schurov

This research is devoted to a retrospective analysis of the number of missions of the emergency medical service to adult patients that suffer from acute respiratory failure (ARF) of various severity in St. Petersburg during 2017. Gender and age characteristics of the groups of patients with ARF are presented. Nosologic forms of diseases that tend to be the most common reason of ARF are also identified. The analysis of immediate results of missions to the patients is presented.


2020 ◽  
Vol 21 (4) ◽  
pp. 78-83
Author(s):  
Yu. M. Salmanov ◽  
◽  
A. M. Suldin ◽  
N. S. Brynza ◽  
◽  
...  

Aim. To analyze the quantitative and qualitative indicators of the ambulance and emergency medical services in Surgut in the conditions of redirecting calls with urgent conditions to the emergency departments of outpatient clinics. Materials and methods. The study was conducted in the period from 2013 to 2018 on the basis of the Surgut city clinical ambulance station in Surgut. In accordance with the set aim of the research was defined these forms of statistical reporting № 40 “Report of the station (Department), hospital of emergency medical care” (app. by order of the Ministry of health and social development of the Russian Federation from December 2, 2009 № 942 “On approval of statistical tools stations (offices), hospital emergency medical service”). Results. The experience of redirecting calls with urgent conditions to emergency departments of outpatient clinics in Surgut, which began at the end of 2012, showed that during the period from 2013 to 2018, with an increase in the number of calls (by 15.9%) to the ambulance service, there was a decrease (by 6.4%) in the daily load on the team from 15.8 visits in 2013 to 14.8 visits in 2018. At the same time, the share of departures of the ambulance with the arrival time to the patient in less than 20 minutes after the call, the total number of calls, with an increase from 63.9% in 2013 to 78.1% in 2018, mortality before the arrival of the ambulance, with a reduction (36.1%) from 302,0%000 in 2013 to 192,8%000 in 2018, successful resuscitation at the exit from height (22.3%) from 8.5%000 in 2013 to 10.4%000 in 2018. Conclusion. Reducing the number of visits of emergency medical service teams for urgent conditions, by redirecting requests from patients with chronic diseases to the emergency departments of medical organizations of outpatient clinics during the operation of these institutions, reduced mortality at the pre-hospital stage of medical care, and increased the efficiency of the ambulance station when providing emergency medical care. Due to the control of the standard time for making emergency calls by the dispatcher service of the ambulance station, cases of unintentional failure to provide medical care are excluded. All cases of return of forwarded calls to the ambulance service are transferred to the ambulance team for execution, followed by an analysis of the reasons for violation of the quality criteria established by the Territorial program of state guarantees of free medical care to the population of the Khanty-Mansiyskiy Autonomous okrug – Yugra.


Author(s):  
Olivier Hoogmartens ◽  
Michiel Stiers ◽  
Koen Bronselaer ◽  
Marc Sabbe

The mission of the emergency medical services is to promote and support a system that provides timely, professional and state-of-the art emergency medical care, including ambulance services, to anyone who is victim of a sudden injury or illness, at any time and any location. A medical emergency has five different phases, namely: population awareness and behaviour, occurrence of the problem and its detection, alarming of trained responders and help rendered by bystanders and trained pre-hospital providers, transport to the nearest or most appropriate hospital, and, if necessary, admission or transfer to a tertiary care centre which provides a high degree of subspecialty expertise. In order to meet these goals, emergency medical services must work aligned with local, state officials; with fire and rescue departments; with other ambulance providers, hospitals, and other agencies to foster a high performance network. The term emergency medical service evolved to reflect a change from a straightforward system of ambulances providing nothing but transportation, to a complex network in which high-quality medical care is given from the moment the call is received, on-scene with the patient and during transportation. Medical supervision and/or participation of emergency medicine physicians (EP) in the emergency medical service systems contributes to the quality of medical care. This emergency medical services network must be capable to respond instantly and to maintain efficacy around the clock, with well-trained, well-equipped personnel linked through a strong communication system. Research plays a pivotal role in defining necessary resources and in continuously improving the delivery of high-quality care. This chapter gives an overview of the different aspects of emergency medical services and calls for high quality research in pre-hospital emergency care in a true partnership between cardiologists and emergency physicians.


JAMA ◽  
1980 ◽  
Vol 243 (10) ◽  
pp. 1019
Author(s):  
Beverly J. Montgomery

2020 ◽  
Vol 21 (2) ◽  
pp. 40-47
Author(s):  
Yu. G. Shapkin ◽  
P. A. Seliverstov ◽  
N. Yu. Stekolnikov

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.


2020 ◽  
Vol 4 (2) ◽  
pp. 129-146
Author(s):  
Jenna Uusitalo

Emergency medical service (EMS) forms a sub-category of the internationally recognized right to health. However, despite the codification of the right to health in various human rights conventions which have been implemented in national legislation, EMS still seems to be regarded as an economic expense or a political decision rather than a legal norm or a human right. This paper evaluates the causes for such a misunderstanding, primarily through Scandinavian Legal Realism which emphasizes the social contextualization of law. Supplementary scholarly views, as well as a history of human rights, are also applied to support the main arguments. Essentially, the paper claims that the challenge of recognizing EMS as a legal norm is associated with the relatively abstract and impersonalized nature of emergency care.


Author(s):  
Kanadan Kanashevich Akhmetzhanov

Improving the organization of medical care allows providing standardized and timely medical care of higher quality not only to residents of cities, but also to the population living in rural areas. This is achieved by the gradual reorganization of the emergency medical service, introduction of innovative technologies, 100 % provision of ambulances with medical equipment, and training of medical personnel of emergency medical teams.


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