scholarly journals The Emergency Medical System in Albania.

Author(s):  
Skënder Brataj ◽  
Agron Dogjani

Territorial Emergency Service is part of NEMS. It belongs to the only telephone number 127 (112) and it is free of charge. It represents the guarantee of medical emergency service provided by law 147/2014 (For Emergency Medical Service) and with the Council of Ministers Decision (CMD) No.933 date 29.12.2014 on Approval of the Organizational Structure of the National Center of Medical Emergency, CMD. Nr. 250, date 30.3.2016 and aims to guarantee the response to emergencies and medical emergencies, from the moment of receiving the call until their resolution, throughout the territory of the Republic of Albania. This paper aims to give an introduction and to  analyse the emergency medical system's mission in Albania.

2017 ◽  
Vol 127 (3) ◽  
pp. 109-112
Author(s):  
Sylwia Mojsym-Korybska ◽  
Katarzyna Książek ◽  
Marzena Furtak-Niczyporuk ◽  
Kinga Grabska-Kusiak ◽  
Agata Słowińska ◽  
...  

Abstract Introduction. The organizational structure of the National Emergency Medical system ensures the health of citizens. Unfortunately, patients present dangerous behaviors, thereby damaging the safety of workers during medical emergencies. Aggression and violence, in spite of the widespread perception of it as a negative phenomenon undermining the individual’s health, is an indispensable part of everyday life and work environment. Aim. The purpose of this study was to determine the incidence of acts of aggression that led to violence, and the types of occurrence of this phenomenon, which influenced the staff of the National Emergency Medical system. Material and methods. The study was conducted in 2015/2016 among the employees of the National Emergency Medical system in Lublin, Puławy and Zamość; the research tool was a questionnaire survey. Results. On the basis of the conducted research, it can be concluded that the employees of the National Emergency Medical system are, to a large extent, exposed to acts of aggression on the part of patients. Almost all the employees of the Accident & Emergency Units (98.2%) and almost all the employees of the Medical Rescue Teams (98.3%) encountered aggression from the patients. Conclusion. There observed a phenomenon of aggression as well as verbal and physical violence on the part of patients towards health care workers. Alcohol and drugs increased both verbal and physical aggression among patients. Employees of the National Emergency Medical system have indicated aggression as an intrinsic element in the work environment.


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.


Author(s):  
Niki Matinrad ◽  
Melanie Reuter-Oppermann

AbstractEmergency services worldwide face increasing cost pressure that potentially limits their existing resources. In many countries, emergency services also face the issues of staff shortage–creating extra challenges and constraints, especially during crisis times such as the COVID-19 pandemic–as well as long distances to sparsely populated areas resulting in longer response times. To overcome these issues and potentially reduce consequences of daily (medical) emergencies, several countries, such as Sweden, Germany, and the Netherlands, have started initiatives using new types of human resources as well as equipment, which have not been part of the existing emergency systems before. These resources are employed in response to medical emergency cases if they can arrive earlier than emergency medical services (EMS). A good number of studies have investigated the use of these new types of resources in EMS systems, from medical, technical, and logistical perspectives as their study domains. Several review papers in the literature exist that focus on one or several of these new types of resources. However, to the best of our knowledge, no review paper that comprehensively considers all new types of resources in emergency medical response systems exists. We try to fill this gap by presenting a broad literature review of the studies focused on the different new types of resources, which are used prior to the arrival of EMS. Our objective is to present an application-based and methodological overview of these papers, to provide insights to this important field and to bring it to the attention of researchers as well as emergency managers and administrators.


2015 ◽  
Vol 24 (4) ◽  
pp. 1035-1043 ◽  
Author(s):  
Alexsandro Barreto Almeida ◽  
Eliane Regina Pereira do Nascimento ◽  
Jeferson Rodrigues ◽  
Maria Terezinha Zeferino ◽  
Ana Izabel Jatobá de Souza ◽  
...  

ABSTRACT The objective was to know the perception and interventions of basic support teams of the mobile emergency medical service in a situation of psychic crisis. This was a qualitative and descriptive research study conducted in the state of Santa Catarina, with four professional teams of the Basic Support Units in Mobile and Emergency Service. The data were collected from April to June of 2011, through semi-structured interviews. Collective Subject Discourse was used to organize and analyze data and to discuss the Psychosocial Paradigm. From the results, three discourses emerged with the main ideas: crisis behavior disorder and psychological instability; hallucinations and aggressiveness; intervention with physical or pharmacological restraint and referral. It is concluded that the concept of crisis is linked by professionals to the positivism of psychiatry, and pre-hospital care follows protocol measures in attending the person in mental crisis, far from the principles determined by the psychosocial paradigm.


1986 ◽  
Vol 2 (1-4) ◽  
pp. 121-122
Author(s):  
Paul Lust

The object of this paper is to discuss the philosophy of the emergency medical system in Belgium.In critical situations we should give the best possible treatment as early as possible. As a patient I would like to get the best doctor at the moment I am most in need of him and not when the doctor is badly in need of a patient. The anaesthesiologist is a most suitable practitioner for critical care, trained as he is by the surgeons to protect their patient against all sorts of manmade disasters, very often in distressing conditions.In Belgium it has been possible to involve anesthesiologists in all aspects of emergency medicine. We are satisfied with this way of handling the problem, and we are not looking for another solution, although we are aware that in other circumstances other solutions may be requested. Nevertheless, we are all well aware that inside our system a further development is needed.


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