scholarly journals Challenges and Problems Affecting the Development Emergency Medical Services in Kosovo.

2021 ◽  
Vol 5 (2) ◽  
pp. 825-829
Author(s):  
Basri Lenjani ◽  
Merima Šišić ◽  
Verica Mišanović ◽  
Kenan Ljuhar ◽  
Dardan Lenjani
Keyword(s):  
Health System ◽  
Medical Care ◽  
Emergency Medical Services ◽  
Lessons Learned ◽  
Integrated System ◽  
The Body ◽  
Medical Services ◽  
Living Room ◽  
Emergency Medical Care ◽  
Emergency Medical

Emergency medical service is organized as a separate field of health activities in order to provide uninterrupted emergency medical care for citizens who due to illness or injury have directly threatened the life, certain organs or certain parts of the body respectively cut the optimal time of occurrence of the emergency until the start of the final treatment process. Emergence clinic for 2020. Year ED over 100. 000-cases. The emergency health system doesn’t have a consolidated network and integrated emergency medical services.  Emergency health services in Europe are being challenged by changes in life dynamics, scientific advancements, which do increase the request to further improve the way of delivering emergency services. Health-system resilience can be defined as the capacity of health actors, institutions, and populations to prepare for and effectively respond to crises, to maintain core functions when a crisis hits, and—informed by lessons learned during the crisis to reorganize if conditions require it. Emergency clinic today at UCCK offers an area of 507m2, with 22 beds in the living room (1 bed per 100,000 population). Compliance with the law on emergency medical care, support, and improvement of EMS creating a special budget for EMS. EMS Independence (Decentralization). Budget, Management, accreditation, initiation of a project of systematization doctors of nurses in an integrated system. Regulation of administrative and legal infrastructure for EMS. The increase in salary (during holidays, weekends), shortening working hours for EMS, beneficial path (stress, risk, complexity, infections, first contact with the patient), the extension of annual leave. Functionalization of the Permanent National Center for Education EMS training, licensing, relicensing (medical staff) Quality control or EMS quality.

The emergency medical system

2015 ◽  
Author(s):  
Marc Sabbe ◽  
K Bronselaer ◽  
O Hoogmartens
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Emergency Medical Care ◽  
Hospital Emergency ◽  
High Quality Research ◽  
Emergency Medical ◽  
System P ◽  
Quality Of Medical Care

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 or location and at any phase of the emergency incident. These phases include lay people’s prevention and preparedness, occurrence of the problem, its detection, alarming of trained responders, help provided by bystanders and trained pre-hospital providers, transport to the appropriate hospital, and, if necessary, admission or transfer to a more appropriate hospital. In order to meet the goal outlined, emergency medical services must work closely with local and state officials—fire and rescue departments, other ambulance providers, hospitals, and other agencies—to foster a smooth functioning network. The term emergency medical services evolved to reflect a change from a simple system of ambulances, providing only transportation, to a system in which actual medical care is given at the scene and during transport. Medical supervision and/or participation of emergency medicine physicians in the emergency medical services systems contribute to the quality of medical care. This emergency medical services network must be capable of responding instantly and reliably around the clock, with well-trained, well-equipped personnel linked, as needed, through a strong communication system. Research plays an important role in conserving resources and improving the delivery of health 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.

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)

Directions for improving the organization of emergency medical services, specialized medical care and medical evacuation in federal subject of Russia

2019 ◽  
Vol 2019 (3) ◽  
pp. 70-74
Author(s):  
Сергей Багненко ◽  
Sergey Bagnenko ◽  
Ильдар Миннулин ◽  
Il'dar Minnulin ◽  
Александр Мирошниченко ◽  
...  
Keyword(s):  
Health System ◽  
Medical Care ◽  
Emergency Medical Services ◽  
Medical Information ◽  
Disaster Medicine ◽  
Medical Services ◽  
Medical Information Systems ◽  
Federal Subject ◽  
Medical Evacuation ◽  
Emergency Medical

The article presents main directions for improving the organization of emergency medical services (EMS), specialized medical care and medical evacuation in federal subject of Russia. These directions of development include: the formation of three-tier health system in federal subject of Russia, the integration of ambulance stations and territorial disaster medicine centres, the creation of EMS regional dispatch centres, the development of emergency departments, the modernization of medical information systems for EMS.

The emergency medical system

2021 ◽  
pp. 65-75
Author(s):  
Olivier Hoogmartens ◽  
Michiel Stiers ◽  
Koen Bronselaer ◽  
Marc Sabbe
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Tertiary Care ◽  
Medical Services ◽  
High Quality ◽  
Emergency Medical ◽  
High Quality Medical Care ◽  
The Moment

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.

Emergency Medical Services Response to Active Shooter Incidents: Provider Comfort Level and Attitudes Before and After Participation in a Focused Response Training Program

2014 ◽  
Vol 29 (4) ◽  
pp. 350-357 ◽  
Author(s):  
Jerrilyn Jones ◽  
Ricky Kue ◽  
Patricia Mitchell ◽  
Sgt. Gary Eblan ◽  
K. Sophia Dyer
Keyword(s):  
Law Enforcement ◽  
Medical Care ◽  
Emergency Medical Services ◽  
Training Program ◽  
Comfort Level ◽  
Medical Services ◽  
Active Shooter ◽  
Response Training ◽  
Emergency Medical ◽  
Before And After

AbstractIntroductionEmergency Medical Services (EMS) routinely stage in a secure area in response to active shooter incidents until the scene is declared safe by law enforcement. Due to the time-sensitive nature of injuries at these incidents, some EMS systems have adopted response tactics utilizing law enforcement protection to expedite life-saving medical care.ObjectiveDescribe EMS provider perceptions of preparedness, adequacy of training, and general attitudes toward active shooter incident response after completing a tactical awareness training program.MethodsAn unmatched, anonymous, closed-format survey utilizing a five-point Likert scale was distributed to participating EMS providers before and after a focused training session on joint EMS/police active shooter rescue team response. Descriptive statistics were used to compare survey results. Secondary analysis of responses based on prior military or tactical medicine training was performed using a chi-squared analysis.ResultsTwo hundred fifty-six providers participated with 88% (225/256) pretraining and 88% (224/256) post-training surveys completed. Post-training, provider agreement that they felt adequately prepared to respond to an active shooter incident changed from 41% (92/225) to 89% (199/224), while agreement they felt adequately trained to provide medical care during an active shooter incident changed from 36% (82/225) to 87% (194/224). Post-training provider agreement that they should never enter a building with an active shooter changed from 73% (165/225) to 61% (137/224). Among the pretraining surveys, significantly more providers without prior military or tactical experience agreed they should never enter a building with an active shooter until the scene was declared safe (78% vs 50%, P = .002), while significantly more providers with prior experience felt both adequately trained to provide medical care in an active shooter environment (56% vs 31%, P = .007) and comfortable working jointly with law enforcement within a building if a shooter were still inside (76% vs 56%, P = .014). There was no difference in response to these questions in the post-training survey.ConclusionsAttitudes and perceptions regarding EMS active shooter incident response appear to change among providers after participation in a focused active shooter response training program. Further studies are needed to determine if these changes are significant and whether early EMS response during an active shooter incident improves patient outcomes.JonesJ, KueR, MitchellP, EblanG, DyerKS. Emergency Medical Services response to active shooter incidents: provider comfort level and attitudes before and after participation in a focused response training program. Prehosp Disaster Med. 2014;29(4):1-7.

scholarly journals The Epidemiology of Emergency Medical Services Use by Children: An Analysis of the National Hospital Ambulatory Medical Care Survey

2008 ◽  
Vol 12 (3) ◽  
pp. 269-276 ◽  
Author(s):  
Manish N. Shah ◽  
Jeremy T. Cushman ◽  
Colleen O. Davis ◽  
Jeffrey J. Bazarian ◽  
Peggy Auinger ◽  
...  
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Medical Services ◽  
National Hospital ◽  
Emergency Medical ◽  
Care Survey ◽  
Ambulatory Medical Care ◽  
Services Use

scholarly journals Managing CBRN Mass Casualty Incidents at Hospitals - Find a Simple Solution for a Complex Problem: a Pilot Study

2021 ◽  
Author(s):  
Maximilian Kippnich ◽  
Nora Schorscher ◽  
Helmut Sattler ◽  
Uwe Kippnich ◽  
Patrick Meybohm ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Full Scale ◽  
The Body ◽  
University Hospital ◽  
Medical Services ◽  
Temperature Management ◽  
Simulated Patients ◽  
Special Forces ◽  
Technical Requirements ◽  
Emergency Medical

Abstract Background Chemical, Biological or Radio-nuclear (CBRN) incidents are a major challenge for emergency medical services and the involved hospitals. The challenge becomes even greater, if decontamination needs to be performed nearby or even within the hospital campus. To be prepared for such scenarios, the University Hospital Wuerzburg has developed a comprehensive and alternative CBRN response plan. Bullet points of the strategy are decontamination by Special Forces of the fire brigade and CBRN-experts of the Emergency Medical Services and the adaption to the hospitals spatial conditions. The focus of the presented study was to proof the practicability of the concept, the duration of the decontamination process and the temperature management during a full-scale exercise.Methods On demand the decontamination unit can be put into operation within the roofed basement access zone in front of the emergency department. The entire decontamination area can be deployed 24/7 by the hospitals technical staff. Fire and rescue services in adequate personal protective equipment are responsible for the decontamination process itself. The study was designed as full-scale exercise, which was documented by a camera team. The body temperature of the decontaminated Persons and the environment temerature was measured.Results The entire process proofed to be successful. The decontamination area was ready for operation within 30 minutes. The decontamination of the four simulated patients took 5,5 ± 0,6 minutes (mean ± SD) including handovers and undressing. 30 people have participated in the full-scale exercise. At the end of the decontamination process the temperature of the undressed upper body of the training patients was 27,25 ± 1 °C (81,05 ± 2 °F) (mean ± SD), the water in the shower was about 35°C (95°F).Conclusion The presented concept is comprehensive and simple for a best possible c care during CBRN incidents at hospitals. It ensures wet decontamination by Special Forces, while the technical requirements are created by the hospital.

scholarly journals Evaluation of the Quality of Medical Care to the Population at the Level of Day Stations and Emergency Stations

2022 ◽  
Vol 8 (1) ◽  
pp. 114-121
Author(s):  
B. Niyazov ◽  
S. Niyazovа
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Chronic Diseases ◽  
Emergency Care ◽  
Rural Population ◽  
Medical Services ◽  
Emergency Medical ◽  
Medical Institutions ◽  
Quality Of Medical Care

Insufficient availability of emergency medical services to the rural population is noted. The dynamics of the growth of calls to emergency medical services testifies to the fact that emergency medical institutions have taken over part of inpatient services for the provision of emergency care to patients with chronic diseases and acute colds.

scholarly journals Driving the ambulance: an essential component of emergency medical services: an integrative review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Julia Becker ◽  
Karin Hugelius
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Time Pressure ◽  
Medical Condition ◽  
Potential Effect ◽  
Integrative Review ◽  
Medical Services ◽  
The Road ◽  
Emergency Medical ◽  
On The Road

Abstract Background The transport of patients from one location to another is a fundamental part of emergency medical services. However, little interest has been shown in the actual driving of the ambulance. Therefore, this review aimed to investigate how the driving of the ambulance affects the patient and the medical care provided in an emergency medical situation. Methods A systematic integrative review using both quantitative and qualitative designs based on 17 scientific papers published between 2011 and 2020 was conducted. Results Ambulance driving, both the actual speed, driving pattern, navigation, and communication between the driver and the patient, influenced both the patient’s medical condition and the possibility of providing adequate care during the transport. The driving itself had an impact on prehospital time spent on the road, safety, comfort, and medical issues. The driver’s health and ability to manage stress caused by traffic, time pressure, sirens, and disturbing moments also significantly influenced ambulance transport safety. Conclusions The driving of the ambulance had a potential effect on patient health, wellbeing, and safety. Therefore, driving should be considered an essential part of the medical care offered within emergency medical services, requiring specific skills and competence in both medicine, stress management, and risk approaches in addition to the technical skills of driving a vehicle. Further studies on the driving, environmental, and safety aspects of being transported in an ambulance are needed from a patient’s perspective.

Sign in / Sign up

Export Citation Format

Share Document