scholarly journals Spatial Analysis of Pre-Hospital Emergency Bases in Disasters in Tehran Province, Iran

2021 ◽  
pp. 61-76
Keyword(s):  
Emergency Medical Technicians ◽  
Rational Maps ◽  
Medical Sciences ◽  
Hospital Emergency ◽  
Descriptive Research ◽  
Emergency Medical ◽  
Pilot Work ◽  
Tehran Province ◽  
Human Burden

INTRODUCTION: Tehran is always exposed to various dangers due to its high population density. A geographic information system (GIS) can be very useful for reducing the financial and human burden caused by accidents, disasters, and diseases. METHODS: This field study was performed using a practical and descriptive research method. The pre-hospital emergency bases in the east of Tehran province and all the emergency bases covered by Shahid Beheshti University of Medical Sciences in disasters were evaluated as a case study. The population of these cities amounted to 1,149,485 people and included cities in the east of Tehran province, Iran, including Damavand, Firoozkooh, Pakdasht, Pishva, Qarchak, and Varamin. FINDINGS: Rational maps were created and analyzed in the areas where emergency bases were located using ArcGIS software, as well as analysis of regions, distances, point density, and a combination of these factors. Regarding the standards and indicators, it was determined that the Disaster and Emergency Medical Management Center needs to have130 emergency medical technicians, 23 ambulances, and one ambulance bus to equip the exiting emergency bases according to the standard pre-hospital regulations. Other requirements in this regard include the replacement of worn-out ambulances with new ones, construction of two emergency bases in Qarchak, Tehran, Iran, and three emergency bases in Pakdasht, Tehran, Iran, as well as the transfer of bases in the proximity of faults and flood-prone areas to safe places. CONCLUSION: Based on the obtained results, a comprehensive pre-hospital database was designed for the use of managers and officials in the occurrence of accidents, which might be used as a pilot work that can be expanded to other areas of Tehran, Iran, and other provinces in managing disasters and accidents.

scholarly journals The Accuracy of Diagnosis and Treatment Made by Pre-hospital Emergency Medical Technicians in Patients Admitted to Hospitals in Qazvin, Iran

2020 ◽  
Vol 24 (6) ◽  
pp. 510-519
Author(s):  
Peyman Namdar ◽  
◽  
Amir Mohammad Kazemifar ◽  
Mahsa Mohammadi ◽  
◽  
...  
Keyword(s):  
Work Experience ◽  
Correct Diagnosis ◽  
Diagnosis And Treatment ◽  
Emergency Medical Technicians ◽  
Hospital Emergency ◽  
Chi Square ◽  
Emergency Medical ◽  
Treatment Measures ◽  
Service Training ◽  
Chi Square Test

Background: Correct diagnosis and appropriate treatment measures of pre-hospital Emergency Medical Technicians (EMTs) are very important in improving the quality of patient care and reducing mortality and costs. Objective: This study aims to investigate the accuracy of diagnosis and treatment made by pre-hospital EMTs in patients admitted to hospitals in Qazvin, Iran. Methods: In this descriptive study conducted in 2018, the medical records of 600 patients who were transferred to Bu-Ali Sina and Velayat hospitals in Qazvin by ambulance during March-June 2018 were examined. Diagnosis and treatment measures were extracted from the emergency sheet. Education, work experience, and amount of in-service training of pre-hospital EMTs were also collected. Data were analyzed in SPSS V. 23 software using ANOVA, Chi-square test, and t-test. Findings: Out of 600 cases, 71.7% of the initial diagnoses made by EMTs were correct, 8.5% were incorrect, and 19.8% were without initial diagnosis. Regarding the treatment measures, 65.8% were correct and 3.5% were incorrect. Conclusion: Prompt help and correct diagnostic and treatment measures of pre-hospital EMTs can significantly reduce mortality and potential injuries.

scholarly journals Prehospital emergency medical technicians can perform ultrasonography and blood analysis in prehospital evaluation of patients with chronic obstructive pulmonary disease: a feasibility study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Giti Nadim ◽  
Christian B. Laursen ◽  
Pia I. Pietersen ◽  
Daniel Wittrock ◽  
Michael K. Sørensen ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Respiratory Insufficiency ◽  
Emergency Departments ◽  
Emergency Medical Technicians ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Emergency Medical ◽  
Short Period ◽  
Release Strategy

Abstract Introduction Crowding of the emergency departments is an increasing problem. Many patients with an exacerbation of chronic obstructive pulmonary disease (COPD) are often treated in the emergency departments for a very short period before discharged to their homes. It is possible that this treatment could take place in the patients’ homes with sufficient diagnostics supporting the treatment. In an effort to keep the diagnostics and treatment of some of these patients in their homes and thus to reduce the patient load at the emergency departments, we implemented a prehospital treat-and-release strategy based on ultrasonography and blood testing performed by emergency medical technicians (EMT) or paramedics (PM) in patients with acute exacerbation of COPD. Method EMTs and PMs were enrolled in a six-hour educational program covering ultrasonography of the lungs and point of care blood tests. During the seasonal peak of COPD exacerbations (October 2018 – May 2019) all patients who were treated by the ambulance crews for respiratory insufficiency were screened in the ambulances. If the patient had uncomplicated COPD not requiring immediate transport to the hospital, ultrasonographic examination of the lungs, measurements of C-reactive protein and venous blood gases analyses were performed. The response to the initial treatment and the results obtained were discussed via telemedical consultation with a prehospital anaesthesiologist who then decided to either release the patient at the scene or to have the patient transported to the hospital. The primary outcome was strategy feasibility. Results We included 100 EMTs and PMs in the study. During the study period, 771 patients with respiratory insufficiency were screened. Uncomplicated COPD was rare as only 41patients were treated according to the treat-and-release strategy. Twenty of these patients (49%) were released at the scene. In further ten patients, technical problems were encountered hindering release at the scene. Conclusion In a few selected patients with suspected acute exacerbations of COPD, it was technically and organisationally feasible for EMTs and PMs to perform prehospital POCT-ultrasound and laboratory testing and release the patients following treatment. None of the patients released at the scene requested a secondary ambulance within the first 48 h following the intervention.

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