scholarly journals Public access defibrillation: utilisation and missed opportunities

2019 ◽  
Vol 16 ◽  
Author(s):  
Chris Cunningham ◽  
Jared R Lowe ◽  
Arthur Johnson ◽  
William Carter ◽  
William M Whited ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Assisted Living ◽  
Public Awareness ◽  
Public Access ◽  
Medical Services ◽  
Assisted Living Facilities ◽  
Missed Opportunities ◽  
Emergency Medical ◽  
Private Homes ◽  
Missed Opportunity

IntroductionAutomated external defibrillators (AEDs) for public use are becoming increasingly prevalent, but little is known about utilisation. The purpose of this study was to compare the locations of out-of-hospital cardiac arrests (OHCAs) to the locations of AEDs to determine whether missed opportunities exist.MethodsA retrospective study was performed of all OHCAs in which resuscitation was attempted between 1 January 2005 and 31 December 2010 in Orange County, North Carolina, United States of America, a mixed suburban/rural emergency medical services (EMS) system. Emergency medical services records were used to determine public AED utilisation and OHCA location. The locations were plotted on a map using ArcGIS. Businesses, public buildings and facilities located within a 100 metre radius of each OHCA were surveyed to determine AED availability. Data were analysed using standard descriptive statistics.ResultsDuring the study period, 307 OHCAs occurred at 282 locations. Of these, 219 (71%) occurred in private homes, 26 (9%) in nursing or assisted living facilities, and 62 (20%) in public locations. An AED location was within 100 metres of an OHCA location in 22 cases. Five cases were excluded due to the arrest being witnessed by EMS, and late or unknown AED installation time. Of the remaining 17 OHCAs, seven (41%) had a nearby AED that was not used, constituting a missed opportunity for deployment.ConclusionIn nearly half of OHCAs that have a nearby public AED, the AED was not utilised. This suggests that public awareness and accessibility of AED locations should be improved.

scholarly journals IMPACT OF AGING POPULATIONS ON MUNICIPAL EMERGENCY MEDICAL SERVICES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S956-S956
Author(s):  
Nidya Velasco Roldan ◽  
Caitlin E Coyle ◽  
Michael Ward ◽  
Jan Mutchler
Keyword(s):  
Emergency Medical Services ◽  
Assisted Living ◽  
Local Governments ◽  
Emergency Services ◽  
Medical Services ◽  
Assisted Living Facilities ◽  
Older Population ◽  
Emergency Medical ◽  
Age Related ◽  
Aging Populations

Abstract The services that residents require from their local governments vary depending on the demographics of their populations. While municipalities have long sought to consider how changes in the young population may impact their school system needs, few systematic considerations have been developed relating to how aging populations may impact municipal service provision. This study aims to address this issue by focusing on demands on emergency services at the municipal level. Using data from the Massachusetts Ambulance Trip Record Information System (MATRIS) we explore the association between emergency medical services (EMS) demand and population age-structure. The data shows an overrepresentation of older people among EMS users. People age 65 and older represent 16% of Massachusetts’ population but account for 31% of the transported emergent calls —e.g., 911 calls— and 60% of the scheduled transports. Results from the OLS regression analysis suggest that communities with larger shares of older residents have significantly higher numbers of EMS calls. The type of community and other age-related community features such as the percentage of older residents living alone and the percentage of older population dually eligible for Medicare and Medicaid are also significantly associated with the number of EMS calls. Contrary to our expectations, other resources available in the community such nursing homes or assisted living facilities were not significantly associated with number of EMS calls. Our research indicates that if growth in the older population occurs as projected, the demand placed on the EMS system by older populations will grow considerably in coming decades.

Vaccination of the Elderly in Assisted Living by the Israeli Emergency Medical Services

2021 ◽  
Vol 111 (7) ◽  
pp. 1223-1226
Author(s):  
Eli Jaffe ◽  
Keren Dopelt ◽  
Nadav Davidovitch ◽  
Yuval Bitan
Keyword(s):  
Public Health ◽  
Emergency Medical Services ◽  
Assisted Living ◽  
The Elderly ◽  
Vulnerable Population ◽  
Entire Population ◽  
Medical Services ◽  
Assisted Living Facilities ◽  
Emergency Medical ◽  
Two Parameters

Emergency Medical Services (EMS) in Israel was called on to vaccinate the most vulnerable population—the elderly in assisted living facilities and their caregivers. Two parameters led the operation: (1) maximum use of the scarce COVID-19 vaccine, and (2) minimizing the time it took to reach this entire population. We present the process of vaccinating 126 245 people in two weeks at 756 locations countrywide, focusing on the planning and logistics of this operation. Resilience, flexible logistics, and dedicated personnel provided an efficient public health operation.

scholarly journals 12. The Potential Benefits of a Fire Safety Program Within Emergency Medical Services: A Point-of-Contact Intervention

1996 ◽  
Vol 11 (S2) ◽  
pp. S27-S27
Author(s):  
Ronald G. Pirrallo ◽  
Jonathan M. Rubin ◽  
Ronald K. Meyer ◽  
Gloria A. Murawsky
Keyword(s):  
Emergency Medical Services ◽  
Fire Safety ◽  
Fire Department ◽  
Medical Services ◽  
Response Property ◽  
Smoke Detector ◽  
Missed Opportunities ◽  
Emergency Medical ◽  
Fire Condition ◽  
Loss Estimate

Purpose: To determine how often house fires occur at addresses visited previously for emergency medical services (EMS) and were these visits missed opportunities for a point-of-contact fire safety intervention.Method: Retrospective analysis of all Fire Department (FD) responses during 1994. Data studied with descriptive statistics: reason for response, property type, dollar loss estimate, injuries, fatalities, fire cause, smoke detector operation.Results: The FD responded to 94,378 requests for service at 43,556 addresses. 27,406 addresses generated one response. However, 16,150 addresses had multiple requests, receiving 66,972 responses. For the multiple requests, 1,162 addresses had a fire condition of which 728 addresses requested EMS prior to the fire condition. 215 were one/two-family dwelling addresses receiving 489 responses; mean 2.3 EMS responses prior to the fire condition. 182/215 (85%) of these addresses had complete data, incurring a dollar loss estimate of [US]$2,017,470, 33 injuries and 0 fatalities. The top five causes for the fire condition were children playing with smoking materials, arson, suspicious, scorched food and undetermined. 87/182 (49%) of the one/two-family dwellings had a smoke detector present. However, only 31/182 (17%) of the dwellings had an operational smoke detector.

A population-based investigation of public access defibrillation: Role of emergency medical services care

Resuscitation ◽  
2010 ◽  
Vol 81 (2) ◽  
pp. 163-167 ◽  
Author(s):  
Thomas D. Rea ◽  
Michele Olsufka ◽  
Brock Bemis ◽  
Lindsay White ◽  
Lihua Yin ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Population Based ◽  
Public Access ◽  
Medical Services ◽  
Public Access Defibrillation ◽  
Emergency Medical

scholarly journals Public Awareness of the Need to Call the Emergency Medical Services Following the Onset of Acute Myocardial Infarction and Associated Factors in Jazan Region, Saudi Arabia

2021 ◽  
pp. 235-245
Author(s):  
Tawfeeq I. Altherwi ◽  
Luai Alhazmi ◽  
Abdulsamad Yahya A. Ahmadi ◽  
Faisal Ali M. Othathi ◽  
Abdulaziz Ali M. Othathi ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Medical Services ◽  
Public Awareness ◽  
Medical Services ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Emergency Medical ◽  
Minimum Age ◽  
Social Media Platforms

Background: Acute Myocardial Infarction is usually a complication of an ongoing atherosclerotic pathophysiological process inside the distribution of the coronary arterial supply. For many years, acute myocardial infarction has been one of the leading causes of death worldwide. One of the major complications of acute myocardial infarction is the event of “cardiac arrest”. However, with an early approach to emergency medical services and early seeking of healthcare, the potential mortality chance can be reduced. Despite the significance of the situation and its vulnerability, delays in approaching emergency medical services exist due to variable influences. This study had investigated the reasons behind the delays and the awareness of the general public on acute myocardial infarction and its associated symptoms. Methods:  This study is a cross-sectional type of research that was conducted in October 2021 through November 2021 period that invited 427 participants through social media platforms. Results: The online questionnaire was distributed and administered by 427 subjects. The mean age of the participants was (27.62 years, SD=11.692) with a minimum age of 18 years and a maximum age of 89 years. The majority of the study participants were females (n=237, 55.5%), of those who called during the daytime, 97.4% of them have mentioned that they would call the EMS directly but when investigated about the time to wait before calling EMS, 55.3% of the participants who chose to call during the daytime would call in less than an hour. Conclusion: For initiating public campaigns and providing the public with the consequences of an ignored myocardial infarction and the potential mortality that could be associated with delaying the emergency medicine services approach.

scholarly journals Public Awareness of the Emergency Medical Services in Maharashtra, India: A Questionnaire-based Survey

Cureus ◽  
2018 ◽  
Author(s):  
Pranav D Modi ◽  
Rajavi Solanki ◽  
Tripti S Nagdev ◽  
Pallavi D Yadav ◽  
Nyayosh K Bharucha ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Public Awareness ◽  
Medical Services ◽  
Emergency Medical

scholarly journals Challenges of Emergency Medical Services utilization by the older adults in Tabriz, Iran

2021 ◽  
Author(s):  
Rouzbeh Rajaei Ghafouri ◽  
Mohammad Hasan Sahebihagh ◽  
Asghar Mohammadpoorasl ◽  
Zahra Parsian ◽  
Mahmood Yousefi ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Medical Services ◽  
Rural Areas ◽  
Health Care Services ◽  
Public Awareness ◽  
High Rate ◽  
Medical Services ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Emergency Medical

Abstract Background As the number of older adults is increasing, the health care services such as Emergency Medical Services (EMS) should be promoted. One of the preconditions for the use of health services is awareness of these services and their terms of use. This study is conducted to evaluate the awareness of the older adults in Tabriz about EMS and the terms of services. Methods This cross-sectional survey was conducted in a representative sample of over 60 years old noninstitutionalized population in Tabriz (Iran). It included 1062 participants (514 males and 548 females) who were selected using Probability Proportional to Size (PPS) sampling method. Service awareness is considered as being informed about the existence of the EMS. Knowledge about EMS is defined as knowing the EMS phone number and knowledge about its free and 24-hour service. After completing the informed consent, data collection was conducted in the households of the participants. Data analysis was conducted using logistic regression. Results The findings showed that 47% of the older adults were not familiar with the EMS system. Awareness of EMS in males (63.4%) was higher than females (44.2%) and also it was higher among those born in cities (61.2%) than rural areas (46.1%). Holding primary, secondary, and higher education compared with illiteracy had higher chance of awareness of EMS by more than 2, 4, and 12 times respectively (OR = 2.53, OR = 4.69, and OR = 12.09). Conclusion Due to high rate of illiteracy and low public awareness, older adults do not have appropriate knowledge about the facilities, conditions, and terms of using EMS and may not be able to demand some of their essential services; therefore, notifying and increasing awareness about the available services to older adults are necessary.

Public awareness of Emergency Medical Services phone number

2021 ◽  
pp. 1
Author(s):  
Abdullah Alabdali ◽  
Abdulrahman Alfraidi ◽  
Anas Alharbi ◽  
Ahmad Alshaqha ◽  
Abdullah Almuhanna ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Public Awareness ◽  
Medical Services ◽  
Phone Number ◽  
Emergency Medical

scholarly journals WHAT CAN COUNTY-LEVEL EMERGENCY MEDICAL SERVICES DATA TEACH PUBLIC HEALTH ABOUT OLDER ADULT FALLS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S500-S501
Author(s):  
Carolyn R Ham ◽  
Xinyao deGrauw ◽  
Scott Dorsey
Keyword(s):  
Older Adults ◽  
Emergency Medical Services ◽  
Assisted Living ◽  
Medical Services ◽  
Emergency Medical ◽  
Safety Risks ◽  
Home Modifications ◽  
Single Intervention ◽  
The Mean ◽  
Snohomish County

Abstract Fall-related injuries in older adults contribute to an increasing number of deaths, hospitalizations and Emergency Medical Services (EMS) responses. In Snohomish County, the third largest county in Washington State, EMS agencies with electronic health records cover 96% of the county’s population. This EMS data contains unique information on falls, which can estimate costs and clarify intervention priorities. We analyzed 2018 data from EMS in Snohomish County. Fall incidents were summarized by count, frequency, and rate per 1,000 population. Costs for transferring patients to emergency departments (ED) were estimated using 2015 Snohomish Community Paramedic Analysis, and direct medical costs averted by implementing a single intervention were estimated based on prior research by Stevens and Lee (2018). There were total 38,910 incidents in older adults, of those 4,777 incidents were caused by falls (1606 in males and 2906 in females). The mean age (SD) was 81.0 (±8.9). The incidence rate was 45.6 per 1000 (55.8 in females and 30.6 in males). There were 573 repeated falls (12%). Most of the falls happened at home (54.85%), followed by assisted living and nursing homes (27.84%). 85.53% of the falls were transferred to ED, at an estimated cost of 3.15 million dollars. We calculated that one million dollars in medical cost could be averted by implementing home modifications delivered by an occupational therapist (OT). This research demonstrates the utility of EMS data for describing fall injury and determining interventions. Fall prevention programs should focus on preventing repeated falls and addressing home safety risks.

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