Evaluation of Emergency First Response’s Competency in Undergraduate College Students: Enhancing Sustainable Medical Education in the Community for Work Occupational Safety

Worldwide, people’s quality of health has been decreasing due to bad eating habits that have generated an increase in diseases such as diabetes, hypertension, overweight, as well as an increase in hours of the daily workday and stress. This situation can generate sudden illness and work accidents where the need to have knowledge in emergency first response (EFR) is necessary for all. Unfortunately, workshops and courses to certify EFR individuals are usually taught only to healthcare professionals. Therefore, to address this need a EFR project has been developed at the Tecnológico de Monterrey (TEC) which consists of a multidisciplinary challenge to train, certify, and evaluate students’ competency as “emergency first responders” in medical emergencies and healthcare awareness. This EFR project has been performed for one week, every year since 2015, and constitutes a joint venture among academic departments, faculty, and industrial/government institutions, which work together in multidisciplinary projects, providing a source of innovative proposals. The EFR project at TEC has provided instruction and certification for 966 students between 2015 to 2019 and this study has analyzed results considering a sample size of 197 participants. The combination of exam evaluation, medical emergency skills verification, and project proposal results indicate that most students reach skill levels between 2 and 3 in EFR competency after successfully completing the program, regardless of their year of study or the undergraduate program they are enrolled on. This evaluation emphasizes the compromise of the institution and its students in preparation for new living under sanitary conditions for pandemic conditions such as COVID-19.

Download Full-text

Factors that motivate individuals to volunteer to be dispatched as first responders in the event of a medical emergency: A systematic review protocol

HRB Open Research ◽

10.12688/hrbopenres.12969.1 ◽

2019 ◽

Vol 2 ◽

pp. 34 ◽

Cited By ~ 2

Author(s):

Eithne Heffernan ◽

Iris Oving ◽

Tomás Barry ◽

Viet-Hai Phung ◽

Aloysius Niroshan Siriwardena ◽

...

Keyword(s):

Systematic Review ◽

Police Officers ◽

Prehospital Care ◽

First Responders ◽

Medical Emergency ◽

Qualitative Synthesis ◽

First Response ◽

Medical Emergencies ◽

Review Protocol ◽

Synthesis Methodology

Background: Voluntary First Response is an important component of prehospital care for medical emergencies, particularly cardiac arrest, in many countries. This intervention entails the mobilisation of volunteers, known as Community First Responders (CFRs), by the Emergency Medical Services to respond to medical emergencies in their locality. They include lay responders and/or professional responders (e.g. police officers, fire fighters, and general practitioners). A wide variety of factors are thought to motivate CFRs to join and remain engaged in Voluntary First Response schemes, such as the availability of learning opportunities, recognition, counselling, and leadership. The aim of this review is to develop an in-depth understanding of CFR motivation, including the factors that influence the initial decision to volunteer as a CFR and the factors that sustain involvement in Voluntary First Response over time. Any factors relevant to CFR de-motivation and turnover will also be examined. Methods: This is a protocol for a qualitative systematic review of the factors that influence the motivation of individuals to participate in Voluntary First Response. A systematic search will be carried out on seven electronic databases. Qualitative studies, mixed-methods studies, and any other studies producing data relating to the review question will be eligible for inclusion. Title and abstract screening, as well as full text screening, will be completed independently by two authors. A narrative synthesis, which is an established qualitative synthesis methodology, will be performed. The quality of each of the included studies will be critically appraised. Discussion: The findings of this review will be used to optimise the intervention of Voluntary First Response. Specifically, the results will inform the design and organisation of Voluntary First Response schemes, including their recruitment, training, and psychological support processes. This could benefit a range of stakeholders, including CFRs, paramedics, emergency physicians, patients, and the public.

Download Full-text

Factors that motivate individuals to volunteer to be dispatched as first responders in the event of a medical emergency: A systematic review protocol

HRB Open Research ◽

10.12688/hrbopenres.12969.2 ◽

2020 ◽

Vol 2 ◽

pp. 34

Author(s):

Eithne Heffernan ◽

Iris Oving ◽

Tomás Barry ◽

Viet-Hai Phung ◽

Aloysius Niroshan Siriwardena ◽

...

Keyword(s):

Systematic Review ◽

Police Officers ◽

Prehospital Care ◽

First Responders ◽

Medical Emergency ◽

Qualitative Synthesis ◽

First Response ◽

Medical Emergencies ◽

Review Protocol ◽

Synthesis Methodology

Download Full-text

Medical Emergency in Dental Clinic - An update

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl3.3031 ◽

2020 ◽

Vol 11 (SPL3) ◽

pp. 831-839

Author(s):

Aksha sharen Arul Edwin ◽

Lakshmi T ◽

Karthik Ganesh Mohanraj

Keyword(s):

Dental Students ◽

Medical Emergency ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Emergency Situations ◽

Emergency Procedures ◽

Dental Clinics ◽

Dental Practitioners ◽

Medical Emergencies ◽

Spss Software

In general, one of the convincing methods to tackle an emergency is to be well-organized and prepared priory. The intention of the study is to analyze the availability of medical emergency procedures and equipment in dental clinics. Also, the aim is to determine the level of awareness, knowledge, perceptions, individual experiences and preparedness of the dental practitioners and dental students for the management of medical emergency situations in their hospitals or clinics. A cross-sectional survey based study was done from April to among 100 dental students in Chennai. The self-structured well-designed questionnaire containing the protocols and emergency procedures followed in their clinic. The questionnaire forms were circulated online through Google forms. The data from all the participants were collected and analyzed through SPSS software. In the present study, it was inferred that the majority of the population are aware about the medical emergencies in dental clinics (99%) and the remaining 1% of the population are not aware of it. The conclusion of this study is that the above statistical analysis about knowledge awareness on recent advances in the treatment of medical emergencies in dental clinics has provided an alarming situation about the capability of dentists to deal with such conditions for the betterment of patients .

Download Full-text

Knowledge and ability to manage medical emergencies among dental students

Journal of Oral Medicine Oral Surgery Oral Pathology and Oral Radiology ◽

10.18231/j.ijooo.2021.050 ◽

2021 ◽

Vol 7 (3) ◽

pp. 161-166

Author(s):

Chitturi Prashanthi ◽

Prashant B Patil ◽

Vajendra Joshi ◽

Kiran Kumar K R ◽

Shilpa R T

Keyword(s):

Life Support ◽

Dental Students ◽

Medical Emergency ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Chi Square Test ◽

Medical Emergencies ◽

The Difference

: An emergency can be encountered anytime and anywhere. Minimal knowledge about medical emergency and their etiology, primary protocol for management must be known to avoid potential consequences. Hence, the present study was undertaken to compare the knowledge, and ability to handle the medical emergencies among the dental students. A cross-sectional survey was conducted among 100 randomly selected dental students (post-graduate students and interns) comprising of two groups of students those who had underwent training and those who did not. The data obtained was analyzed using the SPSS for windows version 22.0 released 2013. Independent chi square test was used for comparison of responses and independent student t-test was used for the comparison of mean scores. The significance level was set at p<0.001. : The average mean knowledge and ability score was 68% & 61.4% respectively among the participants. On further comparison of mean knowledge & ability scores between the participants with & without basic life support training, participants with BLS training showed better knowledge than those without training and the difference was statistically significant between the two groups (p<0.001%). The study found deficiencies in the knowledge and ability of untrained graduates to deal with medical emergencies as compared to trained.

Download Full-text

Editorial

Acute Medicine Journal ◽

10.52964/amja.0019 ◽

2002 ◽

Vol 1 (3) ◽

Author(s):

Chris Roseveare ◽

Keyword(s):

Case Reports ◽

Gastrointestinal Haemorrhage ◽

Medical Emergency ◽

Editorial Team ◽

Original Research ◽

Acute Medicine ◽

Previous Edition ◽

Interesting Paper ◽

Medical Emergencies ◽

A Minor

So the brief ‘respite’ of summer is over, and we find ourselves plunging, once more towards the abyss of winter bed pressures. Hopefully those of you working at the coalface will find time to browse through the following pages. The production of a third issue in this ‘shortened’ year, following the launch of the Journal in July, is a credit to the hard work of the editorial and publishing teams. I am, as ever, grateful for their support. Next year will see a return to the planned 4-monthly cycle, with issues anticipated in March, July and November. One casualty of the tight schedule has been a minor adjustment to the cycle of reviews – COPD will now appear next Spring. In its place we have included an interesting paper reviewing the management of Neuroleptic Malignant Syndrome and Serotonin Syndrome, submitted by Consultant Psychiatrist David McNamara. Gastrointestinal haemorrhage and atrial fibrillation will be more familiar to readers, while Dr Joanna Girling’s review of the management of medical emergencies in pregnancy is essential reading for any physician working close to a maternity unit. Myasthenia gravis may not be the commonest medical emergency; nonetheless it is important that physicians are able to suspect, diagnose and initiate treatment for this condition. As I mentioned in my last editorial, I am keen to encourage submissions of case reports, audits, and pieces of original research provided they would appeal to a general medical readership. Cases need not be rare conditions, but must contain a clear teaching message for the reader. In future editions case reports will be categorised as ‘Tales of the Unexpected’, and ‘A Case to Remember’ (a memorable case or one with a message that readers should remember in future). The report on page 106 is an example of the latter – an important reminder that a radiological diagnosis of ‘pneumonia’ does not always imply an infective cause. Finally, I would like to thank those of you who have written with feedback following the previous edition of CPD Acute Medicine. We are clearly attempting to appeal to physicians from a broad range of backgrounds, and I hope that all readers find something which appeals to them in the pages which follow. Please feel free to write with your comments on any issue which you would like to share with the editorial team – depending on the response we may consider including a correspondence section in future editions of the journal.

Download Full-text

Handbook of Pediatric Medical Emergencies, ed. 4, edited by Charles Varga, M.D., and 13 contributors. Saint Louis: The C. V. Mosby Company, 1968, 654 pp., $19.75

PEDIATRICS ◽

10.1542/peds.43.4.647 ◽

1969 ◽

Vol 43 (4) ◽

pp. 647-648

Author(s):

Melvin D. Levine

Keyword(s):

Medical Emergency ◽

Inhalation Therapy ◽

Fourth Edition ◽

Saint Louis ◽

Long Time ◽

Medical Emergencies

In the fourth edition of the Handbook of Pediatric Medical Emergencies, Dr. Charles Varga succeeds in assembling a useful, easy to read, and practical volume, and at the same time one containing recommendations that are easy to locate when the physician needs on-the-spot guidance in treating a pediatric medical emergency. With this edition Dr. Varga takes over as sole editor, following the death of his former, long-time collaborator, Dr. Adolph DeSanctis. This edition is considerably expanded and rewritten; the chapters on pediatric procedures and inhalation therapy are drastically revised, and the toxicology section has also been completely reorganized.

Download Full-text

How Residents MET their training: Resident’s perception of Medical Emergency Team and its contribution to their Training

10.21203/rs.2.22725/v1 ◽

2020 ◽

Author(s):

Kangqi Ng ◽

Daryl Jones ◽

Augustine Tee

Keyword(s):

Internal Medicine ◽

Online Survey ◽

Improve Patient Safety ◽

Core Competencies ◽

Medical Emergency Team ◽

Learning Goals ◽

Medical Emergency ◽

Formal Training ◽

Emergency Team ◽

Medical Emergencies

Abstract Background Medical Emergency Teams (MET) have been implemented in many hospitals to improve patient safety. Few studies examined how residents perceive the MET as part of training. Objective We aimed to evaluate residents’ perceptions of how MET rotation affected training in the core competencies specified by Accreditation Council for Graduate Medical Education (ACGME). Methods We conducted an online survey of 106 residents. They are either junior residents who are in training in internal medicine, non-trainee registrars or senior residents who are training in respiratory or advanced internal medicine. Results We achieved a response rate of 62.3%. More than 90% of residents agreed or strongly agreed that MET contributed positively to their training, made resuscitation of patients safer and more efficient, and disagreed or strongly disagreed that MET made resuscitation of patients more time-consuming or cumbersome. More than 80% agreed or strongly agreed that the MET improved their clinical judgement in medical emergencies, helped achieve their learning goals and exposed them to a wide variety of cases. At least two-thirds thought that the MET posting improved their procedural skills and communication in end of life care discussions. In contrast, 26.6% of respondents agreed or strongly agreed that the MET decreased autonomy of the primary team. One-third felt they needed formal training for the MET posting. Conclusion Our findings suggest that residents perceive participation in MET was beneficial in training and improved patient care. We also found that formal training and consultant oversight may be needed for junior team leaders of MET.

Download Full-text

The Medical Emergency Team

Anaesthesia and Intensive Care ◽

10.1177/0310057x9502300210 ◽

1995 ◽

Vol 23 (2) ◽

pp. 183-186 ◽

Cited By ~ 382

Author(s):

A. Lee ◽

G. Bishop ◽

K. M. Hillman ◽

K. Daffurn

Keyword(s):

Cardiopulmonary Arrest ◽

Medical Emergency Team ◽

Medical Emergency ◽

Emergency Team ◽

Patients At Risk ◽

Medical Emergencies ◽

One Year ◽

Seriously Ill Patients ◽

Team Interventions ◽

Seriously Ill

The concept of a Medical Emergency Team was developed in order to rapidly identify and manage seriously ill patients at risk of cardiopulmonary arrest and other high-risk conditions. The aim of this study was to describe the utilization and outcome of Medical Emergency Team interventions over a one-year period at a teaching hospital in South Western Sydney. Data was collected prospectively using a standardized form. Cardiopulmonary resuscitation occurred in 148/522 (28%) calls. Alerting the team using the specific condition criteria occurred in 253/522 (48%) calls and on physiological/pathological abnormality criteria in 121/522 (23%) calls. Survival rate to hospital discharge following cardiopulmonary arrest was low (29%), compared with other medical emergencies (76%).

Download Full-text

Medical Emergencies: Risk Assessment and Management

Primary Dental Journal ◽

10.1177/205016841800700308 ◽

2018 ◽

Vol 7 (3) ◽

pp. 46-57

Author(s):

Mark Greenwood ◽

Mark Greenwood

Keyword(s):

Risk Assessment ◽

Emergency Management ◽

Medical Emergency ◽

Diagnosis And Management ◽

Dental Practitioners ◽

Medical Emergencies ◽

Risk Assessment And Management

Dental practitioners need to have knowledge of the risk assessment, diagnosis and management of medical emergencies. This paper deals with risk assessment and basic management principles, applicable to all emergencies. More specific aspects of medical emergency management are also discussed.

Download Full-text

Accidental Administration of Auto-Injectable Adrenaline into a Digit

Dental Update ◽

10.12968/denu.2020.47.1.51 ◽

2020 ◽

Vol 47 (1) ◽

pp. 51-53

Author(s):

Christine Wanis ◽

Huda Jawad ◽

Richard J Moore ◽

Julie Burke

Keyword(s):

Training Session ◽

Medical Emergency ◽

Self Administration ◽

Long Term Outcomes ◽

Dental Practitioners ◽

Safety Incident ◽

Medical Emergencies ◽

Dental Setting ◽

Auto Injector

General Dental Practitioners (GDPs) and Dental Care Professionals (DCPs) have a duty of care to ensure that patient safety is at the forefront of their clinical practice. Medical emergencies, although rare, can occur in the dental setting, and early, effective management of these emergencies can, not only save lives, but also improve long-term outcomes. A case is reported which highlights a safety incident involving accidental self-administration of an adrenaline auto-injector (AAI) into a digit during a medical emergencies training session. Consequently, the aim is to raise awareness of these unexpected safety incidences and propose a protocol for the treatment of such injuries. CPD/Clinical Relevance: This paper highlights the importance of vigilance when undertaking a medical emergency training course, and the introduction of a new protocol to be used in cases of accidental AAI injury.

Download Full-text