Organizational aspects of optimizing the work of the ambulance service in Surgut

2020 ◽  
Vol 21 (4) ◽  
pp. 78-83
Author(s):  
Yu. M. Salmanov ◽  
◽  
A. M. Suldin ◽  
N. S. Brynza ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Emergency Medical Service ◽  
Emergency Departments ◽  
Medical Service ◽  
Quality Criteria ◽  
Ambulance Service ◽  
Outpatient Clinics ◽  
Emergency Medical Care ◽  
Successful Resuscitation ◽  
Emergency Medical

Aim. To analyze the quantitative and qualitative indicators of the ambulance and emergency medical services in Surgut in the conditions of redirecting calls with urgent conditions to the emergency departments of outpatient clinics. Materials and methods. The study was conducted in the period from 2013 to 2018 on the basis of the Surgut city clinical ambulance station in Surgut. In accordance with the set aim of the research was defined these forms of statistical reporting № 40 “Report of the station (Department), hospital of emergency medical care” (app. by order of the Ministry of health and social development of the Russian Federation from December 2, 2009 № 942 “On approval of statistical tools stations (offices), hospital emergency medical service”). Results. The experience of redirecting calls with urgent conditions to emergency departments of outpatient clinics in Surgut, which began at the end of 2012, showed that during the period from 2013 to 2018, with an increase in the number of calls (by 15.9%) to the ambulance service, there was a decrease (by 6.4%) in the daily load on the team from 15.8 visits in 2013 to 14.8 visits in 2018. At the same time, the share of departures of the ambulance with the arrival time to the patient in less than 20 minutes after the call, the total number of calls, with an increase from 63.9% in 2013 to 78.1% in 2018, mortality before the arrival of the ambulance, with a reduction (36.1%) from 302,0%000 in 2013 to 192,8%000 in 2018, successful resuscitation at the exit from height (22.3%) from 8.5%000 in 2013 to 10.4%000 in 2018. Conclusion. Reducing the number of visits of emergency medical service teams for urgent conditions, by redirecting requests from patients with chronic diseases to the emergency departments of medical organizations of outpatient clinics during the operation of these institutions, reduced mortality at the pre-hospital stage of medical care, and increased the efficiency of the ambulance station when providing emergency medical care. Due to the control of the standard time for making emergency calls by the dispatcher service of the ambulance station, cases of unintentional failure to provide medical care are excluded. All cases of return of forwarded calls to the ambulance service are transferred to the ambulance team for execution, followed by an analysis of the reasons for violation of the quality criteria established by the Territorial program of state guarantees of free medical care to the population of the Khanty-Mansiyskiy Autonomous okrug – Yugra.

scholarly journals Need of Improvement in Emergency Medical Service in Urban Cities

2009 ◽  
Vol 48 (174) ◽  
pp. 139-43 ◽  
Author(s):  
Rajesh Gongal ◽  
B Dhungana ◽  
S Regmi ◽  
M Nakarmi ◽  
B Yadav
Keyword(s):  
Emergency Medical Service ◽  
Emergency Departments ◽  
Medical Service ◽  
Service Providers ◽  
Ambulance Service ◽  
Capital City ◽  
Emergency Medical Service System ◽  
Emergency Medical ◽  
Triage Category ◽  
Number Of Patients

Introduction: An effective Emergency Medical Service system does not exist in Nepal. For an effective EMS system to be developed the scale of the problem and the existing facilities need to be studied. Methods: Prospective observational study was carried out on 1964 patients attending Emergency Department at Patan Hospital during one month period of September 2006. The patients were specifically enquired on mode of transport used, place of origin and whether they called for an ambulance or not. Patients triage category at the time of triaging was also noted. Information on ambulance service were collected by direct interview with the service providers and the total number of patients attending Emergency Departments daily were collected from the major hospitals of the urban Lalitpur and Kathmandu. MS Excel and SPSS software were used for data entry, editing and analysis.Results: Total 9.9% patients arrived in ambulance whereas 53.6% came in a Taxi, 11.4% came in private vehicle, 13.5 % came by bus, 5.4% came by bike and the rest 6.2% came by other modes of transportation. Only 13.5% of triage category I patients took the ambulance. There were 31 service providers with 49 ambulances and 720 patients per day attend Emergency Departments in the surveyed area. Conclusions: Very less number of patients use the ambulance service for emergency services. The available ambulances are not properly equipped and do not have trained staff and as such are only a means of transportation to the hospitals of urban Lalitpur and Kathmandu.Key Words: ambulance, emergency medical service, para-medics, triage Need of Improvement in Emergency Medical Service in Urban Cities Gongal R,1Dhungana B,1Regmi S,1Nakarmi M,2Yadav B11Patan Hospital, Lalitpur, Nepal, 2Health Care Foundation, Kathmandu, NepalCorrespondence:Dr. Rajesh GongalDepartment of SurgeryPatan Hospital, Patan, Nepal.Email: [email protected] ARTICLE J Nepal Med Assoc 2009;48(174):139-43INTRODUCTIONThe sophisticated Emergency Medical Service (EMS) is limited to developed country only. Many developing countries are now slowly developing such system although most services are localized to the urban areas.1-5 Although inadquate ambulance services are available in the capital city of Nepa

scholarly journals FEATURES OF THE ORGANIZATION AND PROVISION OF EMERGENCY MEDICAL CARE IN POLTAVA REGION

2021 ◽  
Vol 74 (2) ◽  
pp. 351-354
Author(s):  
Iryna A. Holovanova ◽  
Oksana I. Krasnovа ◽  
Svetlana M. Tanianskaia ◽  
Irina A. Kolenko ◽  
Mariya O. Rumyantseva ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Medical Care ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Disaster Medicine ◽  
Laboratory Diagnostics ◽  
Emergency Medical Care ◽  
Surgical Interventions ◽  
Use Of Resources ◽  
Emergency Medical

The aim: Is to study and analyze the dynamics of the indicators of the emergency medical service of the Ukrainian and the Poltava region in the context of the reforms of the healthcare system in Ukraine. Materials and methods: In this work, the indicators of development of the emergency medical service of the Ukrainian and the Poltava region were studied and analyzed. Conclusions: The provision of emergency medical care in the Poltava region is provided by the Poltava Regional Center for Emergency Medicine and Disaster Medicine. The structure of the center includes 4 emergency medical stations, which are located in cities such as Poltava, Kremenchuk, Lubny, Mirgorod. А modern telemedicine center was built іn 2018 for emergency counseling on-line in new directions was carried out: ultrasound and endoscopic diagnostics, radiology, counseling during surgical interventions, laboratory diagnostics, etc. Emergency medical care reform Poltava Regional should be aimed at increasing the efficiency of the use of resources; provision of the EMC system by the relevant vehicles; qualitative training of doctors in emergency medicine; informatization of the EMC system.

scholarly journals THE ESTABLISHMENT OF THE EMERGENCY MEDICAL SERVICE IN THE TVER REGIONABLISHMENT OF THE EMERGENCY MEDICAL SERVICE IN THE TVER REGION

2021 ◽  
Vol 22 (1) ◽  
pp. 4-9
Author(s):  
A. M. Morozov ◽  
E. A. Grafi ◽  
D. S. Shishkova ◽  
V. A. Kadykov ◽  
A. V. Panova ◽  
...  
Keyword(s):  
Medical Care ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Emergency Medical Care ◽  
Chronological Order ◽  
Emergency Medical ◽  
History Of ◽  
Tver Region

The article is devoted to the history of the ambulance services’ establishment in Tver and Tver region. The stages of the development of the emergency medical care in the region are characterized, also the chronological order of various units is considered. 

Stress reaction of the patient and the stage of its development when providing emergency medical care (review)

2020 ◽  
pp. 61-66
Author(s):  
Galina Smirnova
Keyword(s):  
Medical Care ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Stress Reaction ◽  
Emergency Medical Care ◽  
Service Employees ◽  
State Of Stress ◽  
Emergency Medical ◽  
Coronavirus Infection

The relevance of the article is due to an increase in the level of stress of patients during the epidemic of coronavirus infection. The author analyzes the literature in order to improve the readiness of emergency medical service employees to work with patients in a state of stress reaction.

scholarly journals EPIDEMIOLOGY AND OUTCOMES OF ACUTE RESPIRATORY FAILURE AT THE STAGE OF EMERGENCY MEDICAL CARE IN ST. PETERSBURG

2018 ◽  
Vol 19 (1) ◽  
pp. 48-54 ◽  
Author(s):  
A. L. Ershov ◽  
A. G. Miroshnichenko ◽  
A. A. Bojkov ◽  
A. Yu. Schurov
Keyword(s):  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Medical Care ◽  
Retrospective Analysis ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Common Reason ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Gender And Age

This research is devoted to a retrospective analysis of the number of missions of the emergency medical service to adult patients that suffer from acute respiratory failure (ARF) of various severity in St. Petersburg during 2017. Gender and age characteristics of the groups of patients with ARF are presented. Nosologic forms of diseases that tend to be the most common reason of ARF are also identified. The analysis of immediate results of missions to the patients is presented.

A Survey of National Physicians Working in an Active Conflict Zone: The Challenges of Emergency Medical Care in Iraq

2012 ◽  
Vol 27 (2) ◽  
pp. 153-161 ◽  
Author(s):  
Ross I. Donaldson ◽  
Patrick Shanovich ◽  
Pranav Shetty ◽  
Emma Clark ◽  
Sharaf Aziz ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Medical Care ◽  
Emergency Departments ◽  
Large Scale ◽  
Road Traffic ◽  
Health Workers ◽  
Emergency Medical Care ◽  
Convenience Sample ◽  
Emergency Medical ◽  
Conflict Zone

AbstractIntroductionThere has been limited research on the perspectives and needs of national caregivers when confronted with large-scale societal violence. In Iraq, although the security situation has improved from its nadir in 2006-2007, intermittent bombings, and other hostilities continue. National workers remain the primary health resource for the affected populace.ProblemTo assess the status and challenges of national physicians working in the Emergency Departments of an active conflict area.MethodsThis study was a survey of civilian Iraqi doctors working in Emergency Departments (EDs) across Iraq, via a convenience sample of physicians taking the International Medical Corps (IMC) Doctor Course in Emergency Medicine, given in Baghdad from December 2008 through August 2009.ResultsThe 148 physician respondents came from 11 provinces and over 50 hospitals in Iraq. They described cardiovascular disease, road traffic injuries, and blast and bullet injuries as the main causes of death and reasons for ED utilization. Eighty percent reported having been assaulted by a patient or their family member at least once within the last year; 38% reported they were threatened with a gun. Doctors reported seeing a median of 7.5 patients per hour, with only 19% indicating that their EDs had adequate physician staffing. Only 19% of respondents were aware of an established triage system for their hospital, and only a minority had taken courses covering ACLS- (16%) or ATLS-related (24%) material. Respondents reported a wide diversity of prior training, with only 3% having some type of specialized emergency medicine degree.ConclusionsThe results of this study describe some of the challenges faced by national health workers providing emergency care to a violence-stricken populace. Study findings demonstrate high levels of violent behavior directed toward doctors in Iraqi Emergency Departments, as well as staffing shortages and a lack of formal training in emergency medical care.Donaldson RI, Shanovich P, Shetty P, Clark E, Aziz S, Morton M, Hasoon T, Evans G. A survey of national physicians working in an active conflict zone: the challenges of emergency medical care in Iraq. Prehosp Disaster Med. 2012;27(2):1-9.

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.

scholarly journals THE FORMATION OF THE AMBULANCE SERVICE IN THE TERRITORY OF SOVIET BELARUS (1919–1939)

2018 ◽  
Vol 63 (3) ◽  
pp. 306-316
Author(s):  
A. A. Kapliyev
Keyword(s):  
Medical Care ◽  
Ambulance Service ◽  
Service Development ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Three Stages ◽  
Major Factors ◽  
Care Development

Article contains analysis of the ambulance service`s development in Soviet Belarus during the interbellum period. Major factors that caused the emergency medical care origins and evolution were highlighted. Author divided the studied period in three stages: “epidemic”, “institutional” and “technogenic” that influenced the ambulance service development. Author underlined a huge role of sanitary transport modernization that became the most important factor of emergency medical care development during the studied period. 

scholarly journals FOREIGN EXPERIENCE OF EMERGENCY MEDICAL SERVICE TO A VICTIM OF A MAJOR TRAUMA IN REGIONAL TRAUMA SYSTEMS

2020 ◽  
Vol 21 (2) ◽  
pp. 40-47
Author(s):  
Yu. G. Shapkin ◽  
P. A. Seliverstov ◽  
N. Yu. Stekolnikov
Keyword(s):  
Medical Care ◽  
Major Trauma ◽  
Medical Service ◽  
Prehospital Care ◽  
Severe Trauma ◽  
Emergency Medical Care ◽  
Trauma Systems ◽  
Severe Injuries ◽  
Foreign Experience ◽  
Emergency Medical

The review discusses the current problems of organizing prehospital care for victims of severe trauma in overseas developed regional trauma systems. The results of studies on the features of pre-hospital triage, the choice of the amount of emergency medical care, the route and type of transportation of victims in the functioning of trauma systems are systematized. Foreign experience in providing emergency medical care for severe injuries can be useful for the creation and implementation of domestic trauma systems.

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