scholarly journals RETROSPECTIVE ANALYSIS OF INTERVENTIONS PERFORMED BY EMERGENCY MEDICAL TEAMS IN POLAND BEFORE AND DURING THE SARS COV-2 PANDEMIC

2020 ◽  
Vol 73 (8) ◽  
pp. 1659-1662
Author(s):  
Michał Kucap ◽  
Klaudiusz Nadolny ◽  
Jerzy R Ładny ◽  
Dorota Zyśko ◽  
Robert Gałązkowski ◽  
...  

Introduction: The SARS-CoV-2 virus was recognized in December 2019 in China. From that moment it has quickly spread around the whole world. It causes COVID-19 disease manifested by breathlessness, coughing and high temperature. The COVID-19 pandemic has become a great challenge for humanity. The aim: To analyze interventions of emergency medical teams during the SAR-CoV-2 pandemic, and to compare obtained data with the same periods in 2018-2019. Material and methods: The study retrospectively analyzed interventions of emergency medical teams in the period from 15.03 to 15.05 in 2018 - 2020. 1,479,530 interventions of emergency medical teams were included in the study. The number of interventions, reasons for calls, and diagnoses made by heads of the emergency medical teams during the SARS-CoV-2 pandemic were compared to the same period in 2018-2019. Results: Authors observed the decline in the number of interventions performed by emergency medical teams during the pandemic in relation to earlier years by approximately 25%. The big decline concerned interventions that were the reason for calls to public places, such as “traffic accident” and “collapse”. In the case of diagnoses made by the head of the emergency medical team, the diagnoses regarding stroke or sudden cardiac arrest remained at the similar level. Others showed a marked decline. Conclusions: Reduced social activity contributed to a reduced number of interventions by emergency medical teams in public places. The societal fear of the unknown also contributed to the decrease in the number of interventions performed by emergency medical teams. People began to avoid contact with other people.

2021 ◽  
Author(s):  
Gaopei Zhu ◽  
Zhongli Wang ◽  
Yuhang Zhu ◽  
Jiaojiao Li ◽  
Peixia Guan ◽  
...  

Abstract BackgroundDuring the epidemic of COVID-19 of China, the emergency medical teams are facing serious stress in the front-line. As far as we know, there are no studies to test the applicability and measurement properties of the 10-item Chinese perceived stress scale (CPSS-10) in the emergency medical team.MethodsFrom March 17 to 27, 2020, an online survey was conducted on the emergency medical teams of Liaoning Province who supporting Wuhan. The CPSS-10 was used to measure the stress of medical workers. Classical test theory (CTT), bifactor model and multidimensional graded response model (MGRM) were used to analyze the measurement characteristics and differential item functioning (DIF) of CPSS-10.ResultsThe Cronbach's alpha coefficient of CPSS-10 was 0.86. Bifactor model confirmed that CPSS-10 was a two-factor structure. MGRM showed ordered response categories of K10. Item 8 could distinguish individual stress, but the slope of this item was very large (slope is 7.97, which was higher than 4), showing local dependence. There was a significant age DIF, but no DIF in gender. After removing the items 2, 5, and 8, the CPSS-7 showed high reliability, without DIF of age and gender, and there was no local dependence.ConclusionsMGRM could provide useful measurement information about CPSS-10 and CPSS-7. MGRM found that CPSS-10 did not fully conform to the item response theory (IRT). CPSS-7 had proved to be a more effective and reliable tool for assessing the perceived stress of emergency medical team.


2020 ◽  
Vol 25 (3) ◽  
pp. 14-19
Author(s):  
Vladivir Ivanovich Ershov ◽  
◽  
Yunus Magamedganjvich Salamonov ◽  
Boris Borisovich Yatsinyuk ◽  

The article presents an analysis of the number of emergency medical care calls to patients with poisoning in Surgut, Khanty-Mansiysk Autonomous Okrug – Yugra in two groups: poisoning with drugs, medicines and biological substances; toxic effects of substances, mainly non-medical purposes. In the territory of Surgut, for the period from 2017 to 2019, the number of visits of emergency medical teams to patients with poisoning decreased by 19.5%.


Resuscitation ◽  
2013 ◽  
Vol 84 ◽  
pp. S34-S37
Author(s):  
Ewa Chemperek ◽  
Katarzyna Zielonka ◽  
Grzegorz Nowicki ◽  
Patryk Rzonca ◽  
Jakub Pelczar ◽  
...  

2018 ◽  
Vol 33 (6) ◽  
pp. 596-601
Author(s):  
Xinxin Hao ◽  
Xiaoxue Li ◽  
Jingchen Zheng

AbstractObjectiveThis study aims at establishing the self-leadership development model (SLM) of China Emergency Medical Team (CEMT) members as a supplement to current selection standards of CEMT members.MethodsRaw dataset was obtained through two ways: in-depth interviews and documentary materials (memoirs and articles). The in-depth interviews were conducted with a purposive sample of 12 CEMT members, all of whom have participated in multiple disaster relief activities and have been CEMT members for more than two years. This paper followed a grounded theory methodology dealing with all data.ResultsBased on tasks, the SLM-CEMT consists of three basic parts: (1) making plans; (2) action; and (3) outcomes. Different parts involve various self-leadership strategies, of which five are the original dimensions of previous research (goal-setting, visualizing successful performance, self-talk, self-reward, and self-correcting feedback) and three are new dimensions (role clarity, self-initiative, and self-vigilance).Conclusions:The SLM-CEMT, with the three new parts, provides a new look at screening CEMT members as well as pondering on future research. Based on the SLM-CEMT, administrators could screen more qualified CEMT members. For the limitations, future work will be on the generalization and confirmation of this model.HaoX,LiX,ZhengJ.Screening China Emergency Medical Team (CEMT) members: a self-leadership perspective.Prehosp Disaster Med.2018;33(6):596–601.


2006 ◽  
Vol 21 (6) ◽  
pp. 445-450 ◽  
Author(s):  
Corita Grudzen

AbstractAmericans are living longer and are more likely to be chronically or terminally ill at the time of death. Although surveys indicate that most people prefer to die at home, the majority of people in the United States die in acute care hospitals. Each year, approximately 400,000 persons suffer sudden cardiac arrest in the US, the majority occurring in the out-of-hospital setting. Mortality rates are high and reach almost 100% when prehospital care has failed to restore spontaneous circulation. Nonetheless, patients who receive little benefit or may wish to forgo life-sustaining treatment often are resuscitated. Risk versus harm of resuscitation efforts can be differentiated by various factors, including cardiac rhythm. Emergency medical services policy regarding resuscitation should consider its utility in various clinical scenarios. Patients, family members, emergency medical providers, and physicians all are important stakeholders to consider in decisions about out-of-hospital cardiac arrest. Ideally, future policy will place greater emphasis on patient preferences and quality of life by including all of these viewpoints.


Author(s):  
Yosuke Takada ◽  
Yasuhiro Otomo ◽  
Khem Bahadur Karki

ABSTRACT Objectives: After the Nepal earthquake in 2015, for the first time, the Emergency Medical Team Coordination Cell (EMTCC) was activated. This study aims to evaluate the emergency medical team (EMT) coordination in the aftermath of the Nepal earthquake in 2015. Methods: This is a retrospective study that (a) describes the coordination process in Nepal, and (b) reviews and analyzes the EMT database in Nepal to classify the EMTs based on the World Health Organization (WHO) EMT classification, an online survey for EMT coordination, and the Geographic Information System-analyzed EMT distribution. Results: We recorded 150 EMTs, which included 29 Type 1-Mobile, 71 Type 1-Fixed, 22 Type 2, 1 Type 3, and 27 specialist cell recorded EMTs including the military team. The EMTs were allocated based on the number of casualties in that area. The Type 1 EMTs were deployed around Type 2 EMTs. Conclusions: The EMT Classification is useful for the effective posting of EMTs. However, the method of onsite multi registration has room for improvement. The WHO should provide an opportunity for EMTCC training for better coordination of disasters.


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