A Study on Quality of Sleep, Fatigue, and Job Involvement of Staffs in Emergency Medical Service: Focusing on 119rescue Crews

2021 ◽  
Vol 23 (4) ◽  
pp. 1877-1892
Author(s):  
Nam Hee Kim ◽  
Hui Jeong Hong
2015 ◽  
Vol 8 (1) ◽  
pp. 56-66 ◽  
Author(s):  
Ziad Nehme ◽  
Stephen Bernard ◽  
Peter Cameron ◽  
Janet E. Bray ◽  
Ian T. Meredith ◽  
...  

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Kylie Dyson ◽  
Janet Bray ◽  
Karen Smith ◽  
Stephen Bernard ◽  
Lahn Straney ◽  
...  

Objectives: The exposure of emergency medical service personnel (paramedics) to out-of-hospital cardiac arrest (OHCA) and resuscitation procedures could be an important factor in skill maintenance and quality of care. This study aims to describe paramedic exposure to OHCA resuscitation in the state of Victoria, Australia (population 5.8 million). Methods: We extracted and linked data from the Victorian Ambulance Cardiac Arrest Registry (VACAR) and Ambulance Victoria’s employment dataset for the period 2003-2012. Paramedics were considered to have ‘exposure’ to OHCA if they attended a case where resuscitation was attempted. Individual rates were calculated for annual exposure (number of OHCA exposures for each paramedic/years employed in study period) and days between exposures (total paramedic days/total number of exposures). Results: Over the 10-year period, there were 49,107 OHCAs and 5,673 paramedics employed. Resuscitation was attempted in 44% of patients. An average of 3.2 (SD±1.1) paramedics attended each case. The median average exposure of paramedics was 2.2 (IQR=1.2-3.5) OHCAs/year. The proportion with no exposures in a year increased from 39% in 2003 to 43% in 2012 ( p =0.036). OHCA exposure was significantly less in those employed part-time or casual ( p <0.001), in a rural area ( p <0.001) or with a lower qualification ( p <0.001) (Table). Annual exposure to pediatric and traumatic OHCAs was particularly low (Table). Paramedics were exposed to an average of 0.006 OHCAs/day, meaning it would take an average of 163 days be exposed to OHCA and up to 12.5 years for rare cases, such as pediatric OHCAs. Conclusion: Our study identified paramedic exposure to resuscitation is low and has decreased over time. This highlights the importance of supplementing paramedic exposure with other methods, such as simulation, to maintain resuscitation skills. This may be particularly important to paramedics with low exposure and for rare case types, such as pediatric OHCA.


Author(s):  
Esraa Mosbah Azzam, Abed Ahmed Schokry

The study aimed to evaluate the response of the Emergency Medical Service (EMS) Department in the Palestinian Red Crescent Society )PRCS) within the Gaza Strip to Great March of Return (GRM), and to investigate its impact on the quality of service, from the point of view of service providers, A mix between qualitative and quantitative research methods Was applied for this purpose. The researcher followed the method of comprehensive survey for all members of the study population. The self- developed questionnaire as a study instrument was distributed among the study population. 126 (from 139) questionnaires were retrieved (90.65%). Then the head of the EMS Department in Gaza as well as all participated branch- Managers of PRCS governorates of the Gaza Strip were interviewed. The data were analyzed using SPSS. The results of the study proved that the field of "Crisis and Disaster Response Planning" at the PRCS EMS Department was about (82.72%), while "availability of necessary information" was about (79.93%). The field of "training and further education of the employees" lay by (78.37%), and the area of "availability of material and human resources" on the other hand was about (79.84%), and the field of "teamwork" was about (74.33%). Looking at all sections of the study, the total score laid by (78.98%), which is not bad, taking into account, that the service providers are evaluating their own effort as well as work. According to those findings, the researcher recommended the need to involve service providers in the development of emergency plans, and the need to introduce further educational training in using modern techniques, as well as the encouragement of EMTs to participate in local and international conferences, and to initiate the coordination between the EMS Department of the PRCS and other health institutions in the healthcare sector within the Gaza Strip.


1978 ◽  
Vol 2 (4) ◽  
pp. 281-301
Author(s):  
R. Wayne Headrick ◽  
Michael S. Leonard ◽  
Jay Goldman

2017 ◽  
Vol 125 (1) ◽  
pp. 200-209 ◽  
Author(s):  
Nicole Oberholzer ◽  
Alexander Kaserer ◽  
Roland Albrecht ◽  
Burkhardt Seifert ◽  
Mario Tissi ◽  
...  

Author(s):  
I M Barsukova

In article the rating assessment of 51 indicators influencing work of an emergency medical service for identification of the most actual for increase of efficiency of its work is carried out. Indicators are considered on three characterologic signs (the directions of influence): from the point of view of its influence on achievement of optimum volume indicators of work of service (number of departures; number of the persons who received medical care including on 1000 population); from the point of view of its influence on achievement of availability (efficiency) of work (increase of a share of departures with "arrival time" to the patient in the range of 20 min) ; from the point of view of its influence on achievement of quality of rendering an emergency medical service (improvement of quality of medical and diagnostic process, decrease in a share of a divergence of diagnoses of an emergency medical service with clinical diagnoses of hospitals). The method of expert evaluations with calculation of weight coefficients is used. The most significant indicators of work of an emergency medical service (in the all 3rd directions of influence) became: compliance of total of crews of population of the served territory (first of all - medical all-profile and medical assistant's); average daily load of crew of an emergency medical service; compliance of total number of cars of an emergency medical service to settlement indicators. Thus, the conducted research directed on determination of the importance of indicators of work of an emergency medical service with use of method of expert evaluations allowed to allocate the most actual, to recommend them further as indicators of work of an emergency medical service.


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