scholarly journals Response Times of Motorcycle Ambulances during the COVID-19 Pandemic

2020 ◽  
Vol 8 (T1) ◽  
pp. 526-529
Author(s):  
Korakot Apiratwarakul ◽  
Kamonwon Ienghong ◽  
Vajarabhongsa Bhudhisawasdi ◽  
Dhanu Gaysonsiri ◽  
Somsak Tiamkao
Keyword(s):  
Response Time ◽  
Response Times ◽  
Operation Time ◽  
Cross Sectional Study ◽  
Average Response Time ◽  
Transport Time ◽  
Cross Sectional ◽  
Normal Period ◽  
System Data ◽  
Information Database

BACKGROUND: Motorcycles (motorlance) are often deployed as ambulances to the scene of an emergency to reduce response time. The COVID-19 pandemic has affected emergency medical services (EMS) in Thailand in many respects, and this study was conducted to examine its effect on motorlance operation time. AIM: The aim of the study was to examine motorlance operation time during the COVID-19 pandemic in comparison to normal periods. METHODS: This cross-sectional study examined all EMS motorlance operations dispatched from Srinagarind Hospital (Thailand). Data were collected from the Srinagarind Hospital EMS operation database and hospital information database system. Data from June 1, 2018, to December 31, 2019 (normal period) were compared with those from January 13 to April 21, 2020 (COVID-19). RESULTS: Eight hundred seventy-one EMS operations were examined over two periods. Mean patient age during the COVID-19 pandemic was 41.5 ± 6.2 years, and 54.6% (n = 59) were male. Average response time was 6.20 ± 1.35 min during the normal period and 3.48 ± 1.01 min during the pandemic (p = 0.021). Transport time was also significantly shorter during the latter period (2.35 vs. 5.20 min). CONCLUSIONS: Motorlance response and transport time during the COVID-19 pandemic were significantly shorter than usual.

scholarly journals Does the Use of Lights and Sirens on Ambulances Affect Pre-hospital Time?

2021 ◽  
Vol 9 (E) ◽  
pp. 26-28
Author(s):  
Korakot Apiratwarakul ◽  
Kamonwon Lenghong ◽  
Vajarabhongsa Bhudhisawasdi ◽  
Dhanu Gaysonsiri ◽  
Somsak Tiamkao
Keyword(s):  
Emergency Medical Services ◽  
Response Times ◽  
Database System ◽  
Cross Sectional Study ◽  
Average Response ◽  
Sectional Study ◽  
Transport Time ◽  
Cross Sectional ◽  
The Mean ◽  
Information Database

BACKGROUND: The use of lights and sirens (L&S) alerts other drivers of the presence of an ambulance and that they are required yield, increasing the speed and safety of emergency medical services (EMS) operations. However, there have been no studies examining the effect of L&S on pre-hospital time conducted in Thai EMS agencies. AIM: The aim of the study was to compare the operation times of ambulances with and without the use of L&S. METHODS: This was a cross-sectional study consisting of patients over 18 years of age assessed and treated through the Srinagarind Hospital EMS between April 2019 and March 2020. Data were collected from the Srinagarind Hospital EMS operation database and hospital information database system. RESULTS: A total of 1764 patients were enrolled, 1426 (80.8%) of whom were transported in an ambulance that used L&S. The mean age of patients in the L&S group was 45.2 ± 6.2 years and 742 (52.0%) were male. The average response times in the L&S and non-L&S groups were 10.2 min and 18.2 min, respectively (p < 0.001). Average L&S transport time was 11.1 min and non-L&S transport time was 17.1 min (p = 0.008). CONCLUSIONS: The use L&S reduced the response and transport times of EMS operations but not affect on-scene time.

Use of Emergency Medical Services: Experience 100 Days after First Case of COVID-19

2021 ◽  
Vol 104 (Suppl. 1) ◽  
pp. S5-S7
Keyword(s):  
Response Time ◽  
Emergency Medical Services ◽  
Operation Time ◽  
Cross Sectional Study ◽  
Medical Services ◽  
Prehospital Emergency Care ◽  
Cross Sectional ◽  
Emergency Medical ◽  
First Case ◽  
Novel Coronavirus

Background: The spread of the novel coronavirus 2019 (COVID-19), emergency medical services (EMS) work flow to be different from the normal situation such as avoid advanced airways management that perform aerosol generating. However, no studies examining EMS operation have been conducted at Srinagarind Hospital. Objective: To compare EMS operation time and procedures during COVID-19 spreading and routine period. Materials and Methods: This cross-sectional study examined all cases in which EMS were dispatched from Srinagarind Hospital during 13th January to 21st April 2020 compared with last year. Data were collected from the Srinagarind Hospital EMS operation database and hospital information database system. Results: Five hundred forty-five EMS operations were examined. The mean age of the patients in 2020 was 50.4+6.2 years, and 70.9% (n = 195) were male. The average times from 1669 center call receipt to arrival on scene (response time) for 2019 and 2020 were 12.44+4.12 minutes and 7.32+2.40 minutes, respectively (p = 0.016). The nebulizer mask procedure was performed in 16.1% of cases in 2019 group compared with 7.1% in the 2020 group (p<0.001). Conclusion: COVID-19 pandemic in Thailand effect EMS operation in age group of patients, operation time, type of patients, response time and procedures in airway and breathing. Keywords: COVID-19, Emergency medical services, Prehospital emergency care, Response time

scholarly journals Geographical Distribution of Emergency Services Times in Traffic Accidents in Extremadura

2021 ◽  
pp. 1-10
Author(s):  
José Antonio Morales-Gabardino ◽  
Laura Redondo-Lobato ◽  
João Meireles Ribeiro ◽  
Francisco Buitrago
Keyword(s):  
Response Time ◽  
Urban Areas ◽  
Traffic Accidents ◽  
Emergency Services ◽  
Response Times ◽  
Geographical Location ◽  
Transport Time ◽  
Cross Sectional ◽  
Peripheral Areas ◽  
Accident Scene

<b><i>Objective:</i></b> To analyze the response time and transport time taken by the emergency medical services (EMS), considering their urban or rural location, to attend traffic accident casualties that occurred in the different geographical areas of Extremadura (Spain) from 2012 to 2015. <b><i>Methods:</i></b> This was a cross-sectional study of the data recorded by the Emergency Response Coordination Center 112 (ERCC-112) from traffic accidents attended by EMS. Response time was defined as the time elapsed from the request-for-care receipt until arrival of the EMS at the accident scene, and transport time as that from leaving the scene until arrival to the referral hospital. Rural EMS were those based in locations where there is no hospital, and urban EMS those located in towns or cities with a hospital. <b><i>Results:</i></b> During the 4-year period studied, 5,572 traffic accidents requested assistance through the ERCC-112. From the 2,875 accidents (51.9%) in which EMS were mobilized, 55.4% occurred in urban roads and the remaining in interurban ones. A total of 113 people (mean age 48.4 ± 19.0 years, range 15–84 years) died at the accident scene or before arrival to the hospital, 88.5% of them in interurban accidents. The average response time of urban and rural EMS was 10.7 ± 7.3 and 18.0 ± 12.6 min (<i>p</i> &#x3c; 0.001), respectively, and the average transport time was 13.2 ± 11.7 and 45.2 ± 25.0 min (<i>p</i> = 0.009). Response time was longer than the 30-min optimum only in the most peripheral areas of Extremadura, while transport time exceeded the optimum of 90 min in the eastern regions of two health areas (Cáceres and Don Benito-Villanueva). 19.1% of the victims attended by rural EMS were classified as having a serious prognosis or as having died, as compared with 11.2% (<i>p</i> = 0.048) of those attended by urban EMS. <b><i>Conclusions:</i></b> The geographical location of EMS in Extremadura (Spain) guarantees adequate response times in traffic accidents, both in rural and urban areas. However, recommended transport times were occasionally exceeded in the most peripheral areas, due to hospital location.

scholarly journals EXPRESS: Trajectories of verbal fluency and executive functions in multilingual and monolingual children and adults: A cross-sectional study

2021 ◽  
pp. 174702182110267
Author(s):  
Roberto Filippi ◽  
Andrea Ceccolini ◽  
Peter Bright
Keyword(s):  
Working Memory ◽  
Executive Function ◽  
Verbal Fluency ◽  
Fluid Intelligence ◽  
Response Times ◽  
Developmental Trajectories ◽  
Cross Sectional Study ◽  
Human Cognition ◽  
Lexical Retrieval ◽  
Cross Sectional

The development of verbal fluency is associated with the maturation of executive function skills, such as the ability to inhibit irrelevant information, shift between tasks and hold information in working memory. Some evidence suggests that multilinguistic upbringing may underpin disadvantages in verbal fluency and lexical retrieval, but can also afford executive function advantages beyond the language system including possible beneficial effects in older age. This study examined the relationship between verbal fluency and executive function in 324 individuals across the lifespan by assessing the developmental trajectories of English monolingual and multilingual children aged 7 to 15 years (N=154) and adults from 18 to 80 years old (N=170). The childhood data indicated patterns of improvement in verbal fluency and executive function skills as a function of age. Multilingual and monolingual children had comparable developmental trajectories in all linguistic and non-linguistic measures used in the study with the exception of planning, for which monolingual children showed a steeper improvement over the studied age range relative to multilingual children. For adults, monolinguals and multilingual participants had comparable performance on all measures with the exception of non-verbal inhibitory control and response times on the Tower of London task: monolinguals showed a steeper decline associated with age. Exploratory factor analysis indicated that verbal fluency was associated with working memory and fluid intelligence in monolingual participants but not in multilinguals. These findings raise the possibility that early acquisition of an additional language may impact on the development of the functional architecture serving high-level human cognition.

scholarly journals Laparoscopic Approach for Management of Hydatid Cyst of Liver

2017 ◽  
Vol 15 (1) ◽  
pp. 67-70
Author(s):  
Suman Kumar Shrestha ◽  
Prabin Bikram Thapa ◽  
Dhiresh Kumar Maharjan ◽  
Tseten Yonjan Tamang
Keyword(s):  
Hydatid Cyst ◽  
Bile Leak ◽  
Laparoscopic Approach ◽  
Operation Time ◽  
Cross Sectional Study ◽  
Hepatic Hydatid Cyst ◽  
Cross Sectional ◽  
Laparoscopic Management ◽  
Laparoscopy Surgery ◽  
The Mean

Background: Laparoscopy surgery trials are small and unconvincing at present and are limited to higher centers. The objective of the study is to determine the clinical features, prevalence of site of hydatid cyst and complications of this modality of this treatment.Methods: A cross sectional study was carried out in all patients with one or two hepatic hydatid cyst who underwent laparoscopic management in KMCTH from January 2013 to March 2015 were included in the study. Aspiration, deroofing and evacuation of the hydatid cyst were done.Results: Twenty six patients underwent laparoscopic management for liver hydatid cysts. Males were seven (65.38%) and females were 9(34.61%).The mean age was 35.5±13.1 years (range 21-55years.) The commonest complaint was pain and discomfort in 13(50%) patients and lump in 6(13.06%) patients. Twenty four (92.3%) patients were successfully treated with laparoscopic approach. Two (7.69%) patients had to be converted to laparotomy because of dense adhesions and bleeding. Mean operation time was 43.6±10.6 minutes. Two (7.69%) patients had port site infection. One (3.84%) patient had bile leak and no recurrence and mortality in our series.Conclusions: Laparoscopic management of liver hydatid cyst was safe and effective in selective group of patients in equipped hospital.

The Efficacy of Combined Physical and Mental Practice in the Learning of a Foot-Sequence Task after Stroke: A Case Report

2004 ◽  
Vol 18 (2) ◽  
pp. 106-111 ◽  
Author(s):  
Philip L. Jackson ◽  
Julien Doyon ◽  
Carol L. Richards ◽  
Francine Malouin
Keyword(s):  
Response Time ◽  
Lower Limb ◽  
Response Times ◽  
Single Case ◽  
Mental Practice ◽  
Physical Practice ◽  
Average Response Time ◽  
Additional Improvement ◽  
Study Setting

Objective. To investigate the effect of mental practice on the learning of a sequential task for the lower limb in a patient with a hemiparesis resulting from a stroke. Design. A single-case study. Setting. Research laboratory of a university-affiliated rehabilitation center. Patient. A right-handed 38-year-old man who had suffered a left hemorrhagic subcortical stroke 4 months prior. Intervention. The patient practiced a serial response time task with the lower limb in 3 distinct training phases over a period of 5 weeks: 2 weeks of physical practice, 1 week of combined physical and mental practice, and then 2 weeks of mental practice alone. Main Outcome Measures. Performance on the task measured through errors and response times. Imagery abilities measured through questionnaires. Results . The patient’s average response time improved significantly during the 1st 5 days of physical practice (26%) but then failed to show further improvement during the following week of physical practice. The combination of mental and physical practice during the 3rd week yielded additional improvement (10.3%), whereas the following 2 weeks of mental practice resulted in a marginal increase in performance (2.2%). Conclusion. The findings show that mental practice, when combined with physical practice, can improve the performance of a sequential motor skill in people who had a stroke, and suggest that mental practice could play a role in the retention of newly acquired abilities.

scholarly journals Transfistula Anorectoplasty (TFARP): Better Surgical Technique for the Management of Vestibular Fistula

2012 ◽  
Vol 4 (1) ◽  
pp. 10-14
Author(s):  
JG Khan ◽  
MA Ali ◽  
MA Yusuf ◽  
MK Islam ◽  
MA Rahaman ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Wound Infection ◽  
Operation Time ◽  
Wound Dehiscence ◽  
Cross Sectional Study ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Aesthetic Appearance ◽  
Vestibular Fistula ◽  
Perineal Skin

Background: Many approach have been tried for management of vestibular fistula, most of them have post operative complication like wound infection, wound dehiscence, more hospital stay which compromise the functional out come and aesthetic appearance of the perineum. Objective: The aim of present study was to see the effectiveness of Transfistula Anorectplasty (TFARP) Which was required minimal dissection without interruption of perineal body and perineal skin. Methodology: The cross sectional study on 43 patients with vestibular fistula were held in Dhaka Shishu Hospital from September 2008 to April 2010. Patients were operated after obtaining informed consent and standard bowel preparation. Data on demographics, operation time and postoperative complications were collected as a questionnaire and plotted on Microsoft Excel and analyzed systematically by SPSS version 17. Patients were followed up for a period of 2½ months postoperatively. Results: There is no statistical deference in patient population regarding age, geographical distribution, and clinical presentation. Mean operation time was 76.5 min for TFARP and 84.34 min for ASARP. Two (02) cases had wound infection after TFARP operation and 11 patients after ASARP operation. One patient develops partial wound dehiscence after TFARP and was healed after conservative treatment within 7 days. On the other hand 05 patients developed partial wound dehiscence and 04 patients developed complete wound disruption after ASARP which were also treated conservatively need more than 2 weeks on an average. Mean hospital stay were 6.45 days after TFARP operation and mean hospital stay were 7.87 days after ASARP operation. 20 neonates and infant who were treated by TFARP operation have good bowel movement without laxative and symmetrical anal contraction after stimulation. Conclusion: TFARP is an operation produce less morbidity and is more effective procedures and superior procedures than that of ASARP operation and give aesthetic appearance of the perineum. DOI: http://dx.doi.org/10.3329/jssmc.v4i1.11996 J Shaheed Suhrawardy Med Coll, 2012;4(1):10-14

scholarly journals The Overview of Mother’s Characteristics, Exclusive Breastfeeding History and Immunization Status on the Morbidity of Infants 1-14 Months in Sukabumi

2019 ◽  
Vol 4 (1) ◽  
pp. 31
Author(s):  
Lani Gumilang ◽  
Rahmy Nurmalasari ◽  
Meita Dhamayanti ◽  
Dini Saraswati Handayani ◽  
Didah Didah
Keyword(s):  
Elementary School ◽  
Exclusive Breastfeeding ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
School Graduate ◽  
Cross Sectional ◽  
Immunization Status ◽  
History Of ◽  
System Data ◽  
Tract Infections

Morbidity among children in Indonesia is high. Based on the 2013 Hospital Information System data, there were five major morbidities, namely acute respiratory tract infections, diarrhea, fever, seizures, and pneumonia. This study aimed to describe the characteristics of mothers, history of exclusive breastfeeding and immunization status against morbidity in infants aged 1-14 months in the Sukabumi region. This study used descriptive research method with a cross-sectional study design on 71 mothers who have infants aged 1-14 months and are domiciled in the Sukabumi region. The data sources used were primary and secondary data, while the data was analyzed using univariate. The results of the study showed that the majority of mothers aged 20-35 years had infants morbidity due to fever by 78.9%, 29.6% of infants morbidity in mothers with elementary school graduate was caused by fever, housewives had infants morbidity due to fever by 78.9%, 83.1% of infants morbidity due to fever was occurred in mothers who performed exclusive breastfeeding, and 63.4% of morbidity in infants with complete immunization were also caused by fever. The results of this study can be concluded that the majority of morbidity was caused by fever, in mothers aged 20-35 years, mothers with elementary school graduate, housewife, children who obtained exclusive breastfeeding and complete immunization.

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