scholarly journals Evaluating transport time in emergency medical service via GIS: an observational study of Tokyo

2019 ◽  
Vol 1 ◽  
pp. 1-2
Author(s):  
Tianqi Xia ◽  
Shuzhe Huang ◽  
Xuan Song ◽  
Ruochen Si ◽  
Xiaoya Song ◽  
...  
Keyword(s):  
Public Health ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Information Science ◽  
Close Relation ◽  
Temporal Analysis ◽  
Distribution Analysis ◽  
Transportation Time ◽  
Emergency Medical ◽  
Increased Risk

<p><strong>Abstract.</strong> Emergency medical service (EMS) is one kind of medical services which focuses on providing first-time rescue to victims of sudden and life-threatening emergencies. Since a lot of studies have pointed out a close relation between the increase of cost time before the patient accommodated to the hospital and the increased risk of mortality, a reasonable distribution of EMS facilities can shorten the transportation time from the scene to the hospital and is critical to ensure the quality of the EMS system.</p><p>With the development of geographic information science and technology, GIS provides the visualization and analysis approaches for the distribution of the EMS cases, ambulance cars and hospitals as well as the ability of measuring road network distance, which results in the popularity of research with GIS based analysis approaches in the field of public health and EMS system. Despite of the prosperity in such kind of studies, most of them focused on evaluating EMS system by observational case analysis while paying less attention on the emergency medical resource distribution.</p><p>With the concerns we mentioned above, this research conducts spatial and temporal analysis for evaluating the transportation time via several GIS methods and take the EMS cases in Tokyo 23 wards as a case study. In addition to the observational studies with EMS case data and several spatial and temporal factors, we pay more attention on evaluating the distribution of cases and hospitals from both sides of demand and supplement. In addition, we also check several assumptions that are widely used in accessibility analysis on public health. As far as we know, our work is first research on detailed hospital distribution analysis in Tokyo area based on observations.</p><p>

scholarly journals Notes From the Field: Use of Emergency Medical Service Data to Augment COVID-19 Public Health Surveillance in Montgomery County, Maryland, From March to June 2020

10.2196/22331 ◽  
2020 ◽  
Vol 6 (3) ◽  
pp. e22331 ◽  
Author(s):  
David R Sayers ◽  
Scott T Hulse ◽  
Bryant J Webber ◽  
Timothy A Burns ◽  
Anne L Denicoff
Keyword(s):  
Public Health ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Emergency Department Visits ◽  
Montgomery County ◽  
Health Departments ◽  
The Public ◽  
Public Health Departments ◽  
Emergency Medical ◽  
Service Data

Epidemiologic and syndromic surveillance metrics traditionally used by public health departments can be enhanced to better predict hospitalization for coronavirus disease (COVID-19). In Montgomery County, Maryland, measurements of oxygen saturation (SpO2) by pulse oximetry obtained by the emergency medical service (EMS) were added to these traditional metrics to enhance the public health picture for decision makers. During a 78-day period, the rolling 7-day average of the percentage of EMS patients with SpO2 <94% had a stronger correlation with next-day hospital bed occupancy (Spearman ρ=0.58, 95% CI 0.40-0.71) than either the rolling 7-day average of the percentage of positive tests (ρ=0.55, 95% CI: 0.37-0.69) or the rolling 7-day average of the percentage of emergency department visits for COVID-19–like illness (ρ=0.49, 95% CI: 0.30-0.64). Health departments should consider adding EMS data to augment COVID-19 surveillance and thus improve resource allocation.

scholarly journals Notes From the Field: Use of Emergency Medical Service Data to Augment COVID-19 Public Health Surveillance in Montgomery County, Maryland, From March to June 2020 (Preprint)

2020 ◽  
Author(s):  
David R Sayers ◽  
Scott T Hulse ◽  
Bryant J Webber ◽  
Timothy A Burns ◽  
Anne L Denicoff
Keyword(s):  
Public Health ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Emergency Department Visits ◽  
Montgomery County ◽  
Health Departments ◽  
The Public ◽  
Public Health Departments ◽  
Emergency Medical ◽  
Service Data

UNSTRUCTURED Epidemiologic and syndromic surveillance metrics traditionally used by public health departments can be enhanced to better predict hospitalization for coronavirus disease (COVID-19). In Montgomery County, Maryland, measurements of oxygen saturation (SpO<sub>2</sub>) by pulse oximetry obtained by the emergency medical service (EMS) were added to these traditional metrics to enhance the public health picture for decision makers. During a 78-day period, the rolling 7-day average of the percentage of EMS patients with SpO<sub>2</sub> &lt;94% had a stronger correlation with next-day hospital bed occupancy (Spearman ρ=0.58, 95% CI 0.40-0.71) than either the rolling 7-day average of the percentage of positive tests (ρ=0.55, 95% CI: 0.37-0.69) or the rolling 7-day average of the percentage of emergency department visits for COVID-19–like illness (ρ=0.49, 95% CI: 0.30-0.64). Health departments should consider adding EMS data to augment COVID-19 surveillance and thus improve resource allocation.

scholarly journals Comfort Level of Emergency Medical Service Providers in Responding to Weapons of Mass Destruction Events: Impact of Training and Equipment

2007 ◽  
Vol 22 (4) ◽  
pp. 297-303 ◽  
Author(s):  
Michael J. Reilly ◽  
David Markenson ◽  
Charles DiMaggio
Keyword(s):  
Public Health ◽  
Emergency Medical Services ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Service Providers ◽  
Weapons Of Mass Destruction ◽  
Medical Services ◽  
Mass Destruction ◽  
Public Health Emergencies ◽  
Emergency Medical

AbstractBackground:Numerous studies have suggested that emergency medical services (EMS) providers areill-prepared in the areas of training and equipment for response to events due to weapons of mass destruction(WMD) and other public health emergencies (epidemics, etc.).Methods:A nationally representative sample of basic and paramedic EMS providers in the United States wassurveyed to assess whether they had received training in WMD and/or public health emergencies as part of their initial provider training and as continuing medical education within the past 24 months. Providers also were surveyed as to whether their primary EMS agency had the necessary specialty equipment to respond to these specific events.Results:More than half of EMS providers had some training in WMD response. Hands-on training was associated with EMS provider comfort in responding to chemical, biological, and/or radiological events and public health emergencies (odds ratio (OR) = 3.2, 95% confidence interval (CI) 3.1, 3.3). Only 18.1% of providers surveyed indicated that their agencies had the necessary equipment to respond to a WMD event. Emergency medical service providers who only received WMD training reported higher comfort levels than those who had equipment, but no training.Conclusions:Lack of training and education as well as the lack of necessary equipment to respond to WMD events is associated with decreased comfort among emergency medical services providers in responding to chemical, biological, and/or radiological incidents. Better training and access to appropriate equipment may increase provider comfort in responding to these types of incidents.

scholarly journals The Potential of Multi-rotor Drone to Strengthen Emergency Medical Service System: a preliminary study in a Chinese county

2021 ◽  
Author(s):  
Minhai Zhang ◽  
Qiang Li ◽  
Lin Shi ◽  
Fangmin Ge ◽  
Hang Yu ◽  
...  
Keyword(s):  
Emergency Medical Service ◽  
Medical Service ◽  
Service System ◽  
Health Centers ◽  
Emergency Medical Service System ◽  
Road Transportation ◽  
Transportation Time ◽  
The Road ◽  
Emergency Medical ◽  
Medical Service System

Abstract Objective: To explore the feasibility and advantage of using multi-rotor drones in a county emergency medical service system.Methods: This study was conducted in Changxing County, Zhejiang Province from January to September 2018. We applied drones to simulate the transfer of first aid materials from health centers to the Changxing County People's Hospital. A total of 3 indicators were obtained: (1) The flight time of the drone; (2) The estimated time of ambulance dispatched from the county hospital was measured by Baidu map, Amap and Tencent map software; (3) The road transportation time measured by Amap software at 0: 00, 8: 00, 10:00, 12:00, 14:00, 16:00, 18:00, 20:00.Results: A total of 10 health centers were included in this study. Linear distance from county people's hospital to these centers was (10.97±3.59) km, and the road distance was (13.61±4.95) km. (2) The flight time of drones were (16.35±5.15) min, less than road transportation time measured by Amap, Baidu, and Tencent map software, which was (21.40±5.15) min, (22.50±6.11) min, (22.00±5.23) min, respectively (P＜0.01). The road transportation time measured using Amap software was longer than that of drones from 0:00 to 20:00 (P＜0.01), with the maximum time of (27.80±6.12) min at 18:00, and the minimum time of (21.40±5.15) min at midnight. Drones could save up to 14.07 min at most and 2.8min at least, with an average save of (7.98±1.32) min.Conclusions: Drone was faster than road transportation to transfer first aid medical supplies within a county. Further researches are needed to integrate drone into emergency medical service system.

The Integration of a Helicopter Emergency Medical Service in a Mass Casualty Response System

1991 ◽  
Vol 6 (4) ◽  
pp. 451-454 ◽  
Author(s):  
Lenworth M. Jacobs ◽  
Sheryl G. A. Gabram ◽  
Sherry A. Stohler
Keyword(s):  
Public Health ◽  
New England ◽  
Emergency Medical Service ◽  
Disaster Response ◽  
Medical Service ◽  
Helicopter Emergency Medical Service ◽  
Mass Casualty ◽  
Care Hospital ◽  
Emergency Medical ◽  
Response Plan

AbstractSince 1985, the state of Connecticut has been served by a hospital-based, advanced life support (ALS) helicopter air medical service. The service is stationed at a 1,000-bed, Level I, trauma center that is responsible for its operation. Connecticut statute requires the hospital to file operations reports with the Office of Emergency Medical Services, which reports to the Connecticut Department of Public Health. Operations include response to requests for transportation of severely ill or injured patients from the scene of an incident, and patient transport from one hospital to a higher level, definitive-care hospital.This service also was charged to develop a disaster response plan to be integrated into the overall state plan for disaster responses. The helicopter disaster response involves all six New England states and the three hospital-based emergency medical helicopter programs that operate in the New England states.This approach has allowed for joint planning and multi-agency, simulated drills. The helicopter emergency medical service has responded to 15 simulated emergencies (drills) and seven actual mass casualty incidents from May, 1985 to June, 1989. In Connecticut, the planning process conducted by the Department of Public Health and the Office of State EMS produced a coordinated, multi-jurisdictional, mass-casualty response plan.

scholarly journals Prehospital Prediction of a Time-sensitive Condition Among Patients With Dizziness Assessed by the Emergency Medical Service 

2020 ◽  
Author(s):  
Carl Magnusson ◽  
Julia Gärskog ◽  
Elin Lökholm ◽  
Jonny Stenström ◽  
Rickard Wetter ◽  
...  
Keyword(s):  
Emergency Medical Service ◽  
Medical Service ◽  
Clinical History ◽  
Final Diagnosis ◽  
Sudden Onset ◽  
Clinical Findings ◽  
Common Symptom ◽  
Emergency Medical ◽  
Increased Risk ◽  
History Of

Abstract Background: Dizziness is a relatively common symptom among patients who call for the emergency medical service (EMS).Methods: All patients assessed by the EMS and triaged using the rapid emergency triage and treatment system for adults code 11 (=dizziness) in the 660,000 inhabitants in the Municipality of Gothenburg, Sweden, in 2016, were considered for inclusion. The patients were divided into two groups according to the final diagnosis (a time-sensitive condition, yes or no).Results: There were 1,536 patients who fulfilled the inclusion criteria, of which 96 (6.2%) had a time-sensitive condition. The majority of these had an acute cerebrovascular disease. Eight predictors of a time-sensitive condition were identified. Three were associated with a reduced risk: 1) the dizziness was of a rotatory type, 2) the dizziness had a sudden onset and 3) increasing body temperature. Five were associated with an increased risk: 1) sudden onset of headache, 2) a history of head trauma, 3) symptoms of nausea or vomiting, 4) on treatment with anticoagulants and 5) increasing systolic blood pressure.Conclusion: Among 1,536 patients who were assessed by the EMS due to dizziness, 6.2% had a time-sensitive condition. On the arrival of the EMS, eight factors were associated with the risk of having a time-sensitive condition. They were linked to the type of symptoms, to clinical findings on the arrival of the EMS and to the recent clinical history.

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