scholarly journals Structure of emergencies at the prehospital stage in Moldova from 2019-2020 years

2021 ◽  
Vol 64 (4) ◽  
pp. 39-44
Author(s):  
Boris Golovin ◽  
◽  
Mihail Pestereanu ◽  
Tatiana Bicic ◽  
Svetlana Lupu ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Retrospective Analysis ◽  
Medical Service ◽  
Prehospital Emergency Medicine ◽  
Republic Of Moldova ◽  
The Third ◽  
National Centre ◽  
Prehospital Emergency ◽  
The Republic ◽  
Respiratory Emergencies

Background: In the last 2 years, some changes have occurred in the structure of emergencies at the prehospital stage in the Republic of Moldova, being largely influenced by the COVID-19 pandemic. Material and methods: Retrospective analysis of the Prehospital Emergency Medical Service (PEMS) Request Sheets of the National Centre of Prehospital Emergency Medicine (NCPEM) of the Republic of Moldova for the years 2019-2020. Results: According to the nosological profile in 2020 at the prehospital stage, respiratory emergencies were on the first place with 23% of the 761.416 of total number of requests. On the second – cardiovascular (20.6%), on the third – neurological (13.3%), infectious – 3.1%. In 2019, on the first place – cardiovascular with 22.3% of the 845.572 of total number of requests, followed by respiratory – 19.3%, neurological – 13.6%, infectious – 2.2%. In 2020, on the first place were respiratory emergencies, which compared to 2019 increased practically by 4% and the infectious emergencies by almost 1%. The number of endotracheal intubation procedures and medical-assisted transportations practically doubled in y.2020 compared to y.2019. Conclusions: All these changes: increased respiratory and infectious emergencies, intubation procedures, and assisted-medical transportations, have occurred exeptionally due to COVID-19 infection.

Mobile Health Applications in Prehospital Emergency Medicine

2019 ◽  
pp. 117-135
Author(s):  
Bibiana Metelmann ◽  
Camilla Metelmann
Keyword(s):  
Emergency Medicine ◽  
Unmanned Aerial Vehicles ◽  
Medical Data ◽  
Prehospital Emergency Medicine ◽  
The Third ◽  
Aerial Vehicles ◽  
Mobile Health Applications ◽  
Prehospital Emergency ◽  
Time Critical ◽  
Health Applications

Prehospital emergency medicine treats time-critical diseases at the emergency site to reduce preventable disabilities and deaths. mHealth can assist in prehospital emergency medicine in multiple ways. This chapter provides insights into emergency medicine and presents three different forms of mHealth in this field. One is a retrieval of medical data (e.g., with aid of smartphone applications). A second one uses unmanned aerial vehicles. And the third one establishes real time communication with medical experts. Examples are given to illustrate the variety of mHealth in prehospital emergency medicine.

The Easytube for airway management in prehospital emergency medicine

Resuscitation ◽  
2010 ◽  
Vol 81 (11) ◽  
pp. 1516-1520 ◽  
Author(s):  
Hichem Chenaitia ◽  
Valéry Soulleihet ◽  
Horace Massa ◽  
Jacques Bessereau ◽  
Jeremy Bourenne ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Airway Management ◽  
Prehospital Emergency Medicine ◽  
Prehospital Emergency

Attitudes of prehospital emergency care professionals toward refusal of treatment

2013 ◽  
Vol 21 (5) ◽  
pp. 530-539 ◽  
Author(s):  
Hasan Erbay ◽  
Sultan Alan ◽  
Selim Kadioglu
Keyword(s):  
Emergency Medicine ◽  
Health Professionals ◽  
Medical Intervention ◽  
Prehospital Emergency Care ◽  
Prehospital Emergency Medicine ◽  
Refusal Of Treatment ◽  
Written Information ◽  
Prehospital Emergency ◽  
Right To Refuse Treatment ◽  
Threatening Situation

Introduction: Prehospital emergency medicine is a specific field of emergency medicine. The basic approach of prehospital emergency medicine is to provide patients with medical intervention at the scene of the incident. This special environment causes health professionals to encounter various problems. One of the most important problems in this field is ethics, in particular questions involving refusal of treatment and the processes associated with it. Objective: The objective of this study is to identify emergency health professionals’ views regarding refusal of treatment. Methods: This study was conducted with 356 health professionals who were on active duty in prehospital emergency health services. The data were collected through a form which included 10 statements. The participants were asked to indicate their level of agreement with the statements given by rating them between 0 and 10. Ethical considerations: Before conducting the research, permission was received from the local ethics committee. Participants were given written information about the purpose of the study. Participants were assured that their participation was voluntary. Results: The healthcare professionals with fewer years of experience in the profession and female participants adopted an attitude of giving priority to providing care. Young participants, in general, respected patient autonomy. However, paradoxically, when it comes to emergency medical cases, they expressed an opinion closer to paternalism. Conclusions: This study has found that prehospital emergency health professionals generally respect the patient’s right to refuse treatment; however, they do not prioritize this right when there is a life-threatening situation or when the person does not have decision-making capacity. In these cases, prehospital emergency health professionals tended to adopt a more paternalistic approach.

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