Juridical Analysis Of Fire Officers’ Authority In Medical Emergency Form Regulation Perspective

Emergency medical services in Indonesia are still constrained by implementation in the field with unanswered all of the community's expectations, due to the ineffectiveness of the regional apparatus or institutions that are their duties and functions, from the problems that exist can take the question of how Fire Officers can become part of the Health Workforce and whether Fire Officers can carry out medical emergency measures, especially basic life support, which is then the benefit of this article if further review will be able to provide input to parties in determining the extent to which the position, role and authority of Fire Officers in medical emergency services in the field with an approach The theory of policy formulation, responsibility and legal certain, in addressing this issue the method or methodology of research using legal normative research methods with a prescriptive nature in research located at Jakarta Fire And Rescue Department, and in managing data using secondary data in the form of document studies and a combination of interview methods in order to get the maximum possible results, from the results of the discussion it turns out that some discrepancies are found in ordering existing laws and regulations that do not refer to the above rules. There is a juridical malfunction resulting in confusion over the authority of the Fire Departement in its practice and irregularity in the supervisory agency, in this case the Ministry that houses the Fire Departement, which must be rearranged all existing laws and regulations which are in charge of the Fire Departement.

Optimization model for the installation of SAMU bases: application in Natal-RN

Purpose – The objective of this study was the application of a mathematical model aiming to designate neighborhoods for the installation of new Mobile Emergency Care Service (SAMU) bases that minimize the distance traveled by the ambulances in the city of Natal / RN. Design/methodology/approach –The data were grouped in order to obtain parameters, such as: call district, time, day of the week, number of accidents. After data collection and processing, a matrix of neighborhood-to-neighborhood distance in the city of Natal based on Google Maps was created. A model was created to minimize the distance traveled by ambulances with the aid of the AIMMS program. Findings – The application of the model allowed for the simulation of scenarios with the installation of 3 to 8 fixed bases. There was a significant reduction in the distance traveled by the ambulances which reached 48%, after the installation of eight bases. In other words, there was a reduction of 6,560 kilometers traveled per month by ambulances. Research, Practical & Social implications – The reduction in the total distance covered by the ambulances has practical and social implications, since it provides an increase in the number of ambulances available to serve the population and directly reflects in the reduction in the average response time of the service. Originality/value – The article contributes to the debate on efficiency in Brazilian medical emergency services by proposing engineering and management solutions for monitoring critical indicators such as response time. Keywords - Emergency medical service. Health care. Model simulation.

TREAT MENT OF PAIN DURING EMERGENCY MEDICA L SERVICES

Introduction: Pain, while undertaking medical rescue operations, is a common complication of injuries or a symptom of disease entities of internal medicine. Equipping emergency medical teams with painkillers from various groups, gives broad opportunities to fight pain at the pre-hospital stage. The manner of using medicines is regulated by law in the form of an executive regulation to the Act on State Emergency Medical Services, which specifies the type and route of their administration. When undertaking analgesic treatment, one should be aware of the contraindications to the use of individual medications, possible complications of their use, and methods of combining analgesics and co-analgesics as part of multimodal analgesia. The consequence of using medicines may be their impact on the work of the circulatory and respiratory systems, hence it is necessary to observe the patient’s cardiopulmonary stability during medical emergency operations at the call site, during transport and in the Hospital Emergency Department. The aim: This article aims to systematize the knowledge of painkillers available to the paramedic and methods of assessing pain intensity according to the following scales: numerical, verbal, visual-analog and picture for pediatric patients with whom it is possible to make logical contact. Conclusions: 1. Basic emergency teams are equipped with drugs from the following groups: nonsteroidal anti-inflammatory drugs, non-opioid analgesics and opioid analgesics. Thanks to them, it is possible to effectively and noticeably reduce pain at the stage of providing medical emergency services. 2. Despite properly undertaken pain therapy with available means and methods, it may not be possible to completely eliminate pain and clearly determine its etiology at the pre-hospital stage. 3. Available scales allow proper assessment of pain intensity in both pediatric and adult patients. 4. In complex cases, pain should not go away, it is necessary to use multimodal analgesia by combining analgesics of different groups, or to include in analgesic therapy co-analgesics, which, due to the weakening of the impact of a potential cause of pain, may determine the effectiveness of therapy. 5. Establishing the etiology of pain due to the numerous potential pathologies that cause it requires careful assessment of the patient at the stage of providing medical emergency services and the implementation of a full and properly conducted physical examination.

CHARACTERISTICS OF THE INTERVENTION OF EMERGENCY MEDICAL TEAMS IN THE SOUTHERN PART OF POLAND IN 12-MONTH OBSERVATION

The aim: The aim of this study was to characterize the general characteristics of the completed interventions by the Voivodeship Rescue Service of Katowice in the time period from 1st January 2018 to 31 December 2018. Material and methods: Analysis of the characteristics of the trips was done based on the information contained in the dispatch order cards and medical emergency services cards. In the statistical analysis the Chi-Square (p<0.05) test was utilized. Results: The total number of interventions was 211,548 cases. It is also worth observing, that the general number of interventions out of town amounted to 20,344 interventions, whereas, in town, there were 191,204 interventions. It can be observed that the most common decision made by the Emergency Medical Team was the decision to directly transported and received by the emergency department (126,553 cases; p<0.05). The definite most common reason for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (ICD-10 code : R; p<0.05). Conclusion: The largest number of interventions completed by the Voivodeship Rescue Service in Katowice in 2018 was due to injuries and poisonings, symptoms, diseases features and incorrect results of diagnostic tests, and in third place were cardiovascular diseases.

Self-harm following release from incarceration: Patterns and measurement issues

IntroductionDespite an elevated prevalence of self-harm in the incarcerated adult population, little is known about patterns of self-harm following release from prison. Objectives and ApproachBaseline self-report interviews with 1315 adults immediately prior to release from prison in Queensland, Australia, combined with interrogation of linked health data from >3750 post-release emergency department presentations, >2000 ambulance attendances, and corrections data during periods of re-incarceration. ResultsApproximately 5% of all contacts with medical emergency services following release from prison resulted from self-harm. These were associated with being Indigenous, having a lifetime history of a mental disorder and having been identified by prison staff as being at risk of self-harm. Agreement between self-reported self-harm and medically-verified episodes of self-harm was poor. Conclusion/ImplicationsEmergency services contacts resulting from self-harm following release from prison are common and represent an opportunity for tertiary intervention for self-harm. Our findings suggest that a self-reported history of self-harm should not be considered a reliable indicator of prior self-harm, or of future self-harm risk, in incarcerated adults.