Prevalence of methicillin-resistant Staphylococcus aureus colonization in emergency medical service providers

2011 ◽  
Vol 29 (8) ◽  
pp. 957-958 ◽  
Author(s):  
Barry J. Knapp ◽  
Sara N. Tsuchitani
Keyword(s):  
Staphylococcus Aureus ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Service Providers ◽  
Methicillin Resistant ◽  
Emergency Medical

scholarly journals The prevalence of Staphylococcus aureus contamination in the ambulances and on-call emergency medical service personnel of Kashan city in Iran

2019 ◽  
Vol 6 (1) ◽  
pp. 3-6
Author(s):  
Mohammad Paravar ◽  
Somaye Safavi ◽  
Razie Eghtesadi ◽  
Mahdi Mohamadzade ◽  
Mojtaba Sehat ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Service Providers ◽  
Contaminated Site ◽  
Front Line ◽  
Emergency Medical Service Personnel ◽  
Mannitol Salt Agar ◽  
Service Personnel ◽  
Emergency Medical

Objective: Emergency medical services systems are at the first line of dealing with patients who suffer from various infections. Conducting investigations on the bacterial contamination of emergency ambulances play a crucial role to improve the occupational health of staff as well as the quality of patient care. Therefore, the aim of the present study was to investigate the presence of Staphylococcus aureus and other life treating bacteria in the urban and rural ambulances and their on-call emergency medical service personnel. Methods: This descriptive cross-sectional study was conducted on 12 front line prehospital emergency urban and rural ambulances in Kashan, Iran, in 2015. A total of 18 sites were sampled in each ambulance and from the nose of personnel. Grown colonies were confirmed based on colony morphology on mannitol salt agar plates, gram stain reaction and biochemical characteristics reactions. Results: The S. aureus contamination was only isolated from the nose of on-call emergency medical service providers of 12 urban and road ambulances, while no sign of contamination was found in 18 sampling sites of these front-line ambulances. Also, further evaluation of these sampling sites revealed the contamination with coagulase-negative staphylococci in all of them and oxygen tank was introduced as the most contaminated site inside the ambulances. Moreover, the prevalence of equipment contamination was significantly higher in urban ambulances. Conclusion: Identifying the rate of pathogens in clinical settings like the pre-hospital ambulance setting is an important issue which should be carefully considered.

Feedback to Emergency Medical Services Providers: The Good, the Bad, and the Ignored

1997 ◽  
Vol 12 (2) ◽  
pp. 74-77 ◽  
Author(s):  
Elisabeth F. Mock ◽  
Keith D. Wrenn ◽  
Seth W. Wright ◽  
T. Chadwick Eustis ◽  
Corey M. Slovis
Keyword(s):  
Emergency Department ◽  
Emergency Medical Services ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Service Providers ◽  
Medical Services ◽  
Emergency Medical Service System ◽  
Constructive Feedback ◽  
Emergency Medical ◽  
Emergency Medical Service Provider

AbstractHypothesis:To determine the type and frequency of immediate unsolicited feedback received by emergency medical service (EMS) providers from patients or their family members and emergency department (ED) personnel.Methods:Prospective, observational study of 69 emergency medical services providers in an urban emergency medical service system and 12 metropolitan emergency departments. Feedback was rated by two medical student observers using a prospectively devised original scale.Results:In 295 encounters with patients or family, feedback was rated as follows: 1) none in 224 (76%); 2) positive in 51 (17%); 3) negative in 19 (6%); and 4) mixed in one (<1%). Feedback from 254 encounters with emergency department personnel was rated as: 1) none in 185 (73%); 2) positive in 46 (18%); 3) negative in 21 (8%); and 4) mixed in 2 (1%). Patients who had consumed alcohol were more likely to give negative feedback than were patients who had not consumed alcohol. Feedback from emergency department personnel occurred more often when the emergency medical service provider considered the patient to be critically ill.Conclusion:The two groups provided feedback to emergency medical service providers in approximately one quarter of the calls. When feedback was provided, it was positive more than twice as often as it was negative. Emergency physicians should give regular and constructive feedback to emergency medical services providers more often than currently is the case.

scholarly journals Need of Improvement in Emergency Medical Service in Urban Cities

2009 ◽  
Vol 48 (174) ◽  
pp. 139-43 ◽  
Author(s):  
Rajesh Gongal ◽  
B Dhungana ◽  
S Regmi ◽  
M Nakarmi ◽  
B Yadav
Keyword(s):  
Emergency Medical Service ◽  
Emergency Departments ◽  
Medical Service ◽  
Service Providers ◽  
Ambulance Service ◽  
Capital City ◽  
Emergency Medical Service System ◽  
Emergency Medical ◽  
Triage Category ◽  
Number Of Patients

Introduction: An effective Emergency Medical Service system does not exist in Nepal. For an effective EMS system to be developed the scale of the problem and the existing facilities need to be studied. Methods: Prospective observational study was carried out on 1964 patients attending Emergency Department at Patan Hospital during one month period of September 2006. The patients were specifically enquired on mode of transport used, place of origin and whether they called for an ambulance or not. Patients triage category at the time of triaging was also noted. Information on ambulance service were collected by direct interview with the service providers and the total number of patients attending Emergency Departments daily were collected from the major hospitals of the urban Lalitpur and Kathmandu. MS Excel and SPSS software were used for data entry, editing and analysis.Results: Total 9.9% patients arrived in ambulance whereas 53.6% came in a Taxi, 11.4% came in private vehicle, 13.5 % came by bus, 5.4% came by bike and the rest 6.2% came by other modes of transportation. Only 13.5% of triage category I patients took the ambulance. There were 31 service providers with 49 ambulances and 720 patients per day attend Emergency Departments in the surveyed area. Conclusions: Very less number of patients use the ambulance service for emergency services. The available ambulances are not properly equipped and do not have trained staff and as such are only a means of transportation to the hospitals of urban Lalitpur and Kathmandu.Key Words: ambulance, emergency medical service, para-medics, triage Need of Improvement in Emergency Medical Service in Urban Cities Gongal R,1Dhungana B,1Regmi S,1Nakarmi M,2Yadav B11Patan Hospital, Lalitpur, Nepal, 2Health Care Foundation, Kathmandu, NepalCorrespondence:Dr. Rajesh GongalDepartment of SurgeryPatan Hospital, Patan, Nepal.Email: [email protected] ARTICLE J Nepal Med Assoc 2009;48(174):139-43INTRODUCTIONThe sophisticated Emergency Medical Service (EMS) is limited to developed country only. Many developing countries are now slowly developing such system although most services are localized to the urban areas.1-5 Although inadquate ambulance services are available in the capital city of Nepa

Performance of Emergency Medical Service Providers in Pediatric and Adult Simulation of Unstable Supraventricular Tachycardia

2020 ◽  
Vol 36 (8) ◽  
pp. e451-e455
Author(s):  
Paul A. Khalil ◽  
Jennifer Berkovich ◽  
Vincenzo Maniaci ◽  
Juan Manuel Lozano ◽  
David A. Lowe
Keyword(s):  
Emergency Medical Service ◽  
Supraventricular Tachycardia ◽  
Medical Service ◽  
Service Providers ◽  
Emergency Medical
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