scholarly journals Survival Rates and Factors Related to the Survival of Traffic Accident Patients Transported by Emergency Medical Services

2021 ◽  
Vol Volume 13 ◽  
pp. 575-586
Author(s):  
Thongpitak Huabbangyang ◽  
Rossakorn Klaiangthong ◽  
Duangsamorn Jansanga ◽  
Airada Aintharasongkho ◽  
Tunwaporn Hanlakorn ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Traffic Accident ◽  
Survival Rates ◽  
Medical Services ◽  
Emergency Medical

scholarly journals Incidence and Outcomes of Out‐of‐Hospital Cardiac Arrest in Singapore and Victoria: A Collaborative Study

2020 ◽  
Vol 9 (21) ◽  
Author(s):  
Shir Lynn Lim ◽  
Karen Smith ◽  
Kylie Dyson ◽  
Siew Pang Chan ◽  
Arul Earnest ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Emergency Medical Services ◽  
Prehospital Care ◽  
Survival Rates ◽  
World Health ◽  
Medical Services ◽  
Emergency Medical ◽  
Bystander Cardiopulmonary Resuscitation ◽  
Hospital Cardiac Arrest

Background Incidence and outcomes of out‐of‐hospital cardiac arrest (OHCA) vary between communities. We aimed to examine differences in patient characteristics, prehospital care, and outcomes in Singapore and Victoria. Methods and Results Using the prospective Singapore Pan‐Asian Resuscitation Outcomes Study and Victorian Ambulance Cardiac Arrest Registry, we identified 11 061 and 32 003 emergency medical services‐attended adult OHCAs between 2011 and 2016 respectively. Incidence and survival rates were directly age adjusted using the World Health Organization population. Survival was analyzed with logistic regression, with model selection via backward elimination. Of the 11 061 and 14 834 emergency medical services‐treated OHCAs (overall mean age±SD 65.5±17.2; 67.4% males) in Singapore and Victoria respectively, 11 054 (99.9%) and 5595 (37.7%) were transported, and 440 (4.0%) and 2009 (13.6%) survived. Compared with Victoria, people with OHCA in Singapore were older (66.7±16.5 versus 64.6±17.7), had less shockable rhythms (17.7% versus 30.3%), and received less bystander cardiopulmonary resuscitation (45.7% versus 58.5%) and defibrillation (1.3% versus 2.5%) (all P <0.001). Age‐adjusted OHCA incidence and survival rates increased in Singapore between 2011 and 2016 ( P <0.01 for trend), but remained stable, though higher, in Victoria. Likelihood of survival increased significantly ( P <0.001) with arrest in public locations (adjusted odds ratio [aOR] 1.81), witnessed arrest (aOR 2.14), bystander cardiopulmonary resuscitation (aOR 1.72), initial shockable rhythm (aOR 9.82), and bystander defibrillation (aOR 2.04) but decreased with increasing age (aOR 0.98) and emergency medical services response time (aOR 0.91). Conclusions Singapore reported increasing OHCA incidence and survival rates between 2011 and 2016, compared with stable, albeit higher, rates in Victoria. Survival differences might be related to different emergency medical services practices including patient selection for resuscitation and transport.

scholarly journals Coordination of Emergency Medical Services for a Major Road Traffic Accident on a Swiss Suburban Highway

2009 ◽  
Vol 35 (3) ◽  
pp. 265-270 ◽  
Author(s):  
Fabrice Dami ◽  
Vincent Fuchs ◽  
Etienne Péclard ◽  
Mathieu Potin ◽  
Laurent Vallotton ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Medical Services ◽  
Major Road ◽  
Emergency Medical

scholarly journals Police-to-Hospital Transport for Violently Injured Individuals: A Way to Save Lives?

2020 ◽  
Vol 687 (1) ◽  
pp. 186-201
Author(s):  
Sara F. Jacoby ◽  
Paul M. Reeping ◽  
Charles C. Branas
Keyword(s):  
Emergency Medical Services ◽  
Survival Rates ◽  
Medical Services ◽  
Current Evidence ◽  
Geographic Context ◽  
Emergency Medical ◽  
Response Capacity ◽  
Victims Of Violence ◽  
Hospital Transport ◽  
Safety Systems

Transportation of violently injured individuals to the hospital by police, also known as “scoop and run,” may shorten the time between injury and hospital care when emergency medical services are delayed or unavailable. In this article, we explore the history and contemporary applications of this strategy and its broader impact on public safety systems. Current evidence suggests that when comparing police hospital transport and emergency medical services transport for violently injured individuals, survival rates are at least equivalent; in some studies, survival rates are better for violently injured individuals transported by police. Though understudied, police transport may improve survival for violently injured individuals as well as perceptions of police in communities where mistrust is common. Only a select few cities have codified this approach and police role. Geographic context, emergency response capacity, and the nature of encounters between law enforcement and victims of violence are important for other jurisdictions considering police-to-hospital transport.

scholarly journals Awareness, Perspective, and Reasons Behind Patients’ Rejection of Emergency Medical Services in Thailand

2019 ◽  
Vol 34 (s1) ◽  
pp. s104-s104
Author(s):  
Teera Sirisamutr ◽  
Porntip Wachiradilok
Keyword(s):  
Emergency Medical Services ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Public Awareness ◽  
Survival Rates ◽  
Emergency Situation ◽  
Medical Services ◽  
Private Hospitals ◽  
Emergency Medical ◽  
Personal Transportation

Introduction:Emergency Medical Service (EMS) increases survival rates and reduces possible disability among emergency patients. However, the number of requests is relatively low in Thailand.Aim:To inspect the awareness, perspective, and reasons behind the rejection of EMS by patients or their relatives who visit the emergency room.Methods:Responses were analyzed in 45 government, university, and private hospitals from December 2015 to February 2016. The hospitals were scattered in 7 provinces with the sample group including 2,028 patients, whereby 646 patients visited using EMS and 1,368 did not. The key reasons for self-visit or other means are the convenience of personal transportation (76.0%), not wanting to wait for an ambulance (31.0%), and anxiety caused by the emergency situation (28.9%). Most misconceptions about the service include; 1) Ambulances are used only for casualties from accidents and 2) Ambulance service are not free. In terms of perspective, most patients or relatives hold a negative view towards the emergency medical service, especially the idea that they can help themselves when the condition is not severe or if there are medications or relief devices available. Another view is that the service will delay them from getting to the hospital. These perspectives are from non-users.Discussion:The study indicated that the cause of non-user involved misunderstandings, poor perspectives, lack of awareness, and the ignorance of the threat of the particular emergency condition. Thus, they do not realize the benefit of using EMS. As a result, regional agencies, the National Institute of Emergency Medicine, and the Ministry of Public Health should discuss the solutions to raise public awareness and improve the perspective towards emergency medical services to promote more usage.

scholarly journals Temporal Trends of Out-of-Hospital Cardiac Arrests Without Resuscitation Attempt by Emergency Medical Services

2021 ◽  
Vol 14 (3) ◽  
Author(s):  
Victor Waldmann ◽  
Nicole Karam ◽  
Bamba Gaye ◽  
Wulfran Bougouin ◽  
Florence Dumas ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Odds Ratio ◽  
Statistical Significance ◽  
Temporal Trends ◽  
Survival Rates ◽  
Medical Services ◽  
Annual Number ◽  
Emergency Medical ◽  
Paris Area ◽  
Resuscitation Attempt

Background: Significant improvements in survival from out-of-hospital cardiac arrest (OHCA) have been reported; however, these are based only on data from OHCA in whom resuscitation is initiated by emergency medical services (EMS). We aimed to assess the characteristics and temporal trends of OHCA without resuscitation attempt by EMS. Methods: Prospective population-based study between 2011 and 2016 in the Greater Paris area (6.7 million inhabitants). All cases of OHCA were included in collaboration with EMS units, 48 different hospitals, and forensic units. Results: Among 15 207 OHCA (mean age 70.7±16.9 years, 61.6% male), 5486 (36.1%) had no resuscitation attempt by EMS. Factors that were independently associated with increase in likelihood of no resuscitation attempt included: age of patients (odds ratio, 1.06 per year [95% CI, 1.05–1.06], P <0.001), female sex (odds ratio, 1.21 [95% CI, 1.10–1.32], P =0.002), OHCA at home location (odds ratio, 3.38 [95%CI, 2.86–4.01], P <0.001), and absence of bystander (odds ratio, 1.94 [95% CI, 1.74–2.16], P <0.001). Overall, the annual number of OHCA increased by 9.1% (from 2923 to 3189, P =0.028). This increase was related to an increase of the annual number of OHCA without resuscitation attempt by EMS by 26.3% (from 993 to 1253, P =0.012), while the annual number of OHCA with resuscitation attempt by EMS did not significantly change (from 1930 to 1936, P =0.416). Considering only cases with resuscitation attempt, survival rate at hospital discharge increased (from 7.3% to 9.5%, P =0.02). However, when considering all OHCA, survival improvement did not reach statistical significance (from 4.8% to 5.7%, P =0.17). Conclusions: We demonstrated an increase of the total number of OHCA related to an increase of the number of OHCA without resuscitation attempt by EMS. This increasing proportion of OHCA without resuscitation attempt attenuates improvement in survival rates achieved in EMS-treated patients.

scholarly journals Maximizing resource efficiency in rural prehospital emergency medical services through call frequency analysis

2013 ◽  
Vol 5 (2) ◽  
pp. 297-301
Author(s):  
Andrew Flynn
Keyword(s):  
Emergency Medical Services ◽  
Traffic Accident ◽  
Life Support ◽  
Advanced Life Support ◽  
Time Of Day ◽  
Medical Services ◽  
Red Cross ◽  
Emergency Medical ◽  
Accident Data ◽  
Prehospital Emergency

Rural prehospital emergency medical services are often lacking when compared with their urban counterparts in terms of resources and coordinated resource use: can only employ important resources, such as paramedics, during limited shifts. This project demonstrates a method for determining the most effective use of these limited resources in a rural Red Cross ambulance service in Guápiles, Costa Rica. In this community, paramedic services are only available six days a week for twelve hours. Emergency call frequency was mapped using 20 months of traffic accident data and after establishing that traffic accident frequency was statistically dependent on the time of day, polynomial models of the data were generated. The model functions were integrated and the results were tested for accuracy. Integrals were calculated, and the results were reported to the Guápiles Red Cross committee to achieve an improved service. Methods such as this can be applied to any emergency response service.KEY WORDSWorld Health Organization (WHO), Prehospital Emergency Medical Service(s) (PEMS), Traffic Accident (TA), Téchnico de Emergencias Medicas (Paramedic), Advanced Life Support (ALS)

scholarly journals Epidemiology and Outcomes from Out-of-Hospital Cardiac Arrest in Kuwait

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Dalal Al Hasan ◽  
Ameen Yaseen ◽  
Mazen El Sayed
Keyword(s):  
Cardiac Arrest ◽  
Emergency Medical Services ◽  
Survival Rates ◽  
Medical Services ◽  
East Region ◽  
Emergency Medical ◽  
Ongoing Training ◽  
Bystander Cpr ◽  
National Emergency ◽  
Hospital Cardiac Arrest

Background. Out-of-hospital cardiac arrest (OHCA) survival remains low in most countries. Few studies examine OHCA outcomes out of the Middle East region. This is the first study to describe characteristics and outcomes of patients with OHCA treated by emergency medical services (EMS) in regions of Kuwait. Objectives. To describe characteristics and outcomes of adult patients affected with OHCA in regions of Kuwait. Methods. This was a retrospective observational study on all adult OHCA patients transported by EMS to regional emergency departments over a 10- month period (21 February–31 December 2017). Data were collected from various sources: national emergency medical services archived data, emergency department, intensive care unit, and cardiac care unit of two hospitals. Results. A total of 332 EMS-treated OHCA cases were reviewed, and 286 incidents with OHCA from cardiac aetiology were included in the study. Most were non-Kuwaiti (60.8%) males (67.1%) with mean age 61 (+−16) years. Most OHCA cases occurred at home (76%) but with low witness rate (11.5%). Bystander CPR rate was low (8.7%). ROSC was achieved in ten patients (3.5%), but only 1 (0.3%) patient survived to hospital discharge. Conclusion. OHCA survival rates in this region of Kuwait are low. Targeted measures such as creating cardiac registry, dispatcher-assisted CPR with ongoing training and quality improvement, and community-based CPR education program are needed to improve the survival rates of OHCA victims.

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