Emergency ambulance transport in those with Autistic Spectrum Condition

2021 ◽  
Author(s):  
Team DFTB
Keyword(s):  
Autistic Spectrum ◽  
Ambulance Transport ◽  
Emergency Ambulance ◽  
Spectrum Condition

scholarly journals Health facility preparedness of maternal and neonatal health services: a survey in Jumla, Nepal

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Pasang Tamang ◽  
Padam Simkhada ◽  
Paul Bissell ◽  
Edwin van Teijlingen ◽  
Rose Khatri ◽  
...  
Keyword(s):  
Health Services ◽  
Health Facility ◽  
Essential Medicine ◽  
Essential Medicines ◽  
Neonatal Health ◽  
Cross Sectional ◽  
The Past ◽  
Ambulance Transport ◽  
Emergency Ambulance ◽  
Maternal And Neonatal Health

Abstract Background Over the past 20 years, Nepal has seen major improvements in childhood and maternal survival. In 2015, the Nepalese government introduced a new federal political structure. It is unclear how this has affected the health system, and particularly, maternal and child health care. Hence, this study aims to describe and analyse health facility preparedness in the light of the federalization process with regards to providing appropriate and timely maternal and neonatal health services. Methods A descriptive cross-sectional study was conducted in Jumla district, Nepal in 2019 covering all 31 state health facilities (HF) to assess the availability of maternal and neonatal health services including appropriate workforce and access to essential medicines. Tests of association between demographic factors and the probability of a facility experiencing a shortage of essential medicine within the last 3 months were also conducted as exploratory procedures. Results Out ot 31 HFs, more than 90% of them had all their staff positions filled. Most facilities (n = 21) had experienced shortages of essential medicines within the past 3 months. The most common out of stock medicine were: Amoxicillin (n = 10); paracetamol (n = 10); Vitamin A (n = 7); and Metronidazole (n = 5). Twenty-two HFs had referred maternal and newborn cases to a higher centre within the past 12 months. However, more worryingly, twenty HFs or their catchment communities did not have emergency ambulance transport for women and newborns. Conclusion HFs reported better staffing levels than levels of available drugs. HFs should be supported to meet required minimal standards such as availability of essential medicines and the provision of emergency ambulance transport for women and newborns.

scholarly journals Higher clinical acuity and 7-day hospital mortality in non-COVID-19 acute medical admissions: prospective observational study

2020 ◽  
Author(s):  
Marcus J Lyall ◽  
Nazir I Lone
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Severity Of Illness ◽  
Medical Attention ◽  
Hospital Death ◽  
Hospital Inpatient ◽  
Day Hospital ◽  
Risk Of Death ◽  
Ambulance Transport ◽  
Emergency Ambulance

AbstractObjectivesTo understand the effect of COVID-19 lockdown measures on severity of illness and mortality in non-COVID-19 acute medical admissions.DesignA prospective observational studySetting3 large acute medical receiving units in NHS Lothian, Scotland. Participants: Non-covid-19 acute admissions (n = 1756) were examined over the first 31 days after the implementation of the COVID-19 lockdown policy in the United Kingdom on 23rd March 2019. Patients admitted over a matched interval in the previous 5 years were used as a comparator cohort (n = 14961).Main outcome measuresPatient demography, biochemical markers of clinical acuity and 7-day hospital inpatient mortality.ResultsNon-covid-19 acute medical admissions reduced by a mean 43.8% (95% CI 27.3, 59.4) across all 3 sites in comparison to the mean of the preceding 5 years P < 0.001. The reduction in admissions predominated in the over 75 age category and a greater proportion arrived by emergency ambulance transport. Non-covid-19 admissions during lockdown had a greater incidence of severe renal injury, hyperlactataemia and over twice the risk of hospital death within 7 days 5.01% vs 2.49% which persisted after adjustment for confounders (OR 2.17, 95% CI 1.70,2.73, P < 0.0001)ConclusionsThese data support current fears that patients are delaying seeking medical attention for acute illness which is associated with worsening clinical parameters and a higher risk of death following admission.

Do we need norms of fitness for children with autistic spectrum condition?

2014 ◽  
Vol 42 (2) ◽  
pp. 199-216 ◽  
Author(s):  
Maurice Place ◽  
Kathleen Dickinson ◽  
Joanna Reynolds
Keyword(s):  
Autistic Spectrum ◽  
Spectrum Condition

Emergency ambulance transport induces stress in patients with acute coronary syndrome

2009 ◽  
Vol 26 (7) ◽  
pp. 524-528 ◽  
Author(s):  
U Weber ◽  
A Reitinger ◽  
R Szusz ◽  
C Hellmich ◽  
B Steinlechner ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Syndrome ◽  
Ambulance Transport ◽  
Emergency Ambulance

scholarly journals Time perception and autistic spectrum condition: A systematic review

2019 ◽  
Vol 12 (10) ◽  
pp. 1440-1462 ◽  
Author(s):  
Martin Casassus ◽  
Ellen Poliakoff ◽  
Emma Gowen ◽  
Daniel Poole ◽  
Luke Anthony Jones
Keyword(s):  
Systematic Review ◽  
Time Perception ◽  
Autistic Spectrum ◽  
Spectrum Condition

Emergency Nursing Staff Dispatch: Sensitivity and Specificity in Detecting Prehospital Need for Physician Interventions During Ambulance Transport in Rovigo Emergency Ambulance Service, Italy

2013 ◽  
Vol 28 (5) ◽  
pp. 523-528 ◽  
Author(s):  
Marco Leopardi ◽  
Marco Sommacampagna
Keyword(s):  
Decision Making ◽  
Sensitivity And Specificity ◽  
Nursing Staff ◽  
Predictive Value ◽  
Ambulance Service ◽  
Decision Making Process ◽  
Emergency Nursing ◽  
Ambulance Transport ◽  
Emergency Ambulance ◽  
High Acuity

AbstractIntroductionIn Italy, administration of medications or advanced procedures dictates the prehospital presence of a physician to initiate treatment. Nursing staff is often used as dispatchers in Italian emergency medical ambulance services. There is little data about nursing dispatch performance in detecting high-acuity patients who need prehospital medications and procedures.ObjectiveTo determine the ability of a dispatch center staffed by emergency ambulance nurses to detect prehospital need for physician interventions in the context of a semi-rural area Emergency Medical Services system.MethodsA retrospective analysis of 53,606 calls from the Rovigo Emergency Ambulance Services’ database was undertaken. Physician prehospital interventions were defined as the administration of medications or procedures (advanced airway management and ventilation, pneumothorax decompression, fluid replacement therapy, external defibrillation, cardioversion and pacing). The dispatch codes (assigned by a subjective decision-making process as Red, Yellow, or Green) of all transported prehospital patient calls were matched with an out-of-hospital triage system staffed by clinicians to determine the number of correctly identified prehospital need of physician interventions. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated.ResultsThe sensitivity of subjective experience-based nursing dispatch in detecting the need for physician interventions was 78.0% (95% CI, 76.9%-79.1%), with a PPV of 36.6% (95% CI, 35.8%-37.5%). Specificity was 83.8% (95% CI: 83.4%-84.1%), with an NPV of 96.9% (95% CI, 96.8%-97.1%).ConclusionA dispatch center staffed by nurses with six years of experience and three months of training correctly identified when not to send a doctor to the scene in the absence of need for physician interventions, using a subjective decision-making process. The nurses staffing the dispatch center also worked in the field. Dispatch center staff were not able to predict when there was no need for physician interventions in high-acuity dispatch code patients, resulting in an over-triage and use of emergency physicians on scene.LeopardiM, SommacampagnaM.Emergency nursing staff dispatch: sensitivity and specificity in detecting prehospital need for physician interventions during ambulance transport in Rovigo Emergency Ambulance Service, Italy. Prehosp Disaster Med. 2013;28(5):1-6.

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