scholarly journals Community Response to Burn Injuries: Examples from Dhading District of Nepal

2021 ◽  
Vol 2 (3) ◽  
pp. 55-62
Author(s):  
Bimal Singh Bist ◽  
Bhagabati Sedain ◽  
Maheshwar Shrestha ◽  
Prativa Tripathi
Keyword(s):  
Emergency Medical Services ◽  
Burn Injury ◽  
Local Level ◽  
Community Response ◽  
Lessons Learned ◽  
Community Level ◽  
Burn Injuries ◽  
Medical Services ◽  
Burn Care ◽  
Emergency Medical

Burns are one of the most serious global public health challenges, and Nepal is no exception. This study aims to present national and local-level data regarding burn injuries within Nepal. Similarly, this study shows how the trained rural first responders respond to burn injuries at the community level, with an example from the Dhading district of Nepal. Police and Emergency Medical Services (EMS) records were used to describe the national and community-level burn injury patterns. The most common cause of burns was found to be household fire, mainly from cooking. The burn cases are distributed across all ages; however, young age group comprises a notable proportion. Victims who were injured but were still able to move primarily accessed emergency health services by walking to the closest facility. Mainly, burn victims received a dressing and cold sponging service at the primary health center. This study described the Emergency Medical Services (EMS) in detail and identified that appropriate training to the community people to respond the burns injuries minimizes the severity of the cases. Lessons learned from this project can be utilized to implement emergency burn injury management for the public and local responders in other rural areas at minimum costs. We recommend establishing burn care instruction in all rural/remote villages and health care centers in Nepal.

scholarly journals How Does the Response and Management of Terrorist Attacks by Emergency Medical Services in the UK Compare to Europe and the USA?

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Alex Grant ◽  
Simon Dady
Keyword(s):  
Emergency Medical Services ◽  
Research Question ◽  
The United States ◽  
Lessons Learned ◽  
Terrorist Attacks ◽  
Medical Services ◽  
Recent Experience ◽  
Emergency Medical ◽  
The Usa ◽  
The Uk

Research question How does the response and management of terrorist attacks by emergency medical services (EMS) in the United Kingdom (UK) compare to Europe and the United States of America (USA)?  Introduction Terrorist attacks and active shooter events account for a growing number of mass casualty and major incidents in the UK, Europe and the USA. In order to better prepare for future incidents, analysis of prior events is essential.   Methods Systematic literature searches of papers published between 1/1/2004 and 5/31/2018 were conducted using two key databases: CINAHL Plus and PubMed (indexed from MEDLINE). Key contents of identified papers were abstracted, including EMS response and patient management, with emphasis placed upon identified recommendations and lessons learned.  Results Four hundred and forty-two records were identified in the preliminary search, with 176 records further screened using the title and abstract. Ten papers were included in the final review, reflecting 13 events from five countries across two continents. Three major themes identified throughout the papers were emergency preparedness, resilience and response (EPRR), casualty triage, and tactical emergency medical services (TEMS). These themes were present in 90%, 70% and 40% of the papers respectively.  Conclusion New and innovative EMS response strategies occurred over the study period, in part due to the dissemination of lessons learned. Despite advances in response to mass violence events, significant gaps remain, in part due to lack of adoption of recommendations. Recent experience with advanced TEMS providers capable of operating within the inner perimeter suggests that this approach should be further evaluated as part of the response plan for future events.

Lessons Learned from Chlorine Intoxications in Swimming Pools: The Challenge of Pediatric Mass Toxicological Events

2008 ◽  
Vol 23 (1) ◽  
pp. 90-95 ◽  
Author(s):  
Ofer Lehavi ◽  
Adi Leiba ◽  
Yehudit Dahan ◽  
Dagan Schwartz ◽  
Odeda Benin-Goren ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Emergency Departments ◽  
Pediatric Emergency ◽  
Lessons Learned ◽  
Medical Services ◽  
Swimming Pools ◽  
Systematic Analysis ◽  
Specific Patient ◽  
Emergency Medical ◽  
Wide Range

AbstractIntroduction:The classical doctrine of mass toxicological events provides general guidelines for the management of a wide range of “chemical” events. The guidelines include provisions for the: (1) protection of medical staff with personal protective equipment; (2) simple triage of casualties; (3) airway pro-tection and early intubation; (4) undressing and decontamination at the hos-pital gates; and (5) medical treatment with antidotes, as necessary. A number of toxicological incidents in Israel during the summer of 2005 involved chlo-rine exposure in swimming pools. In the largest event, 40 children were affected. This study analyzes its medical management, in view of the Israeli Guidelines for Mass Toxicological Events.Methods:Data were collected from debriefings by the Israeli Home Front Command, emergency medical services (EMS), participating hospitals, and hospital chart reviews. The timetable of the event, the number and severity of casualties evacuated to each hospital, and the major medical and logistical problems encountered were analyzed according to the recently described methodology of Disastrous Incident Systematic Analysis Through-Components, Interactions, Results (DISAST-CIR).Results:The first ambulance arrived on-scene seven minutes after the first call. Emergency medical services personnel provided supplemental oxygen to the vic-tims at the scene and en route when required. Forty casualties were evacuated to four nearby hospitals. Emergency medical services classified 26 patients as mild-ly injured, 13 as mild-moderate, and one as moderate, suffering from pulmonary edema. Most children received bronchodilators and steroids in the emergency room; 20 were hospitalized. All were treated in pediatric emergency rooms. None of the hospitals deployed their decontamination sites.Conclusions:Event management differed from the standard Israeli toxico-logical doctrine. It involved EMS triage of casualties to a number of medical centers, treatment in pediatric emergency departments, lack of use of protec-tive gear, and omission of decontamination prior to emergency department entrance. Guidelines for mass toxicological events must be tailored to unique scenarios, such as chlorine intoxications at swimming pools, and for specific patient populations, such as children. All adult emergency departments always should be prepared and equipped for taking care of pediatric patients.

Medical Response to the Tianjin Explosions: Lessons Learned

2017 ◽  
Vol 12 (3) ◽  
pp. 411-414 ◽  
Author(s):  
Jin-Jun Zhang ◽  
Tian-Bing Wang ◽  
Da Fan ◽  
Jun Zhang ◽  
Bao-Guo Jiang
Keyword(s):  
Emergency Medical Services ◽  
Early Stage ◽  
Prehospital Care ◽  
Mass Casualty ◽  
Lessons Learned ◽  
Medical Services ◽  
Medical Response ◽  
Emergency Medical ◽  
Mass Casualty Event ◽  
The Government

AbstractBackgroundOn August 12, 2015, a hazardous chemical explosion occurred in the Tianjin Port of China. The explosions resulted in 165 deaths, 8 missing people, injuries to thousands of people. We present the responses of emergency medical services and hospitals to the explosions and summarize the lessons that can be learned.MethodsThis study was a retrospective analysis of the responses of emergency medical services and hospitals to the Tianjin explosions. Data on injuries, outcomes, and patient flow were obtained from the government and the hospitals.ResultsA total of 46 ambulances and 143 prehospital care professionals were dispatched to the scene, and 198 wounded were transferred to hospitals by ambulance. More than 4000 wounded casualties surged into hospitals, and 798 wounded were admitted. Both emergency medical services and hospitals were quick and successful in the early stage of the explosions. The strategy of 4 centralizations (4Cs) for medical services management in a mass casualty event was successfully applied.ConclusionsThe risk of accidental events has increased in recent years. We should take advantage of the lessons learned from the explosions and apply these in future disasters. (Disaster Med Public Health Preparedness. 2018; 12: 411–414)

scholarly journals Challenges and Problems Affecting the Development Emergency Medical Services in Kosovo.

2021 ◽  
Vol 5 (2) ◽  
pp. 825-829
Author(s):  
Basri Lenjani ◽  
Merima Šišić ◽  
Verica Mišanović ◽  
Kenan Ljuhar ◽  
Dardan Lenjani
Keyword(s):  
Health System ◽  
Medical Care ◽  
Emergency Medical Services ◽  
Lessons Learned ◽  
Integrated System ◽  
The Body ◽  
Medical Services ◽  
Living Room ◽  
Emergency Medical Care ◽  
Emergency Medical

Emergency medical service is organized as a separate field of health activities in order to provide uninterrupted emergency medical care for citizens who due to illness or injury have directly threatened the life, certain organs or certain parts of the body respectively cut the optimal time of occurrence of the emergency until the start of the final treatment process. Emergence clinic for 2020. Year ED over 100. 000-cases. The emergency health system doesn’t have a consolidated network and integrated emergency medical services.  Emergency health services in Europe are being challenged by changes in life dynamics, scientific advancements, which do increase the request to further improve the way of delivering emergency services. Health-system resilience can be defined as the capacity of health actors, institutions, and populations to prepare for and effectively respond to crises, to maintain core functions when a crisis hits, and—informed by lessons learned during the crisis to reorganize if conditions require it. Emergency clinic today at UCCK offers an area of 507m2, with 22 beds in the living room (1 bed per 100,000 population). Compliance with the law on emergency medical care, support, and improvement of EMS creating a special budget for EMS. EMS Independence (Decentralization). Budget, Management, accreditation, initiation of a project of systematization doctors of nurses in an integrated system. Regulation of administrative and legal infrastructure for EMS. The increase in salary (during holidays, weekends), shortening working hours for EMS, beneficial path (stress, risk, complexity, infections, first contact with the patient), the extension of annual leave. Functionalization of the Permanent National Center for Education EMS training, licensing, relicensing (medical staff) Quality control or EMS quality.

scholarly journals Lessons learned from an analysis of the Emergency Medical Services’ COVID-19 drive-through testing facilities in Israel

2021 ◽  
pp. 1-18
Author(s):  
Itay Zmora ◽  
Evan Avraham Alpert ◽  
Uri Shacham ◽  
Nisim Mishraki ◽  
Eli Jaffe
Keyword(s):  
Emergency Medical Services ◽  
Cost Effective ◽  
Lessons Learned ◽  
Medical Services ◽  
Improvement Program ◽  
Emergency Medical ◽  
Home Testing ◽  
Operational Improvement ◽  
October 17 ◽  
National Emergency

Abstract One strategy for the containment of a pandemic is mass testing. Magen David Adom (MDA), the Israeli National Emergency Medical Services (EMS) Organization undertook this mission by operating a nationwide series of drive-through testing complexes. The objective of this study is to learn lessons from an analysis of these centers. Data from 198 stationary and mobile drive-through complexes from March 20, 2020, through October 17, 2020, were analyzed for temporal and geographic factors, and cost. Also, an operational improvement program was implemented and analyzed. A total of 931,074 patients were sampled in the MDA drive-through system: 46.9% in stationary complexes, and 53.1% in mobile complexes. The optimized cost per patient of home testing was estimated at 74.5 USD compared to 6.55 USD in the drive-through centers. An operational improvement program lowered the total sampling time from 128 seconds per patient to 98 seconds and decreased the total cost per patient from 6.55 USD to 6.27 USD. The EMS led drive-through complexes were cost-effective and efficient in performing large numbers of viral tests, especially when compared to home testing. Established concepts in clinical operations should be implemented to increase the number of persons that can be tested and decrease cost.

308 Trauma as the Neglected Emergency After Emergency Medical Services Systems Introduction: Lessons Learned From Rural Uganda

2011 ◽  
Vol 58 (4) ◽  
pp. S281
Author(s):  
S. Stewart de Ramirez ◽  
S. Carle ◽  
M. Arii ◽  
M. Okongo ◽  
R. Moresky ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Lessons Learned ◽  
Medical Services ◽  
Emergency Medical

scholarly journals The Middle East Respiratory Syndrome Coronavirus (MERS-CoV) Outbreak at King Abdul-Aziz Medical City-Riyadh from Emergency Medical Services Perspective

2020 ◽  
Vol 35 (4) ◽  
pp. 457-461
Author(s):  
Abdullah Alabdali ◽  
Kharsan Almakhalas ◽  
Faisal Alhusain ◽  
Saad Albaiz ◽  
Khalid Almutairi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Middle East ◽  
Emergency Medical Services ◽  
Lessons Learned ◽  
Middle East Respiratory Syndrome ◽  
World Health ◽  
Medical Services ◽  
Emergency Medical ◽  
Medical City ◽  
Health Organization

AbstractMiddle East Respiratory Syndrome Coronavirus (MERS-CoV) is a form of an infectious respiratory disease, discovered in November 2012 in Saudi Arabia. According to the World Health Organization (WHO; Geneva, Switzerland) reports, a total of 2,519 laboratory-confirmed cases and 866 MERS-CoV-related deaths were recorded as of March 5, 2016.1 The majority of reported cases originated from Saudi Arabia (2,121 cases). Also, MERS-CoV is believed to be of zoonotic origin and has been linked to camels in the Arabian area.1,2 In this report, the authors discuss the lessons learned from the MERS-CoV outbreak at King Abdul-Aziz Medical City-Riyadh (KAMC-R) from August through September 2015 from the Emergency Medical Services (EMS) perspective. The discussion includes the changes in policies and paramedic’s practice, the training and education in infection control procedures, and the process of transportation of these cases. The authors hope to share their experience in this unique situation and highlight the preparedness and response efforts that took place by the division of EMS during the outbreak.

scholarly journals 120: NATIONAL EMERGENCY TELE-CRITICAL CARE NETWORK EMERGENCY MEDICAL SERVICES PILOT: LESSONS LEARNED

2021 ◽  
Vol 50 (1) ◽  
pp. 43-43
Author(s):  
Christopher Colombo ◽  
Christopher Palmer ◽  
Jarone Lee ◽  
Oren Kodish ◽  
Justin Valovich ◽  
...  
Keyword(s):  
Critical Care ◽  
Emergency Medical Services ◽  
Lessons Learned ◽  
Medical Services ◽  
Care Network ◽  
Emergency Medical ◽  
National Emergency
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