scholarly journals Towards Sustainable Public Health Surveillance in India: Using Routinely Collected Electronic Emergency Medical Service Data for Early Warning of Infectious Diseases

2017 ◽  
Vol 9 (4) ◽  
pp. 604 ◽  
Author(s):  
Eva Pilot ◽  
Ramana Roa ◽  
Biranchi Jena ◽  
Boris Kauhl ◽  
Thomas Krafft ◽  
...  
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Emergency Medical Service ◽  
Early Warning ◽  
Public Health Surveillance ◽  
Medical Service ◽  
Health Surveillance ◽  
Emergency Medical ◽  
Service Data

scholarly journals Notes From the Field: Use of Emergency Medical Service Data to Augment COVID-19 Public Health Surveillance in Montgomery County, Maryland, From March to June 2020

10.2196/22331 ◽  
2020 ◽  
Vol 6 (3) ◽  
pp. e22331 ◽  
Author(s):  
David R Sayers ◽  
Scott T Hulse ◽  
Bryant J Webber ◽  
Timothy A Burns ◽  
Anne L Denicoff
Keyword(s):  
Public Health ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Emergency Department Visits ◽  
Montgomery County ◽  
Health Departments ◽  
The Public ◽  
Public Health Departments ◽  
Emergency Medical ◽  
Service Data

Epidemiologic and syndromic surveillance metrics traditionally used by public health departments can be enhanced to better predict hospitalization for coronavirus disease (COVID-19). In Montgomery County, Maryland, measurements of oxygen saturation (SpO2) by pulse oximetry obtained by the emergency medical service (EMS) were added to these traditional metrics to enhance the public health picture for decision makers. During a 78-day period, the rolling 7-day average of the percentage of EMS patients with SpO2 <94% had a stronger correlation with next-day hospital bed occupancy (Spearman ρ=0.58, 95% CI 0.40-0.71) than either the rolling 7-day average of the percentage of positive tests (ρ=0.55, 95% CI: 0.37-0.69) or the rolling 7-day average of the percentage of emergency department visits for COVID-19–like illness (ρ=0.49, 95% CI: 0.30-0.64). Health departments should consider adding EMS data to augment COVID-19 surveillance and thus improve resource allocation.

scholarly journals Notes From the Field: Use of Emergency Medical Service Data to Augment COVID-19 Public Health Surveillance in Montgomery County, Maryland, From March to June 2020 (Preprint)

2020 ◽  
Author(s):  
David R Sayers ◽  
Scott T Hulse ◽  
Bryant J Webber ◽  
Timothy A Burns ◽  
Anne L Denicoff
Keyword(s):  
Public Health ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Emergency Department Visits ◽  
Montgomery County ◽  
Health Departments ◽  
The Public ◽  
Public Health Departments ◽  
Emergency Medical ◽  
Service Data

UNSTRUCTURED Epidemiologic and syndromic surveillance metrics traditionally used by public health departments can be enhanced to better predict hospitalization for coronavirus disease (COVID-19). In Montgomery County, Maryland, measurements of oxygen saturation (SpO<sub>2</sub>) by pulse oximetry obtained by the emergency medical service (EMS) were added to these traditional metrics to enhance the public health picture for decision makers. During a 78-day period, the rolling 7-day average of the percentage of EMS patients with SpO<sub>2</sub> &lt;94% had a stronger correlation with next-day hospital bed occupancy (Spearman ρ=0.58, 95% CI 0.40-0.71) than either the rolling 7-day average of the percentage of positive tests (ρ=0.55, 95% CI: 0.37-0.69) or the rolling 7-day average of the percentage of emergency department visits for COVID-19–like illness (ρ=0.49, 95% CI: 0.30-0.64). Health departments should consider adding EMS data to augment COVID-19 surveillance and thus improve resource allocation.

scholarly journals Evaluating transport time in emergency medical service via GIS: an observational study of Tokyo

2019 ◽  
Vol 1 ◽  
pp. 1-2
Author(s):  
Tianqi Xia ◽  
Shuzhe Huang ◽  
Xuan Song ◽  
Ruochen Si ◽  
Xiaoya Song ◽  
...  
Keyword(s):  
Public Health ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Information Science ◽  
Close Relation ◽  
Temporal Analysis ◽  
Distribution Analysis ◽  
Transportation Time ◽  
Emergency Medical ◽  
Increased Risk

<p><strong>Abstract.</strong> Emergency medical service (EMS) is one kind of medical services which focuses on providing first-time rescue to victims of sudden and life-threatening emergencies. Since a lot of studies have pointed out a close relation between the increase of cost time before the patient accommodated to the hospital and the increased risk of mortality, a reasonable distribution of EMS facilities can shorten the transportation time from the scene to the hospital and is critical to ensure the quality of the EMS system.</p><p>With the development of geographic information science and technology, GIS provides the visualization and analysis approaches for the distribution of the EMS cases, ambulance cars and hospitals as well as the ability of measuring road network distance, which results in the popularity of research with GIS based analysis approaches in the field of public health and EMS system. Despite of the prosperity in such kind of studies, most of them focused on evaluating EMS system by observational case analysis while paying less attention on the emergency medical resource distribution.</p><p>With the concerns we mentioned above, this research conducts spatial and temporal analysis for evaluating the transportation time via several GIS methods and take the EMS cases in Tokyo 23 wards as a case study. In addition to the observational studies with EMS case data and several spatial and temporal factors, we pay more attention on evaluating the distribution of cases and hospitals from both sides of demand and supplement. In addition, we also check several assumptions that are widely used in accessibility analysis on public health. As far as we know, our work is first research on detailed hospital distribution analysis in Tokyo area based on observations.</p><p>

scholarly journals Establishing a Plan of Action Implementing Integrated Disease Surveillance in Sudan

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Hayat Khogali ◽  
Ngozi A. Erondu ◽  
Betiel H. Haile ◽  
Scott J. McNabb
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Surveillance System ◽  
Disease Surveillance ◽  
Public Health Surveillance ◽  
One Health ◽  
Health Surveillance ◽  
Strategic Approach ◽  
Public Health Surveillance System

A recent assessment of the Sudan public health surveillance system found fragmented and siloed disease programs and an overburdened workforce due to vertical systems and inefficient processes. A plan of action was developed to support improving public health surveillance strengthening by: 1) implementing a strategic approach to achieving IHR (2005), 2) implementing One Health and IDSR aims, and 3) establishing an E-surveillance ICT platform for increasing public health surveillance capacity to safely and rapidly detect and report infectious diseases in Sudan.

scholarly journals Comfort Level of Emergency Medical Service Providers in Responding to Weapons of Mass Destruction Events: Impact of Training and Equipment

2007 ◽  
Vol 22 (4) ◽  
pp. 297-303 ◽  
Author(s):  
Michael J. Reilly ◽  
David Markenson ◽  
Charles DiMaggio
Keyword(s):  
Public Health ◽  
Emergency Medical Services ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Service Providers ◽  
Weapons Of Mass Destruction ◽  
Medical Services ◽  
Mass Destruction ◽  
Public Health Emergencies ◽  
Emergency Medical

AbstractBackground:Numerous studies have suggested that emergency medical services (EMS) providers areill-prepared in the areas of training and equipment for response to events due to weapons of mass destruction(WMD) and other public health emergencies (epidemics, etc.).Methods:A nationally representative sample of basic and paramedic EMS providers in the United States wassurveyed to assess whether they had received training in WMD and/or public health emergencies as part of their initial provider training and as continuing medical education within the past 24 months. Providers also were surveyed as to whether their primary EMS agency had the necessary specialty equipment to respond to these specific events.Results:More than half of EMS providers had some training in WMD response. Hands-on training was associated with EMS provider comfort in responding to chemical, biological, and/or radiological events and public health emergencies (odds ratio (OR) = 3.2, 95% confidence interval (CI) 3.1, 3.3). Only 18.1% of providers surveyed indicated that their agencies had the necessary equipment to respond to a WMD event. Emergency medical service providers who only received WMD training reported higher comfort levels than those who had equipment, but no training.Conclusions:Lack of training and education as well as the lack of necessary equipment to respond to WMD events is associated with decreased comfort among emergency medical services providers in responding to chemical, biological, and/or radiological incidents. Better training and access to appropriate equipment may increase provider comfort in responding to these types of incidents.

scholarly journals Characteristics of Emergency Medical Service Missions in Out-of-Hospital Cardiac Arrest and Death Cases in the Periods of Before and After the COVID-19 Pandemic

2021 ◽  
pp. 1-20
Author(s):  
Parisa Hasani-Sharamin ◽  
Peyman Saberian ◽  
Mostafa Sadeghi ◽  
Seyed Mohammad Mireskandari ◽  
Alireza Baratloo
Keyword(s):  
Cardiac Arrest ◽  
Infectious Diseases ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Motor Vehicle ◽  
The Other ◽  
Respiratory Problems ◽  
Emergency Medical ◽  
Death Cases ◽  
Hospital Cardiac Arrest

Abstract Background: Some studies in countries affected by the coronavirus disease of 2019 (COVID-19) pandemic have shown that the missions of Emergency Medical Service (EMS) have changed during the COVID-19 pandemic, and the rate of death and out-of-hospital cardiac arrest (OHCA) has been increased due to the direct and indirect effects of COVID-19. Objective: The aim of this study was to determine the effect of the COVID-19 pandemic on the process of EMS missions, death, and OHCA. Methods: This cross-sectional study was performed in Tehran, Iran. All conducted missions in the first six months of the three consecutive solar years of March 21 until September 22 of 2018-2020, which were registered in the registry bank of the Tehran EMS center, were assessed and compared. Based on the opinion of experts, the technician’s on-scene diagnoses were categorized into 14 groups, and then death and OHCA cases were compared. Results: In this study, the data of 1,050,376 missions performed in three study periods were analyzed. In general, the number of missions in 2020 was 17.83% fewer than that of 2019 (P < .001); however, the number of missions in 2019 was 30.33% more than that of 2018. On the other hand, the missions of respiratory problems, cardiopulmonary arrest, infectious diseases, and poisoning were increased in 2020 compared to that of 2019. The raw number of OHCA and death cases respectively in 2018, 2019, and 2020 were 25.0, 22.7, and 28.6 cases per 1,000 missions. Of all patients who died in 2020, 4.9% were probable/confirmed COVID-19 cases. The history of heart disease, hypertension, diabetes, and respiratory disease in patients in 2020 was more frequent than that of the other two years. Conclusion: This study showed that the number of missions in the Tehran EMS in 2020 were decreased compared to that of 2019, however the number of missions in 2019 was more than that of 2018. Respiratory problems, infectious diseases, poisoning, death, and OHCA were increased compared to the previous two years and cardiovascular complaints, neurological problems, and motor vehicle collisions (MVCs) in 2020 were fewer than that of the other two years

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