scholarly journals SELF-ASSESSMENT OF KNOWLEDGE OF EMERGENCY MEDICAL SERVICES SYSTEM EMPLOYEES ON NEW PSYCHOACTIVE SUBSTANCES – CURRENT STATUS AND DEVELOPMENT PROSPECTS

2021 ◽  
Vol 8 (4) ◽  
pp. 232-239
Author(s):  
Łukasz Paweł Kacprzak ◽  
Jolanta B. Zawilska
Keyword(s):  
Emergency Medical Services ◽  
Paper Copy ◽  
Medical Services ◽  
Current Status ◽  
Hospital Treatment ◽  
New Psychoactive Substances ◽  
Psychoactive Substances ◽  
Legal Provisions ◽  
Emergency Medical ◽  
Essential Knowledge

Aim: To examine the level of knowledge on new psychoactive substances (NPS) among health care profesionals (HCPs) working within the Emergency Medical Services (EMS) system in Poland, and to assess how they would like to improve it. Material and methods: The study involved 602 HCPs working within the EMS system and was carried out using a survey questionnaire. Both online and paper-copy surveys were utilized. The collected data were statistically analyzed using the STATISTICA 12.5PL computer program (StatSoft, Inc., USA). Results: Most responders perceived themselves as having a “sufficient” (49%) or a “weak” level (40.5%) of knowledge of NPS, while only 10.5% as “good”. The Internet was a main source of information on NPS. In the 4-year period covered by the study, only less than 22% of HCPs took part in any training courses on NPS. Most participants expressed a need to learn more about “pharmacological treatment”, “legal provisions” and “qualification for hospital treatment”. Conclusions: An inadequacy in essential knowledge of NPS by HCPs working within the EMS system highlights the need for education on these novel molecules.

scholarly journals Emergency Medical Services vs. Police: Impact of Pre-Hospital Transportation Method on Outcomes of Trauma Patients with Firearm Injuries

2020 ◽  
Author(s):  
Christina Wohler ◽  
Rachel Denneny ◽  
Allegra Bermudez ◽  
Robert Wilson ◽  
Douglas Gouchoe ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
The United States ◽  
Hospital Length Of Stay ◽  
Medical Services ◽  
Hospital Treatment ◽  
Firearm Injuries ◽  
Patient Demographics ◽  
Emergency Medical ◽  
Significant Difference ◽  
The Impact

Abstract Background Firearms are a significant cause of morbidity and mortality in the United States. Few studies exist to investigate the impact of pre-hospital transportation methods on trauma patient outcomes. Methods Patients with firearm injuries were identified using an institutional trauma registry (2008 to 2017). Data on patient demographics, hospital transportation, treatments, and outcomes was collected and analyzed. Patient characteristics between Emergency Medical Services (EMS) vs. police transport groups were compared using Kruskal-Wallis, chi-square, or Fisher’s exact tests as appropriate. Results Of 224 patients identified, 147 (66%) were transported by EMS and 77 (34%) were transported by police. There was no significant difference in patient demographics between groups. Most patients were male (94.2%) and African American (69.2%), with a mean age of 27.1 years. 84.4% of patients suffered from an externally-inflicted gunshot wound, while 9.4% of patients had inflicted the wound themselves. Handguns were the weapon most commonly used. There was no significant difference in in-hospital treatments or mortality between patients transported by EMS vs. police. 44.1% of patients underwent surgery, and 34.8% required specialist consultation. The mean hospital length of stay for all patients was 1 day, and 27.7% of all patients expired during admission. Conclusions There is no difference in hospital treatment or mortality between firearm victims transported by EMS vs. police.

scholarly journals The contribution of helicopter emergency medical services in the pre-hospital care of penetrating torso injuries in a semi-rural setting

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
M. Gavrilovski ◽  
J. E. Griggs ◽  
E. ter Avest ◽  
R. M. Lyon ◽  
Keyword(s):  
Emergency Medical Services ◽  
Rural Areas ◽  
Penetrating Trauma ◽  
Trauma Centre ◽  
Rural Setting ◽  
Medical Services ◽  
Hospital Treatment ◽  
Helicopter Emergency Medical Services ◽  
Emergency Medical ◽  
Major Trauma Centre

Abstract Background Although the merit of pre-hospital critical care teams such as Helicopter Emergency Medical Services (HEMS) has been universally recognized for patients with penetrating torso injuries who present with unstable physiology, the potential merit in patients initially presenting with stable physiology is largely undetermined. The ability to predict the required pre-hospital interventions patients may have important implications for HEMS tasking, especially when transport times to definitive care are prolonged. Methods We performed a retrospective cohort study of patients who sustained a penetrating torso injury and were attended by the Air Ambulance Kent Surrey Sussex (AAKSS) over a 6-year period. Primary outcome was defined as the percentage of patients with penetrating torso injuries requiring HEMS-specific interventions anytime between HEMS arrival and arrival at hospital. Secondary outcomes were the association of individual patient- and injury characteristics with the requirement for HEMS interventions. Results During the study period 363 patients met inclusion criteria. 90% of patients were male with a median age of 30 years. 99% of penetrating trauma incident occurred more than 10-min drive from a Major Trauma Centre (MTC). Presenting GCS was > 13 in 83% of patients. Significant hemodynamic- or ventilatory compromise was present in more than 25% of the patients. Traumatic cardiac arrest was present in 34 patients (9.4%), profound hypotension with SBP < 80 mmHg in 30 (8.3%) and oxygen saturations < 92% in 30 (8.3%). A total of 121 HEMS-specific interventions were performed. Although HEMS-specific interventions were associated with presenting physiology (TCA OR 1.75 [1.41–2.16], SBP < 80 mmHg (OR 1.40 [1.18–1.67] and SpO2 < 92% (OR 1.39 [1.17–1.65], a minority of the patients presented initially with stable physiology but deteriorated on route to hospital and required HEMS interventions (n = 9, 3.3%). Conclusion HEMS teams provide potentially important contribution to the pre-hospital treatment of patients with penetrating torso injuries in rural and semi-rural areas, especially when they present with unstable physiology. A certain degree of over-triage is inevitable in these patients, as it is hard to predict which patients will deteriorate on route to hospital and will need HEMS interventions. The results of this study showing a potentially predictable geographical dispersion of penetrating trauma could inform multi-agency knife crime prevention strategy.

scholarly journals Pre-hospital management of patients with chest pain and/or dyspnoea of cardiac origin. A position paper of the Acute Cardiovascular Care Association (ACCA) of the ESC.

2015 ◽  
Vol 9 (1_suppl) ◽  
pp. 59-81 ◽  
Author(s):  
Farzin Beygui ◽  
Maaret Castren ◽  
Natale Daniele Brunetti ◽  
Fernando Rosell-Ortiz ◽  
Michael Christ ◽  
...  
Keyword(s):  
Chest Pain ◽  
Emergency Medical Services ◽  
Hospital Management ◽  
Position Paper ◽  
Medical Services ◽  
Initial Assessment ◽  
Hospital Treatment ◽  
Emergency Medical ◽  
Acute Dyspnoea ◽  
Cardiovascular Care

Chest pain and acute dyspnoea are frequent causes of emergency medical services activation. The pre-hospital management of these conditions is heterogeneous across different regions of the world and Europe, as a consequence of the variety of emergency medical services and absence of specific practical guidelines. This position paper focuses on the practical aspects of the pre-hospital treatment on board and transfer of patients taken in charge by emergency medical services for chest pain and dyspnoea of suspected cardiac aetiology after the initial assessment and diagnostic work-up. The objective of the paper is to provide guidance, based on evidence, where available, or on experts’ opinions, for all emergency medical services’ health providers involved in the pre-hospital management of acute cardiovascular care.

scholarly journals Kounis syndrome: A case report and literature review of pre-hospital treatment

2018 ◽  
Vol 15 (4) ◽  
Author(s):  
Matthew Luke Di Toro ◽  
Dion Stub
Keyword(s):  
Acute Coronary Syndrome ◽  
Case Report ◽  
Literature Review ◽  
Emergency Medical Services ◽  
Literature Search ◽  
Medical Services ◽  
Hospital Treatment ◽  
Kounis Syndrome ◽  
Coronary Syndrome ◽  
Emergency Medical

IntroductionKounis syndrome is an uncommon clinical presentation of acute coronary syndrome secondary to an allergic or hypersensitivity reaction, especially anaphylaxis. It results when inflammatory mediators are released following mast cell activation, some of these mediators cause coronary artery vasospasm and may initiate thrombus formation in susceptible individuals. Although Kounis syndrome is becoming more widely known, many clinicians are still unaware of its existence. We present a case report and a literature review of the pre-hospital treatment of Kounis syndrome by emergency medical services.MethodsA literature search of the EMBASE, MEDLINE and PubMed electronic medical databases was conducted using the terms ‘Kounis syndrome’, ‘allergic acute coronary syndrome’ and ‘allergic myocardial infarction’. The purpose of the literature search was to identify the pre-hospital treatment of Kounis syndrome by emergency medical services. We included case reports of Kounis syndrome that described the medical treatment provided by emergency medical services, published any time up to October, 2017.ResultsAnaphylaxis is the most commonly treated component of Kounis syndrome by emergency medical services (66% of reported cases). Both components of Kounis syndrome, anaphylaxis and acute coronary syndrome, were treated in 16% of reported cases. No specific treatment was provided for either component of Kounis syndrome in 16% of reported cases.ConclusionThe pre-hospital treatment of Kounis syndrome by emergency medical services is infrequently reported in the literature. Kounis syndrome involves two distinct clinical conditions, both of which should be considered during treatment.

scholarly journals Current Status of helicopter emergency medical services in China

Medicine ◽  
2019 ◽  
Vol 98 (6) ◽  
pp. e14439 ◽  
Author(s):  
Ding Xu ◽  
Peng Luo ◽  
Sheng Li ◽  
Roman Pfeifer ◽  
Frank Hildebrand ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Medical Services ◽  
Current Status ◽  
Helicopter Emergency Medical Services ◽  
Emergency Medical
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