scholarly journals FEATURES OF THE ORGANIZATION AND PROVISION OF EMERGENCY MEDICAL CARE IN POLTAVA REGION

2021 ◽  
Vol 74 (2) ◽  
pp. 351-354
Author(s):  
Iryna A. Holovanova ◽  
Oksana I. Krasnovа ◽  
Svetlana M. Tanianskaia ◽  
Irina A. Kolenko ◽  
Mariya O. Rumyantseva ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Medical Care ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Disaster Medicine ◽  
Laboratory Diagnostics ◽  
Emergency Medical Care ◽  
Surgical Interventions ◽  
Use Of Resources ◽  
Emergency Medical

The aim: Is to study and analyze the dynamics of the indicators of the emergency medical service of the Ukrainian and the Poltava region in the context of the reforms of the healthcare system in Ukraine. Materials and methods: In this work, the indicators of development of the emergency medical service of the Ukrainian and the Poltava region were studied and analyzed. Conclusions: The provision of emergency medical care in the Poltava region is provided by the Poltava Regional Center for Emergency Medicine and Disaster Medicine. The structure of the center includes 4 emergency medical stations, which are located in cities such as Poltava, Kremenchuk, Lubny, Mirgorod. А modern telemedicine center was built іn 2018 for emergency counseling on-line in new directions was carried out: ultrasound and endoscopic diagnostics, radiology, counseling during surgical interventions, laboratory diagnostics, etc. Emergency medical care reform Poltava Regional should be aimed at increasing the efficiency of the use of resources; provision of the EMC system by the relevant vehicles; qualitative training of doctors in emergency medicine; informatization of the EMC system.

scholarly journals THE ESTABLISHMENT OF THE EMERGENCY MEDICAL SERVICE IN THE TVER REGIONABLISHMENT OF THE EMERGENCY MEDICAL SERVICE IN THE TVER REGION

2021 ◽  
Vol 22 (1) ◽  
pp. 4-9
Author(s):  
A. M. Morozov ◽  
E. A. Grafi ◽  
D. S. Shishkova ◽  
V. A. Kadykov ◽  
A. V. Panova ◽  
...  
Keyword(s):  
Medical Care ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Emergency Medical Care ◽  
Chronological Order ◽  
Emergency Medical ◽  
History Of ◽  
Tver Region

The article is devoted to the history of the ambulance services’ establishment in Tver and Tver region. The stages of the development of the emergency medical care in the region are characterized, also the chronological order of various units is considered. 

Stress reaction of the patient and the stage of its development when providing emergency medical care (review)

2020 ◽  
pp. 61-66
Author(s):  
Galina Smirnova
Keyword(s):  
Medical Care ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Stress Reaction ◽  
Emergency Medical Care ◽  
Service Employees ◽  
State Of Stress ◽  
Emergency Medical ◽  
Coronavirus Infection

The relevance of the article is due to an increase in the level of stress of patients during the epidemic of coronavirus infection. The author analyzes the literature in order to improve the readiness of emergency medical service employees to work with patients in a state of stress reaction.

Emergency Medicine in the United States. Role in Disaster Planning and Management

1985 ◽  
Vol 1 (3) ◽  
pp. 272-275
Author(s):  
Bruce Feldstein
Keyword(s):  
United States ◽  
Emergency Medicine ◽  
Medical Care ◽  
Full Range ◽  
Disaster Planning ◽  
The United States ◽  
Disaster Medicine ◽  
Emergency Medical Care ◽  
Planning And Management ◽  
Emergency Medical

International organizations such as the World Association for Emergency and Disaster Medicine (Club of Mainz) have brought attention to the need for improved worldwide emergency medical services (EMS) systems and disaster preparedness (1). Similar concerns in the United States (US) for improved emergency medical care have resulted in the organization of emergency medicine as a new medical specialty (2). The practice of this specialty of medicine in some ways differs from the practice of emergency medicine, reanimation medicine, or resuscitology, in Europe. In the United States, emergency medicine specialists provide emergency care for the full range of emergency health conditions, including accidents and trauma, medical emergencies, toxicologic emergencies, psychiatric and social emergencies, and disasters. This care is provided primarily in hospital emergency departments and includes the immediate initial recognition, evaluation, treatment and disposition of these patients with acute illness and injury. For continuing care, patients are referred to their own physicians.Emergency medicine physicians provide medical direction for community EMS and supervise the prehospital emergency medical care provided by non-physicians (emergency medical technicians and paramedics). Emergency physicians engage in the administration, research and teaching of all aspects of emergency medical care. They also provide consultation to governmental and nongovernmental organizations on emergency health care issues. Recently, with the basic framework of emergency medicine established, attention is being given to disaster planning and management.

scholarly journals EPIDEMIOLOGY AND OUTCOMES OF ACUTE RESPIRATORY FAILURE AT THE STAGE OF EMERGENCY MEDICAL CARE IN ST. PETERSBURG

2018 ◽  
Vol 19 (1) ◽  
pp. 48-54 ◽  
Author(s):  
A. L. Ershov ◽  
A. G. Miroshnichenko ◽  
A. A. Bojkov ◽  
A. Yu. Schurov
Keyword(s):  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Medical Care ◽  
Retrospective Analysis ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Common Reason ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Gender And Age

This research is devoted to a retrospective analysis of the number of missions of the emergency medical service to adult patients that suffer from acute respiratory failure (ARF) of various severity in St. Petersburg during 2017. Gender and age characteristics of the groups of patients with ARF are presented. Nosologic forms of diseases that tend to be the most common reason of ARF are also identified. The analysis of immediate results of missions to the patients is presented.

Organizational aspects of optimizing the work of the ambulance service in Surgut

2020 ◽  
Vol 21 (4) ◽  
pp. 78-83
Author(s):  
Yu. M. Salmanov ◽  
◽  
A. M. Suldin ◽  
N. S. Brynza ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Emergency Medical Service ◽  
Emergency Departments ◽  
Medical Service ◽  
Quality Criteria ◽  
Ambulance Service ◽  
Outpatient Clinics ◽  
Emergency Medical Care ◽  
Successful Resuscitation ◽  
Emergency Medical

Aim. To analyze the quantitative and qualitative indicators of the ambulance and emergency medical services in Surgut in the conditions of redirecting calls with urgent conditions to the emergency departments of outpatient clinics. Materials and methods. The study was conducted in the period from 2013 to 2018 on the basis of the Surgut city clinical ambulance station in Surgut. In accordance with the set aim of the research was defined these forms of statistical reporting № 40 “Report of the station (Department), hospital of emergency medical care” (app. by order of the Ministry of health and social development of the Russian Federation from December 2, 2009 № 942 “On approval of statistical tools stations (offices), hospital emergency medical service”). Results. The experience of redirecting calls with urgent conditions to emergency departments of outpatient clinics in Surgut, which began at the end of 2012, showed that during the period from 2013 to 2018, with an increase in the number of calls (by 15.9%) to the ambulance service, there was a decrease (by 6.4%) in the daily load on the team from 15.8 visits in 2013 to 14.8 visits in 2018. At the same time, the share of departures of the ambulance with the arrival time to the patient in less than 20 minutes after the call, the total number of calls, with an increase from 63.9% in 2013 to 78.1% in 2018, mortality before the arrival of the ambulance, with a reduction (36.1%) from 302,0%000 in 2013 to 192,8%000 in 2018, successful resuscitation at the exit from height (22.3%) from 8.5%000 in 2013 to 10.4%000 in 2018. Conclusion. Reducing the number of visits of emergency medical service teams for urgent conditions, by redirecting requests from patients with chronic diseases to the emergency departments of medical organizations of outpatient clinics during the operation of these institutions, reduced mortality at the pre-hospital stage of medical care, and increased the efficiency of the ambulance station when providing emergency medical care. Due to the control of the standard time for making emergency calls by the dispatcher service of the ambulance station, cases of unintentional failure to provide medical care are excluded. All cases of return of forwarded calls to the ambulance service are transferred to the ambulance team for execution, followed by an analysis of the reasons for violation of the quality criteria established by the Territorial program of state guarantees of free medical care to the population of the Khanty-Mansiyskiy Autonomous okrug – Yugra.

A Survey of National Physicians Working in an Active Conflict Zone: The Challenges of Emergency Medical Care in Iraq

2012 ◽  
Vol 27 (2) ◽  
pp. 153-161 ◽  
Author(s):  
Ross I. Donaldson ◽  
Patrick Shanovich ◽  
Pranav Shetty ◽  
Emma Clark ◽  
Sharaf Aziz ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Medical Care ◽  
Emergency Departments ◽  
Large Scale ◽  
Road Traffic ◽  
Health Workers ◽  
Emergency Medical Care ◽  
Convenience Sample ◽  
Emergency Medical ◽  
Conflict Zone

AbstractIntroductionThere has been limited research on the perspectives and needs of national caregivers when confronted with large-scale societal violence. In Iraq, although the security situation has improved from its nadir in 2006-2007, intermittent bombings, and other hostilities continue. National workers remain the primary health resource for the affected populace.ProblemTo assess the status and challenges of national physicians working in the Emergency Departments of an active conflict area.MethodsThis study was a survey of civilian Iraqi doctors working in Emergency Departments (EDs) across Iraq, via a convenience sample of physicians taking the International Medical Corps (IMC) Doctor Course in Emergency Medicine, given in Baghdad from December 2008 through August 2009.ResultsThe 148 physician respondents came from 11 provinces and over 50 hospitals in Iraq. They described cardiovascular disease, road traffic injuries, and blast and bullet injuries as the main causes of death and reasons for ED utilization. Eighty percent reported having been assaulted by a patient or their family member at least once within the last year; 38% reported they were threatened with a gun. Doctors reported seeing a median of 7.5 patients per hour, with only 19% indicating that their EDs had adequate physician staffing. Only 19% of respondents were aware of an established triage system for their hospital, and only a minority had taken courses covering ACLS- (16%) or ATLS-related (24%) material. Respondents reported a wide diversity of prior training, with only 3% having some type of specialized emergency medicine degree.ConclusionsThe results of this study describe some of the challenges faced by national health workers providing emergency care to a violence-stricken populace. Study findings demonstrate high levels of violent behavior directed toward doctors in Iraqi Emergency Departments, as well as staffing shortages and a lack of formal training in emergency medical care.Donaldson RI, Shanovich P, Shetty P, Clark E, Aziz S, Morton M, Hasoon T, Evans G. A survey of national physicians working in an active conflict zone: the challenges of emergency medical care in Iraq. Prehosp Disaster Med. 2012;27(2):1-9.

The emergency medical system

2021 ◽  
pp. 65-75
Author(s):  
Olivier Hoogmartens ◽  
Michiel Stiers ◽  
Koen Bronselaer ◽  
Marc Sabbe
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Tertiary Care ◽  
Medical Services ◽  
High Quality ◽  
Emergency Medical ◽  
High Quality Medical Care ◽  
The Moment

The mission of the emergency medical services is to promote and support a system that provides timely, professional and state-of-the art emergency medical care, including ambulance services, to anyone who is victim of a sudden injury or illness, at any time and any location. A medical emergency has five different phases, namely: population awareness and behaviour, occurrence of the problem and its detection, alarming of trained responders and help rendered by bystanders and trained pre-hospital providers, transport to the nearest or most appropriate hospital, and, if necessary, admission or transfer to a tertiary care centre which provides a high degree of subspecialty expertise. In order to meet these goals, emergency medical services must work aligned with local, state officials; with fire and rescue departments; with other ambulance providers, hospitals, and other agencies to foster a high performance network. The term emergency medical service evolved to reflect a change from a straightforward system of ambulances providing nothing but transportation, to a complex network in which high-quality medical care is given from the moment the call is received, on-scene with the patient and during transportation. Medical supervision and/or participation of emergency medicine physicians (EP) in the emergency medical service systems contributes to the quality of medical care. This emergency medical services network must be capable to respond instantly and to maintain efficacy around the clock, with well-trained, well-equipped personnel linked through a strong communication system. Research plays a pivotal role in defining necessary resources and in continuously improving the delivery of high-quality care. This chapter gives an overview of the different aspects of emergency medical services and calls for high quality research in pre-hospital emergency care in a true partnership between cardiologists and emergency physicians.

scholarly journals P084: The sky is not the limit! Protocol for a rapid systematic review on the use of drones in emergency medicine

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S93-S94
Author(s):  
L. Lapointe ◽  
C. Buisson ◽  
R. Fleet
Keyword(s):  
Systematic Review ◽  
Emergency Medicine ◽  
Cardiac Arrest ◽  
Medical Care ◽  
Empirical Research ◽  
Search Strategy ◽  
Bibliographic Databases ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Literature Reviews

Introduction: Drones are already being used in medicine. They are employed to transport blood products and laboratory samples in rural and remote areas and they are increasingly being tested to deliver external defibrillators outside the hospital to patients with cardiac arrest. As this technology rapidly develops and attracts the attention of the scientific community, we present a rapid systematic review protocol that aims to synthesize the scientific evidence that has tested the use of drones to provide emergency medical care. Methods: A search strategy incorporating the concepts of ‘drone’ and ‘emergency medicine’ was launched in 52 bibliographic databases, including CINAHL and PubMed. Using the artificial intelligence module included in DistillerSR, a reviewer completed the first screening phase by reading the title and abstract of the retrieved articles. To be included, articles had to report empirical research projects that tested the potential uses of drones to improve the quality and accessibility of emergency medical care. These selection criteria were applied to the full text of the included articles during the second screening phase by a single reviewer. The results of these two screening phases will be validated by a second independent reviewer. The bibliography of included studies, relevant scientific journals and literature reviews will be manually searched for relevant articles. Results: The search strategy retrieved 1809 articles, of which 22 met our inclusion criteria in the first and second screening phases. Of these, one study used an empirical research design (qualitative interviews) to evaluate the usefulness of drones in emergency medicine, 17 used simulations or scenarios, and four were comprehensive literature reviews on the use of drones to provide healthcare. The final review will synthesize evidence related to the use of drones in emergency medicine and its impact on emergency medical services: nature of the emergency situation (cardiac arrest, blood transfusion), type of drone (fixed wing, quadcopter), tasks performed by drones (transport, surveillance), improvement in access or quality of care (patient's health, time saved in providing services). Conclusion: Drone technology is evolving rapidly and the indications for its use in providing emergency care is increasing. This rapid systematic review will focus on scientific studies aimed at testing the effectiveness of drones to improve the quality and access to emergency medical care.

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