BACKGROUND: In pre-hospital Emergency Medical Services (EMS) more research is needed to direct and underpin care delivery and inform policy. To target future research efforts, this study aimed to determine future research priorities with representatives of the EMS field.. METHODS: A four-round online Delphi survey was used to discuss different viewpoints and reach consensus on research priorities. A multidisciplinary panel of experts was recruited in the field of pre-hospital EMS and adjoining (scientific) professional organisations (n = 62). 48 research topics were presented in Delphi I, and the panel was asked to rate their importance on a 5-point scale. In Delphi II and III the panel selected their priority research topics, and arguments why and suggestions for research questions were collected and reported back. In Delphi IV appropriateness of the remaining topics and agreement within the expert panel was taken into account to make up the final list of research priorities.. RESULTS: The ...
Pre-hospital Emergency Medical Services Protocols for the Bozeman, Belgrade, and Big Sky Montana Areas These are addenda to the Montana Board of Medical Examiners…
This text provides guidance to health care and public safety policy makers considering the development of a formal complex Emergency Medical Services System. PAHO Publications Catalog
Pre-hospital Emergency Medicine at a Glance offers healthcare students and trainees the essential theoretical knowledge and practical skills relevant to the provision of immediate care outside of the hospital. This concise text provides information on the principles of managing acutely unwell patients with life-threatening injuries at the scene of their accident, all in highly-illustrated double-page spreads to help explain key messages ...
The return of spontaneous circulation (ROSC) after cardiac arrest (RACA) score may have implications as a quality indicator for the emergency medical services (EMS) system. We aimed to validate this score externally in a physician staffed urban EMS system. We conducted a retrospective cohort study. Data on resuscitation attempts from the Helsinki EMS cardiac arrest registry from 1.1.2008 to 31.12.2010 were collected and analyzed. For each attempted resuscitation the RACA score variables were collected and the score calculated. The endpoint was ROSC defined as palpable pulse over 30 s. Calibration was assessed by comparing predicted and observed ROSC rates in the whole sample, separately for shockable and non-shockable rhythm, and separately for resuscitations lead by a specialist, registrar or medical supervisor (i.e., senior paramedic). Data are presented as medians and interquartile ranges. Statistical testing included chi-square test, the Mann-Whitney U test, Hosmer-Lemeshow goodness of fit test and
We conducted a comprehensive and systematic review of the available literature describing prehospital identification or management of patients with sepsis and retrieved only observational studies and no randomised controlled trials. Our review shows that sepsis is a common condition for EMS patients, with an estimated incidence ranging from 1% to 8% among EMS-transported patients. However, only a few studies of moderate quality have evaluated the accuracy of prehospital identification of sepsis, and randomised controlled trials describing potential treatment strategies are lacking.. Our review provides the first comprehensive review of the identification and management of patients with sepsis by EMS providers in the prehospital setting. The most common approaches applied by EMS providers to identify sepsis are a variation of SIRS criteria or screening tools that include aspects of SIRS. Our findings suggest that EMS providers abilities to correctly identify this condition vary considerably ...
Responsible for overall coordination of and improvements in the pre-hospital emergency medical care system throughout Birmingham and north central Alabama.
STEMI patients can be diagnosed in the pre-hospital phase in two ways. The first option is diagnosis in the ambulance via an emergency medical services (EMS) call (118 or 911) by the patient or by a general practitioner. The second option is diagnosis at a referral non-PCI centre after self-referral of the patient or when no pre-hospital ECG is performed by EMS in the ambulance. Pre-hospital diagnosis in the ambulance gives the best outcomes for STEMI patients, since pre-hospital treatment can be started directly in the ambulance after diagnosis and triage.2 ,3 Subsequently, these patients are directly transferred in an ambulance from the pick-up place to the nearest PCI centre with 24/7 service, bypassing the emergency departments of the nearby referral non-PCI centres. The second option, diagnosis at a non-PCI centre, also occurs often, especially in rural areas. These patients are transported to a PCI centre, following diagnosis and triage of STEMI, preferably … ...
Hospital officials from Lourdes Health System and Virtua are united in opposing pending state legislation they say would undermine the regional Emergency Medical Services system.. At press, state lawmakers were set to vote on Senate Bill 2980 and Assembly Bill 4526 June 25 that would allow Cooper University Hospital to take over Emergency Medical Services for the City of Camden, including the Advanced Life Support (paramedic) service which has been provided by Virtua for 38 years.. On June 24 Lourdes and Virtua held a joint press conference at the New Jersey State House to voice strong opposition to the bill. At the press conference, the CEOs cited examples of how this legislation would undermine what they described as a well-established, high-quality regional EMS system and does not represent a movement toward a better-coordinated system.. The fact is that the existing system established in 1977 provides a high-quality service to the residents of the City of Camden and has saved thousands of ...
Objective: This study aims to analyse the number and characteristics of calls made to the Málaga Prehospital Emergency Service (PES) for suicidal behavior based on sociodemographic, temporal, and health care variables.Method: This is a retrospective, descriptive study that records all calls made to the PES due to suicidal behavior (suicide attempts and completed suicides) in 2014. Sociodemographic variables (age, sex, and health district), variables related to the calls (time-slot, degree of sunlight, type of day, month, season of the year, prioritization, and number of resources mobilized) were extracted from these calls. The number of cases and percentages were presented for the qualitative variables. The rates per 100,000 were calculated by sex and health district and presented with the corresponding 95% confidence interval (CI).Results: Of the total valid calls to PES (n = 181,824), 1,728 calls were made due to suicidal behavior (0.9%). The mean age was 43.21 (±18) years, 57.4% were women, and the
Dr. Jane Brice, Associate Professor of Emergency Medicine at UNC has been named Deputy Editor of Prehospital Emergency Care. ...
The early recognition of severe sepsis is important; however, early identification of severe sepsis can be challenging, especially in the prehospital setting. As previous research has shown, advanced notification of time-sensitive disease states by prehospital personnel can improve outcomes and time to initiation of treatments. Prehospital personnel can potentially impact outcomes in sepsis through early identification and treatment implementations, improving processes of care and transition of care. Further research is needed for a full evaluation of prehospital treatment effects of identification of sepsis and treatment by prehospital personnel and the impact on outcomes.
1 - EMSAAC - Emergency Medical Services Administrators Association of California was incorporated in 1992 to act in an advisory capacity to the California EMS Authority and the State Commission on EMS in establishing goals, priorities, standards and quality assurance for Emergency Medical Services Systems. Our Board of Directors is made up of the appointed Administrator or Director (or officially designated alternate) from each of Californias 32 local EMS agencies. Our quarterly meetings are open to the public and provide valuable information for individuals or organizations involved in EMS administration, management, operations or support.
ECGs for prehospital emergencies, ranging from basic rhythm diagnosis to critical care applications of the electrocardiogram and advanced 12-lead ECG interpretation in the ACS patient. It provides self testing traces covering all these conditions seen in prehospital and hospital- based environments.
This book exclusively addresses ECGs for prehospital emergencies, ranging from basic rhythm diagnosis to critical care applications of the electrocardiogram and advanced 12-lead ECG interpretation in the ACS patient.
Kootenai County Emergency Medicl Services System (KCEMSS) is an ambulance service providing emergency care to all of Kootenai County
Introduction: Although pain management in EDs has been fully addressed in clinical trials, prehospital settings have rarely been investigated. Objective: The present study was conducted to compare the effectiveness of intravenous acetaminophen with that of ketorolac in pre-hospital pain control. Method: This randomized clinical trial (RCT) was performed at a prehospital setting during EMS missions in Tehran, Iran. The eligible candidates comprised all patients over the age of 7 years with a complaint of moderate to severe pain. The patients were randomly assigned to two groups, one receiving 30 mg of intravenous (IV) ketorolac and the other 1 g of IV acetaminophen. The pain intensity was measured using a visual analog scale (VAS) before administering the analgesic and upon admission to the ED. Results: The present study was conducted on 150 patients aged 8-81 years with a mean age of 40.4 ± 17.7, including 84 (56%) males. The mean reduction in the pain score was 14.9±8.6 in the acetaminophen ...
Broome County EMS Agencies that Recruit & Utilize Volunteers. Broome County Emergency Medical Services Advisory Board. Resources for Broome County EMS Students. Resources for Broome County EMS Agencies and Providers Public Access Defibrillation Information Broome County EMS Coordinator Staff Susquehanna Regional Emergency Medical Services Council New York State Department of Health EMS Bureau ID Badge Form (Must be signed by your agency administrator). ...
Administration of medications. Clarifies the circumstances under which emergency medical services personnel may administer medications and provides that emergency medical services personnel may administer medications pursuant to an oral or written order or standing protocol.
Results-During a 12-month period, 441 EMS-transported patients were enrolled; of which, 371 (84.1%) were EMS-suspected strokes and 70 (15.9%) were EMS-missed strokes. Overall, 264 cases (59.9%) were confirmed as either ischemic stroke (n=186) or transient ischemic attack (n=78). The sensitivity of EMS stroke recognition was 73.5% (95% confidence interval, 67.7-78.7), and PPV was 52.3% (95% confidence interval, 47.1-57.5). Sensitivity (84.7% versus 30.9%; P,0.0001) and PPV (56.2% versus 30.4%; P=0.0004) were higher among cases with Cincinnati Prehospital Stroke Scale documentation. In multivariate analysis, Cincinnati Prehospital Stroke Scale documentation was independently associated with EMS sensitivity (odds ratio, 12.0; 95% confidence interval, 5.7-25.5) and PPV (odds ratio, 2.5; 95% confidence interval, 1.3-4.7).. ...
With the increasing of the population of elderly people in recent years, the need of emergency medical services is also growing. Emergency medical service (EMS) is the first defense line when people encounter diseases and injuries. The purpose of EMS is to reduce patients secondary damage in patients and increase the survival rate or have better prognosis. The EMS procedures must be closely and appropriately integrated in the courses at the accident place, on route to the emergency department, and the medical care after arriving emergency department. In the past four years, we committed to the study of pre-hospital emergency medical decision Model (NSC 99-2221-E-038-009-MY2 01-2221-E-038-005- and 102-2221-E-038 -002 -). We have established an emergency decision-making model by using 11 factors of Emergency Medical Services (EMS). The AHP (Analytic Hierarchy Process, AHP) was used to calculate the weighting of the factors to complete the models objective function. The model can be used as a ...
636.007 Certificate of authority required.-A person, corporation, partnership, or other entity may not operate a prepaid limited health service organization in this state without obtaining and maintaining a certificate of authority from the office pursuant to this act. A political subdivision of this state which is operating an emergency medical services system and offers a prepaid ambulance service plan as a part of its emergency medical services system shall be exempt from the provisions of this act and all other provisions of the insurance code. An insurer, while authorized to transact health insurance in this state, or a health maintenance organization possessing a valid certificate of authority in this state, may also provide services under this act without additional qualification or authority, but shall be otherwise subject to the applicable provisions of this act. ...
Background: The time spent in Emergency Medical Services [EMS] assessment and transport is a critical determinant of time interval between symptom onset and treatment for acute stroke.. Objective: To study the determinants that influence EMS times which is a composite of response, assessment, and transport times for acute stroke patients.. Methods: The 2009 national Emergency Services Information System [NEMSIS] Research dataset representing 26 states in US was accessed to identify the patients diagnosed by EMS personnel to be having stroke / cerebrovascular accident [CVA] on arrival at the scene of incident. Total EMS times defined as time interval between dispatch call and completion of transport to emergency department [reported in mins (confidence intervals)] were calculated and compared in various patient strata defined by factors such as dispatch center identification of stroke / CVA, barriers (language and physical) at the scene, location and demographical factors.. Results: A total of ...
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Abstract Introduction. Prehospital providers are exposed to various infectious disease hazards. Examining specific infectious exposures would be useful in describing their current trends as well as guidance with appropriate protective measures an eme
OBJECTIVES: Compare gender disparities in ST-elevation myocardial infarction (STEMI) regarding first medical contact (FMC) and prehospital delay times and explore factors associated with prehospital delay in men and women separately.. DESIGN: Cross-sectional study based on medical records and a validated questionnaire. Eligible patients were enrolled within 24 hours after admittance to hospital.. SETTING: Patients were included from November 2012 to January 2014 from five Swedish hospitals with catheterisation facilities 24/7.. PARTICIPANTS: 340 men and 109 women aged between 31 and 95 years completed the survey.. MAIN OUTCOME MEASURES: FMC were divided into five possible contacts: primary healthcare centre by phone or directly, national advisory nurse by phone, emergency medical services (EMS) and emergency room directly. Two parts of prehospital delay times were studied: time from symptom onset to FMC and time from symptom onset to diagnostic ECG.. RESULTS: Women more often called an advisory ...
Safety Ireland provide Occupational First Aid Fire & Healthcare Medical Safety Training Course. All our Instructors and Examiners are Health and Safety Authority approved. With full HSA approval our Occupational First Aid courses will satisfy your legal requirements for Health and Safety. QQI - PHECC - IHF - IOSH - OFAAA Approved Training
Emergency Medical Services provides cost effective, efficient, and professional emergency medical services to the citizens of Buncombe County 24 hours a day, 7 days a week.
The final report analyzing the Pinellas County emergency medical services system varied little from one delivered in late May. Fitch & Associates, the consulting firm paid $300,000 to conduct the stu
This page includes the policies, procedures, and treatment protocols for the San Mateo County prehospital care system. The information is provided by the San Mateo County Emergency Medical Services Agency, and is designed for use within San Mateo County. Updates and new policies are noted with the implementation date. Numeric gaps in document numbers indicate that a policy or procedure has been deleted and is not part of the current San Mateo County prehospital care system. Any questions should be directed to the EMS Agency at (650) 573-2564.. ...
Rapid access to medical treatment is a key determinant of outcomes for cardiovascular events. Emergency medical services (EMS) play an important role in delivering early treatment for acute cardiovascular events. Attention has increased on the potential for EMS data to contribute to our understanding of prehospital treatment. Maine recently began to explore the possible role of EMS data in cardiovascular disease surveillance and cardiovascular health program planning and evaluation. We describe the Maine EMS data system, discuss findings on ease of data use and data quality, provide a sample of findings, and share how we plan to use EMS data for program planning and evaluation of community-level interventions and to partner with EMS provider organizations to improve treatment. Our objective is to increase understanding of the promise and limitations of using EMS data for cardiovascular disease surveillance and program planning and evaluation ...
Emergency Medical Services, more commonly known as EMS, is an essential public service. You can easily recognize EMS when you see ambulances and medical helicopters responding to incidents in our community, but EMS is much more than emergency medical response and transport. EMS is part of an intricate system of agencies and organizations; communications and transportation networks; trauma systems, as well as hospitals, trauma centers, and specialty care centers; rehabilitation facilities; and highly trained professionals -including volunteer and career prehospital personnel, physicians, nurses, therapists, administrators, government officials and an informed public that knows what to do in a medical emergency. Each player in the EMS system has an essential job to perform as part of a coordinated system of care. -Adapted from NHTSA. ...
The Emergency Medical Services Director Scholarship is available to students at Northeast Community College. You must be majoring in emergency medical services and demonstrate financial need to qu...
Emergency Medical Services NC II - Free ebook download as Word Doc (.doc), PDF File (.pdf), Text File (.txt) or read book online for free.
Volunteer with Linden Emergency Medical Services. Find Linden Emergency Medical Services volunteering opportunities at VolunteerMatch!
JEMS is the authoritative source of information on prehospital emergency care for EMS providers worldwide. Each month, JEMS presents provocative and challenging articles and columns on clinical breakthroughs, industry news and trends, new products and continuing education. Please visit www.JEMS.com for more information.
JEMS is the authoritative source of information on prehospital emergency care for EMS providers worldwide. Each month, JEMS presents provocative and challenging articles and columns on clinical breakthroughs, industry news and trends, new products and continuing education. Please visit www.JEMS.com for more information.
Responders in the pre-hospital emergency medical field must be in a state of readiness at all times. Working on the front lines of an emergency incident…
OBJECTIVE On 10/11/08, the Cleveland Clinic Heart and Vascular Institute (HVI) initiated a dedicated Cardiac Medical Emergency Team (CMET) for all cardiovascular patients requiring emergency cardiac care (ECC) including urgent medical evaluation and resuscitation for cardiopulmonary arrest (CPA) or acute respiratory compromise (ARC). CMET consists of a Critical Care Staff, Cardiology Fellow, Cardiothoracic Surgical Fellow, Respiratory Therapist, and 2 Critical Care Nurses. All CMET members have current ACLS training. Monthly ACLS Mock Codes are performed on individual units for systematic integration of ACLS into HVI care. The purpose of this study was to characterize CPA in-hospital outcomes after resuscitation by a dedicated CMET.. METHODS In this prospective study of adult (,18 yo) HVI in-patients from 10/11/08 to 6/1/09, CPA was defined as resuscitation requiring chest compressions or defibrillation. ARC and pre-CPA Do Not Resuscitate patients were excluded.. RESULTS During the study ...
During a three-year period in seven metropolitan areas in the western United States, the emergency medical services system sent more than 85,000 injured patients to major trauma hospitals who didnt need to go there - costing the health care system more than $130 million per year, according to an Oregon Health & Science University study published today in the journal Health Affairs. The study gathered data from emergency services calls from 94 EMS agencies in the seven metropolitan areas from January 2006 through December 2008. The agencies were using national trauma triage guidelines to decide where to transport the injured patients, so the studys findings are likely representative of what happens across the United States. What our study shows is there are huge cost implications in how EMS systems work to get injured patients to the appropriate hospitals, said Craig Newgard, M.D., an associate professor of emergency medicine at OHSU who is director of the OHSU Center for Policy and Research ...
Todays prehospital care provider will be confronted with a wide variety of medical and traumatic emergencies, will need to possess a strong foundation of medical knowledge, and will be using a large armamentarium of interventions and treatments. It is with this in mind that we have prepared this book. Prehospital Care-Pearls and Pitfalls, is a unique, stimulating, and easy-to-read way, provide practical information applicable to the prehospital setting and to help the prehospital emergency care provider be prepared to manage the myriad of emergency and non-emergency situations that he or she will be called upon to assist. The past four decades have seen a remarkable evolution in the delivery of prehospital care. Where once the only therapy available for an out-of-hospital emergency medical situation was a ride to the hospital at a speed limited only by the vehicle you were in and the driving conditions at the time, now much of the interventional capability of the emergency department has been ...
Brazilian emergency medical service is locally called SAMU (Serviço de Atendimento Móvel de Urgência (Mobile Emergency Attendance Service)).[6] Emergency medicine (EM) is not a new field in Brazil. In 2002, the Ministry of Health outlined a document, the Portaria 2048, which called upon the entire health care system to improve emergency care in order to address the increasing number of victims of road traffic accidents and violence, as well as the overcrowding of emergency departments (EDs) resulting from an overwhelmed primary care infrastructure. The document delineates standards of care for staffing, equipment, medications and services appropriate for both pre-hospital and in-hospital. It further explicitly describes the areas of knowledge that an emergency provider should master in order to adequately provide care. However, these recommendations have no enforcement mechanism and, as a result, emergency services in Brazil still lack a consistent standard of care. Pre-hospital emergency ...
The findings of this study suggest that ECG abnormalities are an early manifestation of acute coronary ischemia and can be readily identified by prehospital electrocardiography. Such changes were commonly observed early (mean ∼60 to 90 min) after symptom onset in patients with acute myocardial ischemia or infarction.. During the treatment phase of the MITI prehospital trial (1), early electrocardiography did not hamper diagnosis in patients eligible for thrombolysis. In those with prehospital thrombolysis, the prehospital ECG was, as expected, more likely to be abnormal than their initial hospital ECG. Even in patients who were not allocated to receive thrombolysis until after hospital admission, the prevalence of ST segment elevation on the prehospital ECG was higher than that on the hospital ECG obtained ∼20 to 30 min later (p = 0.03) (Table 2). On the basis of serial changes, the vast majority of patients who were eligible for thrombolysis before hospital admission by clinical and ECG ...
The Cincinnati Prehospital Stroke Severity Scale (CP-SSS) predicts large vessel occlusion (LVO) and severe stroke in patients with stroke symptoms.
In Chemeketas nationally-accredited paramedic program, you will take general education courses as well as technical courses devoted to emergency medical services. You will also perform clinical rotations in hospitals and with ambulance services to gain hands-on experience.. Paramedics are able to work more independently and accept more responsibility in the field.. You will earn an associate of applied science degree in emergency medical technology, which qualifies you to take the National Registry examinations for certification and to be licensed in the state of Oregon as a paramedic.. If you are interested in pursuing the Paramedic Degree you must meet the prerequisites and have already completed your EMT Licensure. You must also apply to be admitted into the program. Applications will be accepted in the fall for the spring class and in the spring for the fall class.. ...
BACKGROUND: Acute pain is a common condition among prehospital patients and prompt management is pivotal. Opioids are the most frequently analgesics used in the prehospital setting. However, opioids are highly addictive, and some patients may develop opioid dependence, even when they are exposed to brief opioid treatments. Therefore, alternative non-opioid analgesia should be developed to manage pain in the prehospital setting. Used at subdissociative doses, ketamine, a noncompetitive N-methyl-D-aspartate and glutamate receptor antagonist, provides analgesic effects accompanied by preservation of protective airway reflexes. In this context, we will carry out a randomized controlled, open-label, multicenter trial to compare a subdissociative dose of ketamine to morphine to provide pain relief in the prehospital setting, in patients with traumatic and non-traumatic pain.. METHODS/DESIGN: This will be a multicenter, single-blind, randomized controlled trial. Consecutive adults will be enrolled in ...
This paper forms the second part of the debate on prehospital thrombolysis (PHT). It is argued that large scale studies have failed to show a benefit for PHT, even when the time saved over conventional treatment was considerably greater than would be the case in the UK urban setting. In practice, a relatively small proportion of the total population receiving thrombolysis would receive PHT. Other strategies to reduce time to thrombolysis can benefit all patients and are likely to be more cost effective and safer.. ...
TY - JOUR. T1 - Prehospital emergency medical technicians can perform ultrasonography and blood analysis in prehospital evaluation of patients with chronic obstructive pulmonary disease. T2 - a feasibility study. AU - Nadim, Giti. AU - Laursen, Christian B. AU - Pietersen, Pia I. AU - Wittrock, Daniel. AU - Sørensen, Michael K. AU - Nielsen, Lars B. AU - Rasmussen, Claus-Henrik. AU - Christensen, Helle Marie. AU - Helmerik, Simon. AU - Jørgensen, Gitte. AU - Titlestad, Ingrid L. AU - Lassen, Annmarie T. AU - Mikkelsen, Søren. PY - 2021/3/31. Y1 - 2021/3/31. N2 - INTRODUCTION: Crowding of the emergency departments is an increasing problem. Many patients with an exacerbation of chronic obstructive pulmonary disease (COPD) are often treated in the emergency departments for a very short period before discharged to their homes. It is possible that this treatment could take place in the patients homes with sufficient diagnostics supporting the treatment. In an effort to keep the diagnostics and ...
Out-of-hospital cardiac arrest (OHCA) is a common medical emergency with significant mortality and significant neurological morbidity. Helicopter emergency medical services (HEMS) may be tasked to OHCA. We sought to assess the impact of tasking a HEMS service to OHCA and characterise the nature of these calls. Retrospective case review of all HEMS calls to Surrey and Sussex Air Ambulance, United Kingdom, over a 1-year period (1/9/2010-1/9/2011). All missions to cases of suspected OHCA, of presumed medical origin, were reviewed systematically. HEMS was activated 89 times to suspected OHCA. This represented 11% of the total HEMS missions. In 23 cases HEMS was stood-down en-route and in 2 cases the patient had not suffered an OHCA on arrival of HEMS. 25 patients achieved return-of-spontaneous circulation (ROSC), 13 (52%) prior to HEMS arrival. The HEMS team were never first on-scene. The median time from first collapse to HEMS arrival was 31 minutes (IQR 22-40). The median time from HEMS activation to
Prometheus is a leading supplier of pre-hospital emergency medical equipment and high-quality medical training courses for a wide audience; from the layperson through to the healthcare professional.
Rev. 12/14/2016 3:08:30 PM--2015]. CHAPTER 450B - EMERGENCY MEDICAL SERVICES. GENERAL PROVISIONS. NRS 450B.015 Legislative declaration. NRS 450B.020 Definitions.. NRS 450B.025 Advanced emergency medical technician defined. NRS 450B.030 Air ambulance defined.. NRS 450B.040 Ambulance defined.. NRS 450B.050 Attendant defined.. NRS 450B.0505 Automated external defibrillator and defibrillator defined.. NRS 450B.060 Board defined.. NRS 450B.0605 Certificate defined.. NRS 450B.061 Committee defined.. NRS 450B.0615 Community paramedicine services defined.. NRS 450B.062 Designated officer defined.. NRS 450B.0625 Division defined.. NRS 450B.063 Emergency medical dispatcher defined.. NRS 450B.064 Emergency medical services registered nurse defined.. NRS 450B.065 Emergency medical technician defined.. NRS 450B.070 Emergency medical technician certificate defined. [Repealed.]. NRS 450B.0703 Emergency response employee defined.. NRS 450B.0707 Exposed and exposure defined.. NRS 450B.071 Firefighter ...
Emergency Medical Technicians provide out of hospital emergency medical care and transportation for critical and emergent patients who access the emergency medical services (EMS) system.
EMS consists of hospital emergency departments and emergency medical services, including Helicopter Emergency Medical Services (Polish Medical Air Rescue), where health services are provided only to persons whose life or health is seriously endangered.. Trauma centers and hospitals units specializing in the provision of health services cooperate closely with EMS . Also public services are established to cooperate with EMS and provide assistance to persons in a state of sudden health risks, in particular: Fire Brigade, Police, Volunteer Search and Rescue teams/organizations (specialized in mountain or water rescue) and other organizations that perform rescue operations as part of their statutory tasks. The National Emergency Medical Services is supervised by the Minister of Health. The planning, organizing, coordinating and supervising of the system at the regional level belongs to the voivodes.. Please remember if you notice a person in a state of sudden health risk or you are witness to the ...
In a trauma situation, helicopter emergency medical services can be worth the cost and risk considering the difference between life and death.
July 31, 2013. (Bristol, Va.) - The Southwest Virginia Emergency Medical Services (SWVEMS) Council, Inc. honors the unwavering spirit and commitment demonstrated by its local Emergency Medical Services (EMS) community at the councils regional awards program held July 26, 2013 at the Southwest Virginia Higher Education Center in Abingdon, Va.. The Virginia EMS system is full of dedicated, competent and professional providers and agencies, said Gregory Woods, executive director of Southwest Emergency Medical Services Council. These individuals and agencies from our region exemplify the true spirit of our commitment to saving lives and providing high quality patient care, and we believe they will do very well at the state level.. Recipients of this years regional awards compete for the 2013 Governors EMS Awards, which will be announced at the Virginia EMS Symposiums Annual Awards Ceremony, November 10, in Norfolk, Va. Winners will be presented with a trophy and a certificate signed by the ...
Background: The municipalities are responsible for the emergency primary health care services in Norway. These services include casualty clinics, primary doctors on-call and local emergency medical communication centres (LEMC). The National centre for emergency primary health care has initiated an enterprise called The Watchtowers, comprising emergency primary health care districts, to provide routine information (patients way of contact, level of urgency and first action taken by the out-of-hours services) over several years based on a minimal dataset. This will enable monitoring, evaluation and comparison of the respective activities in the emergency primary health care services. The aim of this study was to assess incidence of emergency contacts (potential lifethreatening situations, red responses) to the emergency primary health care service. Methods: A representative sample of Norwegian emergency primary health care districts, The Watchtowers recorded all contacts and first action ...
This course will provide the paramedic student with the verbal and nonverbal skills pertinent to establishing helping communication between the patient and their entourage in a pre-hospital setting. The student will learn how to solicit information about the patients health complaint, as well as their values and demographics so as to foster a trusting and helping relationship. They will additionally learn how to discuss the patients state of health with the patient and their entourage as well as to inform them of the possible treatment options. the student will also learn how to support the patient and/or their entourage in their treatment decision. How best to provide support for the patients entourage in the case of sudden death of the patient will also be addressed. To establish a successful helping relationship, the use of respectful and caring verbal and nonverbal communication is important across all these communication roles ...
Recognition of EMS Personnel Licensure Interstate Compact. Creates the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact to(i) protect the public through verification of competency and ensure accountability for patient-care-related activities of licensed emergency medical services (EMS) personnel, (ii) facilitate the day-to-day movement of EMS personnel across state boundaries in the performance of their EMS duties as assigned by an appropriate authority, and (iii) authorize state EMS offices to afford immediate legal recognition to EMS personnel licensed in a member state. The bill includes an enactment clause authorizing the State Emergency Medical Services Advisory Board to review decisions of the Interstate Commission for EMS Personnel Practice and, upon approval by the Interstate Commission of any action that will have the result of increasing the cost to the Commonwealth of membership in the compact, recommend to the General Assembly that the Commonwealth withdraw
AIM: To investigate the association of temperature on arrival to hospital after out-of-hospital-cardiac arrest (OHCA) with the primary outcome of mortality, in the targeted temperature management (TTM) trial.. METHODS: The TTM trial randomized 939 patients to TTM at 33 or 36°C for 24h. Patients were categorized according to their recorded body temperature on arrival and also categorized to groups of patients being actively cooled or passively rewarmed.. RESULTS: OHCA patients having a temperature ≤34.0°C on arrival at hospital had a significantly higher mortality compared to the OHCA patients with a higher temperature on arrival. A low body temperature on arrival was associated with a longer time to return of spontaneous circulation (ROSC) and duration of transport time to hospital. Patients who were actively cooled or passively rewarmed during the first 4h had similar mortality. In a multivariate logistic regression model mortality was significantly related to time from OHCA to ROSC, time ...
Emergency medical services supplies. Emergency medical services tourniquets or clamps. Emergency medical services, Medical equipment Category: 421722
What Is Unique About Airway Management in the Pre-Hospital Setting?. In: Hung OR, Murphy MF. Hung O.R., Murphy M.F. Eds. Orlando R. Hung, and Michael F. Murphy.eds. Hungs Difficult and Failed Airway Management, 3e New York, NY: McGraw-Hill; . http://accessanesthesiology.mhmedical.com/content.aspx?bookid=2221§ionid=171845479. Accessed December 12, 2017 ...
Study objective : To measure the incremental cost-effectiveness of various improvements to emergency medical services EMS systems aimed at increasing survival after out-of-hospital cardiac arrest. Methods : We performed cost-effectiveness analysis based on 1 metaanalysis of effectiveness of the various EMS systems, 2 costing of each component...
STASSEN, W and WELZEL, T. The prevalence of hypotension and hypoxaemia in blunt traumatic brain injury in the prehospital setting of Johannesburg, South Africa: A retrospective chart review. SAMJ, S. Afr. med. j. [online]. 2014, vol.104, n.6, pp.424-427. ISSN 2078-5135.. BACKGROUND: Each year, ~89 000 (180/100 000) new cases of head injury are reported in South Africa (SA), with the majority of patients being in the economically active population. Hypotension and hypoxaemia significantly increase the morbidity and mortality in patients who have suffered a traumatic brain injury (TBI). Cerebral tissue is particularly vulnerable to these secondary insults in the period immediately following a TBI, emphasising the importance of prehospital care in TBI. OBJECTIVE: To establish the prevalence of prehospital hypotension and hypoxaemia in moderate to severe blunt TBI in greater Johannesburg, Gauteng, SA. METHODS: The records of adult patients who sustained a moderate to severe TBI between 1 January and ...
Emergency Medical Technician Lab (1 cr.) The EMT Lab teaches skills necessary to care for patients in the prehospital setting. It includes automated defibrillation, airway adjuncts, oxygen delivery, managing wounds, and other procedures. Students complete evaluations under the instruction of certified EMTs. Meets the Department of Transportation and Public Safety Institute standards ...
In TSTCs Emergency Medical Service program, youll learn from experienced, certified instructors in an environment that combines hands-on labs with lecture. Youll gain skills in medical procedures required to assess and treat victims at the scene and en route to the hospital, and youll get to put your abilities to the test in a clinical learning environment to gain extensive, on-the-job experience. As a program, our goal is to prepare competent entry-level Paramedics in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains, with exit points at the Advanced Emergency Medical Technician, Emergency Medical Technician (Basic), and/or First Responder levels.. TSTC in Abilene EMSP National Registry Pass Rates ...
Lars Wik MD, PhD, is a Senior Consultant of Anesthesiology at Oslo University Hospital and the Norwegian National Advisory Unit on pre-hospital Emergency Medicine (NAKOS), where he also holds a position as a Senior Researcher. He actively practices clinical pre-hospital emergency medicine and conducts advanced research on cardiac arrest and trauma while working with the manned doctor car in Oslo. In addition, he has regular shifts at Oslo University Hospital Anesthesia department. Since 1985 Lars has been active in conducting clinical and experimental research into mechanical CPR. He was the Principal Investigator for the CIRC randomized controlled trial and led several clinical outcome studies that have resulted in the change of resuscitation guidelines. Lars work has generated contributions to about 100 publications (JAMA, NEJM, Circulation, Resuscitation) resulting in several invitations to present at congresses run by the European Resuscitation Council and American Heart Association. Lars ...
The Evidence-based Practice Center (EPC) Program at the Agency for Healthcare Research and Quality (AHRQ) has posted the draft report for the systematic review on Comparative Effectiveness of Analgesics to Reduce Acute Pain in the Prehospital Setting. Review and comment by May 31, 2019. Visit the Effective Healthcare website.. ...
A Proclamation Every day of the year, at all hours of the day and night, we rely on emergency medical services (EMS) professionals and volunteers for critical care in our homes, on our roads, in our hospitals, and wherever needs exist. EMS teams serve all Americans, standing ready to respond at a moments notice, and tirelessly enhancing our countrys preparedness and resilience. During Emergency Medical Services Week, we recommit to supporting all EMS providers, and we celebrate their selflessness and courageous contributions to our Nation.. Our EMS system includes a wide array of dedicated specialists, including emergency medical technicians, 9-1-1 dispatchers, paramedics, firefighters, law enforcement officials, educators, nurses, and physicians. From rural regions of our Nation to our busiest urban centers, EMS teams provide access to quality care when unforeseen illness, injury, or disaster strikes. The aid they administer cuts across various disciplines and often requires split-second ...
Background: Survival after out-of-hospital cardiac arrest (OHCA) varies between emergency medical service (EMS) systems, but the contribution of different receiving hospital (RH) characteristics to this variability is unknown.. Objectve: To examine whether survival after OHCA is related to RH characteristics.. Material and Methods: We did a prospective 4-year observational study of adult non-traumatic OHCA in an urban EMS. RH characteristics were Critical Care Level (CCL- high, middle, general), teaching status, public or private, and yearly OHCA volume. CCL was nationally categorized by their expertise of providing emergency cardiac catheterization, 24-hour emergency physicians and intensivists, post-arrest protocol, and timely thrombolysis for stroke. Other potential prognostic factors for regression analysis included age, sex, arrest witnessed, bystander CPR, initial cardiac rhythms, EMS time intervals, advanced level paramedics (ALS), and with malignancy. The primary endpoint was survival to ...
The Emergency Medical Technician (EMT) course is designed to prepare individuals to render pre-hospital Basic Life Support (BLS) care at the scene of an emergency and during transport of the sick and injured.
An emergency medical dispatcher is a professional telecommunicator, tasked with the gathering of information related to medical emergencies, the provision of assistance and instructions by voice, prior to the arrival of emergency medical services (EMS), and the dispatching and support of EMS resources responding to an emergency call. The term emergency medical dispatcher is also a certification level and a professional designation, certified through the Association of Public-Safety Communications Officials-International (APCO), the National Academies of Emergency Dispatch, and PowerPhone, Inc. Many dispatchers, whether certified or not, will dispatch using a standard Emergency Medical Dispatch protocol. A dispatch function of sorts has always been a feature of both emergency medical service and its predecessor, ambulance service. The information processing, if only to identify the problem and the location of the patient, has always been a logical part of the process of call completion. Prior ...
Indianas Emergency Medical Services training standards are established by the Indiana Emergency Medical Services Commission and either meet or exceed the standards set by the National Highway Traffic Safety Administration (NHTSA) for EMS programs. The Training Division issues approval for all training programs and courses. ...
Guidelines for the Nurse in the School Setting Illinois Emergency Medical Services for Children 2010 Illinois Emergency Medical Services for Children is a collaborative program between the Illinois Department
BACKGROUND: Patient expectation survey at the Emergency Medical Services can improve patient satisfaction. A need was established to conduct such a survey in order to recommend its use as a quality improvement tool. METHODS: The study was conducted on patients visiting the Emergency Medical Services, Aga Khan University, Karachi. A questionnaire was used to collect information on the demographic profile, and expectations of patients. The ethical requirements for conducting the study were met. RESULTS: A hundred patients were surveyed. The majority was relatively young, married men and women, well educated and better socio-economically placed. The majority of the patients expected a waiting time and a consultation time of less than 30 minutes and 20 minutes, respectively. The majority of respondents expected and agreed to be examined by a trainee but there were reluctant to be examined by the students. There was an expectation that the consultant will examine patients and not advice the attending team
Background: Prehospital perimortem caesarean delivery (PCD) is a rarely performed procedure. In this study, we aimed to examine all PCDs performed by the four Helicopter Emergency Medical Services in the Netherlands; to describe the procedures, outcomes, complications, and compliance with the recommended guidelines; and to formulate recommendations. Methods: We performed a population-based retrospective cohort study of all consecutive maternal out-of-hospital cardiac arrests that underwent PCD in the prehospital setting between May 1995 and December 2019. Registered data included patient demographics, operator background, advanced life support interventions, and timelines. Resuscitation performance was evaluated according to the 2015 European Resuscitation Guidelines. Results: Seven patients underwent a prehospital PCD. Three mothers died on the scene, while four were transported to a hospital but died in the hospital. Seven neonates were born by PCD. One neonate died on the scene and six were ...
From gunshot wounds to domestic violence to highway trauma, emergency medical service personnel are trained to handle any situation. The program at Lamar State College-Orange will provide all of the necessary training to prepare the Emergency Medical Technician (EMT) to respond to all types of emergencies.. ...
Work with EMS agencies and Emergency Room Personnel. Students learn critical thinking skills necessary to perform emergency medical interventions in the prehospital environment.. The program is 28 weeks consisting of 220 classroom hours, 90 clinical hours (30 hospital and 60 ambulance hours).. In addition to these hours, the student must complete the minimum skills that are required as stated in the documentation booklet.. Students will learn advanced skills including Intravenous Therapy, Medication Administration, and basic EKG Interpretation. During training, student will ride along in an ambulance and perform within the state of Ohio AEMT scope of practice, under the direct supervision of another Ohio certified AEMT or Paramedic.. ...
This course curriculum explains the difference between the various levels of the Emergency Medical Technicians and the responsibilities that accompany each level of training. The student will learn such topics as medical/legal issues, communications, stress, system structure, infection control, patient assessment, lifting, and medical terminology.
More than 40 percent of people aged 65 years or older experience one or more falls each year, often resulting in injuries [1, 2]. Consequences of falls include a reduction in physical activity and functional decline which in turn can lead to a poorer quality of life and social isolation. All these factors increase the risk of dependency and institutionalisation [3-5].. Many older people do not seek medical attention after a fall [6] but a significant and increasing number require paramedic attendance as a consequence of a fall. In the period July 2008 - June 2009, the Ambulance Service of New South Wales (ASNSW), Australia attended to 42,331 fallers aged 65 years and older which constitutes approximately 5.1% of all emergency ambulance responses [7]. This proportion is similar to the 7.5% reported in an urban Emergency Medical Service system in the USA [8]. The demand for emergency services to assist older fallers is likely to increase with population ageing.. In most countries, the current ...
The purpose of the study was to determine the epidemiology and the etiology of cardiac arrests witnessed by emergency medical services EMS personnel and the survival from resuscitation according to the Utstein style. Consecutive prehospital cardiac arrests witnessed by EMS personnel in the Helsinki City EMS system between January 1,1994 and...
July 22, 2014, Fort Worth, Tx. - Bell Helicopter has announced a signed purchase agreement for the first two Bell 429s configured for Helicopter Emerg...
The King County Medic One/EMS system is primarily funded by a countywide, voter-approved EMS levy (RCW 84.52.069) which will expire December 31, 2019. To ensure continued emergency medical services in 2020 and beyond, the region will undertake an extensive planning process to collaboratively develop a Strategic Plan and financing plan (levy) for King County voters to renew in 2019. Overseeing the development and vetting of the Medic One/EMS levy is the EMS Advisory Task Force, which is charged with reviewing and endorsing broad policy decisions for the EMS system.. The first meeting of the EMS Advisory Task Force will be held on January 18, 2018, from 1:00 pm - 3:00 pm at the Tukwila Community Center (located at 12424 42nd Ave S, Tukwila, WA). For information about this meeting and the upcoming Medic One/EMS levy planning process, please contact Helen Chatalas, Assistant EMS Division Director, at [email protected], 206-263-8560 or use our online contact form.. ...
The Morrow County Health District works with ambulance organizations in Gilliam and Wheeler counties to manage Tri-County Ambulance Association. Tri-County Ambulance Association is a membership program designed to help residents maintain affordable access to quality emergency medical services. By joining, membership provides payment after insurance coverage for medically necessary ambulance service. The cost for a family membership is $45 per year.. In addition to coverage in Morrow Gilliam and Wheeler counties, members receive benefits in over 50 other service areas. Tri-County Ambulance Association has developed reciprocal agreements with an extensive network of EMS providers throughout Oregon to ensure its members receive the finest lifesaving care possible at an affordable price.. ...
In patients presenting with acute dyspnea in a pre-hospital setting, the early and correct diagnosis may present a significant clinical challenge. Physical examination, chest radiography, electrocardiography, and standard biological tests often fail to accurately differentiate heart failure (HF) from pulmonary causes of dyspnea. Timely differentiation of HF from other causes of dyspnea may permit the early institution of appropriate medical therapy. Brain natriuretic peptide (BNP) and amino-terminal pro-brain natriuretic peptide (NT-proBNP) have been proposed as early markers of HF and demonstrated to be useful for diagnosing and excluding HF in the emergency department. A combination of BNP or NT-proBNP testing and standard clinical assessment has been suggested to be superior to either tool used in isolation. Some previous studies have also suggested that quantitative capnometry (QC) may be useful in differentiating between cardiac and obstructive causes of respiratory distress. Therefore, the ...
The introduction of the Ambulance Response Programme will mean that more patients will be seen more quickly than ever before. Here, some of the experts behind the scheme explain more about why it is good news for patients. Professor Keith Willett, Medical Director for Acute Care at NHS England, says that the Ambulance Response Programme…
In trauma situations, we can provide bleeding control, splinting, bandaging, spinal motion restriction, needle chest decompression for tension pneumothorax (collapsed lung), CPR, oxygen administration and intravenous therapy. If you were to have a medical complaint we can administer oxygen, monitor your oxygen level with a pulse oximeter, end-tidal CO2 detection, clear airway obstructions, monitor your EKG (electrocardiogram), cardiac defibrillation, synchronized cardioversion, diagnostic EKG (12-lead electrocardiogram) use advanced airways(endotracheal intubation), intravenous therapy, interosseous infusion, needle cricothyrotomy for complete airway blockage and administer medications for cardiac, diabetic, allergic reaction and respiratory emergencies.. Local policy regarding ambulance transportation destination is set by the San Luis Obispo County Emergency Medical Services Agency. According to this policy, if your medical condition is stable in the judgment of the Paramedic you may select a ...
TY - JOUR. T1 - Evolving Role of Mobile Stroke Units within the Prehospital Stroke Systems of Care. AU - Fayad, Pierre. AU - Grotta, James C.. PY - 2020. Y1 - 2020. KW - Editorials. KW - attention. KW - brain. KW - stroke. KW - thrombectomy. KW - triage. KW - workflow. UR - http://www.scopus.com/inward/record.url?scp=85085477320&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=85085477320&partnerID=8YFLogxK. U2 - 10.1161/STROKEAHA.120.029420. DO - 10.1161/STROKEAHA.120.029420. M3 - Editorial. C2 - 32390551. AN - SCOPUS:85085477320. SP - 1637. EP - 1638. JO - Stroke; a journal of cerebral circulation. JF - Stroke; a journal of cerebral circulation. SN - 0039-2499. ER - ...
Emergency medical services (EMS) personnel are an integral component of the health care framework and function to transport patients from various locations to and between care facilities. In addition to physical injury, EMS personnel are expected to be at high risk to acquire and transmit health care-associated infections (HAIs) in the workplace. However, currently, little is known about EMS biosafety risk factors and the epidemiological contribution of EMS to pathogen transmission within and outside the health care sector. Health care facility microbiomes contain diverse bacterial, fungal, and viral pathogens that cause over 1.7 million HAIs each year in the United States alone. While hospital microbiomes have been relatively well studied, there is scant information about EMS infrastructure and equipment microbiomes or the role(s) they play in HAI transmission between health care facilities. We review recent literature investigating the microbiome of ambulances and other EMS service facilities ...
The Bennington Local Health Office coordinates with local schools, non-profits, businesses, and first responders to protect our community during a public health emergency. Our community partners include the Bennington Local Emergency Planning Committee, long-term care facilities, the regional planning commission, Southwestern Medical Center, United Counseling Service, fire and police departments and emergency medical services agencies.
Emergency medical services (EMS) play a vital role in responding to requests for assistance, triaging patients, and providing emergency medical treatment and transport for ill persons, including suspected or confirmed COVID-19 patients. However, unlike patient care in the controlled environment of a health care facility, care and transports by EMS present unique challenges because of the nature of the setting, proximity to patients in an enclosed space during transport, limited airflow, limited information about their patients, frequent need for rapid medical decision-making, and a varying range of patient acuity and jurisdictional health care resources. EMS also face significant risk of virus transmission during aerosol-generating procedures (AGPs), such as airway management and non-invasive ventilation (NIV). For example, a US study reported that EMS personnel are at a higher risk of dying from COVID-19 than other health care or emergency services professionals. The study estimated the number ...
TY - JOUR. T1 - Emergency cardiac CT for suspected acute coronary syndrome. T2 - Qualitative and quantitative assessment of coronary, pulmonary, and aortic image quality. AU - Dodd, Jonathan D.. AU - Kalva, Sanjeeva. AU - Pena, Antonio. AU - Bamberg, Fabien. AU - Shapiro, Michael D.. AU - Abbara, Suhny. AU - Cury, Ricardo C.. AU - Brady, Thomas J.. AU - Hoffmann, Udo. PY - 2008/9. Y1 - 2008/9. N2 - OBJECTIVE. The purpose of this study was to determine whether a dedicated coronary CT protocol provides adequate contrast enhancement and artifact-free depiction of coronary, pulmonary, and aortic circulation. MATERIALS AND METHODS. Dedicated coronary 64-MDCT data sets of 50 patients (27 men; mean age, 54 ± 12.4 years) consecutively admitted from the emergency department with suspected acute coronary syndrome were analyzed. Two independent observers graded overall coronary arterial image quality and qualitative and quantitative contrast opacification, motion, and streak artifacts within the pulmonary ...
Lake Forest, Illinois (PRWEB) June 15, 2013 1-800-GO-VAPOR.com, a leading global retailer specializing in outstanding vapor steam cleaners for home and commercial use, today announced that it is offering the Ladybug Tekno 2350 vapor steam cleaner to Emergency Medical Services (EMS). The Tekno qualifies as a disinfection device for the U.S. Environmental Protection Agency (EPA), making it more suitable than traditional hard-surface disinfectants for cleaning, deodorizing and disinfecting ambulances.. Ambulances that are used for patient transport must be properly cleaned after every transport, says a 1-800-GO-VAPOR.com spokesperson. But you dont need the toxic products most EMS agencies use. Using ordinary tap water, the Ladybug Tekno 2350 vapor steam cleaner offers a level of performance that chemical disinfectants may never achieve, all while ensuring employee and patient safety.. Current research shows that the simplified water-only protocol of the Tekno 2350 achieves a greater kill rate in 3 ...
The general aim of this thesis was to study symptoms, prehospital delay and time trends in long-term survival in men and women with myocardial infarction (MI). The study was based on quantitative and qualitative data collections.. Study I was based on The Northern Sweden MONICA Myocardial Infarction Registry, 1989-2003, including 5072 men and 1470 women with a confirmed MI. Symptoms and prehospital delay were described and trends over time according to sex and age were studied. Typical pain was present in 86% of the men and 81% of the women and typical symptoms were more common among younger persons than older persons. Up to the age of 65 no gender differences were seen in the prehospital delay. In the oldest age group (65-74 years) time to hospital was longer than among the younger group, especially among women.. Study II was based on individual interviews with 20 men with a first confirmed MI, representing the age range 65-80 years, about their experiences during the prehospital phase. The ...
AIMS: The aims of this study were (a) to determine the prehospital prevalence of electrocardiographic (ECG) signs of acute myocardial ischemia in patients with suspected acute coronary syndrome and (b) to describe the relationships between the various ECG patterns and the diagnosis of acute myocardial infarction (AMI) and outcomes. METHODS: Prospective cohort study using data from an interventional trial in acute chest pain patients transported by the emergency medical services. These patients were classified into 3 groups: patients with ECG showing signs of acute myocardial ischemia, patients with ECG showing other abnormal changes (bundle-branch block, pacemaker rhythm, Q-wave or T-wave inversion) and patients without significant pathologic findings. All P values are age-adjusted. RESULTS: Among 1546 patients, 312 (20%) had ECG signs of acute myocardial ischemia. Of them, 57% had a final diagnosis of AMI versus 26% of those with other abnormal ECGs and 12% of those with ECG without significant ...
Introduction: Out-of-hospital cardiac arrest (OHCA) is a lethal health problem thataffects between 236,000 and 325,000 people in the United States each year. As resuscitationattempts are unsuccessful in 70-98% of OHCA cases, Emergency Medical Services(EMS) personnel often face the needs of bereaved family members.Problem: Decisions to continue or terminate resuscitation at OHCA are influenced byfactors other than patient clinical characteristics, such as EMS personnels knowledge,attitudes, and beliefs regarding family emotional preparedness. However, there is littleresearch exploring how EMS personnel care for bereaved family members, or how theyare affected by family dynamics and the emotional contexts. The aim of this study is toanalyze EMS personnels experiences of caring for families when patients suffer cardiacarrest and sudden death.Methods: The study is based on a hermeneutic lifeworld approach. Qualitative interviewswere conducted with 10 EMS personnel from an EMS agency in southern ...
In GREAT, median call-to-needle times were 55 and 185 minutes for prehospital and hospital groups; 90% and 1% of measurements were ⩽ 90 minutes, respectively.1 In this audit, comprising many of the same practices that took part in the trial, the corresponding times were improved, at 45 minutes for prehospital thrombolysis, and 145 minutes for hospital thrombolysis. The improvement is most marked for the hospital group, where call-to-needle times were 40 minutes shorter in the audit than in the trial. This was largely owing to shortening of door-to-needle times in hospital, from 87 minutes in GREAT (estimated mean), to 35 minutes (median) in this audit.. Call-to-opiate times give an indication of the first opportunity for thrombolysis, which may be initiated about 15 minutes after opiate is given. In both prehospital and hospital groups, median call-to-opiate times were about half an hour.. In some rural areas of Scotland, thrombolytic treatment is given by general practitioners in community ...