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

Dear Sirs, We have previously expressed concerns about the validity of the clinical bottom line published alongside the popular Best BETS. (1) Best BETS should be based on specific clinical scenarios and should aim to provide a clinical bottom line which indicates, in the light of the evidence, what the clinician would do if faced with the same scenario again. (2) The report by Olaussen and Williams serves to remind us, again, that unless Best BETS are rigorously conducted their conclusions may be highly inappropriate.(3) Olaussen and Williams wonder how different intraosseous (IO) access techniques and devices compared in the pre-hospital setting. Their review of the literature to May 2010 concluded that: Traditional manual intraosseous infusion devices have better success rates and faster insertion times compared with semi-automatic intraosseous infusion devices in the prehospital setting. Evidence based medicine is the conscientious, explicit, and judicious use of current best evidence in ...

TY - JOUR. T1 - Community lessons to understand resuscitation excellence (culture). T2 - Association between emergency medical services (EMS) culture and outcome after out-of-hospital cardiac arrest. AU - Dyson, Kylie. AU - Brown, Siobhan P.. AU - May, Susanne. AU - Sayre, Michael. AU - Colella, Mario. AU - Daya, Mohamud R.. AU - Roth, Ronald. AU - Nichol, Graham. N1 - Publisher Copyright: © 2020 Elsevier B.V.. PY - 2020/11. Y1 - 2020/11. N2 - Background: The large geographic variation in outcome after out-of-hospital cardiac arrest (OHCA) is not well explained by traditional patient and emergency medical services (EMS) characteristics. A culture of excellence in resuscitation within an EMS is believed to be an important factor that influences quality of care and outcome in patients with OHCA. However, whether a culture of excellence is associated with improved survival after OHCA is not known. Methodology: We linked survey responses from EMS agency medical directors related to resuscitation ...

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...

TY - GEN. T1 - Improve an emergency medical system capacity with Theory of Constraints. AU - Villarreal, Bernardo. AU - Reyes, Jose Arturo Garza. AU - Ramirez, Jenny Diaz. AU - Carranza, Aracely. AU - Morales, Gabriela. AU - Quezada, Arturo. PY - 2018/7/1. Y1 - 2018/7/1. N2 - The measure of ambulance cycle time is of particular interest in the performance of Emergency Medical Systems (EMS). Its value determines the ambulance capacity of the operations system of an EMS institution. For a given number of ambulances in operation, as the value of the average ambulance cycle time increases, total ambulance capacity for the system is reduced. Additional impacts resulting from this situation are; an increase on the average ambulance response time and patients health risk due to the unavailability of ambulances; and a greater need of ambulance replacement investment requirements and operating cost. This work suggests an improvement approach based on Theory of Constraints (TOC) and elimination of waste ...

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.. ...

Pre-Hospital Emergency Care Council - Recruitment Opportunity for Emergency Medical Technicians/Paramedics/Advanced Paramedics For the first time in almost twenty years, Irelands Regulator for paramedics, …. ...

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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 ...