Suchergebnisse

All volunteer rescue squads may appear to be the same, but actually they are not. Some squads, for example, may be more dependent than others upon organizations such as the United Way, local government, or even private business. Some serve affluent areas, while others serve areas where clients have a lower income. Each of these differences affects the call volume, manpower needs, and funding requirements of a squad. ; Prepared by EMS Volunteers for EMS Volunteers; Jane Wills and Terry Wright, principal authors

INTRODUCTION: The purpose of the study was to critically analyse financial management of the public Emergency Medical Services (EMS) sector with specific focus on the financing methods for public EMS. METHODS: The study is a descriptive cross-sectional quantitative survey. It was conducted in the Department of EMS at the Ministry of Health, Uganda. A census was conducted for all twenty-one members of the Department of EMS. Data was collected with the use of a structured questionnaire. RESULTS: The prominent sources of funding towards EMS in Uganda included government, development partners and charity organizations. The most highlighted factors constraining financial management of EMS included reduced government funding, bureaucracies within government agencies and increasing costs of running EMS. The major strategies to improve on the financial constraints included formation of a national insurance scheme, increasing government's contribution and forming Public-Private Partnerships. CONCLUSION: The department seemed to be taking on the trend of the developed world in form of strategies to combat financial management constraints which is a step in the right direction but should be cognizant of the challenges this could bring on due to adaptation of these practices. The department of EMS still had a narrow scope of funding sources mainly circling around government and development partner support and was utilizing less of the more contemporary sources mainly exercised by the developed world.

Coproduction arrangements are being used in a number of places and in a number of forms. Yet, little research exists on assessing the effectiveness of citizen involve ment in the production of public services, which is the focus of this paper. First, drawing upon organizational theory, a method for determining the effectiveness of coproductive activities is proposed. Then the framework is applied to a citizen volunteer emergency medical response (EMS) organization operating in a small rural community as part of a regional response system. The volunteer group is examined in its relationships to the overall EMS system of which it is part, to specific governmental agencies and private emergency response firms it works with and its own members. Variables considered include its contribution to the needs of the system, cost effectiveness, emergency response capacity, interorganizational compatibility, skill levels of participants, and their motivation for volunteering. The study finds that benefits generated by the citizen group exceed its costs and dis cusses how the group successfully integrated itself into a high-skill regional service delivery system and expanded the services it produces to meet other community needs.

Emergency Medical Services for Children -- Copyright -- Preface -- Acknowledgments -- Contents -- Summary -- RECOGNIZING A NEED FOR EMERGENCY MEDICAL SERVICES FOR CHILDREN -- Origins of the Study and Report -- A Vision of Emergency Medical Services for Children -- Children and Why They Need Special Attention -- Epidemiological Considerations -- Key Historical Developments -- PRIORITY ISSUES IN IMPROVING EMERGENCY MEDICAL SERVICES FOR CHILDREN -- Education and Training -- Programs for the Public -- Programs for Health Care Professionals -- Putting Essential Tools in Place -- Communication -- Public Access to Emergency Services -- Communication Within EMS Systems -- Communication About EMS-C -- Planning, Evaluation, and Research -- Meeting Data Needs for Planning and Evaluation -- Research -- Leadership at the Federal and State Levels -- Agencies and Advisory Councils -- Funding -- LOOKING TO THE FUTURE -- Issues of Benefits and Costs -- A Changing Health Care Environment -- Health Care Reform -- Special Challenges to EMS and EMS-C -- FINAL THOUGHTS -- 1 Introduction -- THE ISSUE: ENSURING EMERGENCY MEDICAL CARE FOR CHILDREN WHO NEED IT -- THE INSTITUTE OF MEDICINE STUDY -- Origins of the Study -- Conduct of the Study -- A VISION OF THE IDEAL SYSTEM: ESTABLISHING CRITICAL LINKAGES -- Linking Components of EMS-C -- Linking Children to EMS -- Linking Emergency Care to Children's Health Care -- GUIDING PRINCIPLES -- ORGANIZATION OF THE REPORT -- AUDIENCE FOR THIS REPORT -- THE COMMITTEE'S GOAL -- NOTE -- 2 Risking Our Children's Health: A Need for Emergency Care -- DEFINITIONS -- Children -- Emergency Medical Services -- WHY CHILDREN NEED SPECIAL ATTENTION -- Children Differ from Adults -- Anatomy and Physiology -- Emotional and Behavioral Development -- Patterns of Morbidity and Mortality -- Special Concerns in Caring for Children.

Emergency nursing is an essential, integral and indispensable part of the Emergency Medical Services (EMS). The development of various specialties and super specialties in clinical areas including emergency medicine requires skilled and competent nurses. Above all, these nurses must be able to initiate resuscitative measures for emergency victims to save lives. Considering the magnitude of emergency care service needs in India and in line with the Government of India's Plan there is a need for developing the capabilities at all levels to provide effective and efficient care to all emergency victims. This chapter titled "Emergency Nursing - An essential requisite of Emergency Medical Service (EMS)" highlights the education and training needs for nurses in order to keep pace with the advancement in medical science and technology in providing patient care. According to the Government of India's plan, special committees are set up to improve the emergency healthcare service. Nurses are an integral part of the healthcare system and they should be able to cope with the rapidly changing healthcare needs of patients in emergency situations. Nurses need to be trained to meet the emergency healthcare needs; their enhanced skills and competence will enable them to initiate care, make decisions and manage emergency situations independently in order to save lives and limit complications. They should be able to make best use of 'the golden hour' in order to help prevent avoidable deaths in emergencies.

"An expert guide to contemporary research in the field of emergency services management, this shortform book will help academics, scholars, and practitioners to appreciate the important role and contribution of these services. Contemporary emergency services have been rapidly changing in response to increasing demand, reducing resources, the impact of COVID-19 and the increasingly complex threats to public safety. Academics, practitioners, the emergency services and their key stakeholders all need to have a clear understanding of the changing role and contribution of these services as well as finding ways to improve their management and performance so that policy solutions to new and emerging threats may be efficiently developed and effectively implemented. The book looks at the application of public management theories to emergency services and the development of professionalism within the police, fire and rescue and ambulance services. It examines the increasing need for better collaboration and identifies the nature and extent of the academic and practitioner divide and the research gap between the academic and professional communities in each of the services. This book will be invaluable to researchers, scholars, practitioners and students in the fields of governance, leadership and management, especially those focusing on emergency services and management during crises"--

Emergency Medical Services (EMS) in Iran, named "Emergency 115," was established in 1978 with cooperation from America. In Iran, EMS delivery is financed by the government and is free of charge. Established standards call for a response time of less than eight minutes in cities and less than 15 minutes in suburban areas for 80 of the cases, and this standard has been met everywhere in the country except for Tehran (the capital of Iran). Emergency services coverage for traffic accidents has exceeded 52.3. In recent years, the Foundation of Medical Emergency Schools has established emergency medicine training programs for both EMS personnel and the general public. Also, personnel of the Iran Medical Emergency and Accidents Management Organization are establishing the standards for hospital emergency procedures and providing oversight of the emergency departments in hospitals. Over all, pre-hospital emergency services have made notable advances, and they are continuing to improve.

Emergency medical services (EMS) systems provide important benefits to the public. Every day, EMS systems provide immediate medical care in response to individual health emergencies, such as motor vehicle crashes. They also play an important role in responding to disasters that threaten the health and safety of the larger public. Yet EMS does not receive the same recognition and support from policymakers as other services such as police and fire departments. The National Emergency Medical Services Advisory Council has argued that the lack of recognition of EMS as an essential service and publi