Suchergebnisse

In many developing countries, transportation infrastructure development lags behind the tremendous growth in motorization. Road traffic injuries cause enormous morbidity and mortality worldwide, placing heavy burdens on global and national economies. .Underdeveloped transportation infrastructures critical to traffic safety include roadway improvement, occupant protection laws, traffic law enforcement, and emergency medical services (EMS). Highlighting one important aspect of lagging infrastructure, this article focuses on emergency medical services. This research study offers a descriptive evaluation of the existing pre-hospital care system in Chiang Mai, Thailand. The research objectives were (a) to describe how emergency rescue services are organized in Chiang Mai, (b) to examine ongoing public health efforts to improve emergency services, and (c) to document the training, certification, employment, and medical use of pre-hospital personnel. Thailand's national and local pre-hospital services (i.e., services designed to transfer persons with traffic injuries into the country's hospital infrastructure) are both insufficient and inefficient. The Thai National Government has promised funding to create a national EMS network by 2006. Research recommendations for Thailand EMS include more professional training for emergency workers, standardization of equipment, centralization of communications, and further analysis of competitive services.

ABSTRACT: As in many other developing countries, emergency medical services, especially pre-hospital emergency care, has long been neglected in Pakistan. Consequently, patients are brought to the emergency departments by relatives or bystanders in private cars, taxis or any other readily available mode of transportation. Ambulances, where they exist, have barely a stretcher and arrangements for oxygen supply. Modern emergency services are considered too costly for many countries. A model of pre-hospital emergency services, called Rescue 1122 and established in Punjab province of Pakistan, is presented. The system is supported by government funding and provides a quality service. The article describes the process of establishment of the service, the organisational structure, the scope of services and the role it is currently playing in the healthcare of the region it serves.

published_or_final_version ; Politics and Public Administration ; Master ; Master of Public Administration

Objective: To grasp the meaning of the attending to youth who attempted suicide for the pre-hospital nurse and analyze how that meaning can influence the treatment of these young people. Method: An exploratory and descriptive study, with qualitative approach. Research participants were nine nurses who fulfilled the inclusion criteria. Results: From the analysis there emerged three categories: Significance of care to young suicidal; Feelings of nurses to meet a young suicide; Influence of significance in attending a young suicide and its relation to professional conduct. Conclusion: Attending a young suicide has special meaning to the study subjects and awakens feelings such as anxiety, sadness, fear and suffering. The prehospital nurse shows itself compromised in the patient care and family, regardless of the nature of the occurrence, however, puts the fact of suicide as relevant to the care provided.

Jakarta has a role as the center of government, trade, tourism center and as services city with its development including the rapid growth of the population of Jakarta province which affects to the growing cases of health, social, political, economic, and others. One of common occurred cases is the case of a medical emergency in the phase of pre-hospital or outside of the hospital environment which have some causes such as by traffic accident, occupational accident, acute illness, household accident, disaster and mass casualties. In 2015 it was recorded that there were increased and decreased 118 Ambulance service users. This research is a descriptive survey research through a quantitative approach. The research was conducted in October 2015. The number of respondents in this study was 75 respondents. The sampling technique used in this research was non probability sampling especially purposive sampling. The analysis tool that was used is Importance Performance Analysis (IPA). Data processing used SPSS 16.0.

Introduction Cumulative disease burden may be associated with survival chances after out-of-hospital cardiac arrest (OHCA). The relative contributions of cumulative disease burden on survival rates at the pre-hospital and in-hospital phases of post-resuscitation care are unknown. Methods The association between cumulative comorbidity burden as measured by the Charlson Comorbidity Index (CCI) and pre-hospital and in-hospital survival rates was studied using data (2010–2014) from a prospective OHCA registry in the Netherlands. The association between CCI and survival rate (overall survival [OHCA-hospital discharge], pre-hospital survival [OHCA-hospital admission] and in-hospital survival [hospital admission-hospital discharge]) was assessed using logistic regression analyses. The relative contributions of CCI on pre-hospital and in-hospital survival rates were determined using the Nagelkerke test. Results We included 2510 OHCA patients aged ≥18y. CCI was significantly associated with overall survival rate (OR 0.71; 95%CI 0.61−0.83; P < 0.01). CCI was not associated with pre-hospital survival rate (OR 0.96; 95%CI 0.76–1.23; P = 0.92) whereas high CCI was significantly associated with low in-hospital survival rate (OR 0.41; 95%CI 0.27−0.62; P = 0.01). The relative contributions of CCI on pre-hospital and in-hospital survival were 1.1% and 8.1%, respectively. Conclusion Pre-existing high comorbidity burden plays a modest role in reducing survival rate after OHCA, and only in the in-hospital phase. The present study offers data that may guide clinicians in discussing resuscitation options during advance care planning with patients with high comorbidity burden. This may be helpful in creating a patients' informed choice. ; This work has received funding from the European Union's Horizon 2020 research and innovation programme under acronym ESCAPE-NET , registered under grant agreement No 733381, and the Netherlands CardioVascular Research Initiative , Dutch Heart Foundation , Dutch Federation of University Medical ...

The Outreach Dental Care Service of Swedish American Hospital, Rockford, IL, brings a hygienist to local long‐term care facilities, who provides prophylaxis, cleans partial dentures and complete dentures, plans individualized daily oral hygiene regimens, trains facility caregivers, and educates staff members.

Using data from Michigan Cardiac Arrest Registry to Enhance Survival (MI-CARES) for years 2014-2017, we calculated rates of sustained return of spontaneous circulation (ROSC) upon emergency department arrival across EMS agencies in Michigan.

Purpose
There is a growing academic interest in the examination and exploration of work intensification in a wide range of healthcare settings. The purpose of this paper is to explore the differing staff perceptions in emergency ambulance services in the UK. It provides evidence on the challenges for the paramedic professionalisation agenda and managing operational demands and work intensity in emotionally challenging circumstances, with significant implications for patient safety.


Design/methodology/approach
Drawing on the evidence from an empirical study in a large National Health Service ambulance trust in England, this paper examines the challenges and differing staff perceptions of the changing scope and practice of ambulance personnel in the UK. Amidst the progress on the professionalisation of the paramedic agenda, individual trusts are facing challenges in form of staff attitudes towards meeting performance targets, coupled with rising demand, fear of loss of contracts and private competition.


Findings
Research findings highlight differing perceptions from various sub-cultural groups and lack of clarity over the core values which are reinforced by cultural and management differences. Need for greater management to explore the relationship between high sickness levels and implications for patient safety including the need for policy and research attention follows from this study. The implications of work intensity on gender equality within the ambulance settings are also discussed.


Research limitations/implications
Ambulance services around the world are witnessing a strain on their operational budgets with increasing demand for their services. Study evidence support inconclusive evidence for patent safety despite the growing specialist paramedic roles. Organisational implications of high staff sickness rates have been largely overlooked in the management literature. This study makes an original contribution while building upon the earlier conceptions of work intensification.


Practical implications
The study findings have significant implications for the ambulance services for better understanding of the staff perceptions on work intensity and implications for patient safety, high sickness absence rates amidst increasing ambulance demand. Study findings will help prepare the organisational policies and design appropriate response.


Social implications
Societal understanding about the organisational implications of the work intensity in an important emergency response service will encourage further debate and discussion.


Originality/value
This study makes an original contribution by providing insights into the intra-organisational dynamics in an unusual organisational setting of the emergency ambulance services. Study findings have implications for further research inquiry into staff illness, patient safety and gender issues in ambulance services. Evidence cited in the paper has further relevance to ambulance services globally.