Journal articles: 'Emergencies services'

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Graschew, Georgi, Peter Schlag, Theo Roelofs, Stefan Rakowsky, Wolfgang Düsel, Uwe Müller, and Andreas Lieber. "Telemedical Services for Disaster Emergencies." Information & Security: An International Journal 16 (2005): 62–76. http://dx.doi.org/10.11610/isij.1606.

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Heppell, Patrick J., and Suchet Rao. "Social Services and Behavioral Emergencies." Child and Adolescent Psychiatric Clinics of North America 27, no. 3 (July 2018): 455–65. http://dx.doi.org/10.1016/j.chc.2018.02.007.

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Mansoor, Shehzad Adil, Humayun Suqrat Hasan Imam, and Muhammad Asif Shahzad. "EMERGENCY SERVICES (1122)." Professional Medical Journal 22, no. 02 (February 10, 2015): 163–66. http://dx.doi.org/10.29309/tpmj/2015.22.02.1366.

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Emergency services were working all over the world to deal with different types ofemergencies and the frequency of emergencies were increased with the passage of time. Manydeveloping countries even don’t have such services and it was difficult to estimate the scaleof emergencies in those countries. Objectives: To know about the types of emergencies andto help to plan for their prevention in future. Place and duration of study: Data was collectedfrom emergency services department 1122 in four big cities of Punjab from Nov.2004-Feb.2014.Methods: Descriptive observational study. Results: The road traffic emergencies received were243481 in Lahore, 92367 in Faisal Abad, 52507 in Multan and33847 in Rawalpindi. Medicalemergencies were 247692 in Lahore, 82910 in Faisal Abad, 112531 in Multan and 31069 inRawalpindi. Fire incidences were 14594 in Lahore, 6369 in Faisal Abad, 3707 in Multan and3929 in Rawalpindi. Crime incidence related emergencies were 13301 in Lahore, 15051 in FaisalAbad, 5326 in Multan and 1705 in Rawalpindi. Conclusions: Road traffic related emergencieswere increased even some times more than medical emergencies. Fake calls were also inhigher proportion.

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Brown, Tom. "Psychiatric emergencies." Advances in Psychiatric Treatment 4, no. 5 (September 1998): 270–76. http://dx.doi.org/10.1192/apt.4.5.270.

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Despite the frequency with which psychiatric emergencies are encountered in medical and other services, the literature, at least in the UK, is relatively sparse, with little systematic research on either service provision or areas of clinical interest. Services have often evolved in an ad hoc way and psychiatric emergencies are often seen by very junior trainees early in their psychiatric careers, with little relevant training. Although the vigilance of the Royal College of Psychiatrists on its approval visits has ensured that most trainees are given advice on the recognition and management of violence (at induction courses at the start of their training), it is not uncommon to find that wider areas of training in emergency psychiatry are neglected. It is still the case, for example, that some postgraduate programmes in psychiatry provide little or no formal training on emergency psychiatry.

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Tennyson, Arthur V. "Veterinary Services in Disasters and Emergencies." Military Medicine 154, no. 1 (January 1, 1989): 41–45. http://dx.doi.org/10.1093/milmed/154.1.41.

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Huxley, Peter, and Michael Kerfoot. "Social services response to psychiatric emergencies." Psychiatric Bulletin 17, no. 5 (May 1993): 282–85. http://dx.doi.org/10.1192/pb.17.5.282.

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This paper reports the results of a nationwide survey of social services responses to psychiatric emergencies. The survey is a companion to that by Johnson & Thornicroft (1991) (J&T) who reviewed the emergency service options available in psychiatry, including the emergency clinic, general hospital services, the emergency ward, acute day hospital and crisis intervention and residential services, as well as considering the role of sectorised services, and community mental health centres (CMHCs). For the purposes of our respective surveys of health and social services in England and Wales, we have defined a psychiatric emergency as “occurring when someone (patient, friend, relative or professional) requests urgent intervention on behalf of someone in the community who is suffering from a mental disorder”.

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Rafaely, Daniella, and Kevin A. Whitehead. "Extraordinary emergencies." Pragmatics and Society 11, no. 1 (March 30, 2020): 45–69. http://dx.doi.org/10.1075/ps.17001.raf.

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Abstract This report uses audio recorded telephone calls and textual data from an emergency medical services call center to examine the interactional practices through which speakers produce what we call “extraordinary emergencies”, treating the events concerned as requiring moral, as well as medical, attention. Since one of the overarching institutional aims of emergency call centers is to facilitate the efficient provision of medical services, call-takers typically treat reported emergencies as routine events. However, in some instances speakers produce practices that do not contribute toward the institutional agenda of providing medical assistance, thereby treating them as extraordinary cases. These practices occurred recurrently in calls involving reports of emergencies relating to child sexuality, including sexual assaults against children and obstetric emergencies where the mother was particularly young. We discuss the implications of these findings for the situated reproduction of particular moral norms, especially with respect to the category of the child in society.

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Saddichha, Sahoo, and Pandey Vibha. "Behavioral Emergencies in India: Would Psychiatric Emergency Services Help?" Prehospital and Disaster Medicine 26, no. 1 (February 2011): 65–70. http://dx.doi.org/10.1017/s1049023x10000038.

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AbstractIntroduction:Behavioral emergencies constitute an important component of emergencies worldwide. Yet, research on behavioral emergencies in India has been scarce. This article discusses the burden, types, and epidemiology of behavioral emergencies in India.Methods:A computerized search of Medline, Psychinfo, and Cochrane from 1975 to 2009 was performed, and all articles were evaluated and collated. The results were summarized.Results and Conclusions:There is an acute need for psychiatric emergency services in India. Suicides, acute psychoses, and substance-related problems form the major portion of behavioral emergencies, while current trends show a rise in disaster- and terrorism-related emergencies.

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Reuter, Christian, Thomas Ludwig, Therese Friberg, Sylvia Pratzler-Wanczura, and Alexis Gizikis. "Social Media and Emergency Services?" International Journal of Information Systems for Crisis Response and Management 7, no. 2 (April 2015): 36–58. http://dx.doi.org/10.4018/ijiscram.2015040103.

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Social media is much just used for private as well as business purposes, obviously, also during emergencies. Emergency services are often confronted with the amount of information from social media and might consider using them – or not using them. This article highlights the perception of emergency services on social media during emergencies. Within their European research project EMERGENT, the authors therefore conducted an interview study with emergency service staff (N=11) from seven European countries and eight different cities. Their results highlight the current and potential use of social media, the emergency service's participation in research on social media as well as current challenges, benefits and future plans.

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Reyes, Beatriz Martín, Rocio Abolafia del Balzo, Antonio Estepa Sánchez, María del Carmen García Cazalilla, Sixto Cámara Anguita, and Ana María Rojas Jiménez. "Emergencies medical services: Intraosseous drill in CPR." Resuscitation 85 (May 2014): S24. http://dx.doi.org/10.1016/j.resuscitation.2014.03.071.

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GRAHAM, CHARLES J., JOHN STUEMKY, and TOM A. LERA. "Emergency medical services preparedness for pediatric emergencies." Pediatric Emergency Care 9, no. 6 (December 1993): 329–31. http://dx.doi.org/10.1097/00006565-199312000-00001.

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Kim, Jung Ha, and Smi Choi-Kwon. "Ground-Based Medical Services for In-Flight Emergencies." Aerospace Medicine and Human Performance 91, no. 4 (April 1, 2020): 348–51. http://dx.doi.org/10.3357/amhp.5431.2020.

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BACKGROUND: The aim of this study was to evaluate the use of ground-based medical services (GBMS) by the cabin crew of a major South Korean airline for in-flight medical incidents involving passengers.METHODS: We conducted a survey of cabin crew to identify the anticipated use of GBMS in 2017. We compared the anticipated use to actual use as reported in cabin crew records submitted to the GBMS team and cabin crew logs from May 2013 to April 2016.RESULTS: Among 766 team leaders and assistant leaders, 211 individuals answered the questionnaire. A total of 915 instances of GBMS use were reported during the study period. There were no significant differences between anticipated and actual use in terms of the reasons for needing GBMS, with medication prescription being the most common reason. However, there were significant differences in the specific symptoms that triggered contact with GBMS. Pediatric and digestive symptoms were under-predicted, while neuropsychiatric and cardiac symptoms were over-predicted.DISCUSSION: Cabin crew tended to require GBMS to assist with pediatric and digestive conditions more often than anticipated. Furthermore, digestive and pediatric symptoms often require prescription medications.Kim JH, Choi-Kwon S. Ground-based medical services for in-flight emergencies. Aerosp Med Hum Perform. 2020; 91(4):348–351.

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Jama, Timo J., and Markku J. Kuisma. "Preparedness of Finnish Emergency Medical Services for Chemical Emergencies." Prehospital and Disaster Medicine 31, no. 4 (May 24, 2016): 392–96. http://dx.doi.org/10.1017/s1049023x16000546.

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AbstractIntroductionThe preparedness level of Finnish Emergency Medical Services (EMS) for treating chemical emergencies is unknown. The aim of this study was to survey the preparedness level of EMS systems for managing and handling mass-casualty chemical incidents in the prehospital phase in Finland.HypothesisThe study hypothesis was that university hospital districts would have better clinical capability to treat patients than would central hospital districts in terms of the number of patients treated in the field within one hour after dispatching as well as patients transported to hospital within one hour or two hours after dispatching.MethodsThis cross-sectional study was conducted as a Webropol (Wuppertal, Germany) survey. All hospital districts (n=20) in continental Finland were asked about their EMS preparedness level in terms of capability of treating and transporting chemically affected patients in the field. Their capability for decontamination of affected patients in the field was also inquired.ResultsUniversity hospital district-based EMS systems had at least 20% better absolute clinical capacity than central hospital-based EMS systems for treating chemically affected patients concerning all treatments inquired about, except the capacity for non-invasive ventilation (NIV)/continuous positive airway pressure (CPAP) treatment in the field. Overall, there was a good level of preparedness for treating chemical accident patients with supplemental oxygen, bronchodilators, and inhaled corticosteroids. Preparedness for providing antidote therapy in cases of cyanide gas exposure was, in general, low. The variation among the hospital districts was remarkable. Only nine of 15 central hospital district EMS had a mobile decontamination unit available, whereas four of five university hospital districts had one.ConclusionEmergency Medical Services capacity in Finland for treating chemically affected patients in the field needs to be improved, especially in terms of antidote therapy. Mobile decontamination units should be available in all hospital districts.JamaTJ, KuismaMJ. Preparedness of Finnish Emergency Medical Services for chemical emergencies. Prehosp Disaster Med. 2016;31(4):392–396.

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EICHELBERGER, MARTIN R., GERRY STOSSEL-PRATSCH, and ELMER A. MANGUBAT. "A pediatric emergencies training program for emergency medical services." Pediatric Emergency Care 1, no. 4 (December 1985): 177–79. http://dx.doi.org/10.1097/00006565-198512000-00001.

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Scott, W. G. "Automating the restoration of distribution services in major emergencies." IEEE Transactions on Power Delivery 5, no. 2 (April 1990): 1034–39. http://dx.doi.org/10.1109/61.53118.

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Cohen, Shapira, Aharonson-Daniel, and Shamian. "Confidence in Health-Services Availability During Disasters and Emergency Situations—Does it Matter?—Lessons Learned from an Israeli Population Survey." International Journal of Environmental Research and Public Health 16, no. 19 (September 20, 2019): 3519. http://dx.doi.org/10.3390/ijerph16193519.

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Abstract: The association between health and community resilience is well established in the literature. However, maintaining continuity of healthcare services during emergencies, and their contribution in the context of community resiliency have not been sufficiently studied. This study aims to explore the relationship between the public’s confidence in the availability of healthcare services during and following emergencies, and community resilience. A cross-sectional study was conducted among 3478 Israeli adults, using the Conjoint Community Resilience Assessment Measurement (CCRAM) tool. Associations between confidence in health services availability during emergencies, socio-demographic variables, and community resilience as measured by the CCRAM score were analyzed. The results revealed that confidence in the availability of health services positively correlated with community resilience score (r(3377) = 0.580, p < 0.001), and that it contributed significantly to increasing resilience (OR = 2.67, 95% CI (2.4–2.9), p < 0.001). Maintaining continuity of healthcare services during emergencies has effects beyond the provision of medical treatment. For instance, the confidence of the population in the availability of these services contributes to community resilience. In turn, this finding can be translated into practical resilience building actions and to facilitate community health.

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Kent, George. "WET-NURSING IN EMERGENCIES." World Nutrition 9, no. 3 (December 29, 2018): 314–23. http://dx.doi.org/10.26596/wn.201893314-323.

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It is often assumed that where infants cannot be breastfed by their own mothers, as is often the case in emergency situations, the second-best option is to use infant formula. However, wet nursing is usually a better option than infant formula. The wet nursing could be spontaneous or it could organized in advance. In many cases, the needs of infants who cannot be breastfed by their own mothers could be met with the help of lactating women in their area. In some cases banked human milk might meet the need, but in emergency situations it is not likely to be readily available when and where it is needed. Plans could be made by women’s groups to offer lactation services in their areas in emergency situations.

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Roche-Nagle, G., K. Bachynski, A. B. Nathens, D. Angoulvant, and B. B. Rubin. "Regionalization of services improves access to emergency vascular surgical care." Vascular 21, no. 2 (March 18, 2013): 69–74. http://dx.doi.org/10.1177/1708538113478726.

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Management of vascular surgical emergencies requires rapid access to a vascular surgeon and hospital with the infrastructure necessary to manage vascular emergencies. The purpose of this study was to assess the impact of regionalization of vascular surgery services in Toronto to University Health Network (UHN) and St Michael's Hospital (SMH) on the ability of CritiCall Ontario to transfer patients with life- and limb-threatening vascular emergencies for definitive care. A retrospective review of the CritiCall Ontario database was used to assess the outcome of all calls to CritiCall regarding patients with vascular disease from April 2003 to March 2010. The number of patients with vascular emergencies referred via CritiCall and accepted in transfer by the vascular centers at UHN or SMH increased 500% between 1 April 2003-31 December 2005 and 1 January 2006-31 March 2010. Together, the vascular centers at UHN and SMH accepted 94.8% of the 1002 vascular surgery patients referred via CritiCall from other hospitals between 1 January 2006 and 31 March 2010, and 72% of these patients originated in hospitals outside of the Toronto Central Local Health Integration Network. Across Ontario, the number of physicians contacted before a patient was accepted in transfer fell from 2.9 ± 0.4 before to 1.7 ± 0.3 after the vascular centers opened. In conclusion, the vascular surgery centers at UHN and SMH have become provincial resources that enable the efficient transfer of patients with vascular surgical emergencies from across Ontario. Regionalization of services is a viable model to increase access to emergent care.

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Lew, Michael W., Andres Falabella, Earl Moore-Jeffries, Russell J. Gray, and Michael J. Sullivan. "Oncologic Emergencies: The Anesthesiologist's Perspective." Journal of the National Comprehensive Cancer Network 5, no. 9 (October 2007): 860–68. http://dx.doi.org/10.6004/jnccn.2007.0077.

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Cancer is the second leading cause of death in the United States. During the course of treatment, a cancer patient may present emergently to the hospital because of either the cancer itself or a manifestation of cancer therapy. Rarely, patients with cancer can present to the operating room with several emergent conditions that require the services of an anesthesiologist. The main oncologic emergencies affecting anesthesiologists relate to airway obstruction and cardiac-, neurologic-, gastrointestinal-, and endocrine-related conditions. Mismanagement of these crises can increase morbidity and mortality. This article addresses emergencies in patients with cancer and how they relate to anesthetic care.

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O'Rielly, Connor, Joshua Ng-Kamstra, Ania Kania-Richmond, Joseph Dort, Jonathan White, Jill Robert, Mary Brindle, and Khara Sauro. "Surgery and COVID-19: a rapid scoping review of the impact of the first wave of COVID-19 on surgical services." BMJ Open 11, no. 6 (June 2021): e043966. http://dx.doi.org/10.1136/bmjopen-2020-043966.

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ObjectivesTo understand how surgical services have been reorganised during and following public health emergencies, particularly the first wave of the COVID-19 pandemic, and the consequences for patients, healthcare providers and healthcare systems.DesignA rapid scoping review.SettingWe searched the MEDLINE, Embase and grey literature sources for documents and press releases from governments and surgical organisations or associations.ParticipantsStudies examining surgical service delivery during public health emergencies including COVID-19, and the impact on patients, providers and healthcare systems were included.Primary and secondary outcome measuresPrimary outcomes were strategies implemented for the reorganisation of surgical services. Secondary were the impacts of reorganisation and resuming surgical services, such as: adverse events (including morbidity and mortality), primary care and emergency department visits, length of hospital and ICU stay, and changes to surgical waitlists.ResultsOne hundred and thirty-two studies were included in this review; 111 described reorganisation of surgical services, 55 described the consequences of reorganising surgical services; and 6 reported actions taken to rebuild surgical capacity in public health emergencies. Reorganisations of surgical services were grouped under six domains: case selection/triage, personal protective equipment (PPE) regulations and practice, workforce composition and deployment, outpatient and inpatient patient care, resident and fellow education, and the hospital or clinical environment. Service reorganisations led to large reductions in non-urgent surgical volumes, increases in surgical wait times and impacted medical training (ie, reduced case involvement) and patient outcomes (eg, increases in pain). Strategies for rebuilding surgical capacity were scarce but focused on the availability of staff, PPE and patient readiness for surgery as key factors to consider before resuming services.ConclusionsReorganisation of surgical services in response to public health emergencies appears to be context dependent and has far-reaching consequences that must be better understood in order to optimise future health system responses to public health emergencies.

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Kohen, Dora. "Psychiatric emergencies in people with a mental handicap." Psychiatric Bulletin 17, no. 10 (October 1993): 587–89. http://dx.doi.org/10.1192/pb.17.10.587.

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With the implementation of community care and resettlement programmes, the extent, frequency and the management of emergencies in the mentally handicapped population have attracted a good deal of attention. Among the issues of importance are crisis in the community and unnecessary and repeated hospital admission; inappropriate emergency referrals leading to abuse of services; the need for emergency services and the importance of short term admission facilities (Nolan et al, 1992). While the number of psychiatric emergencies in people with mental handicap is not large, the trend towards living in the community has brought the need to monitor such referrals.

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Nightingale, Anne, George Smith, and David Scott. "Counselling and support services for civil emergencies and major incidents." Psychiatric Bulletin 21, no. 8 (August 1997): 486–88. http://dx.doi.org/10.1192/pb.21.8.486.

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Across the UK counselling and support services are being developed as an extension of emergency planning for major incidents, with the aim of offering psychological help in the immediate aftermath of a disaster. In Strathclyde, Social Work and Mental Health Services Jointly established Liaison Teams with the task of planning and preparing for a major incident. We describe the response of a Liaison Team to a serious bus accident and present reflections from a psychodynamic perspective on some of the factors which may bear on planning and delivery of services.

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Milburn, Ashlea Bennett, and Charleen McNeill. "Quantifying Supply of Home Health Services for Public Health Emergencies." Home Health Care Management & Practice 29, no. 1 (July 20, 2016): 20–34. http://dx.doi.org/10.1177/1084822316658868.

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The number of persons seeking medical treatment during a public health emergency could quickly overwhelm the capacity of hospitals and emergency rooms. The amount of surge capacity home health care could provide during a public health emergency is unknown. The purpose of this research is to quantify the surge capacity of the home health sector in four emergency scenarios. According to the model developed, routine demand will exceed scenario capacity for almost all home health agencies in all pessimistic cases for the four scenarios discussed. However, home health agencies have the surge capacity to contribute to the provision of care for patients during times of demand under routine operating conditions as well as in conditions where demand may be moderately increased.

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Corral-De-Witt, Danilo, Enrique Carrera, Sergio Muñoz-Romero, Kemal Tepe, and José Rojo-Álvarez. "Multiple Correspondence Analysis of Emergencies Attended by Integrated Security Services." Applied Sciences 9, no. 7 (April 3, 2019): 1396. http://dx.doi.org/10.3390/app9071396.

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A public safety answering point (PSAP) receives thousands of security alerts and attends a similar number of emergencies every day, and all the information related to those events is saved to be post-processed and scrutinized. Visualization and interpretation of emergency data can provide fundamental feedback to the first-response institutions, to managers planning resource distributions, and to all the instances participating in the emergency-response cycle. This paper develops the application of multiple correspondence analysis (MCA) of emergency responses in a PSAP, with the objective of finding informative relationships among the different categories of registered and attended events. We propose a simple yet statistically meaningful method to scrutinize the variety of events and recorded information in conventional PSAPs. For this purpose, MCA is made on the categorical features of the available report forms, and a statistical description is achieved from it by combining bootstrap resampling and Parzen windowing, in order to provide the user with the most relevant factors, their significance, and a meaningful representation of the event grouping trends in a given database. We analyzed the case of the 911-emergency database from Quito, Ecuador, which includes 1,078,846 events during 2014. Individual analysis of the first-response institutions showed that there are groups with very related categories, whereas their joint analysis showed significant relationships among several types of events. This was the case for fire brigades, military, and municipal services attending large-scale forest fires, where they work in a combined way. Independence could be established among actions in other categories, which was the case for specific police events (as drug selling and distribution) or fire brigades events (as fire threats). We also showed that a very low number of factors can be enough to accurately represent the dynamics of frequent events.

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Vibha, Pandey, and Sahoo Saddichha. "The burden of behavioral emergencies: need for specialist emergency services." Internal and Emergency Medicine 5, no. 6 (May 8, 2010): 513–19. http://dx.doi.org/10.1007/s11739-010-0397-2.

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Mustafa Adelaja, Lamina, and Oladapo Olufemi Taiwo. "Maternal and Fetal Outcome of Obstetric Emergencies in a Tertiary Health Institution in South-Western Nigeria." ISRN Obstetrics and Gynecology 2011 (June 16, 2011): 1–4. http://dx.doi.org/10.5402/2011/160932.

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Objective. This study was carried out to determine the pattern of obstetric emergencies and its influence on maternal and perinatal outcome of obstetric emergencies at the Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Nigeria. Method. A retrospective study of obstetric emergencies managed over a three-year period at Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Nigeria was conducted. Results. There were 262 obstetric emergencies accounting for 18.5% of the 1420 total deliveries during the period. Unbooked patients formed the bulk of the cases (60.3%). The most common emergencies were prolonged/obstructed labour, postpartum haemorrhage, fetal distress, severe pregnancy-induced hypertension/eclampsia, and antepartum haemorrhage. Obstetric emergencies were responsible for 70.6% of the maternal mortality and 86% of the perinatal mortality within the period. Conclusion. Prevention/effective management of obstetric emergencies will help to reduce maternal and perinatal mortality in our environment. This can be achieved through the utilization of antenatal care services, making budget for pregnancies and childbirth at family level (pending the time every family participates in National Health Insurance Scheme), adequate funding of social welfare services to assist indigent patients, liberal blood donation, and regular training of doctors and nurses on this subject.

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Rodriguez Calzada, R., M. A. Suarez Fuentes, and P. Roset Arisso. "Incidence and management of agitation in emergency medical services in Spain – “SOSEGA” Study." European Psychiatry 33, S1 (March 2016): S171—S172. http://dx.doi.org/10.1016/j.eurpsy.2016.01.356.

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IntroductionAgitation is a frequent and complex emergency. Its early detection and adequate treatment are crucial to ensure the best outcomes. Pre-hospital management of agitation requires appropriate measures to preserve patients’ safety, stabilize the patient and alleviate suffering, and transfer to the hospital psychiatric services, including involuntary admission if needed.ObjectivesTo describe the management of agitation by the Emergency Medical Services (EMS) in Spain.MethodsObservational retrospective survey on the protocols and procedures used, the number of in-calls received and the resources dedicated to attend emergencies in 2013.ResultsSeven out of the seventeen EMS in Spain provided information. All of them registered in a database in-calls and actions taken. Four of them had a specific protocol to attend psychiatric emergencies and agitation in-calls, and five coded the initial diagnostic with ICD-9. Paramedics attending emergencies register the diagnostic in 3/7 EMS. Nursing and Medical staff code the final diagnostic with ICD-9 in all. Emergency Coordination Centres received 4,437,388 in-calls (209/1000 inhabitants); 2.6% classified as psychiatric (6.2/1000 inhab.). Healthcare teams attended 2,028,467 emergencies, 84,933 (4.2%) were psychiatric (4.0/1000 inhab.) and 37,951 (1.9%) were patients with agitation (2.0/1000 inhab.). General practitioners attended 17% of all psychiatric emergencies, while ambulances attended 61%.ConclusionsThe incidence of acute agitation accounts for almost half of the total psychiatric emergencies in the pre-hospital setting. Since there are different healthcare providers in charge, specific protocols as well as treatment procedures are needed to provide the most adequate management, in order to ensure the best Psychiatric Emergency Chain.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Cullinane, Meabh, Stefanie A. Zugna, Helen L. McLachlan, Michelle S. Newton, and Della A. Forster. "Evaluating the impact of a maternity and neonatal emergencies education programme in Australian regional and rural health services on clinician knowledge and confidence: a pre-test post-test study." BMJ Open 12, no. 5 (May 2022): e059921. http://dx.doi.org/10.1136/bmjopen-2021-059921.

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IntroductionAlmost 78 000 women gave birth in the state of Victoria, Australia, in 2019. While most births occurred in metropolitan Melbourne and large regional centres, a significant proportion of women birthed in rural services. In late 2016, to support clinicians to recognise and respond to clinical deterioration, the Victorian government mandated provision of an emergency training programme, called Maternity and Newborn Emergencies (MANE), to rural and regional maternity services across the state. This paper describes the evaluation of MANE.Design and settingA quasi-experimental study design was used; the Kirkpatrick Evaluation Model provided the framework.ParticipantsParticipants came from the 17 rural and regional Victorian maternity services who received MANE in 2018 and/or 2019.Outcome measuresBaseline data were collected from MANE attendees before MANE delivery, and at four time points up to 12 months post-delivery. Clinicians’ knowledge of the MANE learning objectives, and confidence ratings regarding the emergencies covered in MANE were evaluated. The Safety Attitudes Questionnaire (SAQ) assessed safety climate pre-MANE and 6 months post-MANE among all maternity providers at the sites.ResultsImmediately post-MANE, most attendees reported increased confidence to escalate clinical concerns (n=251/259). Knowledge in the non-technical and practical aspects of the programme increased. Management of perinatal emergencies was viewed as equally stressful pre-MANE and post-MANE, but confidence to manage these emergencies increased post-delivery. Pre-MANE SAQ scores showed consistently strong and poor performing services. Six months post-MANE, some services showed improvements in SAQ scores indicative of improved safety climate.ConclusionMANE delivery resulted in both short-term and sustained improvements in knowledge of, and confidence in, maternity emergencies. Further investigation of the SAQ across Victoria may facilitate identification of services with a poor safety climate who could benefit from frequent targeted interventions (such as the MANE programme) at these sites.

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Narzieva, Mаrvarid. "MANAGEMENT OF COMPETITIVENESS OF SUBJECTS PROVIDING SECURITY SERVICES." INNOVATIONS IN ECONOMY 11, no. 3 (November 30, 2020): 19–23. http://dx.doi.org/10.26739/2181-9491-2020-11-3.

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In this article, we discuss the competitiveness of the organization Guard, performing administrative-legal actions that protect property, property and ensure the safety of life and health of citizens, from emergencies and criminal encroachments

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Potini, Vishnu C., Dilani N. Weerasuriya, Douglas W. Lowery-North, and Arthur L. Kellermann. "Commercial Products That Convey Personal Health Information in Emergencies." Disaster Medicine and Public Health Preparedness 5, no. 4 (December 2011): 261–65. http://dx.doi.org/10.1001/dmp.2011.79.

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ABSTRACTObjective: Describe commercially available products and services designed to convey personal health information in emergencies.Methods: The search engine Google®, supplemented by print ads, was used to identify companies and organizations that offer relevant products and services to the general market. Disease-specific, health system, and health plan-specific offerings were excluded. Vendor web sites were the primary sources of information, supplemented by telephone and e-mail queries to sales representatives. Perfect inter-rater agreement was achieved.Results: Thirty-nine unique vendors were identified. Eight sell engraved jewelry. Three offer an embossed card or pamphlet. Twelve supply USB drives with various features. Eleven support password-protected web sites. Five maintain national call centers. Available media differed markedly with respect to capacity and accessibility. Quoted prices ranged from a one-time expenditure of $3.50 to an annual fee of $200. Associated features and annual fees varied widely.Conclusion: A wide range of products and services exist to help patients convey personal health information. Health care providers should be familiar with their features, so they can access the information in a disaster or emergency.(Disaster Med Public Health Preparedness. 2011;5:261–265)

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Li, Xinle, and Changxin Bi. "Improving the Governance Mechanism for Responding to Public Health Emergencies under COVID-19." Preventive Medicine Research 9, no. 1 (September 28, 2020): 1. http://dx.doi.org/10.18282/pmr.v9i1.1276.

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<p>The outbreak of COVID-19 in December 2019 has been spreading in China and even around the world, and public health emergencies will have certain impact on the country’s stable development. The government provides a variety of public services for building a harmonious society, including public health services. The government is at the forefront of COVID-19 epidemic management. Effective governance mechanisms will reduce the spread of the epidemic, maintain the image of the government and keep social stability. Therefore, it is of great strategic significance to improve the government’s governance mechanism for responding to public health emergencies. Based on the epidemic background of COVID-19, this article expounds the current situation of the government’s governance mechanism for responding to public health emergencies in China, explains the significance of the construction of the mechanism. Suggestions are put forward on improving the construction of the government’s governance mechanism for responding to public health emergencies, so as to better respond to public health emergencies in the future.</p>

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Li, Xinle, and Changxin Bi. "Improving the Governance Mechanism for Responding to Public Health Emergencies under COVID-19." Preventive Medicine Research 9, no. 1 (September 28, 2020): 1. http://dx.doi.org/10.18282/pmr.v9i1.1276.

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<p>The outbreak of COVID-19 in December 2019 has been spreading in China and even around the world, and public health emergencies will have certain impact on the country’s stable development. The government provides a variety of public services for building a harmonious society, including public health services. The government is at the forefront of COVID-19 epidemic management. Effective governance mechanisms will reduce the spread of the epidemic, maintain the image of the government and keep social stability. Therefore, it is of great strategic significance to improve the government’s governance mechanism for responding to public health emergencies. Based on the epidemic background of COVID-19, this article expounds the current situation of the government’s governance mechanism for responding to public health emergencies in China, explains the significance of the construction of the mechanism. Suggestions are put forward on improving the construction of the government’s governance mechanism for responding to public health emergencies, so as to better respond to public health emergencies in the future.</p>

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Ripoll Sanchis, Laura, Desirée Camús Jorques, and Malena Ballesta Benavent. "Comprehensive care in out-of-hospital care emergency in València." Ehquidad Revista Internacional de Políticas de Bienestar y Trabajo Social, no. 15 (January 10, 2021): 161–92. http://dx.doi.org/10.15257/ehquidad.2021.0007.

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The present article focuses on detecting the need for comprehensive care in out-of-hospital emergencies in Valencia. In addition, it aims to determine the need to carry out the social and health coordination essential for this purpose. It is a qualitative exploratory study of phenomenological type where a semi-structured ad-hoc interview answered by professionals of out-of-hospital emergencies has been used for data collection. The results show that comprehensive care in out-of-hospital emergency services does not yet exist in Valencia, despite the benefits demonstrated in other autonomous communities on the biopsychosocial well-being of the population and emergency service personnel. The personnel of out-of-hospital emergency services express the need for comprehensive out-of-hospital care in Valencia to be able to assist the population in a holistic manner, covering all the needs presented by individuals, families or groups, including the needs of emergency care personnel. It is essential to take political measures that make social and health care coordination possible through common protocols and procedures among health care, management and political personnel.

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Lefebvre, Cory, Adam Beswick, Lauren Crosby, and Eric Mitchell. "Canadian healthcare readiness for public health emergencies." University of Western Ontario Medical Journal 86, no. 1 (August 29, 2017): 29–31. http://dx.doi.org/10.5206/uwomj.v86i1.2156.

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Following the 2003 SARS (Severe Acute Respiratory Syndrome) outbreak in Toronto, there remains a concern that Canada’s healthcare systems are inadequately equipped to respond to a future public health emergency. Public health emergencies, defined as an emergency need for health care services to respond to a disaster, significant or catastrophic event, are economically costly. Effective prevention and responses to future emergencies would prevent economic costs like those from the 2003 SARS outbreak. An analysis from Hawryluck et al. of the SARS response identified major gaps: incomplete infection control, lack of system-wide communications, and no system-wide coordination leading to isolated, inefficient responses. More than a decade later, improvements have been made but there are areas in the infection control protocol that still require changes. More training is required for Emergency Medical Services (EMS) personnel to effectively handle emergency scenes and to improve multiple agency coordination. Local hospitals need to improve their surge capacity, administrative emergency preparedness infrastructure, and personnel training. The creation of the Public Health Agency of Canada (PHAC) in 2004 responded to concerns about the capacity of Canada’s healthcare system to respond effectively to public health threats. At the provincial level, the Emergency Management Branch (EMB) works effectively similar to and in coordination with PHAC. The needs for improvement should question if Canada will be able to handle the next public health emergency that rolls through its door.

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Mishra, Sangeeta Kaushal, T. Geetha Rana, Shree Prasad Adhikary, Sandesh Paudel, and Prabhu Sah. "Impact of COVID-19 pandemic on safe abortion and family planning services at a tertiary care women’s hospital in Nepal." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 6 (May 27, 2021): 2453. http://dx.doi.org/10.18203/2320-1770.ijrcog20212192.

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Background: The COVID-19pandemic emerged as a major public health crisis, which has affected all dimensions of the health care system. Sexual and reproductive health services were severely affected, leading to a decrease in access and service utilization, affecting the overall health of women.Methods: A two-year comparative study, before and during the COVID-19 pandemic, on safe abortion services and family planning, was conducted at Paropakar maternity and women's hospital to assess the impact of COVID-19 on service utilization.Results: Safe abortion services were decreased by 34.4%, and family planning services by 39%, in 2020 as compared to the previous year. Uptake of long-acting reversible contraceptives and permanent methods was most affected. Utilization of services was affected markedly during lockdown, and showed a persistent decline, even after the lockdown was lifted.Conclusions: The COVID-19 pandemic has seriously affected safe abortion and family planning services in Nepal due to lockdown, travel restriction, home isolation, resource reallocation, health facilities serving only emergencies and confusing messages about COVID-19 control. The decline in these services will create additional demand and pressure on the health care system, resulting from unplanned pregnancies and unsafe abortions. Health care staffs should be reoriented about the essential nature of safe abortion and family planning services during emergencies, and the implications of service disruption, on society and the country. Pragmatic and gender sensitive changes to national policies should be made, to ensure that women's health is safeguarded, and safe abortion and family planning included as essential health care services during emergencies.

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Sahoo, Krushna Chandra, Sapna Negi, Kripalini Patel, Bijaya Kumar Mishra, Subrata Kumar Palo, and Sanghamitra Pati. "Challenges in Maternal and Child Health Services Delivery and Access during Pandemics or Public Health Disasters in Low-and Middle-Income Countries: A Systematic Review." Healthcare 9, no. 7 (June 30, 2021): 828. http://dx.doi.org/10.3390/healthcare9070828.

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Maternal and child health (MCH) has been a global priority for many decades and is an essential public health service. Ensuring seamless delivery is vital for desirable MCH outcomes. This systematic review outlined the challenges in accessing and continuing MCH services during public health emergencies—pandemics and disasters. A comprehensive search approach was built based on keywords and MeSH terms relevant to ‘MCH services’ and ‘pandemics/disasters’. The online repositories Medline, CINAHL, Psyc INFO, and Epistemonikos were searched for studies. We included twenty studies—seven were on the Ebola outbreak, two on the Zika virus, five related to COVID-19, five on disasters, and one related to conflict situations. The findings indicate the potential impact of emergencies on MCH services. Low utilization and access to services have been described as common challenges. The unavailability of personal safety equipment and fear of infection were primary factors that affected service delivery. The available evidence, though limited, indicates the significant effect of disasters and pandemics on MCH. However, more primary in-depth studies are needed to understand better the overall impact of emergencies, especially the COVID-19 pandemic, on MCH. Our synthesis offers valuable insights to policymakers on ensuring the uninterrupted provision of MCH services during an emergency.

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Tasaka, Kazuyuki, Takashi Ozu, and Akira Idoue. "An Account Provision and Management Architecture for Messaging Services in Emergencies." Journal of Information Processing 21, no. 3 (2013): 458–67. http://dx.doi.org/10.2197/ipsjjip.21.458.

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Woo, Benjamin K. P., Virginia T. Chan, Nazem Ghobrial, and Conrado C. Sevilla. "Comparison of two models for delivery of services in psychiatric emergencies." General Hospital Psychiatry 29, no. 6 (November 2007): 489–91. http://dx.doi.org/10.1016/j.genhosppsych.2007.07.004.

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Figueroa-Uribe, Augusto F., Ivan Ilescas-Martínez, Humberto Villanueva-Chávez, Rodrigo Saavedra-Luna, Gabriela Mendoza-Besares, and Michelle F. Vela-Díaz. "Abordaje del paciente pediátrico intoxicado en urgencias." Revista de la Facultad de Medicina Humana 22, no. 1 (September 7, 2022): 669–81. http://dx.doi.org/10.25176/rfmh.v22i4.5091.

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Intoxications in the pediatric population account for a significant portion of the causes of care in emergency services, but they are also fatal in many cases in our country. Exposure to a toxic or poison and its adverse effects can become medical emergencies of great magnitude, which is why many authors consider them "multiple traumas of chemical origin.

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Biddington, Carol, Mary Popovich, Noel Kupczyk, and Joni Roh. "Certified Athletic Trainers’ Management of Emergencies." Journal of Sport Rehabilitation 14, no. 2 (May 2005): 185–94. http://dx.doi.org/10.1123/jsr.14.2.185.

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Context:Certified athletic trainers (ATCs) must be able to manage sport-related emergencies.Objective:To report emergency medical services (EMS) directors’ perception of how ATCs manage emergencies and ATCs’ comfort level in managing them.Design:2 descriptive questionnaires.Participants:EMS directors (n = 64) were asked about their perceptions of ATCs’ ability to handle emergencies. ATCs (n = 224) identified their comfort level with handling emergencies.Results:EMS directors who had preseason meetings with ATCs had a significantly better perception of the ATCs’ ability to handle emergencies than did those who did not have preseason meetings. ATCs with advanced certifications (emergency medical technician-basic, emergency medical technician-paramedic, and automated external defibrillator) were more comfortable handling emergencies than those without.Conclusions:EMS directors and ATCs revealed that ATCs could manage most emergencies that might arise in athletic activities. ATCs had a higher perception of their own ability to manage emergency situations than did the EMS directors.

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Doyle, Constance J. "Field Decontamination and Triage in Chemical Emergencies." Journal of the World Association for Emergency and Disaster Medicine 3, no. 1 (1987): 37–39. http://dx.doi.org/10.1017/s1049023x00028697.

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Triage and rescue of casualties from accidents involving hazardous materials is a challenge for many emergency medical services (EMS) personnel. With very toxic materials, the untrained and unprepared rescuer may become a victim. In addition, few hospitals in the United States have decontamination units attached to their emergency departments and emergency department personnel may become exposed if the casualty is not decontaminated. Many environmental cleanup teams, including the U.S. Environmental Protection Agency (EPA) team, are well trained in materials handling but are not immediately available when a hazardous materials spill with personal injuries occurs.

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Goniewicz, Krzysztof, Eric Carlström, Attila J. Hertelendy, Frederick M. Burkle, Mariusz Goniewicz, Dorota Lasota, John G. Richmond, and Amir Khorram-Manesh. "Integrated Healthcare and the Dilemma of Public Health Emergencies." Sustainability 13, no. 8 (April 19, 2021): 4517. http://dx.doi.org/10.3390/su13084517.

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Traditional healthcare services have demonstrated structural shortcomings in the delivery of patient care and enforced numerous elements of integration in the delivery of healthcare services. Integrated healthcare aims at providing all healthcare that makes humans healthy. However, with mainly chronically ill people and seniors, typically suffering from numerous comorbidities and diseases, being recruited for care, there is a need for a change in the healthcare service structure beyond direct-patient care to be compatible in peacetime and during public health emergencies. This article’s objective is to discuss the opportunities and obstacles for increasing the effectiveness of healthcare through improved integration. A rapid evidence review approach was used by performing a systematic followed by a non-systematic literature review and content analysis. The results confirmed that integrated healthcare systems play an increasingly important role in healthcare system reforms undertaken in European Union countries. The essence of these changes is the transition from the episodic treatment of acute diseases to the provision of coordinated medical services, focused on chronic cases, prevention, and ensuring patient continuity. However, integrated healthcare, at a level not yet fully defined, will be necessary if we are to both define and attain the integrated practice of both global health and global public health emergencies. This paper attains the necessary global challenges to integrate healthcare effectively at every level of society. There is a need for more knowledge to effectively develop, support, and disseminate initiatives related to coordinated healthcare in the individual healthcare systems.

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Ramana Rao, G., H. Rajanarsing Rao, G. Reddy, and M. Prasad. "Epidemiological study on cardiac emergencies in Indian states having GVK Emergency Management and Research Institute services." Journal of Social Health and Diabetes 04, no. 02 (December 2016): 121–26. http://dx.doi.org/10.4103/2321-0656.187999.

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Abstract Background: Emergency medical service (EMS) is critical for the healthcare system as it saves lives by providing care immediately. Rapid access to medical care after a major cardiovascular event decreases morbidity and mortality. GVK Emergency Management and Research Institute (GVK EMRI) is a pioneer in emergency management services operated as a public private partnership (PPP) with various state governments. GVK EMRI coordinates medical, fire, and police-related emergencies through a single toll-free number, 108, across 15 states and 2 union territories of India. Material and Methods: This is a retrospective study of reported cases of cardiac emergencies in 2015 across 11 states with GVK EMRI services: Andhra Pradesh, Telangana, Assam, Goa, Gujarat, Karnataka, Madhya Pradesh, Meghalaya, Rajasthan, Tamil Nadu and Uttarakhand. Descriptive statistics using frequencies, proportions and means were calculated. Results and Discussion: This study aimed to describe the epidemiology of cardiac emergencies presenting to GVK EMRI across 11 states in India in 2015. There were increased cases of cardiac emergencies reported by higher age group individual across all states. The mean age was reported between 43 years to 62 years across the states. In this study, men called EMS for cardiac emergencies more often than women, except in the state of Gujarat. A higher number of cardiac emergency cases were reported by individuals living below the poverty line in Andhra Pradesh, Telangana, Assam, and Goa. Often (82.8%) people called 108 greater than six hours of symptom onset. Variation in call volume per day was minimal between the days of the week. At 48 hours, there were 2,675 reported deaths (1.1%). Conclusions: The current study stresses the scale and seriousness of the emerging challenge of cardiac emergencies, with particular emphasis on socioeconomic deprived groups in the operated states of GVK EMRI.

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Abelha, António, Eliana Pereira, Andreia Brandão, Filipe Portela, Manuel Filipe Santos, José Machado, and Jorge Braga. "Improving Quality of Services in Maternity Care Triage System." International Journal of E-Health and Medical Communications 6, no. 2 (April 2015): 10–26. http://dx.doi.org/10.4018/ijehmc.2015040102.

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The main objectives in triage are to improve the quality of care and reduce the risks associated to the waiting time in emergency care. Thus, an efficient triage is a good way to avoid some future problems and how much quicker it is, more the patient can benefit. The most common triage system is the Manchester Triage System that is a reliable system focused in the emergency department of a hospital. However, its use is more suitable for more widespread medical emergencies and not for specialized cases, like Gynecological and Obstetrics emergencies. To overcome these limitations, an alternative pre-triage system, integrated into an intelligent decision support system, was developed in order to better characterize the patient and correctly defined her as urgent or not. This system allows the increase of patient's safety, especially women who need immediate care. This paper includes the workflow that describes the decision process in real time in the emergency department, when women are submitted to triage and identify points of evolution.

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Danese, Andrea, Patrick Smith, Prathiba Chitsabesan, and Bernadka Dubicka. "Child and adolescent mental health amidst emergencies and disasters." British Journal of Psychiatry 216, no. 3 (November 13, 2019): 159–62. http://dx.doi.org/10.1192/bjp.2019.244.

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SummaryThe mental health of children and young people can be disproportionally affected and easily overlooked in the context of emergencies and disasters. Child and adolescent mental health services can contribute greatly to emergency preparedness, resilience and response and, ultimately, mitigate harmful effects on the most vulnerable members of society.

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Hatfield, Barbara, Jeni Webster, and Hadi Mohamad. "Psychiatric emergencies: assessing parents of dependent children." Psychiatric Bulletin 21, no. 1 (January 1997): 19–22. http://dx.doi.org/10.1192/pb.21.1.19.

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Frameworks within which services are delivered to people with mental health problems neglect the specific needs of those with dependent children. These children have been identified as having risks to their development and well-being. A system of monitoring social assessments of mental health crisis is used to examine the characteristics of parents assessed in seven Local Authorities across 3 calendar years. Parents of dependent children are underrepresented, and are more likely to be women and to suffer from affective psychosis. Ethnic minorities are over-represented. Parents are less likely to be detained following assessment. Further work is needed to establish whether the needs of the family as a whole are addressed.

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Maximov, A. V., A. V. Matveev, and G. N. Zavodskov. "Mathematical Emergency Response Model of Rescue Services." Journal of Physics: Conference Series 2096, no. 1 (November 1, 2021): 012124. http://dx.doi.org/10.1088/1742-6596/2096/1/012124.

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Abstract The growing number of incidents and emergencies around the world is raising the issue of security. To improve security, states allocate huge amounts of money, both to support rescue services, and for scientific research in this area. The article reveals an approach to the development of a mathematical model of the rescue services functioning, taking into account the relationship between its individual types of forces and means, allowing simultaneous optimization of various types of material and human resources.

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Leonard, William, Debra Parkinson, Alyssa Duncan, Frank Archer, and Catherine Orian Weiss. "Under pressure: developing lesbian, gay, bisexual, transgender and intersex (LGBTI) inclusive emergency services." January 2022 10.47389/37, no. 37.1 (January 2022): 52. http://dx.doi.org/10.47389/37.1.52.

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Presenting the results from a survey exploring the understanding by emergency services personnel of the specific needs of LGBTI people before, during and after emergencies. The survey is part of a larger project assisting the emergency management sector to develop LGBTI-inclusive practices.

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Sirven, Joseph I. "“Is there a neurologist on this flight?”." Neurology: Clinical Practice 8, no. 5 (August 20, 2018): 445–50. http://dx.doi.org/10.1212/cpj.0000000000000505.

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Purpose of reviewNeurologists are being asked to offer their services in response to in-flight medical conditions. This review updates the latest understanding of how neurologists should manage in-flight neurologic emergencies should they be called upon to serve. A review of the existing literature was conducted for sharing of best practices in this unique scenario.Recent findingsIn-flight neurologic emergencies are on the rise. This article provides a synthesis of current best practices for in-flight emergencies including epidemiology, airline responsibility, available health care equipment on jetliners, legal ramifications of helping, and pathophysiology of why in-flight neurologic emergencies are so common.SummaryIn-flight neurologic emergencies are common and all physicians are increasingly being asked to respond to in-flight emergencies. Understanding one's responsibility, available equipment, and how to best prevent these scenarios with one's own patients may help to make this complex situation more manageable.

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McManus, Michael L., Michael C. Long, Abbot Cooper, James Mandell, Donald M. Berwick, Marcello Pagano, and Eugene Litvak. "Variability in Surgical Caseload and Access to Intensive Care Services." Anesthesiology 98, no. 6 (June 1, 2003): 1491–96. http://dx.doi.org/10.1097/00000542-200306000-00029.

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Background Variability in the demand for any service is a significant barrier to efficient distribution of limited resources. In health care, demand is often highly variable and access may be limited when peaks cannot be accommodated in a downsized care delivery system. Intensive care units may frequently present bottlenecks to patient flow, and saturation of these services limits a hospital's responsiveness to new emergencies. Methods Over a 1-yr period, information was collected prospectively on all requests for admission to the intensive care unit of a large, urban children's hospital. Data included the nature of each request, as well as each patient's final disposition. The daily variability of requests was then analyzed and related to the unit's ability to accommodate new admissions. Results Day-to-day demand for intensive care services was extremely variable. This variability was particularly high among patients undergoing scheduled surgical procedures, with variability of scheduled admissions exceeding that of emergencies. Peaks of demand were associated with diversion of patients both within the hospital (to off-service care sites) and to other institutions (ambulance diversions). Although emergency requests for admission outnumbered scheduled requests, diversion from the intensive care unit was better correlated with scheduled caseload (r = 0.542, P < 0.001) than with unscheduled volume (r = 0.255, P < 0.001). During the busiest periods, nearly 70% of all diversions were associated with variability in the scheduled caseload. Conclusions Variability in scheduled surgical caseload represents a potentially reducible source of stress on intensive care units in hospitals and throughout the healthcare delivery system generally. When uncontrolled, variability limits access to care and impairs overall responsiveness to emergencies.

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Journal articles on the topic 'Emergencies services'

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