Journal articles: 'Emergency service personnel'

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Tehrani, Noreen, and Ian Hesketh. "Maintaining resilience within Emergency Service Personnel." OP Matters 1, no. 47 (December 2020): 10–17. http://dx.doi.org/10.53841/bpsopm.2020.1.47.10.

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Boyd, Anne. "Action guide for emergency service personnel." American Journal of Emergency Medicine 3, no. 6 (November 1985): 587. http://dx.doi.org/10.1016/0735-6757(85)90188-3.

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Often, Edward J. "Action guide for emergency service personnel." Journal of Emergency Medicine 2, no. 6 (January 1985): 471. http://dx.doi.org/10.1016/0736-4679(85)90281-1.

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Linsdell, Greg, and Colin Rogers. "Multi-response roles in emergency response personnel." International Journal of Emergency Services 3, no. 2 (October 7, 2014): 162–78. http://dx.doi.org/10.1108/ijes-05-2014-0005.

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Purpose – The purpose of this paper is to assess the decision-making process of multi-role emergency response volunteers and their preferences for which agency they would choose to volunteer for in an emergency, utilizing the New South Wales Rural Fire Service as an example. Design/methodology/approach – Large-scale online survey data collection method, which enabled in depth analysis of responses. Findings – There are a large number of individuals who hold multiple volunteer roles and their decisions as to which service they would prefer to volunteer for is influenced by many complex factors. Research limitations/implications – Research in this topic is rare and future research should be undertaken on a wider scale involving both quantitative and qualitative methods. Practical implications – Findings will help policy makers and those responsible for providing emergency services with an understanding of the decision-making process of volunteers. Social implications – The results may help to promote understanding of a volunteers social preferences when engaged in work for emergency services. Originality/value – This is an area that has had little research undertaken in and is therefore quite an original piece of work that will have resonance for emergency services across the globe.

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Speirs, Joshua N., Matthew I. Lyons, and Bert E. Johansson. "Emergency Medical Service Personnel Recognize Pediatric Concussions." Global Pediatric Health 4 (January 2017): 2333794X1771918. http://dx.doi.org/10.1177/2333794x17719187.

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Vetlugin, Ilya G., A. Yu Zakurdaeva, L. I. Dezhurnyy, V. E. Dubrov, Yu S. Shoygu, and A. A. Kolodkin. "FEATURES OF LEGAL REGULATION OF FIRST AID IN EMERGENCY SITUATIONS." Health Care of the Russian Federation 62, no. 5 (May 24, 2019): 265–73. http://dx.doi.org/10.18821/0044-197x-2018-62-5-265-273.

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The article considers legal and regulatory of the Russian Federation framework issues of first aid treatment in an emergency. The authors provide insight into the basic normative documents that determine the powers of personnel admitted to the emergency zone including military and State Fire-Fighting Service personnel, members of accident rescue units and services. As a result of the analysis of regulatory documents, the authors come to the conclusion that it is necessary to bring the existing regulatory framework in line with a single standard, legislatively expand the range of authority of the relevant personnel in providing emergency care, and to prepare training programs for personnel in emergency situations.

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Michienzi, Joseph, Rober Weisbein, Patrick B. Cahill, Lynn Doucette-Stamm, Tay Ho, Jim O'Connell, Jason Tsolas, James Benn, and Arnie Kana. "A Centralized Laboratory Maintenance Project." JALA: Journal of the Association for Laboratory Automation 8, no. 2 (April 2003): 58–60. http://dx.doi.org/10.1016/s1535-5535-04-00254-0.

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Genome Therapeutics Corp. has implemented a unique maintenance approach for their GenomeVision™ Services 24-by-7 high-throughput Sequencing platform that ensures optimal performance and minimum downtime. A network-enabled software program automatically coordinates and tracks all maintenance tasks, and notifies responsible personnel by e-mail of their upcoming maintenance responsibilities. Production personnel perform all internal scheduled instrumentation maintenance, equipment vendors perform purchased service contracts, and a small in-house group responds to emergency situations. Personnel log completed maintenance tasks and request emergency service by means of a network-based interface that results in rapid response of appropriate in-house personnel or outside service organizations. The proprietary software program tracks all maintenance activities for each instrument, enabling upgrades to routine maintenance procedures, identification of opportunities for sequencing platform improvements, and more effective instrumentation purchasing decisions.

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Thielmann, Beatrice, Robin Schwarze, and Irina Böckelmann. "A Systematic Review of Associations and Predictors for Job Satisfaction and Work Engagement in Prehospital Emergency Medical Services—Challenges for the Future." International Journal of Environmental Research and Public Health 20, no. 5 (March 4, 2023): 4578. http://dx.doi.org/10.3390/ijerph20054578.

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Ambulance services are changing, and the SARS-CoV-2 pandemic has been a major challenge in the past three years. Job satisfaction and work engagement are important characteristics for a healthy organization and success in one’s profession. The purpose of the current systematic review was to evaluate the predictors of job satisfaction and work engagement in prehospital emergency medical service personnel. Electronic databases, such as PubMed, Ovid Medline, Cochrane Library, Scopus, Web of Science, PsycINFO, PSYNDEX, and Embase, were utilized in this review. Predictors (ß coefficient, odds ratio, rho) of higher job satisfaction and work engagement were examined. Only prehospital emergency medical service personnel were considered. The review included 10 studies worldwide with 8358 prehospital emergency medical service personnel (24.9% female). The main predictor for job satisfaction was supervisors’ support. Other predictors were younger or middle age and work experience. Emotional exhaustion and depersonalization, as burnout dimensions, were negative predictors for higher job satisfaction or work engagement. Quality demands for health care systems are a significant challenge for future emergency medical services. The psychological and physical strengthening of employees is necessary and includes constant supervision of managers or facilitators.

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Mock, Elisabeth F., Keith D. Wrenn, Seth W. Wright, T. Chadwick Eustis, and Corey M. Slovis. "Feedback to Emergency Medical Services Providers: The Good, the Bad, and the Ignored." Prehospital and Disaster Medicine 12, no. 2 (June 1997): 74–77. http://dx.doi.org/10.1017/s1049023x00037444.

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AbstractHypothesis:To determine the type and frequency of immediate unsolicited feedback received by emergency medical service (EMS) providers from patients or their family members and emergency department (ED) personnel.Methods:Prospective, observational study of 69 emergency medical services providers in an urban emergency medical service system and 12 metropolitan emergency departments. Feedback was rated by two medical student observers using a prospectively devised original scale.Results:In 295 encounters with patients or family, feedback was rated as follows: 1) none in 224 (76%); 2) positive in 51 (17%); 3) negative in 19 (6%); and 4) mixed in one (<1%). Feedback from 254 encounters with emergency department personnel was rated as: 1) none in 185 (73%); 2) positive in 46 (18%); 3) negative in 21 (8%); and 4) mixed in 2 (1%). Patients who had consumed alcohol were more likely to give negative feedback than were patients who had not consumed alcohol. Feedback from emergency department personnel occurred more often when the emergency medical service provider considered the patient to be critically ill.Conclusion:The two groups provided feedback to emergency medical service providers in approximately one quarter of the calls. When feedback was provided, it was positive more than twice as often as it was negative. Emergency physicians should give regular and constructive feedback to emergency medical services providers more often than currently is the case.

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Hochreiter, Margaret C., and Leslie L. Barton. "Epidemiology of needlestick injury in emergency medical service personnel." Journal of Emergency Medicine 6, no. 1 (January 1988): 9–12. http://dx.doi.org/10.1016/0736-4679(88)90243-0.

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Stapleton, Drue. "Composite Functional Movement Screen Score to Predict Injury in Emergency Service Personnel: A Critically Appraised Topic." International Journal of Athletic Therapy and Training 24, no. 5 (September 1, 2019): 193–97. http://dx.doi.org/10.1123/ijatt.2018-0109.

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Clinical Question: Does the published literature support the use of composite FMS score to predict work-related musculoskeletal disorders (WMSD) in emergency service personnel (ESP)? Clinical Bottom Line: There is conflicting evidence of the usefulness of composite FMS score to predict WMSD in emergency service personnel.

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Cydulka, Rita K., Charles L. Emerman, Bruce Shade, and John Kubincanek. "Stress Levels in EMS Personnel: A National Survey." Prehospital and Disaster Medicine 12, no. 2 (June 1997): 65–69. http://dx.doi.org/10.1017/s1049023x00037420.

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AbstractObjective:The purpose of this study was to evaluate stress levels in emergency medical services personnel across the United States.Design:Confidential, 20-question survey tool, Medical Personnel Stress Survey-Abbreviated (MPSS-R). A total score of 50 indicates average stress levels. A score of 12.5 on the subset measurements of somatic distress, job dissatisfaction, organizational stress, and negative attitudes towards patients indicates average levels of stress. Data were analyzed using ANOVA and t-test.Interventions:None.Results:A total of 658 of 3,000 emergency medical technicians (EMTs) (22%) completed the survey. The mean value of 69.3±6.3 for the total stress scores was very high Mean values for the subset scores were: somatic distress = 19.6±3.3; organizational stress = 17.3±2.4; job dissatisfaction = 17.0±2.6; negative attitudes towards patients = 15.5±2.3. Characteristics predicting higher stress were EMT-basic (A) licensure, basic life support (BLS) only service provider, volunteer status, new employee working in a small EMS organization, and providing service to a small town.Conclusion:Stress levels in EMS personnel were very high, were manifested primarily as somatic distress, secondarily as organizational stress and job dissatisfaction, and lastly as negative patient attitudes. Stress levels and subset manifestations of occupational stress among EMS personnel varied depending on gender, marital status, age, level of training and function, on salaried or volunteer status, length of time as an EMT, and size of the organization, city, and population served. Care should be taken to address stresses peculiar to individual EMS system needs.

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Bracken-Scally, Mairéad, Sinéad McGilloway, and Jeffrey T. Mitchell. "Retirement Policies and Support for Emergency Service Personnel: The Transition to Retirement." Canadian Journal on Aging / La Revue canadienne du vieillissement 35, no. 2 (April 26, 2016): 161–74. http://dx.doi.org/10.1017/s0714980816000210.

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RÉSUMÉL’objectif principal de cette étude a été d’examiner les politiques et les procédures pour soutenir les employés prenant leur retraite de leur travail aux services d’urgence. On a mené des entrevues avec les participants qui connaissaient bien les politiques et les procédures actuelles d’un grand ambulance (n = 8) et le service d’incendie (n = 6) en Irlande. Quatre thèmes principaux ont été révelés: (1) «Je ne pense pas que ce soit un bon travail d’etre ambulancier d’urgence quand on a 65 ans»; (2) “ils se sentent véritablement un tout petit peu isolé”; (3) l’amélioration du «choc culturel»; et (4) «Je continue a m’avancer en espérant que tout aille pour le mieux. » Les conclusions indiquent que la retraite est un changement majeur de la vie, et mettent en évidence la nécessité pour une préparation de pré-retraite plus structurée et efficace. Les éléments uniques au personnel des services d’urgence comprennent: le stress physique et émotionnel intense impliqué dans les services d’urgence; une forte identification avec ce service; et un manque de clarté sur les règles et les droits, exigeant meilleure renseignements et préparation pour prendre sa retraite.

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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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Setiawati, Yuani, Maya Hapsari Kusumaningtyas, and Annete D’Arqom. "The Response Time of Trauma and non Trauma Patients Handling in Emergency Room Surabaya." Medical and Health Science Journal 6, no. 1 (February 28, 2022): 1–6. http://dx.doi.org/10.33086/mhsj.v6i1.2154.

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Background: Emergency room is one of the unit services in hospitals that provide first services in patients with threat of disability or even death. Emergency room is a service unit in hospital with 24 service hours for 7 days in a week. The high risk and working hours in the emergency room requires the medical personnel that have a good response times in triage room. Objective: To compare response time of medical personnel when handling trauma and non trauma patients in the emergency room. Method: A non-experimental, quantitative research methods using analytic observational. The population of this study was patient in emergency room Soetomo hospital Surabaya. The amount of the sample was 244 which divided into 41 trauma case and 203 non trauma case. Result: Response time of patients with trauma injuries that include quick category (< 5 minutes) amounted to 35 patients and 6 patients in slow category (> 5 minutes) with average response times of trauma patients is 6.244 minutes. Response time of patients with non trauma injuries that include quick category (< 5 minutes) amounted to 161 patients and 42 patients in slow category (>5 minutes) with average response times of non trauma patients is 3.722 minutes. The p value response times of medical personnel in dealing with trauma and non-trauma patients is 0.374 (> 0.05) which means there is no difference in response times from medical personnel in handling trauma and non-trauma patients. Conclusion: There was no difference in the response time of medical personnel in trauma and non-traumatic patients handling (p>0,05). Overall, it was found that the average emergency room’s response time at Soetomo hospital was 4.15 minutes, still meeting the applicable standards.

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Jefferys, Sophie, A. J. Martin-Bates, A. Harold, and R. Withnall. "Epidemiological study of emergency ambulance activation in the British Eastern Sovereign Base Area of Cyprus, September 2013 to August 2016." Journal of the Royal Army Medical Corps 165, no. 3 (August 23, 2018): 159–62. http://dx.doi.org/10.1136/jramc-2018-001003.

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ObjectivesTo record the activation and use of the Eastern Sovereign Base Area (ESBA) emergency ambulance service of British Forces Cyprus between 1 September 2013 and 31 August 2016. To reflect on these findings in light of data from 1995 to 1998 to identify current treads and areas of development.MethodRetrospective epidemiological study of all activations of the ESBA emergency ambulance service within the study period.Results812 patients were treated over 3 years, an 80% increase in workload, of which 41% were entitled personnel. Forty-two per cent of activations were for medical complaints compared with 41% for trauma. The number of deaths remained static (n=15). Road traffic incidents (RTI) remain the top activation by type, but accounting for a smaller proportion of workload. RTI mortality has declined by 50%.ConclusionThe ESBA emergency ambulance service responded to double the activations, when compared with 18 years ago, with a significant shift to medical cases over trauma. This ESBA emergency ambulance provides a varied and vital service for the local community that also benefits Defence Medical Services personnel interested in the Pre-Hospital Emergency Medicine environment in order to maintain clinical skills and currency for the benefit of future deployments, both humanitarian and kinetic in nature.

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Robinson, Kathy. "Memorial service honors EMS personnel following “line of duty” deaths." Journal of Emergency Nursing 26, no. 2 (April 2000): 145–46. http://dx.doi.org/10.1016/s0099-1767(00)90059-x.

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Sorokopud, V. B., І. V. Tkachenko, and V. V. Honchar. "INNOVATIVE DIRECTTIONS OF PROFESSIONAL COMPETENCE IMPROVEMENT OF THE STATE CRIMINAL AND EXECUTIVE PERSONNEL OF UKRAINE TO ENSURE HEALTH AND LIVING IN EMERGENCY CONDITIONS." Scientific Herald of Sivershchyna. Series: Education. Social and Behavioural Sciences 2022, no. 1 (June 22, 2022): 169–81. http://dx.doi.org/10.32755/sjeducation.2022.01.169.

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The article highlights the results of the analysis of the physical training of personnel, their ability to respond in a timely and competent manner to the manifestations of aggression of convicts and work clearly with knowledge and skills of tactics to ensure personal life and health. The purpose of the article is to identify new areas of improving the professional competence of the State Criminal and Executive Service personnel of Ukraine to preserve health and life in emergency situations during official and professional activities. Methodology of the article. Analysis of standards and training programs for physical training of the Criminal and Executive personnel of Ukraine, their compliance with modern requirements in the field of encuring health and life of personnel during their service and professional tasks in emergency situations. The main factor influencing the improvement of training programs for physical training of future officers and personnel of the State Criminal and Executive Service of Ukraine is the development of physical skills in choosing tactics of personnel in aggressive behavior of convicts, mass disobedience, riots, etc., competent steps to preserve health or save lives. . Results. The reasons that really become threatening due to the nature of the impact on the health and life of the State Criminal and Executive Servise personnel of Ukraine during the performance of official activities have been identified. The existing approach to the issues of professional training, in particular physical and special physical training of both future and current officers, personnel of penitentiary institutions, correctional colonies of the State Criminal and Executive Service of Ukraine has been revised. In this context, it is proposed to review the training and normative indicators set for the personnel of the State Criminal and Executive Service of Ukraine regarding physical training in the general system of vocational training of the State Criminal and Executive Service of Ukraine in accordance with the Regulations on training of rank and command staff of the State Criminal and Executive Service of Ukraine. The practical significance of the obtained results is that they allow the teacher to improve the method of forming the professional competence of the personnel of the State Criminal and Executive Service of Ukraine in tactics, technology of skills for encuring health and life in emergencies that occur during service and professional activities. Key words: personnel, professional competence, health competence, standards of physical training, tactics of professional competence formation.

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Sefrin, P. "The Rendezvous System Using Emergency Doctors' Vehicles in the Federal Republic of Germany (FRG)." Prehospital and Disaster Medicine 1, S1 (1985): 145–47. http://dx.doi.org/10.1017/s1049023x00044204.

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In the Federal Republic of Germany, 1.2 million people per year get into a life-threatening situation from which they can be saved only by immediate medical assistance. Progress in intensive care therapy and the improved organization of rescue services have led to a greater number of doctors being available for first aid at the scene of the accident. The creation of an emergency medical service was designed to ensure medical treatment of emergency patients by medically qualified personnel. The Emergency Medical Service is defined as an organization within the framework of rescue services providing care for emergency patients. The emergency physician is trained and equipped particularly to recognize and treat life-threatening conditions. Through the rescue service, the physician can be taken to the scene of the accident by the quickest and shortest way. For this need, two systems have become established in the Federal Republic of Germany.

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McHenry, Susan D. "Stress in the Prehospital EMS and Disaster Setting." Prehospital and Disaster Medicine 6, no. 4 (December 1991): 483–84. http://dx.doi.org/10.1017/s1049023x00039042.

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While formal efforts have been made during the past quarter century in the United States to develop and coordinate emergency medical services (EMS) as a “system” of care, it was not until the past decade that we began to recognize and acknowledge the impact of stress on the lives of EMS and other public safety personnel, in both normal day-to-day response to emergencies as well as response to mass casualty incidents or disasters. The first significant writing on this complex issue, Emergency Response to Crisis, by Jeffrey T. Mitchell, PhD and H. L. P. Resnik, MD, provided a crisis intervention guidebook for emergency service personnel and early insight on crisis-worker stress and burnout. The most recent comprehensive discussion of this important area of concern can be found in Emergency Services Stress, by Mitchell and Grady Bray, PhD.

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Germann, Carl A., Michael R. Baumann, Kevin M. Kendall, Tania D. Strout, and Kim McGraw. "Performance of Endotracheal Intubation and Rescue Techniques by Emergency Services Personnel in an Air Medical Service." Prehospital Emergency Care 13, no. 1 (January 2009): 44–49. http://dx.doi.org/10.1080/10903120802474505.

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Karlsson, Sofia, Gunnar Engström, Ulf Björnstig, and Britt-Inger Saveman. "Perceived Collaboration during Mining Incidents - Focus Group Discussions with Mining Workers and Managers, Rescue Service Personnel, and Ambulance Personnel." Prehospital and Disaster Medicine 32, S1 (April 2017): S173. http://dx.doi.org/10.1017/s1049023x17004630.

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Cowen, P. L. "(A102) Training Agricultural Emergency Responders." Prehospital and Disaster Medicine 26, S1 (May 2011): s28. http://dx.doi.org/10.1017/s1049023x1100104x.

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Training Agricultural Emergency Responders by Paula L. Cowen, D.V.M., Director, Professional Development Staff, Veterinary Services, Animal Plant Health Inspection Service, United States Department of AgricultureBackground Emergency Response is a critical component of our Animal Agriculture infrastructure. The ability to deploy trained personnel to handle any kind of emergency is key to quickly containing any disaster and mitigating the effects. This training is provided by a number of federal agencies, universities as well as at the state and local level. Body Several training strategies are employed by a number of different entities. Training is available on-line, in the classroom, with wet labs using live animals, through exercises and case studies. An overview of training and education of Agricultural Emergency Response personnel across the United States will be covered with a more in depth look at the training provided by the Animal Plant Health Inspection Service.ConclusionThe Professional Development Staff provides technical training in disease identification and control, emergency response, import/export, and other topics as needed. Protecting and promoting American Animal Agriculture is our core mission. Veterinary Services provides leadership at the intersection of Animal and Public Health concerns.

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Cowen, P. L. "(A330) Training Agricultural Emergency Responders." Prehospital and Disaster Medicine 26, S1 (May 2011): s92—s93. http://dx.doi.org/10.1017/s1049023x11003141.

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Training Agricultural Emergency Responders by Paula L. Cowen, D.V.M., Director, Professional Development Staff, Veterinary Services, Animal Plant Health Inspection Service, United States Department of AgricultureBackground Emergency Response is a critical component of our Animal Agriculture infrastructure. The ability to deploy trained personnel to handle any kind of emergency is key to quickly containing any disaster and mitigating the effects. This training is provided by a number of federal agencies, universities as well as at the state and local level.BodySeveral training strategies are employed by a number of different entities. Training is available on-line, in the classroom, with wet labs using live animals, through exercises and case studies. An overview of training and education of Agricultural Emergency Response personnel across the United States will be covered with a more in depth look at the training provided by the Animal Plant Health Inspection Service.ConclusionThe Professional Development Staff provides technical training in disease identification and control, emergency response, import/export, and other topics as needed. Protecting and promoting American Animal Agriculture is our core mission. Veterinary Services provides leadership at the intersection of Animal and Public Health concerns.

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Çalışkan, Cüneyt, Aysun Algan, Hüseyin Koçak, Burcu Küçük Biçer, Meltem Şengelen, and Banu Çakir. "Preparations for Severe Winter Conditions by Emergency Health Personnel in Turkey." Disaster Medicine and Public Health Preparedness 8, no. 2 (April 2014): 170–73. http://dx.doi.org/10.1017/dmp.2014.28.

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AbstractObjectiveEmergency and core ambulance personnel work under all environmental conditions, including severe weather condtions. We evaluated emergency medical personnel in Çanakkale, Turkey, for their degree of preparedness.MethodsA descriptive study was conducted in Çanakkale, Turkey, within 112 emergency service units and their 17 district stations. Surveys were developed to measure the level of preparedness for serious winter conditions that individual workers made for themselves, their homes, and their cars.ResultsOf the 167 survey participants, the mean age was 29.8 ± 7.9 years; 52.7% were women; more than half (54.75%) were emergency medical technicians; and 53.3% were married. Only 10.4% of those who heated their homes with natural gas had carbon monoxide detectors. Scores relating to household and individual preparation for severe winter conditions increased by participants’ age (P < .003), being married (P < .000) and working in the city center (P < .021); and for men whose cars were equipped with tow ropes, extra clothing, and snow tires (P < .05). Absenteeism was higher for central-city personnel than district workers because they were less prepared for harsh winter conditions (P = .016).ConclusionMany of the surveyed emergency health personel demonstrated insufficient preparations for serious winter conditions. To increase the safety and efficiency of emergency medical personnel, educational training programs should be rountinely conducted. (Disaster Med Public Health Preparedness. 2014;0:1-4)

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Lee, Tae-Hun, Jae-Hyun Han, Ashish Ranjan Sharma, Young-A. Choi, Dong Won Kim, Sang-Soo Lee, and Moo-Eob Ahn. "A Sustainable Ambulance Operation Model in a Low-Resource Country (the Democratic Republic of Congo)." Emergency Medicine International 2018 (August 28, 2018): 1–7. http://dx.doi.org/10.1155/2018/8701957.

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Due to an increase in traffic collisions, the demand for prehospital medical services is on the rise, even in low-resource countries where emergency ambulance services have not been previously provided. To build a sustainable and continuous prehospital ambulance operation model, it is necessary to consider the medical system and economic conditions of the corresponding country. In an attempt to construct a prehospital ambulance operation model that ensures continuous operation, a pilot “emergency patient transporting service from field to hospital” operation was established for approximately three months in Kinshasa, the capital of the DR Congo. To construct a continuously operating model even after the pilot operation, willingness to pay (WTP) by type of emergency medical and transport service was investigated by implementing the contingent valuation method (CVM). Using CVM, the WTP for prehospital emergency services targeting ambulance services personnel, patients, policemen, and hospital staff participating in the pilot operation was calculated. The results of the pilot operation revealed that there were a total of 212 patients with a mean patient number of 2.4 per day. A total of 155 patients used the services for hospital transport, while 121 patients used the services for traffic collisions. Traffic collisions were the category in which ambulance services were most frequently needed (66.2%). Pay services were most frequently utilized in the home-visit services category (40.9%). Based on these results, eight independently operated ambulance operation models and sixteen models that utilize hospital medical personnel and policemen already belonging to existing institutions were proposed. In an effort to implement emergency medical ambulance services in the DR Congo, medical staff receiving pay for performance (incentive pay) should be deployed in the field and on call. Accordingly, with respect to sustainable development goals, various pay-for-service models should be used.

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Bracken-Scally, Mairéad, and Sinéad McGilloway. "A qualitative exploration: life after the emergency services." International Journal of Emergency Services 5, no. 2 (November 7, 2016): 158–73. http://dx.doi.org/10.1108/ijes-04-2016-0009.

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Purpose Much has been written about the impact of emergency service work on personnel, but very little is known about the lives of personnel once they have retired. The purpose of this paper is to explore the experiences and assess the quality of life (QoL) of emergency service retirees (ESRs) and to ascertain the possible longer term effects of emergency service work. Design/methodology/approach A series of one-to-one interviews was conducted with ESRs (n=10). These were then transcribed and analysed using interpretative phenomenological analysis. Findings A number of key emergent themes and associated sub-themes were identified from the analysis including: retirement as a major life change; potential impact of working role and unique aspects of emergency service work; trauma; and health and ageing more generally. Overall, the findings highlight the unique experiences of ESRs and the potential longer term impact of emergency service work on QoL in retirement. Originality/value In an under-researched area, the findings point towards a need to improve the transition to retirement for ESRs and, in particular, to enhance available supports, information and guidance for retirees, both prior to and following retirement.

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Antonenko, I. N. "Information support and management of mobile staff activities." Glavnyj mekhanik (Chief Mechanic), no. 11 (November 1, 2020): 8–17. http://dx.doi.org/10.33920/pro-2-2011-01.

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Mobile personnel carry out their activities by moving in the shop floor and being directly at the serviced and controlled machines and equipment. These are on-duty operational personnel (rounds and inspections), repair and emergency teams, and field service engineers. The effectiveness of this staff is significantly increased when using mobile computer devices. The article discusses the capabilities of mobile applications when performing equipment maintenance and repairs, and provides examples of completed projects.

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Aygun, Seyda Tuba Savrun Ismail Erkan Aydin Omer Karaman Ali. "Depression and Hopelessness Levels among Emergency Service Personnel Working in Shifts." International Journal of Academic Medicine and Pharmacy Volume: 3 Issue: 2, Volume: 3 Issue: 2 (2021): 174–77. http://dx.doi.org/10.29228/jamp.49902.

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Musso, Mandi, Danielle Tatum, Diana Hamer, Rebecca Hammarlund, Leslie Son, and Pamela McMahon. "The Relationship Between Grit and Resilience in Emergency Medical Service Personnel." Ochsner Journal 19, no. 3 (2019): 199–203. http://dx.doi.org/10.31486/toj.18.0144.

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Wijk, Charles Van, Frans Cronje, and Jack Meintjes. "Mental Wellbeing Monitoring in a Sample of Emergency Medical Service Personnel." Occupational Diseases and Environmental Medicine 08, no. 01 (2020): 26–33. http://dx.doi.org/10.4236/odem.2020.81002.

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Nortje, Charl, Craig B. Roberts, and André T. Möller. "Judgement of Risk in Traumatized and Nontraumatized Emergency Medical Service Personnel." Psychological Reports 95, no. 3_suppl (December 2004): 1119–28. http://dx.doi.org/10.2466/pr0.95.3f.1119-1128.

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This study investigated the hypothesis that posttraumatic stress is associated with a judgement of risk bias, defined as an overestimation of the likelihood of the occurrence of adverse events, as proposed by information-processing theories of posttraumatic stress disorder. Emergency medical service personnel with high PTSD symptomatology ( n = 27) and without PTSD symptoms ( n = 74) completed the PTSD Symptom Scale: Self-report version, the Work Experiences Questionnaire, the Beck Depression Inventory, and an Event Probability Questionnaire. Analysis showed that individuals with high PTSD symptomatology exhibited significantly more judgement of risk bias, that this cognitive bias was towards a wider range of threats than those involving only the threat of external harm, and that intrusion was its best predictor.

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NORTJE, CHARL. "JUDGEMENT OF RISK IN TRAUMATIZED AND NONTRAUMATIZED EMERGENCY MEDICAL SERVICE PERSONNEL." Psychological Reports 95, no. 7 (2004): 1119. http://dx.doi.org/10.2466/pr0.95.7.1119-1128.

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Miller, Anastasia. "Emergency medical service personnel injury and fatality in the United States." Journal of Epidemiological Research 4, no. 2 (May 23, 2018): 9. http://dx.doi.org/10.5430/jer.v4n2p9.

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Introduction: Emergency Medical Services (EMS) personnel comprise an intricate part of the public safety net in the US. The purpose of this study was to synthesize data sources to understand the major workplace dangers facing EMS providers. Methods: This study examined four data sources: The BLS Census of Fatal Occupational Injuries (CFOI), BLS Survey of Occupational Injuries and Illnesses (SOII), Firefighter Fatalities and Statistics from USFA, and the EMS Voluntary Event Notification Tool (E.V.E.N.T.). Characteristics of the most common causes of injury and fatalities were described and compared. Results: SOII reports covered 13 years and 64,780 nonfatal reported cases. COFI covered 12 years and 149 fatalities. 111 fatalities from the USFA dataset who had been identified as EMS in some manner in their rank between 2003-2016 were inspected. 21 cases where a firefighter died in the course of providing EMS/patient care were also identified and discussed. All events submitted to E.V.E.N.T. were read and categorized. 214 events were identified as near-miss EMS provider injuries and included in the study. Conclusions: The biggest mortal threat to private EMS personnel is vehicular incidents. Among firefighters/EMTs Heart Attacks was the most common nature of death. The biggest nonfatal concerns are violence, slips, trips, and falls, and overexertion in addition to vehicular incidents. Most violent events were the result of a patient with a Temporarily Altered Mental Status. There is clearly a need for further research to develop evidence-based methods and policies to reduce injury and death in EMS personnel from an agency level.

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Lee, Sung Kgun, and Woo Jeong Kim. "Recognition of Medical Direction in Emergency Medical Service Personnel in Jeju." International Journal of Bio-Science and Bio-Technology 7, no. 6 (December 31, 2015): 75–84. http://dx.doi.org/10.14257/ijbsbt.2015.7.6.09.

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West, K., S. Landis, T. Whitley, and W. Bullock. "Impact of an infection control program for emergency medical service personnel." American Journal of Infection Control 15, no. 2 (April 1987): 81. http://dx.doi.org/10.1016/0196-6553(87)90006-x.

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Holliman, C. James, Gregory Swope, Lisa Mauger, Richard C. Wuerz, and Steven A. Meador. "Comparison of Two Systems for Quality Assurance of Prehospital Advanced Life Support Services." Prehospital and Disaster Medicine 8, no. 4 (December 1993): 303–10. http://dx.doi.org/10.1017/s1049023x00040553.

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AbstractIntroduction:The need for quality assurance (QA) systems for review of prehospital advanced life support (ALS) care has long been recognized. However, there only have been limited published studies on the operation and cost of QA systems for prehospital care. A number of different systems currently are in use, and the relative effectiveness of different QA systems has not been well determined.Objective:The aim of this study was to compare the personnel work-time and costs of two different systems of QA for prehospital ALS services, and thereby determine which type of system was more cost-effective in the generation of QA reports.Methods:The quality assurance program (System 1) for three independent ALS services in a rural/suburban area and the QA program (System 2) for a nearby urban ALS service were compared. Data recorded included the training level and number of hours per year devoted exclusively to QA activities by different personnel. The annual costs for other aspects of the QA systems and apportioned salary costs for time spent on QA work were recorded.Results:System 1, a computer-based system, utilized 1,116 hours per year of personnel time and required [US]$17,662 in total costs per year (average cost per run reviewed of $4.38). System 2 (a manual system) utilized 569 hours per year of personnel time and had an annual cost of [US]$8,361 (or $2.15 per run reviewed). System 1 generated 852 reports per year (21 % of runs) about non-compliance with protocols or charting deficiencies. System 2 generated 284 reports per year (7.3% of runs) for similar events.Conclusions:Either a computer-based or “manual” system for QA of prehospital ALS services can be utilized. A computer-based system requires more personnel time and is more expensive, but generates more reports per year than does the manual system. A computer-based system more readily can retrieve run report data for further review.

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Lim, Jae-Man. "Legal Review of the Expansion of the Scope of Work for 119 Emergency Medical Services (EMS) Personnel." Fire Science and Engineering 35, no. 3 (June 30, 2021): 105–10. http://dx.doi.org/10.7731/kifse.4a44b46d.

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Emergency services by fire-fighting agencies are an important subject of study. As 119 EMS personnel provide first aid to patients and transfer them to emergency room, the first aid they render involves medical practice and therefore requires research from a legal point of view. This study is based on current laws (as of Feb 2021) and an analysis and review of rulings of the Constitutional Court and the Supreme Court, as well as data from the National Fire Agency’s Statistical Yearbook. Fire-fighting agencies hire and assigned individuals who hold the requisite certificate, and the legitimacy of medical practice by 119 EMS personnel is based on the qualifications they hold, not their status as fire officials, as per the EMERGENCY MEDICAL SERVICE ACT. If their scope of work is expanded by the revision of the ACT ON 119 RESCUE AND EMERGENCY MEDICAL SERVICES, their medical practice is justified based on the combination of their qualifications and status (fire officials).

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ÖZDİN, Mehmet, Hayrullah YAZAR, and Durhasan MUNDAN. "Medical Personnel Satisfaction Survey Relating to Newly Opened Emergency Laboratory." Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 12, no. 1 (March 25, 2023): 148–54. http://dx.doi.org/10.37989/gumussagbil.908028.

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This research was conducted to examine the effects on medical personnel of the newly established emergency laboratory in the emergency service of Sakarya Training and Research Hospital. In the study, all medical personnel working in the emergency service were used as material. The survey technique was used as a quantitative research method for data collection. A question form was created for the "Medical Personnel Satisfaction Survey". The research is a survey study. The content of the survey consisted of 5 questions. The data obtained were evaluated with the SPSS 22.0 package program. A total of 78 people, 16 of whom were assistants, 2 specialists, 1 faculty member, 39 nurses and 20 other medical personnel, participated in the survey study. To the question "Did it affect patient satisfaction positively", 93% of the participants answered yes. To the question "Did it cause the test results to come out faster", 97% of the participants answered yes. To the question "Did it shorten the duration of patients' stay in the emergency room?", 69% of the participants answered yes. According to this survey, the participants were found important in terms of gender (p

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Ballica, Gamzegul, Nursah Basol, and Asli Savas. "The attitudes of emergency service workers towards attempted suicide cases and its relation to burnout and job satisfaction." Medicine Science | International Medical Journal 11, no. 4 (2022): 1680. http://dx.doi.org/10.5455/medscience.2022.05.114.

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Emergency healthcare is the first sight of intervention for suicide attempts. Therefore, the attitudes of emergency health personnel towards suicidal tendencies are of great importance. The aims of this study are; to determine the attitudes and behaviors of emergency service workers towards attempted suicide cases, which are frequently encountered in emergency services, and to determine whether they are influenced by job satisfaction and burnout. The sample of the descriptive correlational study consists of 282 healthcare professionals working in the emergency services of Tokat and its districts. The data were collected using a questionnaire method through a personal information form, a scale determining the attitudes of emergency health workers towards attempted suicide cases (SAEHS), occupational burnout inventory (OBI) and job satisfaction survey (JSS). A total of 282 healthcare personnel, 159 women and 123 men, participated in the study. The participants had a positive attitude towards patients who attempted suicide, and the results indicated that this was not affected by variables such as age, gender, level of education, profession, marital status, years of experience, weekly working hours and shift schedules. While there was a significant positive, moderate or weak correlation between SAEHS and its sub-groups; a negative correlation with very low significance was found between SAEHS and OBI. On the other hand, the results suggested that there was a positive correlation with very low significance between SAEHS and JSS. Although emergency service workers approach attempted suicide patients with a positive attitude, this can be improved with an increase in job satisfaction and a decrease in burnout. It would be beneficial to include healthcare professionals in pre and post-graduation training programs regarding suicide cases and to collaborate with psychiatric services.

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Bryant, Richard A., Lucy Kenny, Natasha Rawson, Catherine Cahill, Amy Joscelyne, Benjamin Garber, Julia Tockar, Katie Dawson, and Angela Nickerson. "Efficacy of exposure-based cognitive behaviour therapy for post-traumatic stress disorder in emergency service personnel: a randomised clinical trial." Psychological Medicine 49, no. 09 (August 28, 2018): 1565–73. http://dx.doi.org/10.1017/s0033291718002234.

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AbstractBackgroundAlthough emergency service personnel experience markedly elevated the rates of post-traumatic stress disorder (PTSD), there are no rigorously conducted trials for PTSD in this population. This study assessed the efficacy of cognitive behaviour therapy (CBT) for PTSD in emergency service personnel, and examined if brief exposure (CBT-B) to trauma memories is no less efficacious as prolonged exposure (CBT-L).MethodOne hundred emergency service personnel with PTSD were randomised to either immediate CBT-L, CBT-B or wait-list (WL). Following post-treatment assessment, WL participants were randomised to an active treatment. Participants randomised to CBT-L or CBT-B were assessed at baseline, post-treatment and at 6-month follow-up. Both CBT conditions involved 12 weekly individual sessions comprising education, CBT skills building, imaginal exposure, in vivo exposure, cognitive restructuring and relapse prevention. Imaginal exposure occurred for 40 min per session in CBT-L and for 10 min in CBT-B.ResultsAt post-treatment, participants in WL had smaller reductions in PTSD severity (Clinician Administered PTSD Scale), depression, maladaptive appraisals about oneself and the world, and smaller improvements on psychological and social quality of life than CBT-L and CBT-B. There were no differences between CBT-L and CBT-B at follow-up on primary or secondary outcome measures but both CBT-L and CBT-B had large baseline to follow-up effect sizes for reduction of PTSD symptoms.ConclusionsThis study highlights that CBT, which can include either long or brief imaginal exposure, is efficacious in reducing PTSD in emergency service personnel.

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Torabi, Mohammad, Fariba Borhani, Abbas Abbaszadeh, and Foroozan Atashzadeh-Shoorideh. "Barriers to ethical decision-making for pre-hospital care professionals." Nursing Ethics 27, no. 2 (June 11, 2019): 407–18. http://dx.doi.org/10.1177/0969733019848044.

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Background: Emergency care providers are frequently faces with situations in which they have to make decisions quickly in stressful situations. They face barriers to ethical decision-making and recognizing and finding solutions to these barriers helps them to make ethical decision. Objectives: The purpose of this study was to identify barriers of ethical decision-making in Iranian Emergency Medical Service personnel. Methods: In this qualitative research, the participants (n = 15) were selected using the purposive sampling method, and the data were collected by deep and semi-structured interviews. Finally, the data are analyzed using the content analysis approach. Ethical considerations: Permission to conduct the study was obtained from the Ethics Committee of the Shahid Beheshti University of Medical Sciences. The objectives of the study were explained to the participants and written consent was received from them. Also, participants were assured that necessary measures were taken to protect their anonymity and confidentiality. Findings: The results of the analysis are classified in five main categories. It encompasses the following areas: perception of situation, patient-related factors, input and output imbalance, uncoordinated health system, and paradoxes. Conclusion: Emergency Medical Service personnel make ethical decisions every day. It is important that prehospital personnel know how to manage those decisions properly so that clients’ moral rights are respected. Hence, by identifying the dimensions and obstacles of ethical decision-making in Emergency Medical Service personnel, it is possible to enhance the moral judgment and ethical accountability of the personnel and develop the strategies necessary for ethical decision-making in them.

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Innes, J. Michael, and Jennifer K. Slack. "Some Considerations on Personal Reactions to Emergency Stress in Employed and Volunteer Disaster Organization Personnel." International Journal of Mass Emergencies & Disasters 8, no. 3 (November 1990): 379–400. http://dx.doi.org/10.1177/028072709000800309.

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This paper reviews research on occupational stress as it is relevant to the demands made upon members of the emergency services, in particular fire service and ambulance personnel. Personal characteristics which may enhance or alleviate reactions to job stress are considered in concert with the effects, both positive and negative, of the support provided by other people, whether co-workers or family members. Particular attention is paid to the impact of stress upon volunteer personnel, as the characteristics which motivate people to take voluntary positions may in some cases heighten their reaction to job stressors.

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Kupas, Douglas F., David J. Dula, and Bruno J. Pino. "Patient Outcome Using Medical Protocol to Limit “Lights and Siren” Transport." Prehospital and Disaster Medicine 9, no. 4 (December 1994): 226–29. http://dx.doi.org/10.1017/s1049023x00041443.

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AbstractIntroduction:Emergency medical services vehicle collisions (EMVCs) associated with the use of warning “lights and siren” (L&S) are responsible for injuries and death to emergency medical services (EMS) personnel and patients. This study examines patient outcome when medical protocol directs L&S transport.Design:During four months, all EMS calls initiated as an emergency request for service and culminating in transport to an emergency department (ED) were included. Medical criteria determined emergent (L&S) versus non-emergent transport. Patients with worsened conditions, as reported by EMS providers, were reviewed.Setting:Countywide suburban/rural EMS system.Results:Ninety-two percent (1,495 of 1,625) of patients were transported non-emergently. Thirteen (1%) of these were reported to have worsened during transport, and none of them suffered any worsened outcome related to the non-L&S transport.Conclusion:This medical protocol directing the use of warning L&S during patient transport results in infrequent L&S transport. In this study, no adverse outcomes were found related to non-L&S transports.

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Wanger, Karen. "Emergency medical services controversies in British Columbia." CJEM 2, no. 01 (January 2000): 36–38. http://dx.doi.org/10.1017/s1481803500004450.

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RÉSUMÉ: L’encombrement des salles d’urgence a atteint un niveau de crise et les retombées s’étendent au-delà des murs des hôpitaux. De plus en plus, le personnel des urgences surchargées utilise la tactique du «détournement des ambulances», obligeant les préposés aux SMU à se diriger vers le prochain établissement adéquat. Comme de plus en plus d’hôpitaux ont recours au détournement, les patients s’accumulent dans les établissements qui les acceptent jusqu’à ce que ceux-ci débordent également. Finalement, plus personne n’accepte de patients et les préposés aux SMU doivent attendre avec leurs patients dans les corridors de l’urgence qu’une civière se libère. En raison de cette situation, il y a moins d’ambulances disponibles pour répondre aux appels 911. Le principal mandat d’un service pré-hospitalier est de prodiguer des soins sur les lieux de l’incident et non dans les corridors d’une urgence et il est inacceptable qu’une pénurie de lits à l’urgence entraîne des retards de réponse au 911. La plupart des gens sont d’accord pour dire qu’il est inacceptable que des patients malades aient à attendre dans les corridors de l’urgence pour des civières inexistantes; cependant, même si cette situation est dangereuse, elle l’est moins que le fait d’obliger ces mêmes patients à attendre indûment à la maison l’arrivée des SMU. Les hôpitaux devraient peut-être prendre un engagement moral d’accepter les patients peu importe la situation d’encombrement, puis d’assigner les ressources nécessaires pour les soigner; ou les services ambulanciers devraient peut-être embaucher et former du personnel pour traiter les patients dans les corridors des urgences. Quelle que soit l’approche adoptée, les hôpitaux et les préposés aux SMU doivent cesser de s’imputer mutuellement la responsabilité du problème et travailler à trouver des solutions.

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Valente, Jacob T., and Miguel A. Perez. "Emergency Response to Vehicle Collisions: Feedback from Emergency Medical Service Providers." Safety 6, no. 4 (October 20, 2020): 48. http://dx.doi.org/10.3390/safety6040048.

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(1) Background: The purpose of this study is to identify emergency medical technicians’ perceptions of the most pressing issues that they experience when responding to motor vehicle collisions and record their opinions about what information is needed to improve the efficiency and effectiveness of the care they provide. (2) Methods: Emergency medical technicians participated in one-on-one structured interviews about their experiences responding to motor vehicle collisions. Their feedback on dispatching procedures and protocols, travel to and from the scene, and the response process was collected. (3) Results: Participants reported experiencing difficulties related to lack of or inaccuracies in information, interactions with traffic, incompatibility in communication technology, scene safety, resource management, and obtaining timely notifications of motor vehicle collisions. Regarding the type of information most needed to improve emergency medical response, respondents indicated a desire for additional data related to the vehicle and its occupants. (4) Conclusions: The early and widespread availability of this information is expected to aid emergency responders in coordinating necessary resources faster and more optimally, help service optimization in situations with multiple motor vehicle collisions in close temporal proximity, and improve on-scene safety for first responders and other necessary personnel.

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Asadi, Payman, Mohsen Esmaeili, Nazanin Noori Roodsari, Elham Gheysvandi, and Enayatollah Homaie Rad. "Violence Against Pre-hospital Emergency Medical Service Personnel in Guilan Province, Iran: A Cross-Sectional Study." Journal of Holistic Nursing And Midwifery 33, no. 2 (April 1, 2023): 87–94. http://dx.doi.org/10.32598/jhnm.33.2.2277.

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Introduction: The first contact between emergency patients and medical services is carried out by emergency medical services (EMS). EMS personnel must deliver high-quality and high-speed services. This condition might cause high levels of stress and violence in the patients and their companions. Objective: In this research, we aimed to study the violent acts against pre-hospital EMS personnel in Guilan Province, Iran. Materials and Methods: This research was a cross-sectional study. A total of 110 EMS personnel working in Guilan Province in the north of Iran were selected using a random selection method between March and June 2020. A researcher-made questionnaire was used to collect the study data from the EMS personnel. The results were analyzed by the Poisson regression. Results: A total of 144 questionnaires were sent to the personnel, of these 110 were completed. The mean age of the participants was 34.89±3.65 years and all of them were male. About 61.8% of the samples experienced some kind of physical or verbal violence in the past 3 months. All cases of physical violence were perpetrated by men and half of them were done by close relatives of the patients. A significant relationship was found between the marital status of the EMS personnel and the number of physical violence they experienced (β=2.246, 95% CI; 0.058 to 4.446, P=0.032). In addition, the number of experienced physical violence was higher in those staff who worked at road EMS services compare to city or town EMS services (β=1.519,95% CI; 0.092 to 2.934, P=0.001). According to the EMS personnel, most of the attacks were answered calmly. The personnel revealed that the most important reason for not reporting physical violence was the futility of reports and the lack of guidelines for reporting violence. Conclusion: The findings of this study confirm that pre-hospital EMS are at high risk of workplace violence in Guilan Province which highly affects their health and well-being. Training EMS personnel and strengthening their communication skills are important factors in reducing violence against emergency services technicians.

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Lawrence, David. "MENTAL HEALTH AND WELLBEING IN THE POLICE AND EMERGENCY SERVICES SECTOR." Journal of Intelligence, Conflict, and Warfare 5, no. 3 (January 31, 2023): 204–8. http://dx.doi.org/10.21810/jicw.v5i3.5199.

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On November 23, 2022, David Lawrence, Professor of Mental Health in the School of Population Health at Curtin University & Adjunct Professor in the School of Population and Global Health at the University of Western Australia, presented on Mental Health and Wellbeing in the Police and Emergency Services Sector. Following the presentation, a question-and-answer period ensued with questions from the audience and CASIS Vancouver executives. The key points discussed were experiences by retired service personnel, and generational attitudes among police and Emergency Medical Services (EMS) towards mental health conditions. Received: 2023-01-14Revised: 2023-01-25

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El Sayed, Mazen, Hani Tamim, and N. Clay Mann. "Description of Medication Administration by Emergency Medical Services during Mass-casualty Incidents in the United States." Prehospital and Disaster Medicine 31, no. 2 (February 3, 2016): 141–49. http://dx.doi.org/10.1017/s1049023x1600008x.

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AbstractBackgroundEmergency Medical Services (EMS) preparedness and availability of essential medications are important to reduce morbidity and mortality from mass-casualty incidents (MCIs).ObjectivesThis study describes prehospital medication administration during MCIs by different EMS service levels.MethodsThe US National EMS Public-Release Research Dataset maintained by the National Emergency Medical Services Information System (NEMSIS) was used to carry out the study. Emergency Medical Services activations coded as MCI at dispatch, or by EMS personnel, were included. The Center for Medicare and Medicaid Services (CMS) service level was used for the level of service provided. A descriptive analysis of medication administration by EMS service level was carried out.ResultsAmong the 19,831,189 EMS activations, 53,334 activations had an MCI code, of which 26,110 activations were included. There were 8,179 (31.3%) Advanced Life Support (ALS), 5,811 (22.3%) Basic Life Support (BLS), 399 (1.5%) Air Medical Transport (AMT; fixed or rotary), and 38 (0.2%) Specialty Care Transport (SCT) activations. More than 80 different medications from 18 groups were reported. Seven thousand twenty-one activations (26.9%) had at least one medication administered. Oxygen was most common (16.3%), followed by crystalloids (6.9%), unknown (5.2%), analgesics (3.2%) mainly narcotics, antiemetics (1.5%), cardiac/vasopressors/inotropes (0.9%), bronchodilators (0.9%), sedatives (0.8%), and vasodilators/antihypertensives (0.7%). Overall, medication administration rates and frequencies of medications groups significantly varied between EMS service levels (P<.01) except for “Analgesia (other)” (P=.40) and “Pain medications (nonsteroidal anti-inflammatory drug; NSAID)” (P=.07).ConclusionMedications are administered frequently in MCIs, mainly Oxygen, crystalloids, and narcotic pain medications. Emergency Medical Services systems can use the findings of this study to better prepare their stockpiles for MCIs.El SayedM, TamimH, MannNC. Description of medication administration by Emergency Medical Services during mass-casualty incidents in the United States. Prehosp Disaster Med. 2016;31(2):141–149.

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Akhmetzhanov, Kanadan Kanashevich. "Results of the reform of the emergency medical service in the Pavlodar Region." Vrač skoroj pomoŝi (Emergency Doctor), no. 12 (December 1, 2020): 67–71. http://dx.doi.org/10.33920/med-02-2012-04.

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Improving the organization of medical care allows providing standardized and timely medical care of higher quality not only to residents of cities, but also to the population living in rural areas. This is achieved by the gradual reorganization of the emergency medical service, introduction of innovative technologies, 100 % provision of ambulances with medical equipment, and training of medical personnel of emergency medical teams.

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Journal articles on the topic 'Emergency service personnel'

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