New 'security network' ties private security, police via computer.
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This study was undertaken to learn whether law enforcement agencies in California ("agencies") have standard policies and procedures in place for responding to reports of domestic violence injuries from health practitioners ("HP reports"), and to describe the variation in policies and procedures across agencies. Using a structured interviewing tool with closed- and open-ended questions, a survey was taken of domestic violence experts from 39 agencies throughout California. Forty-one agencies were asked to participate in the study. Interviews were completed with 39. Almost all agencies reported that they have standard procedures in place for responding to HP reports when the reports are made by telephone. Agencies handle written HP reports differently than telephone HP reports. HP reports constitute a very small proportion of agencies' overall domestic violence caseloads. Emergency departments are the usual source of HP reports. Although the law requires both an immediate telephone report and a written report, fewer than one quarter of sampled agencies always received both types of HP reports. Most agencies use standard response protocols when reports of domestic violence incidents are made by telephone, whether the reporting party is a health practitioner or someone else. Written HP reports do not fit into the agencies' usual response protocol for domestic violence situations. Because agencies' protocols are best suited to situations requiring prompt dispatch of an investigating officer, only reports made by telephone have the opportunity to promote an effective law enforcement response.
INTRODUCTION: Medical Miranda, also called Secondary Emergency Notification of Dispatch (SEND), is a low cost, effective, and welcome addition to emergency medical dispatching systems. The benefits are recognized by emergency medical dispatchers who receive feeder calls from associated public safety agencies that have trained both their field staff and call-takers in the Medical Miranda protocol. HYPOTHESIS: The dispatchers would be more satisfied with feeder agencies that used the SEND protocol. METHODS: A survey was conducted and analyzed, taking advantage of a situation in which two agencies (one used SEND) fed calls to the same communication center. RESULTS: Dispatchers were more satisfied with the information gained from the feeder agency that used the SEND protocol and believed that the officers and dispatchers of that agency had a far better understanding of the emergency medical dispatcher's needs. CONCLUSIONS: When the emergency medical dispatcher does not talk directly with the reporting scene personnel or caller, Medical Miranda increases the usefulness of the information the dispatcher receives, helps the dispatcher better understand the reported medical emergency, and improves response appropriateness in emergency medical service (EMS) systems where responses routinely are prioritized.
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UNLABELLED: Policemen are workers exposed to risk from both shiftwork and delicate tasks. This study aims to investigate sleep habits, prevalence of sleep disturbance, sleepiness and hypnotic drug intake in the whole population of Italian State Policemen working in the Genoa district. Italian literature is completely lacking of such data. The study has been carried out by means self administered and assisted questionnaires. Eighty-five percent of the population accepted and answered the questionnaire. Here we focus on the differences between 540 not-shiftworkers, NS, (413 males, 127 females), and 575 shiftworkers, S, (483 males, 92 females). A higher prevalence of difficulties in falling asleep, sleep-latency longer than 20 min. and early awakenings was found in S. No significative differences in daytime sleepiness and drug intake were found between the two groups. Concerning the self-evaluation of the numbers of hours slept during the night and during the 24 hours a higher quantity of sleep was reported by S. CONCLUSIONS: Data seem to indicate a low quality of sleep in S without any evidence of increased daytime sleepiness or increased hypnotic drugs assumption. Shiftworkers seem to compensate their poor quality of sleep with a greater amount of time spent sleeping in the 24 hour period. Such a condition could be the expression of a prolonged recovery from the shift effects.