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At least 19 recordsLinked to original sources
PubMedDate not supplied

Objectives to direct the training of emergency medicine residents on off-service rotations: emergency medical services.

Emergency Medical Services are an area of special interest in emergency medicine. Many emergency physicians are called upon to direct, train, or manage emergency medical services. Residents training in emergency medicine have a need for a defined curriculum in emergency medical services. Residency training should provide a basic foundation in EMS including on- and off-line medical control, medicolegal aspects, communications, disaster management, and EMS history, structure, and function. The resident must gain experience through on-scene observation, EMT/Paramedic education, medical direction, and quality assurance activities. This paper is one in a continuing series of goals and objectives to direct resident training in off-service rotations. Specific resources, learning objectives, and experiences are suggested.

Competency-Based Education↗
PubMed2004

Wilderness emergency medical services.

Emergency medical service providers are increasingly being asked to respond to unfamiliar environments. The challenges encountered have spurred the development of courses designed to enhance the rescuer's knowledge about wilderness medical topics and how to work and travel safely in a hitherto unfamiliar environment. This article describes the evolution of these courses, discusses the challenges of curriculum development, and lists some of what is available.

Certification↗
PubMed1986

Prehospital care: emergency medical services.

Emergency medical services are becoming an increasingly important aspect of health care delivery. Prehospital care providers, termed paramedics, follow established protocols and work under a medical director in implementing treatment on the scene. Special problems include the physician on the scene, issues of consent and liability, and the treatment of terminally ill patients.

Airway Obstruction↗
PubMed1994

[Structure, organization and capacity problems in emergency medical services, emergency admission and intensive care units].

Emergency medicine is subjected worldwide to financial stringencies and organizational evaluations of cost-effectiveness. The various links in the chain of survival are affected differently. Bystander assistance or bystander CPR is available in only 30% of the emergencies, response intervals--if at all required by legislation--are observed to only a limited degree or are too extended for survival in cardiac arrest. A single emergency telephone number is lacking. Too many different phone numbers for emergency reporting result in confusion and delays. Organizational realities are not fully overcome and impair efficiency. The position of the emergency physician in the EMS System is inadequately defined, the qualification of too many emergency physicians are unsatisfactory. In spite of this, emergency physicians are frequently forced to answer out-of-hospital emergency calls. Conflicts between emergency physicians and EMTs may be overcome by providing both groups with comparable qualifications as well as by providing an explicit definition of emergency competence. A further source of conflict occurs at the juncture of prehospital and inhospital emergency care in the emergency department. Deficiencies on either side play a decisive role. At least in principle there are solutions to the deficiencies in the EMSS and in intensive care medicine. They are among others: Adequate financial compensation of emergency personnel, availability of sufficient numbers of highly qualified personnel, availability of a central receiving area with an adjacent emergency ward, constant information flow to the dispatch center on the number of available emergency beds, maintaining 5% of all beds as emergency beds, establishing intermediate care facilities. Efficiency of emergency physician activities can be demonstrated in polytraumatized patients or in patients with ventricular fibrillation or acute myocardial infarction, in patients with acute myocardial insufficiency and other emergency clinical pictures. Cost effectiveness is clearly in favor of emergency medicine. Future developments will be characterized by the consequences of new health care legislation and by effects of financial stringencies on the emergency medical services.

Education, Medical, Graduate↗
PubMedDate not supplied

Teamwork in emergency medical services.

Emergency medical care is delivered by highly trained and motivated individuals working in groups. In some cases, these groups function as teams, but their teamwork has been poorly studied and rarely is the result of focused training. Medical outcome traditionally is described using patient parameters and often is related to the economics of care delivery. Errors in medical care typically are blamed on individuals and occasionally on system problems. Teams and teamwork, although a major part of the medical delivery system, usually are not included in training, outcome measures, or rigorous quality improvement efforts. This article outlines issues involved in the analysis of medical errors as they relate to measures of individual and team performance and introduces concepts related to emergency care teamwork and team training. Through analogy with aviation analysis of errors and corrective training medical care similarly is being analyzed and error-reduction efforts studied and implemented. The potential benefit of teamwork training for EMS personnel, including air medical crews, is discussed.

Air Ambulances↗
PubMed2005

The New Mexico school nurse and emergency medical services emergency preparedness course: program description and evaluation.

Illness and injuries are common among students and school staff. Therefore, school nurses must be prepared. In this study, a 16-hour scenario-based emergency preparedness course for school nurses was evaluated for its effectiveness. Effectiveness was measured by (a) traditional methods (written exams and confidence surveys) and (b) skills and performance evaluations in simulated emergencies called On-site Mock Emergency Scenarios. School nurses who completed the emergency preparedness course showed significant improvement in knowledge, confidence, and On-site Mock Emergency Scenarios scores that measured each nurse's ability to apply knowledge in simulated emergencies.

Child↗
PubMed1994

[Analysis of requests for help. Emergency calls to the fire department and emergency medical services, as well as to the general medical practitioners' emergency services in a rescue service area].

There is no doubt that a single emergency phone number is desirable, but in contrast to other countries, in Germany different emergency phone numbers and dispatching centers exist for the fire brigade (FB), the emergency medical service system (EMS), and the general practitioners' emergency service (GPS). Due to this fact, valuable time is often wasted by connecting or transferring emergency calls from one dispatching center to another. The purpose of this study was to analyse all calls received by the different dispatching centers in the city and county area of Mainz with respect to total number, fraction of emergency calls, and specificity. Further, the total number of calls potentially referring to a hypothetic single dispatching center with a general emergency phone number (112) was calculated. During a 4-month period, all telephone calls were registered and related to day, time, and origin of the call (city or county) and classified as non-urgent or emergency calls, calls appropriate to the dispatching center dialed, emergency calls to be transferred, or unspecific calls. A total of 80,987 calls were received (city area 84.3%, county area 15.7%), most of them directed to the FB of Mainz (33,086). The EMS dispatching center received 31,286 calls, the five GPS-centers 15,256 calls; 1359 emergency calls that were directed to the police or FB needed transfer to the EMS. During weekdays the EMS and FB received the most calls, with a reduced frequency on Saturdays and Sundays (Table 2). Nevertheless, the highest total numbers of calls were received on Saturdays due to multiple calls directed to the GPS.(ABSTRACT TRUNCATED AT 250 WORDS)

Emergency Medical Service Communication Systems↗
PubMed2006

Emergency medical services: Brazil.

Emergency medical services in Brazil have been created to offer first aid, primary medical treatment, basic life support, stabilization and rapid transfer to the closest appropriate hospital and advanced life support. Pre-hospital emergency care in Brazil is divided into permanent and mobile services. Permanent care is provided by the pre-hospital network (basic health units, family health program, specialized clinics, diagnosis and therapy services, non-hospital emergency care units). The mobile medical services include: mobile emergency care service, fire department and private services. Emergency hospital care units (emergency departments) are classified into general and reference units. Details of these services are described.

Brazil↗
PubMed1997

Emergency medical services.

Prehospital emergency medical service personnel are at occupational risk of exposure to human immunodeficiency virus (HIV). Current protections from blood-borne pathogens are not adequate for all firefighters and emergency medical services (EMS) personnel. The International Association of Fire Fighters examines the environmental realities of the profession and seeks solutions for effective postexposure management of HIV-exposed firefighters and EMS professionals.

Emergency Medical Services↗