Regionalizing Emergency Care PDF Download

Author: Ben Wheatley
Publisher:
ISBN:
Category : Emergency management
Languages : en
Pages : 151

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Author: Jane H. Brice
Publisher: John Wiley & Sons
ISBN: 111975626X
Category : Medical
Languages : en
Pages : 1184

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Book Description
The two-volume Emergency Medical Services: Clinical Practice and Systems Oversight delivers a thorough foundation upon which to succeed as an EMS medical director and prepare for the NAEMSP National EMS Medical Directors Course and Practicum. Focusing on EMS in the 'real world', the book offers specific management tools that will be useful in the reader's own local EMS system and provides contextual understanding of how EMS functions within the broader emergency care system at a state, local, and national level. The two volumes offer the core knowledge trainees will need to successfully complete their training and begin their career as EMS physicians, regardless of the EMS systems in use in their areas. A companion website rounds out the book's offerings with audio and video clips of EMS best practice in action. Readers will also benefit from the inclusion of: A thorough introduction to the history of EMS An exploration of EMS airway management, including procedures and challenges, as well as how to manage ventilation, oxygenation, and breathing in patients, including cases of respiratory distress Practical discussions of medical problems, including the challenges posed by the undifferentiated patient, altered mental status, cardiac arrest and dysrhythmias, seizures, stroke, and allergic reactions An examination of EMS systems, structure, and leadership

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133777
Category : Medical
Languages : en
Pages : 424

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Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309151511
Category : Medical
Languages : en
Pages : 166

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During medical emergencies, hospital staff and emergency medical services (EMS) providers, can face barriers in delivering the fastest and best possible care. Overcrowded emergency rooms cannot care for patients as quickly as necessary, and some may divert ambulances and turn away new patients outright. In many states, ambulance staff lacks the means to determine which hospitals can provide the best care to a patient. Given this absence of knowledge, they bring patients to the closest hospital. In addition, because emergency service providers from different companies compete with each other for patients, and emergency care legislation varies from state to state, it is difficult to establish the necessary local, interstate, and national communication and collaboration to create a more efficient system. In 2006, the IOM recommended that the federal government implement a regionalized emergency care system to improve cooperation and overcome these challenges. In a regionalized system, local hospitals and EMS providers would coordinate their efforts so that patients would be brought to hospitals based on the hospitals' capacity and expertise to best meet patients' needs. In September 2009, three years after making these recommendations, the IOM held a workshop sponsored by the federal Emergency Care Coordination Center to assess the nation's progress toward regionalizing emergency care. The workshop brought together policymakers and stakeholders, including nurses, EMS personnel, hospital administrators, and others involved in emergency care. Participants identified successes and shortcomings in previous regionalization efforts; examined the many factors involved in successfully implementing regionalization; and discussed future challenges to regionalizing emergency care. This document summarizes the workshop.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133769
Category : Medical
Languages : en
Pages : 360

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Children represent a special challenge for emergency care providers, because they have unique medical needs in comparison to adults. For decades, policy makers and providers have recognized the special needs of children, but the system has been slow to develop an adequate response to their needs. This is in part due to inadequacies within the broader emergency care system. Emergency Care for Children examines the challenges associated with the provision of emergency services to children and families and evaluates progress since the publication of the Institute of Medicine report Emergency Medical Services for Children (1993), the first comprehensive look at pediatric emergency care in the United States. This new book offers an analysis of: • The role of pediatric emergency services as an integrated component of the overall health system. • System-wide pediatric emergency care planning, preparedness, coordination, and funding. • Pediatric training in professional education. • Research in pediatric emergency care. Emergency Care for Children is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency health care providers, professional organizations, and policy makers looking to address the pediatric deficiencies within their emergency care systems.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309101743
Category : Medical
Languages : en
Pages : 311

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Emergency Medical Services (EMS) is a critical component of our nation's emergency and trauma care system, providing response and medical transport to millions of sick and injured Americans each year. At its best, EMS is a crucial link to survival in the chain of care, but within the last several years, complex problems facing the emergency care system have emerged. Press coverage has highlighted instances of slow EMS response times, ambulance diversions, trauma center closures, and ground and air medical crashes. This heightened public awareness of problems that have been building over time has underscored the need for a review of the U.S. emergency care system. Emergency Medical Services provides the first comprehensive study on this topic. This new book examines the operational structure of EMS by presenting an in-depth analysis of the current organization, delivery, and financing of these types of services and systems. By addressing its strengths, limitations, and future challenges this book draws upon a range of concerns: • The evolving role of EMS as an integral component of the overall health care system. • EMS system planning, preparedness, and coordination at the federal, state, and local levels. • EMS funding and infrastructure investments. • EMS workforce trends and professional education. • EMS research priorities and funding. Emergency Medical Services is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309048885
Category : Medical
Languages : en
Pages : 415

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Book Description
How can we meet the special needs of children for emergency medical services (EMS) when today's EMS systems are often unprepared for the challenge? This comprehensive overview of EMS for children (EMS-C) provides an answer by presenting a vision for tomorrow's EMS-C system and practical recommendations for attaining it. Drawing on many studies and examples, the volume explores why emergency care for childrenâ€"from infants through adolescentsâ€"must differ from that for adults and describes what seriously ill or injured children generally experience in today's EMS systems. The book points the way to integrating EMS-C into current emergency programs and into broader aspects of health care for children. It gives recommendations for ensuring access to emergency care through the 9-1-1 system; training health professionals, from paramedics to physicians; educating the public; providing proper equipment, protocols, and referral systems; improving communications among EMS-C providers; enhancing data resources and expanding research efforts; and stimulating and supporting leadership in EMS-C at the federal and state levels. For those already deeply involved in EMS efforts, this volume is a convenient, up-to-date, and comprehensive source of information and ideas. More importantly, for anyone interested in improving the emergency services available to childrenâ€"emergency care professionals from emergency medical technicians to nurses to physicians, hospital and EMS administrators, public officials, health educators, children's advocacy groups, concerned parents and other responsible adultsâ€"this timely volume provides a realistic plan for action to link EMS-C system components into a workable structure that will better serve all of the nation's children.

Author: Nancy L. Caroline
Publisher: Jones & Bartlett Publishers
ISBN: 1284050521
Category : Medical
Languages : en
Pages : 2040

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**Each new print copy of Nancy Caroline's Emergency Care in the Streets, Canadian Seventh Edition also includes Navigate 2 Advantage Access that unlocks a complete eBook, Study Center, homework and Assessment Center, and a dashboard that reports actionable data. Learn more at http://jblnavigate.com/2 Nancy Caroline's Emergency Care in the Streets, Seventh Edition transforms the legendary paramedic textbook first developed by Dr. Caroline in the early 1970s into the premier paramedic education program. The Paramedic Association of Canada is proud to continue this legacy and set the new gold standard for paramedic education. The Seventh Edition reflects the collective experience of its top flight Canadian author team and decades of street wisdom. This fully updated edition addresses the National Occupational Competency Profiles with clarity and precision in a concise format that ensures student comprehension and encourages critical thinking. This edition emphasizes the notion that becoming a paramedic must be a pursuit of excellence. Concepts of team leadership and professionalism are woven throughout the chapters, challenging students to become compassionate, conscientious health care professionals as well as superior clinicians. This edition also broadens the traditional boundaries to include new and emerging areas of paramedic practice. Current, State-of-the-Art Medical Content The Seventh Edition includes in-depth coverage of anatomy, physiology, and pathophysiology to form an advanced understanding of the human body and disease processes expected of today's paramedic. Three new chapters have been added to this edition: Community Paramedicine, Research and Quality, and Mechanical Ventilation. The first two represent areas of growth in the scope, role, and importance of paramedics in an integrated health care system. The third acknowledges the paramedics' ability to provide advanced therapies prior to arrival at the hospital, and a growing reliance on paramedics in transfer of critically ill patients in a regionalized delivery of care. Clear Approach to Patient Assessment and Management The Seventh Edition teaches and reinforces the concept of patient assessment with a single, comprehensive chapter, ensuring that students understand patient assessment as a single, integrated process--the way that providers actually practice it in the field. Each clinical chapter reinforces the steps of the patient assessment process within the context of the illnesses or injuries discussed in the chapter. Strong Application to Real-World EMS Patient case studies evolve throughout every chapter, offering students a genuine context for the application of the knowledge presented. This approach shows the student how all of the information will be used to help patients in the field. An additional case concludes each chapter and presents critical-thinking questions to cement the chapter's concepts. Accessible Language Since the first edition published in 1972, Emergency Care in the Streets has been known for its clear, accessible language that provides the most effective learning for students. The Seventh Edition continues Dr. Caroline's legacy with world-class medical content written in a manner that is relevant to today's practice of paramedicine.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309212901
Category : Medical
Languages : en
Pages : 144

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Problems contacting emergency services and delayed assistance are not unusual when incidents occur in rural areas, and the consequences can be devastating, particularly with mass casualty incidents. The IOM's Forum on Medical and Public Health Preparedness for Catastrophic Events held a workshop to examine the current capabilities of emergency response systems and the future opportunities to improve mass casualty response in rural communities.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309253468
Category : Medical
Languages : en
Pages : 0

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Catastrophic disasters occurring in 2011 in the United States and worldwide-from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand-have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.