Author: Erik D. Minge Publisher: ISBN: 9780309271042 Category : Ambulance service Languages : en Pages : 72
Book Description
"According to national highway safety statistics, a disproportionate number of motor vehicle crashes occur in rural areas. About 40% of vehicle-miles traveled occur on rural roads; however, these rural trips account for 54% of all traffic fatalities. In 2010, a total of 18,026 lives were lost in crashes on rural roadways. Several factors contribute to these higher injury and fatality rates, including that rural crashes are more likely to involve higher vehicle speeds, a lower rate of seat belt use, and less availability of timely emergency medical care. Rural crashes present unique challenges for emergency medical service (EMS) systems. Compared with urban areas, a greater percentage of rural crashes result in multiple fatalities and higher rates of head-on collisions, roll overs, and ejected crash occupants. In addition, rural EMS systems often rely on a volunteer force, and tend to have less financial resources for staffing, equipment, and training. Response times in rural areas are longer owing to the greater travel distances required to reach the scene of a crash. Additionally, some rural EMS systems operate in areas with limited telecommunication options. This synthesis study explores the state of the practice for a broad cross-section of EMS system characteristics. It identifies factors that affect the timely provision of effective medical care in rural areas. In addition, it examines broader issues such as personnel, data records, and interaction with other agencies"--Summary.
Author: Benjamin L. Schooley Publisher: ISBN: Category : Application software Languages : en Pages : 36
Book Description
The motivation for this study is to reduce the adverse impacts of trauma caused by motor vehicle crash (MVC), including rural regions, where crashes account for a high percentage of trauma injury and death. One key aspect of reducing adverse effects of MVCs is to improve emergency medical services (EMS)--that is, to increase the efficiency and effectiveness of emergency and transportation services to respond, clear the scene of the crash, provide patient care, and take a patient to the correct hospital. The study centered on a 6-month demonstration of a multi-media (voice, video, pictures, data) EMS application ("CrashHelp") in the greater Boise area. For the pilot test period, 1,513 CrashHelp reports, 306 digital images, and 1,121 voice recordings were sent by 81 paramedics to 8 hospital emergency departments (EDs). EMS and ED staff generally thought the system was easy to use, captured useful information, and could play a role in enhanced clinical decision-making.
Author: Kathryn Sylvia Quick Publisher: ISBN: Category : Emergency medical services Languages : en Pages : 28
Book Description
The focus of this exploratory study is emergency medical response (EMS) for motor vehicle crashes (MVCs) in American Indian reservations and communities. Tribal transportation professionals have raised questions about the role of EMS in the high MVC fatality rate – 656 annually – in these areas. We conducted a national survey (n=189) of tribal governments, first responders, and state-tribe transportation liaisons. They assessed factors in the quality of EMS response in their areas (e.g., 911 access, dispatch, accessibility of MVC locations, responders’ training and equipment, distance to hospital; and inter-jurisdictional coordination). We recommend continuing research on MVCs specifically in American Indian reservations and communities. Specifically, more research is needed on dispatch issues (e.g., cell phone coverage and dispatchers’ ability to pinpoint MVC sites) because this is study respondents’ single highest area of concern, and the whole EMS response hinges on successfully placing a call for help. And, examples of productive inter-jurisdictional coordination need to be identified since tribes report vastly different experiences with this aspect of EMS system functioning. Two statistically significant findings merit further study, namely: a) heightened concern about response times and hospital access among responders from the Pacific Northwest and Alaska (compared with other regions); and b) higher optimism on all aspects of EMS response from study participants who work for tribal governments versus participants without that affiliation. Finally, it is important for researchers to communicate clearly about the geographic areas covered under "American Indian reservations and communities” in order to improve characterization of road safety and EMS issues.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309101743 Category : Medical Languages : en Pages : 311
Book Description
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: Jane H. Brice Publisher: John Wiley & Sons ISBN: 111975626X Category : Medical Languages : en Pages : 1184
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: 030937202X Category : Medical Languages : en Pages : 291
Book Description
Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.
Author: Erik D. Minge
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Author: Benjamin L. Schooley
Author: Maria Elizabeth Hewitt
Author: Kathryn Sylvia Quick
Author: Institute of Medicine
Author: Jane H. Brice
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Author: Institute of Medicine