Objectives:To determine the epidemiology of non- transported emergency medical services (EMS) calls within the EMS system at Riyadh, Saudi Arabia, to identify factors that contributes to non-transport of patients by EMS provider, and to recommend suggestions for reduction in number of non-transported calls.Methods:Retrospective analysis of 1390 patient care reports (PCR) of non-transported cases responded to, and documented by the Saudi Red Crescent Authority (SRCA) emergency medical technicians (EMTs). All PCRs of non-transported cases from 10 EMS stations, in 3 consecutive months were examined. The SRCA EMTs management in Riyadh allocated all non-transported PCRs for 3 months (March-May 2014). Constructive data that includes patients demographics, scene characteristics, trip and timing information, length of stay, clinical and assessment data, and physician contact, or presence status were extracted from those PCRs.Results:Twenty-five percent of calls made during the study period were reported as non-transported calls. Seventy percent of non-transported calls were related to refusal by patient. Approximately 22.4% of non-transported calls were canceled by dispatch. Approximately 50% of non-transported patient were in the young age group (16-30 years). In 26% of non-transported calls, the field time was restricted to 15 minutes.Conclusion:More than half of the non-transported emergency calls were reported as refused by patient/relative, while approximately one quarter were reported as cancelled calls.
As yet, there is no convincing direct evidence that clinical smoking cessation interventions, which are found to be effective in Western populations, are also effective for Arab smokers. There is an urgent need for high quality randomized trials evaluating interventions in this population.
The objective of this study was to identify the incidence and clinical variables of out of hospital non-traumatic pediatric cardiac arrest in Riyadh, Kingdom of Saudi Arabia. A prospective protocol was developed to gather information relating to out of hospital non-traumatic pediatric cardiac arrests that were transported to King Khalid University Hospital in Riyadh, Saudi Arabia. A total of 23 patients were enrolled in the study and ranged from 10 days to 13 years old. Males represented 69.6% of the enrolled patients. The patient's home was reported as where 87% of the patients went into cardiac arrest. Only 1 patient was transported to the emergency department by ambulance with majority of others being transported by private vehicle. Asystole was the most common cardiac rhythm upon arrival. Eleven cases received cardiopulmonary resuscitation with 6 of these patients having a known history of chronic illness. Cardiopulmonary resuscitation was not performed on 12 of the patients and all of these but two had a known chronic illness. None of the patients enrolled in this study had a spontaneous return of circulation. Data from this study support other studies on the low survival rate for out of hospital pediatric cardiac arrest. Recommendations for public education and further research at a national level on the topic were supported by the limitations and findings.
<p>Objective: To identify influences on learning for Saudi male students studying Emergency Medical Services at a college in Riyadh, Saudi Arabia. Previous research on influences on student learning in the Kingdom of Saudi Arabia focused on the historical development of education in Saudi Arabia, English language development, and intrinsic motivations of students and excluded a focus on students studying Emergency Medical Services. Methods: Exploratory sequential mixed-methods study was deployed. Results: Family support was an exceptionally strong predictor of student confidence in both skills and post-graduate EMS employment. Concepts involving application, memorization, motivation, and English language did not present as statically significant. The discovery of the strong influences that a family can have on Saudi EMS student’s confidence is noteworthy, as this was not previously discovered in the literature. Conclusion: This discovery holds practical implications for EMS education and training programs as emphasizes the importance of developing practical ways to include a student’s family as a source of support in ensuring student success and confidence. <strong></strong></p>
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