Brief history of Pre-Hospital Emergency Medicine

Mackenzie, R

doi:10.1136/emermed-2017-207310

Cited by 15 publications

(13 citation statements)

References 18 publications

(7 reference statements)

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“…O Atendimento Pré-Hospitalar (APH) é um cuidado emergencial antes da chegada do paciente ao hospital e depois da ativação de serviços médicos emergenciais 1 . Desta forma, APH é caracterizado por envolver medidas provisórias, com a finalidade de suprir os cuidados críticos iniciais em uma situação em que os recursos são limitados e há desafios físicos configurando o momento 2 , sendo menos atendimento clínico e muito mais ações de logística, englobando competências de resgate e habilidades de gerenciamento de cena 1 . Assim, APH se trata de uma combinação de emergência médica, pressão em relação ao tempo e, às vezes, até um time, não familiarizado com APH, formado rapidamente para agir na situação 2 .…”

Section: Introductionunclassified

“…Desta forma, APH é caracterizado por envolver medidas provisórias, com a finalidade de suprir os cuidados críticos iniciais em uma situação em que os recursos são limitados e há desafios físicos configurando o momento 2 , sendo menos atendimento clínico e muito mais ações de logística, englobando competências de resgate e habilidades de gerenciamento de cena 1 . Assim, APH se trata de uma combinação de emergência médica, pressão em relação ao tempo e, às vezes, até um time, não familiarizado com APH, formado rapidamente para agir na situação 2 . Diante disso, os cenários que envolvem APH têm sido objeto de estudos epidemiológicos, correspondendo a referências em relação à importância deste atendimento 3,4 .…”

Section: Introductionunclassified

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Conhecimento e aplicação do atendimento pré-hospitalar por docentes escolares

et al. 2022

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Objetivou-se revisar e descrever, com base na literatura nacional e internacional, estudos que abordem a importância do conhecimento de docentes escolares sobre atendimento pré-hospitalar e respectiva aplicação na prática, mediante revisão integrativa. Para tal, selecionaram-se artigos publicados entre 2016 e 2020, nas bases bibliográficas Scientific Electronic Library Online (SciELO), Medical Literature Analysis and Retrieval System Online (MEDLINE) e Literatura do Caribe em Ciências da Saúde (MEDCARIB). Em conclusão, ainda que parte considerável dos professores de ensino fundamental tenha tido que lidar com alguma situação de emergência, a quantidade deles com conhecimento técnico e atitudes adequadas ao manejo de situações emergenciais no ambiente escolar ainda é escassa. Deste modo, registra-se a importância da parceria entre os profissionais de saúde e educação, com intuito de desenvolver estratégias que viabilizem a prevenção de agravos de saúde em situações emergenciais no ambiente escolar.

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Section: Introductionunclassified

Conhecimento e aplicação do atendimento pré-hospitalar por docentes escolares

et al. 2022

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“…Pre-hospital emergency medical services (PEMS), as an essential component of emergency medical care, play an important role in rst-aid and reducing patient transport time (Mackenzie, 2018). China's PEMS system was established in the 1980s.…”

Section: Introductionmentioning

confidence: 99%

Which is better? Comparing the efficiency and information accuracy of pre-hospital emergency medical services (PEMS) dispatch in two call modes in Sichuan Province, China: a retrospective study

luo¹,

Liu

Li³

et al. 2022

Preprint

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Background China's PEMS system was established in the 1980s. Due to economic and resource inequalities, China's PEMS system does not have a uniform mode, and regions developed their models based on their circumstances, incorporating North America’s and Europe’s experiences. In the Sichuan PEMS model, when someone calls "120" for a pre-hospital emergency, he/she will first access the Medical Emergency Center, a dispatcher will record the incident information and makes a preliminary judgment, then that information and the judgment will be forwarded to a nearby general hospital, which will send an ambulance staffed by medical workers to provide PEMS. Instead, some people prefer to call hospitals directly for pre-hospital emergencies and communicate directly with medical staff. Which call mode is better has long been a point of contention. Methods This retrospective study included a total of 496 PEMS within 8 km of the participating hospital between 2020 and 2021. Cases that called the Emergency Medical Center dispatcher were classified as "referral group" (n = 318) and cases that called the hospital and communicated directly with medical personnel were classified as "direct group" (n = 178), and appropriate metrics were selected to measure efficiency and information accuracy Results There was no significant difference in the efficiency of PEMS between the two groups, but there was a notable difference in the information accuracy between the two groups on all indicators Conclusion Compared with calling ‘120’, direct PEMS calls to general hospitals have obvious advantages in terms of information accuracy. Perhaps the Emergency Medical Center in Sichuan could try to reform as a supervisory agency for PEMS instead of a dispatch agency or adopt the Shenzhen EMS model where the Emergency Medical Center, after receiving a call for help, transfers the call to the appropriate hospital based on the caller's location and situation, allowing the caller to communicate directly with medical personnel.

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“…Prehospital emergency medical services (EMS) are an integral part of emergency medical care, which provides basic life support and critical care transportation to the patients. The main aim of this service is to avoid worsening the health condition of the patients on the way to the hospital [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

Spatial Accessibility Assessment of Prehospital EMS with a Focus on the Elderly Population: A Case Study in Ningbo, China

Zhu

Pan

Li³

et al. 2021

IJERPH

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The spatial accessibility of prehospital EMS is particularly important for the elderly population’s physiological functions. Due to the recent expansion of aging populations all over the globe, elderly people’s spatial accessibility to prehospital EMS presents a serious challenge. An efficient strategy to address this issue involves using geographic information systems (GIS)-based tools to evaluate the spatial accessibility in conjunction with the spatial distribution of aging people, available road networks, and prehospital EMS facilities. This study employed gravity model and empirical Bayesian Kriging (EBK) interpolation analysis to evaluate the elderly’s spatial access to prehospital EMS in Ningbo, China. In our study, we aimed to solve the following specific research questions: In the study area, “what are the characteristics of the prehospital EMS demand of the elderly?” “Do the elderly have equal and convenient spatial access to prehospital EMS?” and “How can we satisfy the prehospital EMS demand of an aging population, improve their spatial access to prehospital EMS, and then ensure their quality of life?” The results showed that 37.44% of patients admitted to prehospital EMS in 2020 were 65 years and older. The rate of utilization of ambulance services by the elderly was 27.39 per 1000 elderly residents. Ambulance use by the elderly was the highest in the winter months and the lowest in the spring months (25.90% vs. 22.38%). As for the disease spectrum, the main disease was found to be trauma and intoxication (23.70%). The mean accessibility score was only 1.43 and nearly 70% of demand points had scored lower than 1. The elderly’s spatial accessibility to prehospital EMS had a central-outward gradient decreasing trend from the central region to the southeast and southwest of the study area. Our proposed methodology and its spatial equilibrium results could be taken as a benchmark of prehospital care capacity and help inform authorities’ efforts to develop efficient, aging-focused spatial accessibility plans.

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Brief history of Pre-Hospital Emergency Medicine

Cited by 15 publications

References 18 publications

Conhecimento e aplicação do atendimento pré-hospitalar por docentes escolares

Conhecimento e aplicação do atendimento pré-hospitalar por docentes escolares

Which is better? Comparing the efficiency and information accuracy of pre-hospital emergency medical services (PEMS) dispatch in two call modes in Sichuan Province, China: a retrospective study

Spatial Accessibility Assessment of Prehospital EMS with a Focus on the Elderly Population: A Case Study in Ningbo, China

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