Epidemiological study of emergency ambulance activation in the British Eastern Sovereign Base Area of Cyprus, September 2013 to August 2016

Jefferys, Sophie; Martin-Bates, A J; Harold, A; Withnall, R

doi:10.1136/jramc-2018-001003

Cited by 2 publications

(5 citation statements)

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“…The urgent nature of the setting often precluded drafting the formal agreements that define Collaboration. Partial and Full Integration were seen where combining medical assets was part of routine trauma system function; in particular, aeromedical evacuation and prehospital care 29 , 30 , 34 , 38 , 39 , 46 , 85 , 88 .…”

Section: Discussionmentioning

confidence: 99%

Global assessment of military and civilian trauma systems integration: a scoping review

Baird,

Madha,

Arnaouti

et al. 2024

International Journal of Surgery

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Background: The global burden of trauma disproportionately affects low-income countries and middle-income countries (LMIC), with variability in trauma systems between countries. Military and civilian healthcare systems have a shared interest in building trauma capacity for use during peace and war. However, in LMICs it is largely unknown if and how these entities work together. Understanding the successful integration of these systems can inform partnerships that can strengthen trauma care. This scoping review aims to identify examples of military-civilian trauma systems integration and describe the methods, domains, and indicators associated with integration including barriers and facilitators. Methods: A scoping review of all appropriate databases was performed to identify papers with evidence of military and civilian trauma systems integration. After manuscripts were selected for inclusion, relevant data was extracted and coded into methods of integration, domains of integration, and collected information regarding indicators of integration, which were further categorized into facilitators or barriers. Results: Seventy-four studies were included with authors from 18 countries describing experiences in 23 countries. There was a predominance of authorship and experiences from High-Income Countries (91.9 and 75.7%, respectively). Five key domains of integration were identified; Academic Integration was the most common (45.9%). Among indicators, the most common facilitator was administrative support and the lack of this was the most common barrier. The most common method of integration was Collaboration (50%). Conclusion: Current evidence demonstrates the existence of military and civilian trauma systems integration in several countries. High-income country data dominates the literature, and thus a more robust understanding of trauma systems integration, inclusive of all geographic locations and income statuses, is necessary prior to development of a framework to guide integration. Nonetheless, the facilitators identified in this study describe the factors and environment in which integration is feasible and highlight optimal indicators of entry.

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Section: Discussionmentioning

confidence: 99%

Global assessment of military and civilian trauma systems integration: a scoping review

Baird,

Madha,

Arnaouti

et al. 2024

International Journal of Surgery

View full text Add to dashboard Cite

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“…Data were collected from the studies by Leach et al 3 and Jefferys et al 4 and then compared with data from the current study. Trends in the following data points were identified:…”

Section: Methodsmentioning

confidence: 99%

“…This service has been evaluated twice previously. The period between 1995 and 1998 was analysed by Leach et al 3 and Jefferys et al 4 analysed the period between 2013 and 2016. They showed that PHEC service demand in the ESBA has increased between 1998 and 2013 3 4.…”

Section: Introductionmentioning

confidence: 99%

“…The period between 1995 and 1998 was analysed by Leach et al 3 and Jefferys et al 4 analysed the period between 2013 and 2016. They showed that PHEC service demand in the ESBA has increased between 1998 and 2013 3 4. They also analysed presenting complaints and reported that road traffic incidents(RTI) were the most common presentation to the PHEC service 3 4…”

Section: Introductionmentioning

confidence: 99%

“…They showed that PHEC service demand in the ESBA has increased between 1998 and 2013 3 4. They also analysed presenting complaints and reported that road traffic incidents(RTI) were the most common presentation to the PHEC service 3 4…”

Section: Introductionmentioning

confidence: 99%

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Twenty Years of Military Prehospital Care in the Eastern Sovereign Base Area, Cyprus

Halle‐Smith

Ahmad²,

Mason³

et al. 2019

BMJ Mil Health

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IntroductionThe Medical Reception Station (MRS) in Dhekelia provides a prehospital emergency care (PHEC) service for the Eastern Sovereign Base Area and surrounding Cypriot towns. This service has been evaluated previously but some important aspects of care have not yet been measured. The primary aim of this study was to undertake the most comprehensive service evaluation of the demand for the PHEC service at MRS Dhekelia over a 12-month period. The secondary aim of this study was to compare findings in 2018 to those in 1995–1998 and 2013–2016.MethodsAll calls to the PHEC team between 01/07/2017 and 30/06/2018 were reviewed and compared with previously reported data from 1995 to 1998 and 2013 to 2016. Data were collected from the occurrence book, the logbook used by the PHEC team to record the details of each call.ResultsThere were 164 calls to the PHEC service during the current study period. The number of activations has decreased since the 2013–2016 period but remains greater than 1995–1998. In every month there was a call to a scene where more than one casualty was present, with the highest number being nine patients at one call. More calls were received during the day (55%). There were more calls because of trauma than medical complaints (55% vs 45%). Trauma calls have reduced over 20 years. The frequency of neurological and psychiatric complaints has increased over 20 years.ConclusionsThe PHEC service at MRS Dhekelia is frequently used. The team consistently face with scenes with more than one casualty. Trauma is becoming less frequent but psychiatric and neurological complaints are increasingly common. These findings are important for training and service provision.

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Epidemiological study of emergency ambulance activation in the British Eastern Sovereign Base Area of Cyprus, September 2013 to August 2016

Cited by 2 publications

References 4 publications

Global assessment of military and civilian trauma systems integration: a scoping review

Global assessment of military and civilian trauma systems integration: a scoping review

Twenty Years of Military Prehospital Care in the Eastern Sovereign Base Area, Cyprus

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