“Motorcycle Ambulance” Policy to Promote Health and Sustainable Development in Large Cities

Apiratwarakul, Korakot; Suzuki, Takaaki; Çelebi, İsmet; Tiamkao, Somsak; Bhudhisawasdi, Vajarabhongsa; Pearkao, Chatkhane; Ienghong, Kamonwon

doi:10.1017/s1049023x21001345

Cited by 10 publications

(15 citation statements)

References 45 publications

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“…124,125 Studies in India, 66 Zambia, 58 and Vietnam 57 showed only 7.5%, 5.9%, and 20.0% of emergency patients were transported by public or private ambulances. Also, ambulances were often lacking life-saving interventions 57,63,69 and BLS-trained personnel. 56,[66][67][68] Efficient time management is one of the key mechanisms to reducing mortality in emergency patients, especially for trauma and injuries.…”

Section: Discussionmentioning

confidence: 99%

“…59,81,82 Factors that affected response times included the distance from the hospital, location, type of emergency, and ambulance mechanism. Additionally, several studies found that response times in rural areas were generally longer than those in urban areas [83][84][85] (Table 3 38,39,59,61,63,69,74,[79][80][81][82][83][84][85][86][87][88][89][90][91][92][93] ).…”

Section: Status Of Prehospital Emergency Care Servicesmentioning

confidence: 99%

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Prehospital Emergency Care in Low- and Middle-Income Countries: A Systematic Review

Bhattarai

Bhusal²,

Barone-Adesi

et al. 2023

Prehosp. Disaster med.

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Background: An under-developed and fragmented prehospital Emergency Medical Services (EMS) system is a major obstacle to the timely care of emergency patients. Insufficient emphasis on prehospital emergency systems in low- and middle-income countries (LMICs) currently causes a substantial number of avoidable deaths from time-sensitive illnesses, highlighting a critical need for improved prehospital emergency care systems. Therefore, this systematic review aimed to assess the prehospital emergency care services across LMICs. Methods: This systematic review used four electronic databases, namely: PubMed/MEDLINE, CINAHL, EMBASE, and SCOPUS, to search for published reports on prehospital emergency medical care in LMICs. Only peer-reviewed studies published in English language from January 1, 2010 through November 1, 2022 were included in the review. The Newcastle–Ottawa Scale (NOS) and Critical Appraisal Skills Programme (CASP) checklist were used to assess the methodological quality of the included studies. Further, the protocol of this systematic review has been registered on the International Prospective Register of Systematic Reviews (PROSPERO) database (Ref: CRD42022371936) and has been conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: Of the 4,909 identified studies, a total of 87 studies met the inclusion criteria and were therefore included in the review. Prehospital emergency care structure, transport care, prehospital times, health outcomes, quality of information exchange, and patient satisfaction were the most reported outcomes in the considered studies. Conclusions: The prehospital care system in LMICs is fragmented and uncoordinated, lacking trained medical personnel and first responders, inadequate basic materials, and substandard infrastructure.

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Section: Discussionmentioning

confidence: 99%

Section: Status Of Prehospital Emergency Care Servicesmentioning

confidence: 99%

Prehospital Emergency Care in Low- and Middle-Income Countries: A Systematic Review

Bhattarai

Bhusal²,

Barone-Adesi

et al. 2023

Prehosp. Disaster med.

View full text Add to dashboard Cite

show abstract

“…In accordance with established protocol, these studies were independently reviewed by nonauthor members of the GEMLR editorial board and deemed appropriate to include. Apiratwarakul et al 67 . evaluated the utility of motor‐ambulance (“motorlance”) vehicles compared to ambulances in a congested city in Thailand by reviewing response time data and use of automated external defibrillator.…”

Section: Discussionmentioning

confidence: 99%

Section: Emdmentioning

confidence: 99%

Global Emergency Medicine: A Scoping Review of the Literature from 2022

Hexom,

Quao,

Bandolin

et al. 2023

Academic Emergency Medicine

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ObjectiveThe objective was to identify the highest quality global emergency medicine (GEM) research published in 2022. The top articles are compiled in a comprehensive list of all the year's GEM articles and narrative summaries are performed on those included.MethodsA systematic PubMed search was conducted to identify all GEM articles published in 2022 and included a manual supplemental screen of 11 organizational websites for gray literature (GRAY). A team of trained reviewers and editors screened all identified titles and abstracts, based on three case definition categories: disaster and humanitarian response (DHR), emergency care in resource‐limited settings (ECRLS), and emergency medicine development (EMD). Articles meeting these definitions were independently scored by two reviewers using rubrics for original research (OR), review (RE) articles, and GRAY. Articles that scored in the top 5% from each category as well as the overall top 5% of articles were included for narrative summary.ResultsThe 2022 search identified 58,510 articles in the main review, of which 524 articles screened in for scoring, respectively, 30% and 18% increases from last year. After duplicates were removed, 36 articles were included for narrative summary. The GRAY search identified 7755 articles, of which 33 were scored and one was included for narrative summary. ECRLS remained the largest category (27; 73%), followed by DHR (7; 19%) and EMD (3; 8%). OR articles remained more common than RE articles (64% vs. 36%).ConclusionsThe waning of the COVID‐19 pandemic has not affected the continued growth in GEM literature. Articles related to prehospital care, mental health and resilience among patients and health care workers, streamlining pediatric infectious disease care, and disaster preparedness were featured in this year's review. The continued lack of EMD studies despite the global growth of GEM highlights a need for more scholarly dissemination of best practices.

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“…As a result, the ED can prepare the necessary personnel and medical equipment to promptly initiate treatment upon the patient's arrival at the hospital. 5,6 However, the process of transferring information from an ambulance to the destination hospital takes a lot of time. During this period, the EMS members who are responsible for reporting the information must take their eyes off the patient assessment due to the radio base station on Thai ambulances that are designed to be mounted on the front of the vehicle so that the reporter cannot continuously see and assess the patient's condition.…”

Section: Introductionmentioning

confidence: 99%

Impact of Smart Glasses on Patient Care Time in Emergency Medical Services Ambulance

Apiratwarakul,

Cheung,

Ienghong

2023

Prehosp. Disaster med.

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Introduction: The smart glasses were implemented as an innovative communication tool to enhance effectiveness in the field. The traditional mode of communication for Emergency Medical Services (EMS) was radio, which had significant restrictions, primarily that they were unable to transmit any visual data. To enhance efficiency, the smart glasses were used for a more accurate assessment of the condition of patients during transportation. At this time, however, no prior study has shown significant benefits of employing smart glasses into EMS. Study Objective: The primary objective of this study is to compare the duration of patient care in an ambulance between the use and non-use of smart glasses. The secondary objective is to identify the characteristics of data communication between the ambulance and the hospital. Methods: This retrospective study utilized data gathered from closed-circuit television (CCTV) in ambulances at Srinagarind Hospital, Thailand. The data were collected over a six-month period, specifically from July through December 2021. The study included two groups: the smart glasses group and no smart glasses groups, both used during EMS operations. The primary data collected focused on the duration of patient care in the ambulance. Additionally, the type and characteristics of data transfers via smart glasses during EMS operations were also recorded. Results: Out of the 256 EMS operations included in this study, 53.1% (N = 68) of the participants in the smart glasses group were male. The majority of operations were performed during the afternoon shift in both groups. The average patient care time in the smart glasses group was 10.07 minutes, while it was 5.10 minutes in the no smart glasses group (P <.001), indicating a significant difference. Visual data communication between the ambulance and the hospital via smart glasses predominantly involved vital signs (100.0%), physical examination (56.3%), and neurological examination (42.2%). The use of audio data from the hospital to the ambulance primarily included taking additional patient history (26.6%) and performing physical examinations (19.5%). Conclusion: The implementation of smart glasses in EMS operations resulted in an increase in patient care time in the ambulance. Furthermore, the use of smart glasses facilitated an effective channel of real-time two-way communication between the ambulance and the hospital.

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“Motorcycle Ambulance” Policy to Promote Health and Sustainable Development in Large Cities

Cited by 10 publications

References 45 publications

Prehospital Emergency Care in Low- and Middle-Income Countries: A Systematic Review

Prehospital Emergency Care in Low- and Middle-Income Countries: A Systematic Review

Global Emergency Medicine: A Scoping Review of the Literature from 2022

Impact of Smart Glasses on Patient Care Time in Emergency Medical Services Ambulance

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