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Journal articles on the topic 'Emergency medical service'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2025

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1

Janosikova, Ludmila. "Emergency Medical Service Planning." Communications - Scientific letters of the University of Zilina 9, no. 2 (June 30, 2007): 64–68. http://dx.doi.org/10.26552/com.c.2007.2.64-68.

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2

Skogvoll, Eirik, and Tarjei Rygnestad. "Helicopter emergency medical service." Lancet 348, no. 9026 (August 1996): 543. http://dx.doi.org/10.1016/s0140-6736(05)64697-1.

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3

Hotvedt, Ragnar. "Helicopter emergency medical service." Lancet 348, no. 9026 (August 1996): 544. http://dx.doi.org/10.1016/s0140-6736(05)64698-3.

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4

Songsin, Niwat, Thinnaphat Pattamarit, Pronsiwa Jantawee, Wanwimon Mekwimon kingkaew, Sureewan Siladlao, Kanokporn Somporn, Tossapon Chamnankit, and Badint Laokakham. "Perception, attitudes and expectations among people toward emergency medical services system in Samut Songkhram Province, Thailand." Journal of Public Health and Development 22, no. 1 (December 19, 2023): 1–11. http://dx.doi.org/10.55131/jphd/2024/220101.

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The emergency medical service system is a pre-hospital medical service that effectively helps reduce the severity of emergencies and mortality rates before transferring patients to the hospital. This cross-sectional study investigated people's perceptions, attitudes, and expectations toward the emergency medical services system and aimed to find the relationship between the perceptions, attitudes, and expectations toward the emergency medical services system in Samut Songkhram province, Thailand. The samples consisted of 491 individuals who were selected using a multi-stage sampling method. Data were collected through a self-administered questionnaire and analyzed using linear regression analysis to identify correlations. Results revealed that most participants demonstrated a good overall perception of the use of the emergency medical service system (M = 2.46, SD = 0.27), a good attitude towards the emergency medical service system (M = 2.40, SD = 0.23), and a high level of expectation towards the emergency medical service system (M = 2.85, SD = 0.25). Perception of the use of emergency medical services and attitude towards the emergency medical service system showed positive correlation with expectation towards the emergency medical service system, with R2 = 0.23 (p-value < 0.05). These findings can be used to plan and develop strategies for improving the utilization of emergency medical services, ensuring that the public is informed, understands, and accesses the emergency medical service system correctly and effectively.

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5

Newton, Alastair. "The helicopter emergency medical service." BMJ 328, no. 7443 (April 3, 2004): s133.2—s134. http://dx.doi.org/10.1136/bmj.328.7443.s133-a.

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The helicopter emergency medical service based at the Royal London Hospital is the only medical helicopter in the United Kingdom that carries a doctor. Stephen Hearns and Alastair Newton describe life as the doctor on board and what it takes to get the job

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6

Prasad, N. H., J. A. March, J. E. Gough, and L. H. Brown. "RURAL EMERGENCY MEDICAL SERVICE (EMS)." Southern Medical Journal 88 (October 1995): S36. http://dx.doi.org/10.1097/00007611-199510001-00064.

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7

Levick, Nadine. "Helicopter Emergency Medical Service Safety." Annals of Emergency Medicine 48, no. 5 (November 2006): 635–36. http://dx.doi.org/10.1016/j.annemergmed.2006.05.033.

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Nurlybayev, Yerzhan, Askar Khoroshash, Zulphikar Abilkassimov, Ardak Nauanova, and Aisulu Тalgatova. "About Digitalization of Emergency Medical Services." Astana Medical Journal 2, no. 121 (2024): 18–22. http://dx.doi.org/10.54500/2790-1203-2024-2-121-18-22.

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Information technologies are becoming an integral part of the medical industry in Kazakhstan, playing an increasingly important role every year in improving the quality and accessibility of healthcare. The introduction of digital solutions makes it possible to significantly optimize the processes of medical care, improving diagnosis, treatment and monitoring of patients' condition. Digitalization has affected not only hospitals and primary health care organizations, but also the emergency medical service. To date, the figures help to analyze the main indicators of emergency medical care, such is the indicator of the efficiency of the ambulance team's arrival, the indicator of successful resuscitation, the analyzed cases help to update the reasons for non-compliance, which today improve the work of emergency medical care. In this manuscript, we wanted to report the results of the review and analysis of the main techniques used to digitalize the emergency medical service. The development of a system of indicators in an integrated medical information system contributes to a deeper analysis of the activities of the ambulance service and allows you to identify both positive and negative trends in its work. This makes it possible to make informed decisions to improve processes and improve the quality of services provided, which ultimately has a beneficial effect on the health and well-being of the region's population. The introduction of a navigation system for tracking the movement of teams made it possible to exclude unauthorized arrivals, misuse of vehicles, as well as unreasonably long stay on call. As a result, it was possible to significantly improve the efficiency of the arrival of the brigades. The provision of organizational and methodological assistance to employees of call service departments of the 4th category of urgency, as well as constant monitoring of their work with the identification and timely correction of deficiencies, allowed to increase the proportion of timely serviced calls.

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9

Hankins, Daniel G., and Anuradha Luke. "Emergency Medical Service Aspects of Emergency Cardiac Care." Emergency Medicine Clinics of North America 23, no. 4 (November 2005): 1219–31. http://dx.doi.org/10.1016/j.emc.2005.07.006.

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10

Reissman, Stephan G. "Privatization and Emergency Medical Services." Prehospital and Disaster Medicine 12, no. 1 (March 1997): 22–29. http://dx.doi.org/10.1017/s1049023x00037171.

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AbstractIntroduction:Osborne and Gaebler's Reinventing Government has sparked discussion amongst elected officials, civil servants, the media, and the general public regarding advantages of privatizing government services. Its support stems from an effort to provide services to municipalities while reducing taxpayer expenditure. Many echo the sentiment of former New York Governor Mario Cuomo, who said, “It is not government's obligation to provide services, but to see that they're provided.” Even in the area of public safety, privatization has found a “market.”In many localities, privatizing Emergency Medical Services (EMS) is a popular and successful method for providing ambulance services. Privately owned ambulance services staff and respond to medical emergencies in a given community as part of the 9–1–1 emergency response system. Regulations for acceptable response times, equipment, and other essential components of EMS systems are specified by contract. This allows the municipality oversight of the service provided, but it does not provide the service directly. As will be discussed, this “contracting-out” model has many benefits.Privatizing EMS services is a decision based not only on cost-savings, but on accountability. A thorough evaluation must be utilized in the selection process. Issues of efficiency, effectiveness, quality, customer service, responsiveness, and equity must be considered by the government, in addition to cost of service.The uncertain future of health care in the United States has led those in EMS to look beyond the field's internal market to explore additional opportunities for expanding and redefining its roles beyond emergency care. It is important, however, to consider how emergency medical care, the original role of EMS, can be best delivered. Responding to emergencies is not just one of the functions involved in this field, it is the principal function from which public perception of EMS is formed, and from which support for entering other markets can be fostered.The purpose of this paper is to present several important concepts and considerations that public officials, medical directors, and the public must be aware of when contemplating the possibility of privatizing their Emergency Medical Services. A review of the general concepts of privatization and issues of accountability will be presented, referencing policy experts, followed by an examination of how advocates of privatization might see these issues as they relate to providing EMS. The conclusion will present prescriptions for both municipal and commercial ambulance providers.

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11

Snyder, Joan A., Jill M. Baren, Susan D. Ryan, John L. Chew, and James S. Seidel. "Emergency Medical Service System Development: Results of the Statewide Emergency Medical Service Technical Assessment Program." Annals of Emergency Medicine 25, no. 6 (June 1995): 768–75. http://dx.doi.org/10.1016/s0196-0644(95)70205-9.

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12

Patterson, P. Daniel, and Michael Yonas. "Service Integration and Workforce Trends in Emergency Medical Services." North Carolina Medical Journal 68, no. 4 (July 2007): 262–65. http://dx.doi.org/10.18043/ncm.68.4.262.

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13

Phasuktham, Puchit, Arunrat Sawettham, Kanakit Tongpool, and Panamon Chantabutr. "Optimizing Emergency Medical Services: Cost Reduction and Service Efficiency." Creative Business and Sustainability Journal 46, no. 1 (2024): 66–85. http://dx.doi.org/10.58837/chula.cbsj.46.1.4.

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Wu, Yanxia, Ken Li, Lizhen Tang, Guang Li, Dongxue Huang, Yahui Yang, Shihui Song, and Li Peng. "A Review of emergency medical services for stroke." African Health Sciences 24, no. 3 (October 6, 2024): 382–92. http://dx.doi.org/10.4314/ahs.v24i3.42.

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In the past decade, Emergency Medical Services have been associated with innovations in technology; the 911 telephone system and two-way radio have developed the notification, scheduling, and response processes. The recent twenty years have witnessed the unparalleled innovation changes of the computer framework. These new frameworks in mobile, social, cloud computing or big data concentrations essentially affect the entire society. In the last ten years, major innovation and strategic improvements have occurred, which will affect the concepts and communication methods of Emergency Medical Service in the future. Emergency Medical Service can treat various diseases in the correct way. For example, Emergency Medical Service personnel's early recognition of stroke performance is an important ideal consideration for patients with stroke patients. Pre-stroke screening tools that have been preliminarily evaluated for sensitivity and specificity are necessary to improve detection rates for the pre-court stroke by Emergency Medical Service experts. This is an excellent time for Emergency Medical Service to play a key role in achieving and transcending vision. The motivation behind this article is to provide extensive investigations and unique opportunities for Emergency Medical Service personnel groups to solve how to improve. Keywords: Emergency medical service; stroke; management; strategies; technologies.

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Yokota, Hiroyuki, Makoto Takagi, Toru Aruga, and Noriaki Aoki. "Emergency medical service of acute stroke." Nosotchu 36, no. 3 (2014): 201–5. http://dx.doi.org/10.3995/jstroke.36.201.

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16

Garner, Alan A., Jeff Konemann, and Deanne M. Keetelaar. "Safety of emergency medical service helicopters." Medical Journal of Australia 182, no. 1 (January 2005): 12–13. http://dx.doi.org/10.5694/j.1326-5377.2005.tb06545.x.

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17

Scott, A. "The Scottish Medical Service Emergency Committee." Journal of the Royal College of Physicians of Edinburgh 42, no. 3 (September 5, 2012): 283–84. http://dx.doi.org/10.4997/jrcpe.2012.319.

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18

Burillo-Putze, Guillermo, I. Herranz Duarte, and J. A. Alvarez Fernandez. "Helicopter emergency medical service in Spain." AirMed 20, no. 3 (June 2001): 0021–23. http://dx.doi.org/10.1067/mmj.2001.115552.

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19

White, Charles R., Joel B. Best, and Celeste K. Sage. "Simulation of Emergency Medical Service Scheduling." Hospital Topics 70, no. 2 (April 1992): 34–37. http://dx.doi.org/10.1080/00185868.1992.10543691.

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20

Tyavokina, E. Y., and I. M. Barsukova. "Emergency Medical Service to Psychiatric Patients." Russian Sklifosovsky Journal "Emergency Medical Care" 9, no. 2 (October 22, 2020): 215–20. http://dx.doi.org/10.23934/2223-9022-2020-9-2-215-220.

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Abstract The issues of providing medical care to patients with mental disorders are of exceptional medical and social importance. The aim of the study was to analyze the current state of medical care for psychiatric patients under emergency medical care (EMC) conditions. We used regulatory, statistical and analytical methods. The gaps of the normative legal support of the activities of the teams in the provision of ambulance care for patients with mental disorders and behavioral disorders are considered. In order to improve legislation in the field of ambulance care, it was proposed to amend the Procedure for the provision of emergency, including specialized medical care, approved by the Order of the Ministry of Health of Russian Federation dated 06.06.2013 No. 388n “On the Approval of the Procedure for the Provision of Emergency Care, Including Specialized Medical Care”.

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21

Kroot, L. J., A. V. Blue, and D. Musick. "Providing students emergency medical service experience." Academic Medicine 72, no. 4 (April 1997): 244–5. http://dx.doi.org/10.1097/00001888-199704000-00003.

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22

Reuter-Oppermann, Melanie, Pieter L. van den Berg, and Julie L. Vile. "Logistics for Emergency Medical Service systems." Health Systems 6, no. 3 (November 2017): 187–208. http://dx.doi.org/10.1057/s41306-017-0023-x.

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23

KAWAKITA, SUKEYUKI. "Emergency Medical Service in Juntendo University." Juntendo Medical Journal 32, no. 1 (1986): 23–26. http://dx.doi.org/10.14789/pjmj.32.23.

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24

Earlam, Richard, and Alastair Wilson. "LONDON HOSPITAL HELICOPTER EMERGENCY MEDICAL SERVICE." Lancet 332, no. 8626-8627 (December 1988): 1492–93. http://dx.doi.org/10.1016/s0140-6736(88)90968-3.

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25

Lindsey, Douglas. "Integrated emergency medical service: The CRAMU." Annals of Emergency Medicine 14, no. 6 (June 1985): 623. http://dx.doi.org/10.1016/s0196-0644(85)80815-5.

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26

Burillo-Putze, Guillermo, I. Herranz Duarte, and J. A. Alvarez Fernandez. "Helicopter emergency medical service in Spain." Air Medical Journal 20, no. 3 (May 2001): 21–23. http://dx.doi.org/10.1016/s1067-991x(01)70024-7.

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27

Bellini, Carlo, and Francesco Campone. "Helicopter emergency medical service in Italy." Air Medical Journal 24, no. 6 (November 2005): 238–43. http://dx.doi.org/10.1016/j.amj.2005.08.006.

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28

McLay, Laura A., and Maria E. Mayorga. "Evaluating emergency medical service performance measures." Health Care Management Science 13, no. 2 (August 25, 2009): 124–36. http://dx.doi.org/10.1007/s10729-009-9115-x.

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29

Macnab, Andrew John, and Margaret L. Fryer. "A Canadian emergency medical helipad service." Journal of Air Medical Transport 10, no. 7 (July 1991): 7–10. http://dx.doi.org/10.1016/s1046-9095(05)80468-4.

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30

Mathews, Robert C. "Emergency medical service safety of helicopters." American Journal of Emergency Medicine 9, no. 5 (September 1991): 521. http://dx.doi.org/10.1016/0735-6757(91)90221-5.

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31

Usher, Katie, Junho Park, and Changwon Son. "Artificial Intelligence for Emergency Medical Service." Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care 13, no. 1 (June 2024): 1–6. http://dx.doi.org/10.1177/2327857924131049.

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In this scoping review, the integration of artificial intelligence (AI) and smart technologies within Emergency Medical Services (EMS) is thoroughly examined as a strategy to overcome the inherent challenges faced by EMS personnel. These challenges encompass physical strain, cognitive overload, emotional stress, and issues with trainings. The paper emphasizes the critical role AI can play in resolving physical and cognitive demands, enhancing decision-making processes, optimizing resource allocation, and improving emergency response efficiency. The review identifies and categorizes the primary obstacles within EMS operations. It proposes innovative AI-driven solutions, including the use of exoskeletons for physical support, smart glasses for augmented cognitive assistance, AI systems dedicated to monitoring and supporting emotional health, and the application of virtual reality (VR) and augmented reality (AR) for advanced and realistic training scenarios. The findings suggest that such technological advancements can significantly elevate the operational capacity of EMS, ensuring a higher level of safety and efficiency, while also fostering a supportive environment for EMS personnel and enhancing patient care. This paper contributes a novel perspective to the literature by mapping out a future where AI and smart technologies play a pivotal role in transforming emergency medical services into more effective, resilient, and human-centered operations, ultimately advancing the field towards better preparedness and response capabilities in emergency situations. The potential solutions suggested in this study can be referred to be used for future research topics.

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Furuta, Takehiro, and Ken-ichi Tanaka. "MINISUM AND MINIMAX LOCATION MODELS FOR HELICOPTER EMERGENCY MEDICAL SERVICE SYSTEMS." Journal of the Operations Research Society of Japan 56, no. 3 (2013): 221–42. http://dx.doi.org/10.15807/jorsj.56.221.

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Follmann, Andreas, Rolf Rossaint, Jörg Christian Brokmann, Stefan K. Beckers, and Michael Czaplik. "Remote monitoring in emergency medical services." Current Directions in Biomedical Engineering 3, no. 2 (September 7, 2017): 479–81. http://dx.doi.org/10.1515/cdbme-2017-0101.

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AbstractAn increasing number of missions in emergency medical services and a progressive utilization rate of emergency physicians also require the use of the benefits of telemedicine in prehospital emergency medicine. Through modern technology, such as the transmission of vital data in real time and a secure audio-visual contact, paramedics can be quickly connected to an experienced emergency physician from a distance and supported in diagnostics and therapy of a patient. This tele-emergency services physician is established in the Aachen emergency service since 2014 and has already had numerous successful missions.

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Koppenberg, J., S. M. Briggs, S. K. Wedel, and A. K. Conn. "Das amerikanische Notfallwesen - "emergency medical service" und "emergency room"." Notfall & Rettungsmedizin 5, no. 8 (December 1, 2002): 598–605. http://dx.doi.org/10.1007/s10049-002-0493-6.

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35

Hartini, Inge. "ETHICO-MEDIKOLEGAL EMERGENCY SERVICE." UNTAG Law Review 3, no. 1 (November 5, 2019): 103. http://dx.doi.org/10.36356/ulrev.v3i1.1073.

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Emergency Room (ER) is specific department in the hospital with specific problem too. A true emergency is any condition clinically determined to require immediate medical care. Government has regulation if every health facility must give health care without money deposit and every invasive medical treatment need informed consent.Together, this condition sometimes made unsatisfaction for patient and his family. How applied informed consent, if unconscious patient came without his/her family ? Who must make decision for treatment ?

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36

Gongal, Rajesh, B. Dhungana, S. Regmi, M. Nakarmi, and B. Yadav. "Need of Improvement in Emergency Medical Service in Urban Cities." Journal of Nepal Medical Association 48, no. 174 (April 1, 2009): 139–43. http://dx.doi.org/10.31729/jnma.230.

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Introduction: An effective Emergency Medical Service system does not exist in Nepal. For an effective EMS system to be developed the scale of the problem and the existing facilities need to be studied. Methods: Prospective observational study was carried out on 1964 patients attending Emergency Department at Patan Hospital during one month period of September 2006. The patients were specifically enquired on mode of transport used, place of origin and whether they called for an ambulance or not. Patients triage category at the time of triaging was also noted. Information on ambulance service were collected by direct interview with the service providers and the total number of patients attending Emergency Departments daily were collected from the major hospitals of the urban Lalitpur and Kathmandu. MS Excel and SPSS software were used for data entry, editing and analysis.Results: Total 9.9% patients arrived in ambulance whereas 53.6% came in a Taxi, 11.4% came in private vehicle, 13.5 % came by bus, 5.4% came by bike and the rest 6.2% came by other modes of transportation. Only 13.5% of triage category I patients took the ambulance. There were 31 service providers with 49 ambulances and 720 patients per day attend Emergency Departments in the surveyed area. Conclusions: Very less number of patients use the ambulance service for emergency services. The available ambulances are not properly equipped and do not have trained staff and as such are only a means of transportation to the hospitals of urban Lalitpur and Kathmandu.Key Words: ambulance, emergency medical service, para-medics, triage Need of Improvement in Emergency Medical Service in Urban Cities Gongal R,1Dhungana B,1Regmi S,1Nakarmi M,2Yadav B11Patan Hospital, Lalitpur, Nepal, 2Health Care Foundation, Kathmandu, NepalCorrespondence:Dr. Rajesh GongalDepartment of SurgeryPatan Hospital, Patan, Nepal.Email: rajgongal@yahoo.comORIGINAL ARTICLE J Nepal Med Assoc 2009;48(174):139-43INTRODUCTIONThe sophisticated Emergency Medical Service (EMS) is limited to developed country only. Many developing countries are now slowly developing such system although most services are localized to the urban areas.1-5 Although inadquate ambulance services are available in the capital city of Nepa

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Nakstad, Anders, Bjørn Bjelland, and Mårten Sandberg. "Medical emergency motorcycle – is it useful in a Scandinavian Emergency Medical Service?" Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 17, no. 1 (2009): 9. http://dx.doi.org/10.1186/1757-7241-17-9.

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Mock, Elisabeth F., Keith D. Wrenn, Seth W. Wright, T. Chadwick Eustis, and Corey M. Slovis. "Feedback to Emergency Medical Services Providers: The Good, the Bad, and the Ignored." Prehospital and Disaster Medicine 12, no. 2 (June 1997): 74–77. http://dx.doi.org/10.1017/s1049023x00037444.

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AbstractHypothesis:To determine the type and frequency of immediate unsolicited feedback received by emergency medical service (EMS) providers from patients or their family members and emergency department (ED) personnel.Methods:Prospective, observational study of 69 emergency medical services providers in an urban emergency medical service system and 12 metropolitan emergency departments. Feedback was rated by two medical student observers using a prospectively devised original scale.Results:In 295 encounters with patients or family, feedback was rated as follows: 1) none in 224 (76%); 2) positive in 51 (17%); 3) negative in 19 (6%); and 4) mixed in one (<1%). Feedback from 254 encounters with emergency department personnel was rated as: 1) none in 185 (73%); 2) positive in 46 (18%); 3) negative in 21 (8%); and 4) mixed in 2 (1%). Patients who had consumed alcohol were more likely to give negative feedback than were patients who had not consumed alcohol. Feedback from emergency department personnel occurred more often when the emergency medical service provider considered the patient to be critically ill.Conclusion:The two groups provided feedback to emergency medical service providers in approximately one quarter of the calls. When feedback was provided, it was positive more than twice as often as it was negative. Emergency physicians should give regular and constructive feedback to emergency medical services providers more often than currently is the case.

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Белобородов, Алексей, Aleksey Beloborodov, Елена Данилина, Elena Danilina, Екатерина Яковлева, Ekaterina Yakovleva, Татьяна Бутова, Tatyana Butova, Юлия Белобородова, and Yuliya Beloborodova. "Quality of services of emergency medical care in terms of health care reform." Services in Russia and abroad 10, no. 4 (September 22, 2016): 102–11. http://dx.doi.org/10.12737/20187.

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The article deals with the question of quality assurance of emergency medical care. It is of vital importance in terms of reforming the system of healthcare in the Russian Federation, as the quality and availability of various types of medical services are priority indicators of reform. Quality ensuring of emergency medical care is the most important socially significant task of health care, which lies in maintaining the health of people in extreme conditions and in meeting the challenges of mortality reduction. This is resulted in increased attention to research in this area. Quality ensuring of emergency medical services actualizes the task of improving of its assessment methodology. The methodological problems of services quality assessment in the system of emergency medical care limiting applied research are the subject of the study. The structure of emergency medical care is specified, the separation of concepts of "medical service" and "medical care" of services of emergency medical care is accomplished, and the concept of "medical care" is defined in the article. Based on the results of market research of patients’ satisfaction with quality of medical care in emergency hospital of Krasnoyarsk a structural model of services of emergency medical care has been created. This model reflects the patients’ understanding that the quality of service of emergency medical care is an integrated category, combining the quality of the result of medical services and quality of care. Content analysis of the definition of basic concepts in the field of quality of health care has allowed to formulate the concept of "service quality of emergency medical care”. Its difference is that the definition includes goal-setting of quality of emergency medical care as ensuring the effective medical care, as well as performance indicators of emergency medical care are formulated. The proposed concept and performance indicators of emergency medical care stimulate new directions for research in this area.

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Pater, Beata. "ORGANIZATION OF THE EMERGENCY MEDICAL SERVICE IN POLAND." Scientific Papers of Silesian University of Technology Organization and Management Series 2024, no. 208 (2024): 519–27. https://doi.org/10.29119/1641-3466.2024.208.30.

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Purpose: The purpose of the article is to present the organization and financing of the emergency medical services system in Poland, against the background of model solutions in this matter. Design/methodology/approach: The methodology of the study is based on the analysis of existing legal regulations on the organization of the emergency medical services system in Poland. A review of the available literature, in which the authors addressed issues related to models of functioning of the emergency medical services system, was also carried out. Statistical data provided by the Statistics Poland (GUS) and reports on the implementation of the financial plan provided by the National Health Fund (NFZ) were reviewed. Findings: The State Emergency Medical Service system is evolving towards the Anglo American model. The previous model of financing through a subsidy from the state budget has proved insufficient. In the years under review (2007-2022), the subsidy was insufficient to cover the costs of operating the State Emergency Medical Service. After a change in the method of financing, the burden of covering operating costs was transferred to the National Health Fund. In 2023, costs were planned to be higher than they were actually incurred. Year after year, however, the system requires higher expenses. Originality/value: The publication addresses issues related to the organization of state emergency medical services in Poland. The subject matter is relevant in the context of the current socio-economic and political situation and is a contribution to further in-depth research in a situation of shortage of resources allocated to health care.

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Hennelly, David, Conor Deasy, Siobhan Masterson, Cathal O'Donnell, and Paul Jennings. "The Implementation and Evolution of Helicopter Emergency Medical Services in the Republic of Ireland." Prehospital and Disaster Medicine 38, S1 (May 2023): s45—s46. http://dx.doi.org/10.1017/s1049023x23001553.

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Introduction:Helicopter Emergency Medical Services (HEMS) have formed an integral component of the Irish healthcare system for the past decade, yet the factors leading its commencement, its evolutions over this time, the current model of service delivery have not been widely published.Aeromedical service provision may vary significantly from country to country and may also vary regionally within countries. Health systems necessities, capacity and maturity, the level of state, corporate, private or community investment and capacity of the contracted service provider are all factors that influence the service provision.Method:This research provides a descriptive analysis of the historic factors leading to the implementation of HEMS during an era of healthcare reform, its key evolutions and current model of service delivery.Results:Health system reform in a time of global financial recession led to a unique collaboration between the Irish Defense Forces and civilian Emergency Medical Systems (EMS) to provide a sustainable foundation of primary scene landing Helicopter Emergency Medical Services for the Irish state. This sharing of professional knowledge, logistics and operational experience lead to many further system reforms and will inform future aeromedical service provision.Conclusion:Over the past decade the Irish health system has undergone significant reconfiguration and centralization of services, leading to increased demands on emergency medical ground and aeromedical services. Future advancements in aeromedical service provision require an innate understanding of the current model.This research will add to the knowledge base and inform policy makers and support decision making surrounding Helicopter Emergency Medical Services reform and enhanced service provision in the Irish state.

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Poomsaidorn, Songsak, Kittipong Sornlom, Wongsa Laohasiriwong, Roshan Kumar Mahato, Nikom Thanomsieng, and Chatree Charoencheewakul. "Determinants and barriers of prehospital emergency medical services utilization among general critical emergency patients in Thailand." International Journal of Public Health Science (IJPHS) 12, no. 2 (June 1, 2023): 707. http://dx.doi.org/10.11591/ijphs.v12i2.22319.

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This cross-sectional study identified the determinants and barriers of pre- hospital emergency medical services (EMS) utilization among general critical emergency patients in Thailand, using the data of general critical emergency patients (red zone) from the information technology for emergency medical system (ITEMS) of the National Emergency Medical Service Institute. The sample of 889 critical emergency patients was selected through multistage random sampling method. Data were analyzed by multiple logistic regression. The findings indicated that 41.51% of general critical emergency patients used EMS through the EMS rescue hotline system of the National Institute of Emergency Medicine in which most of them were diabetic patients (24.75%). The determinants relating to EMS utilization of general critical emergency patients consisted of level of knowledge on EMS system (AdjOR: 5.77; 95%CI: 2.8-11.87), confidence in the safety of service utilization (AdjOR: 5.04; 95%CI: 3.65-6.98), recognition in service and severity of illness (AdjOR: 3.22; 95%CI: 2.17-4.76), service adequacy (AdjOR: 1.92; 95%CI: 1.41-2.63), educational background (AdjOR:1.69; 95%CI: 1.13-2.53), and service satisfaction (AdjOR: 1.14; 95%CI: 1.07-1.21). Nearly half of the people were utilizing the EMS services in Thailand. However, required level of knowledge on EMS, confidence on safety on service utilization, service adequacy as well as patient’s educational background had tremendous role on the proper utilization of EMS.

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He, Zhaoxiang, Xiao Qin, Yuanchang Xie, and Jianhua Guo. "Service Location Optimization Model for Improving Rural Emergency Medical Services." Transportation Research Record: Journal of the Transportation Research Board 2672, no. 32 (August 12, 2018): 83–93. http://dx.doi.org/10.1177/0361198118791363.

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Approximately 35,000 fatalities are attributed to accidents on U.S. highways each year and more than half of them occurred in rural areas. With such a high percentage of fatalities, rural areas are in critical need of timely and reliable Emergency Medical Services (EMS). EMS provide important prehospital care to victims before they are transferred to a hospital. After an accident occurs, the time it takes for victims to receive care from EMS is crucial to their survival. Compared with urban EMS, rural EMS face multiple challenges. One of them is how to properly site EMS stations to provide cost-effective services in rural areas. The goals of this paper include analyzing the spatial patterns of EMS station and incident locations, and optimizing rural EMS station locations. The data were collected from South Dakota, a rural state. This dataset was used to perform spatial analysis and to develop and evaluate an EMS location optimization model. The location optimization model aims to maximize the rural EMS coverage while taking service equity into consideration. The model was solved by a genetic algorithm toolbox in R. The proposed model provides an important and practical tool for rural EMS officials to select new EMS stations or relocate existing stations to improve service performance under budget and resource constraints.

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Piyawatchwela, T. "Outcome from emergency services for emergency injury by Advance Team, Emergency Medical Service, Khon Kaen Hospital." Injury Prevention 16, Supplement 1 (September 1, 2010): A38. http://dx.doi.org/10.1136/ip.2010.029215.139.

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Flynn, Andrew. "Maximizing resource efficiency in rural prehospital emergency medical services through call frequency analysis." UNED Research Journal 5, no. 2 (November 20, 2013): 297–301. http://dx.doi.org/10.22458/urj.v5i2.267.

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Rural prehospital emergency medical services are often lacking when compared with their urban counterparts in terms of resources and coordinated resource use: can only employ important resources, such as paramedics, during limited shifts. This project demonstrates a method for determining the most effective use of these limited resources in a rural Red Cross ambulance service in Guápiles, Costa Rica. In this community, paramedic services are only available six days a week for twelve hours. Emergency call frequency was mapped using 20 months of traffic accident data and after establishing that traffic accident frequency was statistically dependent on the time of day, polynomial models of the data were generated. The model functions were integrated and the results were tested for accuracy. Integrals were calculated, and the results were reported to the Guápiles Red Cross committee to achieve an improved service. Methods such as this can be applied to any emergency response service.KEY WORDSWorld Health Organization (WHO), Prehospital Emergency Medical Service(s) (PEMS), Traffic Accident (TA), Téchnico de Emergencias Medicas (Paramedic), Advanced Life Support (ALS)

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Joo, Hyun Tae, and Keun Oh Park. "A Study of Emergency Medical Service Vulnerable Areas Using GIS Service Area Analysis." Crisis and Emergency Management: Theory and Praxis 19, no. 5 (May 31, 2023): 39–51. http://dx.doi.org/10.14251/crisisonomy.2023.19.5.39.

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The purpose of this study was to identify underserved emergency medical service regions in Incheon Metropolitan City using service area analysis, an expansion module of the GIS network analysis technique, for emergency medical facilities and regional districts in Incheon Metropolitan City and to determine the policy implications of these findings. The results of the analysis confirmed that, in most areas in Incheon Metropolitan City, medical facilities could be accessed within 10 minutes. Second, to overcome the limitations of previous spatial analysis studies, the service beyond Incheon Metropolitan City was analyzed, including emergency medical facilities in surrounding service areas such as Bucheon and Siheung. It can be concluded that policies for establishing medical services and public service facilities in areas connecting to neighboring cities, such as Incheon, should consider not only Incheon Metropolitan City but also the surrounding areas.

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Zhang, Ao, Xiaomin Zhu, Qian Lu, and Runtong Zhang. "Impact of Prioritization on the Outpatient Queuing System in the Emergency Department with Limited Medical Resources." Symmetry 11, no. 6 (June 14, 2019): 796. http://dx.doi.org/10.3390/sym11060796.

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The emergency department has an irreplaceable role in the hospital service system because of the characteristics of its emergency services. In this paper, a new patient queuing model with priority weight is proposed to optimize the management of emergency department services. Compared with classical queuing rules, the proposed model takes into consideration the key factors of service and the first-come-first-served queuing rule in emergency services. According to some related queuing indicators, the optimization of emergency services is discussed. Finally, a case study and some compared analysis are conducted to illustrate the practicability of the proposed model.

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Ahmad, Nasir. "Robotic Automated External Defibrillator Ambulance for Emergency Medical Service in Smart Cities." International Journal of Trend in Scientific Research and Development Volume-3, Issue-2 (February 28, 2019): 308–10. http://dx.doi.org/10.31142/ijtsrd21334.

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Han, Sangsoo, Hoon Lim, Hyun Noh, Hee Jun Shin, Gi Woon Kim, and Young Hwan Lee. "Videotelephony-assisted medical direction to improve emergency medical service." American Journal of Emergency Medicine 38, no. 4 (April 2020): 754–58. http://dx.doi.org/10.1016/j.ajem.2019.06.023.

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Matsumoto, Hisashi. "The Future of Emergency Medical Service System Based on Prehospital Emergency Medical Care." Nihon Ika Daigaku Igakkai Zasshi 5, no. 4 (2009): 187–92. http://dx.doi.org/10.1272/manms.5.187.

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