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Journal articles on the topic 'Emergency Medical Services (EMS)'

Author: Grafiati

Published: 26 July 2024

Last updated: 31 July 2025

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1

Weaver, Matthew D., Charity G. Moore, P. Daniel Patterson, and Donald M. Yealy. "Medical Necessity in Emergency Medical Services Transports." American Journal of Medical Quality 27, no. 3 (2011): 250–55. http://dx.doi.org/10.1177/1062860611424331.

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The purpose of this study was to generate national estimates of the prevalence of medically unnecessary emergency medical services (EMS) transports to emergency departments (EDs) over time and to identify characteristics that may be associated with medically unnecessary transports. A previously published algorithm was applied to operationalize medical necessity based on ED diagnosis to 10 years of data from the National Hospital Ambulatory Medical Care Survey. The trend over time was reported using descriptive statistics weighted to produce national estimates. Nationally, the proportion of EMS

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Wijesekera, Olindi, Amanda Reed, Parker S. Chastain, et al. "Epidemiology of Emergency Medical Services (EMS) Utilization in Four Indian Emergency Departments." Prehospital and Disaster Medicine 31, no. 6 (2016): 675–79. http://dx.doi.org/10.1017/s1049023x16000959.

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AbstractIntroductionWithout a universal Emergency Medical Services (EMS) system in India, data on the epidemiology of patients who utilize EMS are limited. This retrospective chart review aimed to quantify and describe the burden of disease and patient demographics of patients who arrived by EMS to four Indian emergency departments (EDs) in order to inform a national EMS curriculum.MethodsA retrospective chart review was performed on patients transported by EMS over a three-month period in 2014 to four private EDs in India. A total of 17,541 patient records were sampled from the four sites ove

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Nguyễn, Tiến Dũng, and Như Lâm Nguyễn. "Emergency medical services: Literature review." Tạp chí Y học Thảm hoạ và Bỏng, no. 6 (January 26, 2022): 5–10. http://dx.doi.org/10.54804/yhthvb.6.2021.87.

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Emergency Medical Service (EMS) systems worldwide are complex systems, characterized by significant variation between countries, care pathways and quality care indicators. Therefore, analyzing and improving them is challenging. As the EMS systems differ between countries, it is difficult to provide generic rules and approaches for EMS planning. However, the common target of all countries is to offer medical assistance to patients/victims with serious injuries or illnesses in disaster/ mass casualty incidents as quickly as possible. This paper presents an overview of logistical problems arising

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Clemency, Brian, Christian Martin-Gill, Nicole Rall, Dipesh Patel, and Jeffery Myers. "US Emergency Medical Services Fellows." Prehospital and Disaster Medicine 33, no. 3 (2018): 339–41. http://dx.doi.org/10.1017/s1049023x18000249.

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AbstractIntroductionThe 2015-2016 academic year was the fourth year since the Accreditation Council for Graduate Medical Education (ACGME; Chicago, Illinois USA) accredited Emergency Medical Services (EMS) fellowships, and the first year an in-training examination was given. Soon, ACGME-accredited fellowship education will be the sole path to EMS board certification when the practice pathway closes after 2019. This project aimed to describe the current class of EMS fellows at ACGME-accredited programs and their current educational opportunities to better understand current and future needs in

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Blackburn, Christine Crudo, Mayra Rico, Lauren Knight, Brandy Sebesta, and Kirk Niekamp. "Border Region Emergency Medical Services in Migrant Emergency Care." JAMA Network Open 8, no. 4 (2025): e253111. https://doi.org/10.1001/jamanetworkopen.2025.3111.

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ImportanceFocusing on the US southern land border only through a security lens minimizes the impact of security infrastructure and migrant health needs on local emergency medical services (EMS) clinicians.ObjectiveTo explore the perceptions and experiences regarding the impact of migration on EMS clinicians in the communities of study.Design, Setting, and ParticipantsThis qualitative study included in-depth interviews with fire department–based EMS clinicians in 3 Arizona communities on the Mexico border from June 23 to 27, 2024. Interviews were conducted 1-on-1 while clinicians were on shift.

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Reissman, Stephan G. "Privatization and Emergency Medical Services." Prehospital and Disaster Medicine 12, no. 1 (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 E

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Lenjani, Basri, Merima Šišić, Verica Mišanović, Kenan Ljuhar, and Dardan Lenjani. "Challenges and Problems Affecting the Development Emergency Medical Services in Kosovo." Albanian Journal of Trauma and Emergency Surgery 5, no. 2 (2021): 825–29. http://dx.doi.org/10.32391/ajtes.v5i2.245.

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Emergency medical service is organized as a separate field of health activities in order to provide uninterrupted emergency medical care for citizens who due to illness or injury have directly threatened the life, certain organs or certain parts of the body respectively cut the optimal time of occurrence of the emergency until the start of the final treatment process. Emergence clinic for 2020. Year ED over 100. 000-cases. The emergency health system doesn’t have a consolidated network and integrated emergency medical services. Emergency health services in Europe are being challenged by change

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Krohmer, Jon R., Robert A. Swor, Nicholas Benson, Steven A. Meador, and Steven J. Davidson. "Prototype Curriculum for a Fellowship in Emergency Medical Services." Prehospital and Disaster Medicine 9, no. 1 (1994): 73–77. http://dx.doi.org/10.1017/s1049023x00040899.

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The developments of emergency medicine and emergency medical services (EMS) have occurred simultaneously although at times on parallel paths. The recognition of EMS providers as physician surrogates and emergency care resources as an extension of emergency department care has mandated close physician involvement. This intimate physician involvement in EMS activities is now well accepted. It has, however, pointed out the need for in-depth training of physicians in the subspecialty of EMS.

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Jaklič, Tatjana Kitić, Jure Kovač, Matjaž Maletič, and Ksenija Tušek Bunc. "Analysis of patient satisfaction with emergency medical services." Open Medicine 13, no. 1 (2018): 493–502. http://dx.doi.org/10.1515/med-2018-0073.

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AbstractBackgroundThis study analyses the degree of patient satisfaction regarding the Emergency Medical Services (EMS) by taking into account the waiting time which is considered to be associated with the success of the EMS organizational model.MethodologyBetween 1 Jan 2016 and 31 March 2016 a cross-sectional research study among visitors of the EMS clinics in the EMS of the Primary Health Services of Gorenjska was performed. The EUROPEP survey was used for rating the degree of patient satisfaction. Statistical methods were utilized to determine the differences among the studied variables, na

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Nagel, Eugene. "Perspectives of Emergency Medical Services (EMS)." Prehospital and Disaster Medicine 1, S1 (1985): 111–14. http://dx.doi.org/10.1017/s1049023x00044034.

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Many of the world leaders in emergency medicine and in disaster medicine systems have made advances in these fields, and I compliment them on the accomplishments that I have seen over the years. Dr. Safar charged me to look ahead, if that is possible, and offer some perspective—obviously my own—on the next five to ten years. Hopefully, our future can be controlled in certain limits. Toynbee philosophized that when new and unanticipated challenges are presented, they represent great opportunity for response. If we fail to respond or if we respond in an inappropriate way, we may become a fossil

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Dickinson, Edward T., Vincent P. Verdile, Timothy B. Duncan, and Kerry A. Bryant. "56. Managed Care Organization Enrollee Utilization of 911 Emergency Medical Services." Prehospital and Disaster Medicine 11, S2 (1996): S34. http://dx.doi.org/10.1017/s1049023x00045738.

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Purpose: The accessibility of emergency medical services (EMS) for enrollees of managed care organizations (MCOs) is currently a topic of national debate. The mechanisms by which enrollees currently enter the EMS system have not been well described. The purpose of this study was to determine how these patients enter our EMS system.Methods: All enrollees who belong to the region's largest MCO and who were transported to hospital EDs by the paramedic level municipal EMS department were identified from billing records. Members of the MCO are mandated to call the MCO prior to seeking any emergency

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Abdullah, Bunayyan AlDawsari, and Bunayyan AlDawsari Nasser. "Evolution of emergency medical services in Saudi Arabia." International Journal of Healthcare Sciences 10, no. 2 (2022): 141–46. https://doi.org/10.5281/zenodo.7350992.

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<strong>Abstract:</strong> Aim: the aim of this study was to supply an summary of the evolution of emergency medical services (EMS) in Saudi Arabia to explain its history, organizational service providers, governance, EMS statistics and also the academic development of the sphere with the inequality of educational approaches. The EMS in Saudi Arabia has seen variety of positive changes over the past decade, a number of that embody the event of many university and faculty programs dedicated to teaching EMS, the analysis of the profession from a post-employment care model into a pre-employment b

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Gemma, William. "The International Society of Emergency Medical Services (ISEMS)." Prehospital and Disaster Medicine 1, S1 (1985): 314. http://dx.doi.org/10.1017/s1049023x00044940.

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In September 1980 at the International Aeromedical Evacuation Congress held in Munich, West Germany, the International Society of Emergency Medical Services (ISEMS) was formed. The purpose of this new society is to develop, promote, and improve EMS throughout the world. The founding members came from sixteen nations and represented such regions as Africa, the Americas, Europe, and the Middle East.This new organization, ISEMS, provides a permanent, ongoing focal point for studies and serves as a global clearinghouse for EMS technical assistance, training, management, and evaluation. The Society

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Tozija, Fimka, and Nikola Jankulovski. "Strategy to Improve Quality in Emergency Medical Services: from Assessment to Policy." Archives of Industrial Hygiene and Toxicology 64, no. 4 (2013): 567–79. http://dx.doi.org/10.2478/10004-1254-64-2013-2337.

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AbstractThe aim of this paper was to present the strategic approach applied for improvement of quality in emergency medical services (EMS) in the Republic of Macedonia. This approach was accomplished through three stages: (I) assessment and recommendations for policies; (II) development of innovative evidence-based programmes; and (III) policy implementation. Strategic assessment of EMS was performed by applying WHO standard methodology. A survey was conducted in 2006/2007 on the national level in fifteen general hospitals, four university hospitals, and sixteen pre-hospital EMS. The overall e

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Blau, Gary, and Susan A. Chapman. "Why do Emergency Medical Services (EMS) Professionals Leave EMS?" Prehospital and Disaster Medicine 31, S1 (2016): S105—S111. http://dx.doi.org/10.1017/s1049023x16001114.

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AbstractObjectiveThe objective was to determine why Emergency Medical Technician (EMT)-Basics and Paramedics leave the Emergency Medical Services (EMS) workforce.MethodsData were collected through annual surveys of nationally registered EMT-Basics and Paramedics from 1999 to 2008. Survey items dealing with satisfaction with the EMS profession, likelihood of leaving the profession, and likelihood of leaving their EMS job were assessed for both EMT-Basics and Paramedics, along with reasons for leaving the profession. Individuals whose responses indicated that they were not working in EMS were ma

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Wang, Henry E., Mengda Ivy Yu, Remle P. Crowe, et al. "Longitudinal Changes in Emergency Medical Services Advanced Airway Management." JAMA Network Open 7, no. 8 (2024): e2427763. http://dx.doi.org/10.1001/jamanetworkopen.2024.27763.

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ImportanceIdentifying longitudinal changes in advanced airway management by emergency medical services (EMS) is crucial for understanding practice patterns and optimizing care.ObjectiveTo examine the longitudinal trends in endotracheal intubation (ETI) and supraglottic airway (SGA) utilization in a national EMS cohort.Design, Setting, and ParticipantsThis retrospective cross-sectional study analyzed 2011 to 2022 data from the ESO Data Collaborative, a national database of US prehospital electronic health records. The study included all 911 EMS events in which advanced airway management was att

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Nagel, Eugene. "Physician Leadership of Emergency Medical Services (EMS)." Prehospital and Disaster Medicine 1, S1 (1985): 115. http://dx.doi.org/10.1017/s1049023x00044046.

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I would hope that there is no question regarding the need for physician leadership in an EMS system; and that the question, if there is any, concerns the amount required, where it is to be applied, and its quality. EMS, I would remind you, stands for emergencymedicalservices. Medical delivery systems, in my opinion, require physicians for their design and implementation. That does not mean that all the services have to be delivered by physicians, but they need physician leadership.If this outlines the area of physician authority, then there is by definition a concomitant responsibility—authori

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Sharma, Mohit, and Ethan S. Brandler. "Emergency Medical Services in India: The Present and Future." Prehospital and Disaster Medicine 29, no. 3 (2014): 307–10. http://dx.doi.org/10.1017/s1049023x14000296.

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AbstractIndia is the second most populous country in the world. Currently, India does not have a centralized body which provides guidelines for training and operation of Emergency Medical Services (EMS). Emergency Medical Services are fragmented and not accessible throughout the country. Most people do not know the number to call in case of an emergency; services such as Dial 108/102/1298 Ambulances, Centralized Accident and Trauma Service (CATS), and private ambulance models exist with wide variability in their dispatch and transport capabilities. Variability also exists in EMS education stan

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Harmer, Bryan, Melissa Ivey, John Hoyle, Jr., and Kieran Fogarty. "Examining Cognitive Aid Use in Emergency Medical Services." International Journal of Paramedicine, no. 6 (April 3, 2024): 48–61. http://dx.doi.org/10.56068/jmrq7592.

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Background: Emergency Medical Service (EMS) clinicians render care in less than ideal environments, and errors occur at high rates. Some cognitive aids (CAs) have been shown to reduce errors and improve adherence to evidence-based practices. However, there have been no widespread studies examining CA use in EMS. The objective of this study was to examine the frequency of CA use by EMS clinicians and which clinicians were using them more frequently during patient care. Methods: A cross-sectional online survey was developed using a modified Delphi method with items examining demographic in

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Cook, Richard T. "The Institute of Medicine Report on Emergency Medical Services for Chi: Thoughts for Emergency Medical Technicians, Paramedics, and Emergency Physicians." Pediatrics 96, no. 1 (1995): 199–205. http://dx.doi.org/10.1542/peds.96.1.199.

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The emergency medical technician, the paramedic, and the emergency physician, as well as emergency physicians who have additional expertise in emergency medical service (EMS) prehospital care or pediatric emergency medicine (through experience or formal fellowship training), will all find the Institute of Medicine's report, Emergency Medical Services for Chi (EMS-C), to be an invaluable background resource as well as a guide for EMS system and EMS-C-related planning. With both breadth and depth, it reviews many of the issues in EMS-C today from many perspectives and provides practical informat

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Gage, Caleb Hanson, Charnelle Stander, Liz Gwyther, and Willem Stassen. "Emergency medical services and palliative care: a scoping review." BMJ Open 13, no. 3 (2023): e071116. http://dx.doi.org/10.1136/bmjopen-2022-071116.

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ObjectivesThe aim of this study was to map existing emergency medical services (EMS) and palliative care literature by answering the question, what literature exists concerning EMS and palliative care? The sub-questions regarding this literature were, (1) what types of literature exist?, (2) what are the key findings? and (3) what knowledge gaps are present?DesignA scoping review of literature was performed with an a priori search strategy.Data sourcesMEDLINE via Pubmed, Web of Science, CINAHL, Embase via Scopus, PsycINFO, the University of Cape Town Thesis Repository and Google Scholar were s

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Leggio, William J., and Kenneth J. D'Alessandro. "Support for Interdisciplinary Approaches in Emergency Medical Services Education." Creighton Journal of Interdisciplinary Leadership 1, no. 1 (2015): 60. http://dx.doi.org/10.17062/cjil.v1i1.11.

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<p>This article analyzes the need for Emergency Medical Services (EMS) educational programs and academicians to develop interdisciplinary educational and training opportunities with other healthcare disciplines. A literature review was conducted on EMS education and interdisciplinary approaches in healthcare education. In general, support for both didactic and simulated interdisciplinary education in healthcare is supported by positive impacts on student learning and improved patient outcomes. Support for interdisciplinary approaches in EMS education was constructed by applying research

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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 (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 cos

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Leung, Kelvin Tak Yiu. "Promoting Continuing Professional Education and Research in Emergency Medical Services (EMS)." International Journal of Research and Engineering 4, no. 12 (2018): 303–3. http://dx.doi.org/10.21276/ijre.2018.5.1.3.

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Long, Brit J., Luis A. Serrano, Jose G. Cabanas, and M. Fernanda Bellolio. "Opportunities for Emergency Medical Services (EMS) Care of Syncope." Prehospital and Disaster Medicine 31, no. 4 (2016): 349–52. http://dx.doi.org/10.1017/s1049023x16000376.

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AbstractIntroductionEmergency Medical Service (EMS) systems are vital in the identification, assessment, and treatment of trauma, stroke, myocardial infarction, and sepsis patients, improving early recognition, resuscitation, and transport. Emergency Medical Service personnel provide similar care for patients with syncope. The role of EMS in the management of patients with syncope has not been reported.Hypothesis/ObjectiveThe objective of this study was to describe the management of out-of-hospital syncope by prehospital providers in an urban EMS system.MethodsThis was a retrospective cohort s

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Mould-Millman, Nee-Kofi, Julia M. Dixon, Nana Sefa, et al. "The State of Emergency Medical Services (EMS) Systems in Africa." Prehospital and Disaster Medicine 32, no. 3 (2017): 273–83. http://dx.doi.org/10.1017/s1049023x17000061.

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AbstractIntroductionLittle is known about the existence, distribution, and characteristics of Emergency Medical Services (EMS) systems in Africa, or the corresponding epidemiology of prehospital illness and injury.MethodsA survey was conducted between 2013 and 2014 by distributing a detailed EMS system questionnaire to experts in paper and electronic versions. The questionnaire ascertained EMS systems’ jurisdiction, operations, finance, clinical care, resources, and regulatory environment. The discovery of respondents with requisite expertise occurred in multiple phases, including snowball sam

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Furbee, Paul M., Jeffery H. Coben, Sharon K. Smyth, et al. "Realities of Rural Emergency Medical Services Disaster Preparedness." Prehospital and Disaster Medicine 21, no. 2 (2006): 64–70. http://dx.doi.org/10.1017/s1049023x0000337x.

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AbstractIntroduction:Disaster preparedness is an area of major concern for the medical community that has been reinforced by recent world events. The emergency healthcare system must respond to all types of disasters, whether the incidents occur in urban or rural settings. Although the barriers and challenges are different in the rural setting, common areas of preparedness must be explored.Problem:This study sought to answer several questions, including: (1) What are rural emergency medical services (EMS) organizations training for, compared to what they actually have seen during the last two

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Chermiti, Ines, Mokhtar Mahjoubi, Hanene Ghazali, et al. "Emergency Medical Services Response: Outcomes of Non-Transported Patients." Prehospital and Disaster Medicine 38, S1 (2023): s38—s39. http://dx.doi.org/10.1017/s1049023x23001383.

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Introduction:As a part of a primary intervention, Emergency Medical Services (EMS) may leave a patient at the scene. This decision is made in partnership with the dispatching center. The prognosis of these patients is often unknown. The aim of our study was to assess the outcomes of non-transported EMS patients.Method:It was a descriptive, prospective study conducted over a two-year-period. We included all alive non-transported EMS patients from the site of intervention after a primary mission of the EMS team based on a medical decision. The prognosis was assessed by unexpected events (UE) def

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Apiratwarakul, Korakot, Ismet Celebi, Somsak Tiamkao, Vajarabhongsa Bhudhisawasdi, Chatkhane Pearkao, and Kamonwon Ienghong. "Understanding of Development Emergency Medical Services in Laos Emergency Medicine Residents." Open Access Macedonian Journal of Medical Sciences 9, E (2021): 1085–91. http://dx.doi.org/10.3889/oamjms.2021.7333.

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BACKGROUND: Rising death tolls from traffic accidents are quickly becoming an inescapable problem in almost all countries around the world. That being said, the World Health Organization has launched an ambitious campaign aimed at reducing the death rate from traffic accidents by 50% in the next 10 years. Development of emergency medical services (EMSs) was the tool to success the goals, especially in low- to middle-income countries including Laos. However, no studies regard perspective of training EMS in Laos emergency medicine residents. AIM: The aim of our work is to demonstrate the effect

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Ebrahimian, Abbasali, Hesam Seyedin, Roohangiz Jamshidi-Orak, and Gholamreza Masoumi. "Exploring Factors Affecting Emergency Medical Services Staffs’ Decision about Transporting Medical Patients to Medical Facilities." Emergency Medicine International 2014 (2014): 1–8. http://dx.doi.org/10.1155/2014/215329.

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Transfer of patients in medical emergency situations is one of the most important missions of emergency medical service (EMS) staffs. So this study was performed to explore affecting factors in EMS staffs’ decision during transporting of patients in medical situations to medical facilities. The participants in this qualitative study consisted of 18 EMS staffs working in prehospital care facilities in Tehran, Iran. Data were gathered through semistructured interviews. The data were analyzed using a content analysis approach. The data analysis revealed the following theme: “degree of perceived r

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Leeies, Murdoch, Cheryl ffrench, Trevor Strome, Erin Weldon, Michael Bullard, and Rob Grierson. "Prehospital Application of the Canadian Triage and Acuity Scale by Emergency Medical Services." CJEM 19, no. 1 (2016): 26–31. http://dx.doi.org/10.1017/cem.2016.345.

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AbstractObjectivesTriage is fundamental to emergency patient assessment. Effective triage systems accurately prioritize patients and help predict resource utilization. CTAS is a validated five-level triage score utilized in Emergency Departments (EDs) across Canada and internationally. Historically CTAS has been applied by triage nurses in EDs. Observational evidence suggests that the CTAS might be implemented reliably by paramedics in the prehospital setting. This is the first system-wide assessment of CTAS interrater reliability between paramedics and triage nurses during clinical practice.M

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Challen, Kirsty, and Darren Walter. "Physiological Scoring: An Aid to Emergency Medical Services Transport Decisions?" Prehospital and Disaster Medicine 25, no. 4 (2010): 320–23. http://dx.doi.org/10.1017/s1049023x00008268.

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AbstractIntroduction:Attendance at UK emergency departments is rising steadily despite the proliferation of alternative unscheduled care providers. Evidence is mixed on the willingness of emergency medical services (EMS) providers to decline to transport patients and the safety of incorporating such an option into EMS provision. Physiologically based Early Warning Scores are in use in many hospitals and emergency departments, but not yet have been proven to be of benefit in the prehospital arena.Hypothesis:The use of a physiological-social scoring system could safely identify patients calling

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Glober, Nancy, Thomas Lardaro, Michael Supples, et al. "Assessing Provider Understanding of Interfacility Emergency Medical Services Transport." International Journal of Paramedicine, no. 5 (January 5, 2024): 64–73. http://dx.doi.org/10.56068/tgxv9507.

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Background: Interfacility transfer between hospitals is an integral component of regional healthcare systems. The decisions referring providers make regarding emergency medical services (EMS) level of care and transport modality (ground versus air) can dramatically impact patient care, emergency departments' workflow, hospital length of stay, and EMS resource availability. Limited research has been done to assess understanding of interfacility transport by emergency medicine providers.  Methods: We developed six patient scenarios to test knowledge of level of care and mode of interfacili

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Sivaraman, Josie J., Scott K. Proescholdbell, David Ezzell, and Meghan E. Shanahan. "Characterizing Opioid Overdoses Using Emergency Medical Services Data." Public Health Reports 136, no. 1_suppl (2021): 62S—71S. http://dx.doi.org/10.1177/00333549211026802.

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Objectives Tracking nonfatal overdoses in the escalating opioid overdose epidemic is important but challenging. The objective of this study was to create an innovative case definition of opioid overdose in North Carolina emergency medical services (EMS) data, with flexible methodology for application to other states’ data. Methods This study used de-identified North Carolina EMS encounter data from 2010-2015 for patients aged >12 years to develop a case definition of opioid overdose using an expert knowledge, rule-based algorithm reflecting whether key variables identified drug use/poisonin

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Karrasch, Sarah, Melissa Hitzler, Alexander Behnke, Visal Tumani, Iris-Tatjana Kolassa, and Roberto Rojas. "Chronic and Traumatic Stress Among Emergency Medical Services Personnel." Zeitschrift für Klinische Psychologie und Psychotherapie 49, no. 4 (2020): 204–17. http://dx.doi.org/10.1026/1616-3443/a000600.

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Abstract. Background: Emergency medical services (EMS) personnel are frequently confronted with multiple stressful and potentially traumatic events as well as adverse working conditions. Objective: This narrative review provides an overview of the impact of adverse mission experiences and working conditions on the mental and physical health of EMS personnel. Methods: We summarize the empirical findings on prevalence rates as well as individual vulnerability factors and resilience. Results: EMS personnel show the highest prevalence rates of stress-related health problems among first responders.

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Venesoja, Anu, Maaret Castrén, Susanna Tella, and Veronica Lindström. "Patients’ perceptions of safety in emergency medical services: an interview study." BMJ Open 10, no. 10 (2020): e037488. http://dx.doi.org/10.1136/bmjopen-2020-037488.

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BackgroundResearch on patient safety in emergency medical services (EMS) has mainly focused on the organisation’s and/or the EMS personnel’s perspective. Little is known about how patients perceive safety in EMS. This study aims to describe the patients’ experiences of their sense of safety in EMS.MethodsA qualitative design with individual interviews of EMS patients (n=21) and an inductive qualitative content analysis were used.ResultsPatients’ experiences of EMS personnel’s ability or inability to show or use their medical, technical and driving skills affected the patients’ sense of safety.

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Al-Otaibi, Ahmed M., Sultan M. Alghadeer, Yazed Sulaiman AlRuthia, et al. "The characteristics and distribution of emergency medical services in Saudi Arabia." Annals of Saudi Medicine 43, no. 2 (2023): 63–69. http://dx.doi.org/10.5144/0256-4947.2023.63.

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BACKGROUND: Emergency medical services (EMS) play an essential role in treating and transporting patients to hospitals or between hospitals. EMS providers must be distributed wisely across all regions of the country to meet healthcare needs during normal times and disasters. No previous study has investigated the characteristics and distribution of the EMS workforce in Saudi Arabia. OBJECTIVES: Examine the characteristics and distribution of the EMS workforce in Saudi Arabia to identify gaps and areas in need of improvement. Also, explore the sociodemographic and educational characteristics of

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Supples, Michael W., Madison K. Rivard, Rebecca E. Cash, Kirsten Chrzan, Ashish R. Panchal, and Henderson D. McGinnis. "Barriers to Physical Activity Among Emergency Medical Services Professionals." Journal of Physical Activity and Health 18, no. 3 (2021): 304–9. http://dx.doi.org/10.1123/jpah.2020-0305.

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Background: Emergency medical services (EMS) professionals demonstrate low adherence to physical activity guidelines and experience a high prevalence of obesity and incidence of injury. The authors investigate the barriers to participating in physical activity among EMS professionals. Methods: The EMS professionals employed by 15 North Carolina EMS agencies were surveyed with validated items. Multivariable logistic regression models were used to estimate the odds (odds ratio, 95% confidence interval) of not meeting physical activity guidelines for each barrier to being active, controlling for

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Eslami AliAbadi, Hasan, Raheleh Rajabi, and Fariba Asadi. "Burnout among emergency medical services (EMS) staff." Quarterly Journal of Nersing Management 5, no. 3 (2017): 62–70. http://dx.doi.org/10.29252/ijnv.5.3.4.62.

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Stewart, Ronald D. "Introduction to Emergency Medical Services (EMS) Organization." Prehospital and Disaster Medicine 1, S1 (1985): 109–10. http://dx.doi.org/10.1017/s1049023x00044022.

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Experience and history have taught us that much can be done for the sick and injured before such patients reach the hospital. From the legacy of the Good Samaritan to the modern day organization of emergency medical services, the immediate care of those stricken has undergone significant change in both philosophy and practice. While many prehospital care organizations with roots established deeply in the past still flourish, modern emergency care, in the new world at least, has developed rapidly only over the past ten years.In the United States, a concerted effort to improve the care of the wo

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Prakash, A., and R. Nagose. "(A285) Planning and Organization of Emergency Medical Services in Mumbai." Prehospital and Disaster Medicine 26, S1 (2011): s96. http://dx.doi.org/10.1017/s1049023x11003025.

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In the past two decades, Mumbai has witnessed several mass-casualty incidents. Somehow, it seems that the city has missed some important lessons from these events. Mumbai has no formal structure for emergency medical services (EMS). Although EMS may seem to be a much-desired necessity, scholars have raised questions on the practicality and feasibility of having such a system in Mumbai. Factors such as population congestion, traffic volume, and lack of coordination among existing hospitals, the success of such a system in a city like Mumbai is jeopardized. In spite of having similar challenges

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El Sayed, Mazen, Hani Tamim, Ahel Al-Hajj Chehadeh, and Amin A. Kazzi. "Emergency Medical Services Utilization in EMS Priority Conditions in Beirut, Lebanon." Prehospital and Disaster Medicine 31, no. 6 (2016): 621–27. http://dx.doi.org/10.1017/s1049023x16000972.

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AbstractBackgroundEarly activation and use of Emergency Medical Services (EMS) are associated with improved patient outcomes in EMS priority conditions in developed EMS systems. This study describes patterns of EMS use and identifies predictors of EMS utilization in EMS priority conditions in LebanonMethodsThis was a cross-sectional study of a random sample of adult patients presenting to the emergency department (ED) of a tertiary care center in Beirut with the following EMS priority conditions: chest pain, major trauma, respiratory distress, cardiac arrest, respiratory arrest, and airway obs

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Becker, Torben K., Marianne Gausche-Hill, Andrew L. Aswegan, et al. "Ethical Challenges in Emergency Medical Services: Controversies and Recommendations." Prehospital and Disaster Medicine 28, no. 5 (2013): 488–97. http://dx.doi.org/10.1017/s1049023x13008728.

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AbstractEmergency Medical Services (EMS) providers face many ethical issues while providing prehospital care to children and adults. Although provider judgment plays a large role in the resolution of conflicts at the scene, it is important to establish protocols and policies, when possible, to address these high-risk and complex situations. This article describes some of the common situations with ethical underpinnings encountered by EMS personnel and managers including denying or delaying transport of patients with non-emergency conditions, use of lights and sirens for patient transport, dete

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Maguire, Brian J., Stephen Dean, Richard A. Bissell, Bruce J. Walz, and Andrew K. Bumbak. "Epidemic and Bioterrorism Preparation among Emergency Medical Services Systems." Prehospital and Disaster Medicine 22, no. 3 (2007): 237–42. http://dx.doi.org/10.1017/s1049023x0000474x.

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AbstractIntroduction:The purpose of this research was to determine the preparedness of emergency medical services (EMS) agencies in one US state to cope with a massive epidemic event.Methods:Data were collected primarily through telephone interviews with EMS officials throughout the State. To provide a comparison, nine out-ofstate emergency services agencies were invited to participate.Results:Emergency medical services agencies from nine of the 23 counties (39%) provided responses to some or all of the questions in the telephone survey. Seven of the nine out-of-state agencies provided respons

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Yau, L., M. A. Mukarram, S. Kim, et al. "LO083: Outcomes and resource utilization among syncope patients transported by emergency medical services." CJEM 18, S1 (2016): S58—S59. http://dx.doi.org/10.1017/cem.2016.120.

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Introduction: Syncope accounts for 1% of all annual emergency department (ED) visits in Canada with only 10.3% suffering serious adverse event (SAE) within 30-days. However, 66% are transported to ED by Emergency Medical Services (EMS). Our objectives were to assess 30 day SAE among syncope patients transported by Emergency medical services (EMS), assess the need to develop an EMS clinical decision aid, and estimate anticipated health care savings by diverting patients from the ED to alternative care pathways. Methods: We conducted a prospective cohort study at four tertiary care EDs from Feb

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Munk, Marc-David. "Value Generation and Health Reform in Emergency Medical Services." Prehospital and Disaster Medicine 27, no. 2 (2012): 111–14. http://dx.doi.org/10.1017/s1049023x12000635.

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AbstractAmerican Emergency Medical Services (EMS) agencies largely have been untouched by the dramatic health care reform efforts underway, although change seems imminent. Clarifying the role of the modern EMS system, and the yardsticks used to evaluate its performance, will be a challenge.This paper introduces the concept of value (or outcomes to cost ratio) in EMS, and offers value assessment as a means by which reform decisions can be framed. The best reform decisions are those that optimize both costs and outcomes. This includes: (1) attention to the patient experience; (2) disallowing the

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Songsak, Poomsaidorn, Sornlorm Kittipong, Laohasiriwong Wongsa, Kumar Mahato Roshan, Thanomsieng Nikom, and Charoencheewakul Chatree. "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 (2023): 707~715. https://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

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Roldan, Nidya Velasco, Caitlin E. Coyle, Michael Ward, and Jan Mutchler. "IMPACT OF AGING POPULATIONS ON MUNICIPAL EMERGENCY MEDICAL SERVICES." Innovation in Aging 3, Supplement_1 (2019): S956. http://dx.doi.org/10.1093/geroni/igz038.3468.

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Abstract The services that residents require from their local governments vary depending on the demographics of their populations. While municipalities have long sought to consider how changes in the young population may impact their school system needs, few systematic considerations have been developed relating to how aging populations may impact municipal service provision. This study aims to address this issue by focusing on demands on emergency services at the municipal level. Using data from the Massachusetts Ambulance Trip Record Information System (MATRIS) we explore the association bet

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Kim, Sun Hyu, and Hyeji Lee. "Characteristics of consecutive versus non-consecutive frequent emergency medical services transport to a single emergency department." PLOS ONE 19, no. 5 (2024): e0301337. http://dx.doi.org/10.1371/journal.pone.0301337.

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Objective This study was to examine characteristics concerning frequent users of emergency medical services (EMS) transport by comparing patients who used EMS transport frequently for one year and those who used EMS transport for more than two years consecutively. Methods A retrospective review for frequent use of EMS transport was conducted. The patients from the fire stations that transported more than 70% of all EMS transport to the study hospital emergency department (ED) were included. The study subjects were divided into consecutive group (frequent EMS transport for ≥ two years consecuti

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Crowe, Remle P., Roger Levine, Severo Rodriguez, Ashley D. Larrimore, and Ronald G. Pirrallo. "Public Perception of Emergency Medical Services in the United States." Prehospital and Disaster Medicine 31, S1 (2016): S112—S117. http://dx.doi.org/10.1017/s1049023x16001126.

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AbstractObjectiveThe objective of this study was to assess the public’s experience, expectations, and perceptions related to Emergency Medical Services (EMS).MethodsA population-based telephone interview of adults in the United States was conducted. The survey instrument consisted of 112 items. Demographic variables including age, race, political beliefs, and household income were collected. Data collection was performed by trained interviewers from Kent State University’s (Kent, Ohio USA)Social Research Laboratory. Descriptive statistics were calculated. Comparative analyses were conducted be

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