Relevant bibliographies by topics / Fire and Emergency Medical Services Department

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Fire and Emergency Medical Services Department'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Fire and Emergency Medical Services Department"

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Tomlin, Patricia A. "Emergency medical services educator for a city fire department." Journal of Emergency Nursing 22, no. 6 (December 1996): 541–43. http://dx.doi.org/10.1016/s0099-1767(96)80207-8.

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Tsuzuki, Masakazu, Haruhiko Tsutsumi, Tohru Aruga, and Kohji Mii. "Emergency Medical Service System (EMSS) in Tokyo: Special Reference to the Disaster Program." Journal of the World Association for Emergency and Disaster Medicine 3, no. 1 (1987): 52–54. http://dx.doi.org/10.1017/s1049023x00028739.

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The Emergency Medical Service System in Tokyo has been developed through the cooperative efforts and achievements of many. EMS in Tokyo consists of three parts: 1) the network system of emergency hospitals; 2) the transportation system of emergency patients (Ambulance System); and 3) the communications system (Emergency Medical Information System). Emergency services are controlled by the Japanese Ministry of Home Affairs and the Ministry of Health and Welfare. The former is in charge of ambulance and rescue services located in the fire department, the latter has to do with medical affairs.
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Persse, David E., Jeffrey L. Jarvis, Jerry Corpening, and Bobbie Harris. "Customer Satisfaction in a Large Urban Fire Department Emergency Medical Services System." Academic Emergency Medicine 11, no. 1 (January 2004): 106–10. http://dx.doi.org/10.1111/j.1553-2712.2004.tb01381.x.

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Persse, David E., Jeffrey L. Jarvis, Jerry Corpening, and Bobbie Harris. "Customer Satisfaction in a Large Urban Fire Department Emergency Medical Services System." Academic Emergency Medicine 11, no. 1 (January 2004): 106–10. http://dx.doi.org/10.1197/j.aem.2003.07.020.

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Griffith, John Clark, and Donna L. Roberts. "How we roll: A fire engine to every call? Fire department resource allocation and firefighter support in the United States." International Journal of Emergency Services 9, no. 3 (August 11, 2020): 409–19. http://dx.doi.org/10.1108/ijes-12-2019-0066.

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PurposeEmergency service departments face changing mission requirements, budget constraints and a demanding work environment. This study examined the perceptions of fire chiefs, officers and firefighters who attended the National Professional Development Symposium on the use of a tiered approach when responding to calls, the continued increase in medical calls and mental health services available to fire service personnel.Design/methodology/approachThis study examined the perceptions of fire chiefs, officers and firefighters who attended the National Professional Development Symposium on the use of a tiered approach when responding to calls, the continued increase in medical calls and mental health services available to fire service personnel.FindingsSurvey respondents indicated that they either are currently or would consider using a tiered approach to sending a fire engine and crew or a lighter vehicle to medical or other calls based requirements identified using a tiered approach.Research limitations/implicationsThis idea has future implications regarding the vehicle mix of fire stations as administrators seek to meet the needs of the public most effectively. Survey responses also noted the need for mental health services arguing that care seeking firefighters should have the option of getting mental health services within the station or at an external location. Calls involving babies or young children were overwhelming cited as the most difficult. Additionally, 95% of respondents indicated a belief that most firefighters suffer from PTSD.Practical implicationsRecommendations include: A larger scale survey and analysis of first responder perceptions based on this study. Identifying “best practices” of the most effective “tiered response” approaches to deploying emergency services resources to calls. Studying Mental Health services combating PTSD to identify best practices. Lastly, emergency services administrators should consider changes to the “vehicle mix” when equipping or reequipping stations.Social implicationsSocial implications include use of a “tiered response” approach to emergency calls and focusing how best to support the mental health needs of firefighters.Originality/valueFire Departments are only beginning to explore the idea of using a tiered response to respond to emergencies. This study identifies both short and long term implications of using a tired approach. A secondary emphasis of this study explores difficult calls and PTSD issues faced by firefighters.
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Nayak, Sandip Kumar, Agraj Dutta, Sayantan Bhowmick, Santanu Ghosh, Suraj Kumar Jha, Rajesh Bose, and Dr Sandip Roy. "Implementing an Structural Prototype of Emergency Services in Web – Application." International Journal of Engineering and Computer Science 10, no. 8 (August 4, 2021): 25370–80. http://dx.doi.org/10.18535/ijecs/v10i8.4613.

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Emergency services are highly needed for all in nowadays. Quick emergency services can save someone's life. Urgency never comes with a prior indication. In real-world scenarios, getting such services and reporting is a real challenge. Emergency services are government agencies whose job it is to respond quickly to emergencies when they arise, including firefighters, police, medical services, blood bank service and ambulance service. These all are very essential and life-protected services for all people in society because without these services we can’t survive. We know that getting quick blood services, fire department etc. are very tough for us and we need these services which ensure urgent stabilization of the situation and transport to definitive care. In our busy life, for getting quick services we’ve made a software and for this every people will get all those essential services very easily and too fast. In this project, we have introduced a web application which provides the information of all emergency services and which can be accessed by all users 24 hours a day, 7 days a week. Some features will be available like finding nearby blood bank, medical services in whole night and from the police station to the fire department all in one place. Nowadays for this pandemic situation nobody knows when the problem will create. By this web-application everybody will get to know the all information from medical services to police station. Urgency never comes with a prior indication. We know that in real-world scenarios, survive is a big challenge for all and detecting such emergencies and reporting them is a real challenge. For society we want to provide quick emergency services and that’s why we’ve made it. So, we think this application will help all people.
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Williams, Augusta A., Joseph G. Allen, Paul J. Catalano, Jonathan J. Buonocore, and John D. Spengler. "The Influence of Heat on Daily Police, Medical, and Fire Dispatches in Boston, Massachusetts: Relative Risk and Time-Series Analyses." American Journal of Public Health 110, no. 5 (May 2020): 662–68. http://dx.doi.org/10.2105/ajph.2019.305563.

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Objectives. To examine the impact of extreme heat on emergency services in Boston, MA. Methods. We conducted relative risk and time series analyses of 911 dispatches of the Boston Police Department (BPD), Boston Emergency Medical Services (BEMS), and Boston Fire Department (BFD) from November 2010 to April 2014 to assess the impact of extreme heat on emergency services. Results. During the warm season, there were 2% (95% confidence interval [CI] = 0%, 5%) more BPD dispatches, 9% (95% CI = 7%, 12%) more BEMS dispatches, and 10% (95% CI = 5%, 15%) more BFD dispatches on days when the maximum temperature was 90°F or higher, which remained consistent when we considered multiple days of heat. A 10°F increase in daily maximum temperature, from 80° to 90°F, resulted in 1.016, 1.017, and 1.002 times the expected number of daily BPD, BEMS, and BFD dispatch calls, on average, after adjustment for other predictors. Conclusions. The burden of extreme heat on local emergency medical and police services may be agency-wide, and impacts on fire departments have not been previously documented. Public Health Implications. It is important to account for the societal burden of extreme heat impacts to most effectively inform climate change adaptation strategies and planning.
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Mansoor, Shehzad Adil, Humayun Suqrat Hasan Imam, and Muhammad Asif Shahzad. "EMERGENCY SERVICES (1122)." Professional Medical Journal 22, no. 02 (February 10, 2015): 163–66. http://dx.doi.org/10.29309/tpmj/2015.22.02.1366.

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Emergency services were working all over the world to deal with different types ofemergencies and the frequency of emergencies were increased with the passage of time. Manydeveloping countries even don’t have such services and it was difficult to estimate the scaleof emergencies in those countries. Objectives: To know about the types of emergencies andto help to plan for their prevention in future. Place and duration of study: Data was collectedfrom emergency services department 1122 in four big cities of Punjab from Nov.2004-Feb.2014.Methods: Descriptive observational study. Results: The road traffic emergencies received were243481 in Lahore, 92367 in Faisal Abad, 52507 in Multan and33847 in Rawalpindi. Medicalemergencies were 247692 in Lahore, 82910 in Faisal Abad, 112531 in Multan and 31069 inRawalpindi. Fire incidences were 14594 in Lahore, 6369 in Faisal Abad, 3707 in Multan and3929 in Rawalpindi. Crime incidence related emergencies were 13301 in Lahore, 15051 in FaisalAbad, 5326 in Multan and 1705 in Rawalpindi. Conclusions: Road traffic related emergencieswere increased even some times more than medical emergencies. Fake calls were also inhigher proportion.
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Pirrallo, Ronald G., Jonathan M. Rubin, Ronald K. Meyer, and Gloria A. Murawsky. "12. The Potential Benefits of a Fire Safety Program Within Emergency Medical Services: A Point-of-Contact Intervention." Prehospital and Disaster Medicine 11, S2 (September 1996): S27. http://dx.doi.org/10.1017/s1049023x0004560x.

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Purpose: To determine how often house fires occur at addresses visited previously for emergency medical services (EMS) and were these visits missed opportunities for a point-of-contact fire safety intervention.Method: Retrospective analysis of all Fire Department (FD) responses during 1994. Data studied with descriptive statistics: reason for response, property type, dollar loss estimate, injuries, fatalities, fire cause, smoke detector operation.Results: The FD responded to 94,378 requests for service at 43,556 addresses. 27,406 addresses generated one response. However, 16,150 addresses had multiple requests, receiving 66,972 responses. For the multiple requests, 1,162 addresses had a fire condition of which 728 addresses requested EMS prior to the fire condition. 215 were one/two-family dwelling addresses receiving 489 responses; mean 2.3 EMS responses prior to the fire condition. 182/215 (85%) of these addresses had complete data, incurring a dollar loss estimate of [US]$2,017,470, 33 injuries and 0 fatalities. The top five causes for the fire condition were children playing with smoking materials, arson, suspicious, scorched food and undetermined. 87/182 (49%) of the one/two-family dwellings had a smoke detector present. However, only 31/182 (17%) of the dwellings had an operational smoke detector.
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Deal, Kelly E., Carolyn K. Synovitz, Jeffrey M. Goodloe, Brandi King, and Charles E. Stewart. "Tulsa Oklahoma Oktoberfest Tent Collapse Report." Emergency Medicine International 2012 (2012): 1–9. http://dx.doi.org/10.1155/2012/729795.

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Background. On October 17, 2007, a severe weather event collapsed two large tents and several smaller tents causing 23 injuries requiring evacuation to emergency departments in Tulsa, OK.Methods. This paper is a retrospective analysis of the regional health system’s response to this event. Data from the Tulsa Fire Department, The Emergency Medical Services Authority (EMSA), receiving hospitals and coordinating services were reviewed and analyzed. EMS patient care reports were reviewed and analyzed using triage designators assigned in the field, injury severity scores, and critical mortality.Results. EMT's and paramedics from Tulsa Fire Department and EMSA provided care at the scene under unified incident command. Of the 23 patients transported by EMS, four were hospitalized, one with critical spinal injury and one with critical head injury. One patient is still in ongoing rehabilitation.Discussion. Analysis of the 2007 Tulsa Oktoberfest mass casualty incident revealed rapid police/fire/EMS response despite challenges of operations at dark under severe weather conditions and the need to treat a significant number of injured victims. There were no fatalities. Of the patients transported by EMS, a minority sustained critical injuries, with most sustaining injuries amenable to discharge after emergency department care.
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Dissertations / Theses on the topic "Fire and Emergency Medical Services Department"

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O'Brien, Adrianne, and Adrianne O'Brien. "Comparing Staffing Models for Fire Based Mobile Urgent Medical Services." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/626318.

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Background: Comparing Full-Time (FT) and Part-Time (PT) staffing models for a mobile integrated health (MIH) program established by a local Fire Department. Objective: Determine if the program is sustainable and which staffing model is more effective at obtaining sustainability. Design: Quality Improvement project with retrospective data review. Setting: Green Valley Fire District in Green Valley, Arizona. A predominant retirement community. Target: The residents of the Green Valley Fire District. Interventions: Utilizing the RE-AIM framework, a retrospective review of the data collected by the previously implemented MIH Program in Green Valley was completed. The framework was utilized to review relevant data and determine if the program has achieved the expected outcomes, and maintained a sustainable and transferable MIH program. Measurement: Decrease in emergency medical (EM) calls for service with the implementation of the MIH program. Comparing staffing models for consistency in services. Results: The results showed a decline in EM calls for service with the MIH program, and more consistency in availability and patient services with the FT staffing model. Limitations: The demographics of the community limit the generalizability and transferability of the data obtained from the project. Additional data should be collected and analyzed both retrospectively and for successive years to substantiate the benefits and continue to improve the effectiveness of the MIH program. Conclusions: The program could be used as a model for other MIH programs, with adjustments made for the respective community. The value or sustainability of any MIH program cannot be limited to revenue solely. Other perspectives of value added service and cost savings must also be considered. Significance: This study highlights the effectiveness of an MIH program in a small retirement community and shows the benefit of a FT staffing model versus a PT staffing model for consistency of patient care and daily program operations. There are also multiple aspects of value to an MIH program, some of which are difficult to conceptualize and measure based on historical models of healthcare delivery and Fire Department Services. Further review of these types of programs is needed to establish the overall benefits of MIH.
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Snyder, Hal Steven 1959. "AN EVALUATION OF COUNSELING SERVICES FOR FIRE DEPARTMENT PERSONNEL." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/276426.

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Shum, Kwok-leung, and 沈國良. "The relationship between management and staff in the Fire Services Department: the case of the ambulancemen." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31965635.

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Shum, Kwok-leung. "The relationship between management and staff in the Fire Services Department : the case of the ambulancemen /." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B18596824.

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Stedman, Robert W. "An evaluation of the level of service and delivery costs of fire and emergency medical service in Waukesha County, Wisconsin." Online version, 2000. http://www.uwstout.edu/lib/thesis/2000/2000stedmanr.pdf.

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Mcguire-Wolfe, Christine Michelle. "Practices and Factors Influencing Sharps Use and Safety in a Suburban FIre Department and Among Emergency Medical Services Personnel." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4541.

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Needlestick injuries (NSIs) are a recognized risk for occupationally-related transmission of bloodborne pathogens (BBP). The occurrence of NSIs and BBP exposures among firefighters (FFs) and emergency medical services (EMS) personnel has been documented. The purposes of this study were: 1) to define the problem of NSI among FFs and EMS personnel in a suburban fire department (FD) and identify practices and factors that influence sharps use and safety; 2) design and implement and intervention to promote safer sharps device usage; and 3) to measure the effectiveness of the intervention among FFs and EMS personnel. A multi-phase, mixed methods approach was used that included a diagnosis phase that utilized a mixed methods exploratory design, an intervention period, and a quantitative evaluation phase that used a before and after evaluation design. In the diagnosis phase, data regarding sharps device practices were obtained through a count of discarded sharps devices. Qualitative data regarding sharps practices and factors which influenced those practice were obtained via focus groups. The PRECEDE/PROCEED model (PPM) was used as the theoretical framework for assessment, planning, implementation, and evaluation of an intervention to increase the occurrence of safer sharps device behaviors and decrease the frequency of riskier sharps device behaviors. The evaluation phase included a post-intervention sharps count and a post-intervention survey to assess changes in sharps practices and the impact of the intervention. During the baseline sharps count, 2743 sharps devices were counted and classified according to pre-established categories of safer or risky behaviors for NSI. Altered safety devices on IV stylets were the highest count for unsafe behaviors (n=105), followed by recapped traditional needles (n= 53). A statistically significant increase in risky behaviors was observed in discarded sharps from engines, as opposed to ambulances, among all sharps devices combined (p=0.000) and IV stylets (p=0.000). When comparing advanced life support (ALS) medications to all other medications, a statistically significant increase in unsafe behaviors occurred among all sharps devices combined (p=0.000) and prefilled syringes (p=0.000). Input from eight focus groups of firefighters allowed for identification of multiple themes which guided the development of an intervention. The intervention included distribution of a hands-on training kit and booklet, expansion of an existing required BBP training, and posters to increase awareness regarding NSI prevention. In the evaluation phase, a total of 2178 sharps devices were counted and classified in a post-intervention sharps count. Altered safety devices on IV stylets were the highest count of unsafe behaviors (n=50). Recapped traditional needles were the second highest count of unsafe behaviors (n=27), but experienced an 18.7% drop in frequency when compared to baseline. When comparing riskier behaviors to the pre-intervention baseline sharps count, statistically significant decreases in risky behaviors were observed in all sharps devices combined ( 2=25.71, p=0.000), IV stylets (2=16.87, p=0.000), and traditional needles (=5.07, p=0.024). A post-intervention survey, consisting of 15 Likert scale questions, was returned by 165 out of 383 active field personnel (41.3%). Results indicated high frequencies of strongly agree and somewhat agree responses regarding risk perception; the importance of using safer needle devices; the impact of the intervention on safer needle practices and sharps safety awareness. Critical predisposing, reinforcing, enabling, and environmental factors which influenced sharps device practices were identified. This study identified factors and practices which influenced unsafe sharps device behaviors. Due to the statistically significant decreases in risky behavior in the post-intervention sharps count and the positive responses in the post-intervention survey, it can be concluded that the intervention did positively impact sharps device behavior and reduced the risk of NSI. The implications of the study are numerous and include a need to explore these practices and factors at other fire departments and EMS agencies, address gaps in regulations; promote research targeting FFs and EMS personnel in regard to NSI, and promote a nationwide effort to prevent NSI among emergency responders.
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Nagula, Prasad. "Redesigning the patient care delivery processes at an emergency department." Diss., Online access via UMI:, 2006.

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Holland, William Mark. "Fire/Emergency Medical Services and coping methods mitigating traumatic stress symptomatology /." Lynchburg, Va. : Liberty University, 2008. http://digitalcommons.liberty.edu.

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Brim, Carla B. "A descriptive analysis of non-urgent emergency department utilization." Online access for everyone, 2006. http://www.dissertations.wsu.edu/Thesis/Spring2006/c%5Fbrim%5F040606.pdf.

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GOMERSALL, CLAIRE ELIZABETH. "ACCESS TO PUBLIC SERVICES: AN ANALYSIS OF FIRE DEPARTMENT RESPONSE TIMES IN CINCINNATI." University of Cincinnati / OhioLINK, 2003. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1043687951.

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Books on the topic "Fire and Emergency Medical Services Department"

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Fleming, Robert S. Effective fire and Emergency Services Administration. Tulsa, Okla: PenWell Corp., 2009.

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Fleming, Robert S. Effective fire and Emergency Services Administration. Tulsa, Okla: PenWell Corp., 2009.

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Administration, United States Fire. Funding alternatives for emergency medical and fire services. Emmitsburg, Maryland: U.S. Fire Administration, 2012.

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Commission on Fire Accreditation International. Fire & emergency service self-assessment manual. 8th ed. Chantilly, Va: Center for Public Safety Excellence, Inc., 2009.

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Knudsen, Pete. Silent glory: Images of a fire/EMS department. Weston, Tex: pb Pub., 2002.

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DC Fire & EMS Museum, ed. Fires to remember: A pictorial history of the Washington D.C. Fire & EMS Department. Evansville. Ind: M.T. Pub. Co., 2010.

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Varone, J. Curtis. Legal considerations for fire and emergency services. 2nd ed. Clifton Park, NY: Delmar Cengage Learning, 2012.

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Legal considerations for fire and emergency services. Clifton Park, NY: Thomson Delmar Learning, 2007.

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Effective fire and EMS administration. Tulsa, Okla: PenWell Corp., 2009.

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Fire and emergency service administration: Management and leadership practices. Sudbury, MA: Jones and Bartlett Publishers, 2006.

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Book chapters on the topic "Fire and Emergency Medical Services Department"

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Pini, Riccardo, Maria Luisa Ralli, and Saravanakumar Shanmugam. "Emergency Department Clinical Risk." In Textbook of Patient Safety and Clinical Risk Management, 189–203. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_15.

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AbstractThe emergency department of any institution is an entry point for a significant number of patients to any health care organization. The department caters to various trauma and medical emergencies in both adults and in children round the clock and is adequately staffed with emergency physicians, and nursing to handle such emergencies at all times and days. The department also oversees operations of the prehospital emergency medical services (ambulance) and coordinates their services.The emergency department (ED) is considered particularly high risk for adverse events (AE): 60% of ED patients experienced Medication Error (Patanwala et al., Ann Emerg Med 55:522–526, 2010). From a systematically review about AE related to ED, appears that the prevalence of AE among hospitalized patients ranging from 2.9% to 16.6%, with 36.9% to 51% of events considered preventable (Stang et al., PLoS One 8:e74214, 2013).Maintaining quality and developing error-free systems have been the focus of engineering over the last few decades.Consider the degree of variability of every individual human being compared to machine and also wisdoms from engineering field, for error-free system that guarantees good quality assistance should be defined a program reasonably simple, locally relevant, easily implementable, not be resource intense and have tangible outcomes which can be measured.
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Pokorný, J., P. Getífk, and J. Škach. "Emergency Medical Services: Rescue Potential for Mass Casualties in Urban Fire Disasters." In The Management of Burns and Fire Disasters: Perspectives 2000, 109–13. Dordrecht: Springer Netherlands, 1995. http://dx.doi.org/10.1007/978-94-009-0361-6_21.

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Hoogmartens, Olivier, Michiel Stiers, Koen Bronselaer, and Marc Sabbe. "The emergency medical system." In The ESC Textbook of Intensive and Acute Cardiovascular Care, edited by Marco Tubaro, Pascal Vranckx, Eric Bonnefoy-Cudraz, Susanna Price, and Christiaan Vrints, 65–75. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198849346.003.0008.

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The mission of the emergency medical services is to promote and support a system that provides timely, professional and state-of-the art emergency medical care, including ambulance services, to anyone who is victim of a sudden injury or illness, at any time and any location. A medical emergency has five different phases, namely: population awareness and behaviour, occurrence of the problem and its detection, alarming of trained responders and help rendered by bystanders and trained pre-hospital providers, transport to the nearest or most appropriate hospital, and, if necessary, admission or transfer to a tertiary care centre which provides a high degree of subspecialty expertise. In order to meet these goals, emergency medical services must work aligned with local, state officials; with fire and rescue departments; with other ambulance providers, hospitals, and other agencies to foster a high performance network. The term emergency medical service evolved to reflect a change from a straightforward system of ambulances providing nothing but transportation, to a complex network in which high-quality medical care is given from the moment the call is received, on-scene with the patient and during transportation. Medical supervision and/or participation of emergency medicine physicians (EP) in the emergency medical service systems contributes to the quality of medical care. This emergency medical services network must be capable to respond instantly and to maintain efficacy around the clock, with well-trained, well-equipped personnel linked through a strong communication system. Research plays a pivotal role in defining necessary resources and in continuously improving the delivery of high-quality care. This chapter gives an overview of the different aspects of emergency medical services and calls for high quality research in pre-hospital emergency care in a true partnership between cardiologists and emergency physicians.
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Fossey, Amber. "Emergency Department Psychiatry." In Oxford Assess and Progress: Psychiatry. Oxford University Press, 2014. http://dx.doi.org/10.1093/oso/9780199665662.003.0014.

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All doctors working in the ED will regularly meet patients with acute mental health problems. Five percent of total ED attendees are attrib­utable to mental disorder. With nationwide ED attendances averaging 400 000 per week during November to April 2013, the trend shows a growing pressure on emergency services. However, these figures repre­sent just the tip of the true burden of acute mental illness in our com­munities. Stigma, the healthcare funnel, and marginalization often mean that it is the sickest who finally present to the ED. It is also important to recognize the co-morbidity of mental illness and addictions in those seeking help for what initially appear to be physical complaints, as so often the mind and body are closely intertwined. Most common psychiatric presentations to the ED include DSH, alco­hol and substance misuse, delirium, acute psychosis, factitious disorders, medically unexplained symptoms (MUS), and acute stress reactions (such as to trauma). DSH is common but under-recognized. A quarter of people who die by suicide attended the ED in the preceding year. All patients in the ED presenting with self-harm should have a detailed psychosocial assessment. Alcohol is responsible for 0% of all ED attendances. It is also an independent variable, raising the risk of DSH. Substance users are also frequent attendees, with high levels of medical morbidity and mortality. Patients with a dual diagnosis of substance use plus mental illness fre­quently present with multiple psychosocial problems. Acute psychosis may be caused by a functional disorder, such as schizophrenia, but organic conditions must also be considered. Where a patient is extremely disturbed in the ED, restraint and sedation may be necessary to enable safe and adequate assessment. Security presence may also be required to minimize the risk of violence, where this has been identified. Implications for working in the ED are that all doctors should famil­iarize themselves with the management of common acute psychiatric presentations. Know how to access local Trust rapid tranquillization guidelines. Read NICE guidelines for management of self-harm. Seize opportunities to screen for mental illness and social problems.
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Barrett, Whitney, and Benjamin Fisher. "EMS Communication." In Communication in Emergency Medicine, edited by Maria E. Moreira and Andrew J. French, 130–42. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190852917.003.0009.

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Communication in emergency medical services (EMS) with the emergency department (ED) is frequently difficult, with many barriers to success. This chapter describes the roles of different providers involved in EMS communication and then divides communication with EMS into 3 phases: online medical direction, prearrival notification, and the in-person EMS-ED handoff. Each of these phases is unique and each has communication pitfalls that can interfere with a successful patient transition to the emergency department. Many of these pitfalls can be avoided simply by awareness that they exist and appreciation of the differing roles each provider plays. All levels of providers who receive prearrival notifications from EMS and EMS-ED handoffs should be familiar with these communication barriers to avoid them.
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Zaidi, Sara R., and Jeremy R. Simon. "The Reluctant Consultant." In Legal and Ethical Issues in Emergency Medicine, 97–104. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190066420.003.0013.

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This chapter discusses the obligations under the Emergency Medical Treatment and Active Labor Act (EMTALA) of both emergency physicians and on-call consultants to patients who present to the emergency department with a medical complaint. Whereas emergency physicians, by the nature of their work, cannot avoid being present to treat patients when they arrive, consultants may be reluctant to fulfill their obligation and come to the emergency department to treat an unstable patient who cannot be discharged without their services. Techniques for avoiding and resolving such impasses are discussed, as well as what to do in the case of true intransigence.
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Abelha, António, Eliana Pereira, Andreia Brandão, Filipe Portela, Manuel Filipe Santos, José Machado, and Jorge Braga. "Improving Quality of Services in Maternity Care Triage System." In Healthcare Ethics and Training, 840–59. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-2237-9.ch039.

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The main objectives in triage are to improve the quality of care and reduce the risks associated to the waiting time in emergency care. Thus, an efficient triage is a good way to avoid some future problems and how much quicker it is, more the patient can benefit. The most common triage system is the Manchester Triage System that is a reliable system focused in the emergency department of a hospital. However, its use is more suitable for more widespread medical emergencies and not for specialized cases, like Gynecological and Obstetrics emergencies. To overcome these limitations, an alternative pre-triage system, integrated into an intelligent decision support system, was developed in order to better characterize the patient and correctly defined her as urgent or not. This system allows the increase of patient's safety, especially women who need immediate care. This paper includes the workflow that describes the decision process in real time in the emergency department, when women are submitted to triage and identify points of evolution.
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"Care Coordination." In 50 Studies Every Anesthesiologist Should Know, edited by Anita Gupta, Elena N. Gutman, Michael E. Hochman, Anita Gupta, Elena N. Gutman, and Michael E. Hochman, 163–67. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190237691.003.0031.

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This case focuses on improving care coordination for patients who have been discharged from the hospital by asking the question: Is it possible to reduce the rate of repeat emergency department and hospital visits after discharge by improving care coordination? The study group included adults admitted to the general medicine service of an urban, academic medical center that serves an “ethnically diverse patient population.” Patients were assigned to nurse discharge advocates who provided the patients with delineated services and assistance during the hospitalization The Project Reengineered Discharge (RED) program substantially reduced repeat emergency department and hospital visits by improving care coordination at the time of hospital discharge.
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Gardett, Isabel, Edward Trefts, Christopher Olola, and Greg Scott. "Unique Job Roles and Mental Health Risk Factors Among Emergency Dispatchers." In Advances in Psychology, Mental Health, and Behavioral Studies, 49–62. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-5225-9803-9.ch004.

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Emergency medical, fire, and police dispatchers are often called the first, first responders. Working in emergency communication centers, they are the first point of contact with medical, fire, and law enforcement resources and the first point of access to public health and public safety systems for millions of callers each year. Emergency dispatchers face unique risks to their mental health, and the roles and responsibilities specific to their work produce stressors not synonymous with those encountered by other first responders and emergency workers. Yet relatively little research has been done to understand the specific mental health concerns of this vital and often overlooked segment of the emergency services profession. The aim of this chapter is to provide an overview of the job-specific tasks and work characteristics that make the emergency dispatcher's job qualitatively different from the jobs of other emergency workers and first responders, then discuss the unique mental health risks associated with their work.
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Kraus, Chadd K. "Everyday J." In Legal and Ethical Issues in Emergency Medicine, 141–46. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190066420.003.0019.

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Commonly defined as having greater than four emergency department (ED) visits in a year, patients who are frequent users of the ED make up an estimated 3.5% to 10% of all ED visits and have been reported to account for nearly a third of all ED use. Frequent ED users have higher mortality, higher hospital admission rates, and higher use of all health care services, both specialty and primary care, compared to other patients using the ED. These patients should have the autonomy to access ED evaluation and care if he or she believes he or she has a medical emergency. This principle has been codified into both federal and many state laws protecting the “prudent layperson standard.” These patients should not be coerced to not seek ED care if the person believes he or she has an emergent condition.
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Conference papers on the topic "Fire and Emergency Medical Services Department"

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Loureiro Cavalcante, Vinícius, Paulo Santana Junior, Fernanda Ferreira Nunes, Priscila Silva Fernandes, Kaíny Medeiros Maciel Medeiros Maciel, Vitor Bremgartner da Frota, and Luis Rivero. "Viabilizando a Melhoria do Atendimento Médico Emergencial a Partir da Proposta de Um Aplicativo de Solicitação de Atendimento Médico Remoto." In Computer on the Beach. São José: Universidade do Vale do Itajaí, 2021. http://dx.doi.org/10.14210/cotb.v12.p499-500.

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Medical care provided by mobile units can take a long time to reachthe requested location, either due to difficulty in accessing the location,speed of traffic or even the lack of available ambulances. Inorder for more people to be treated faster and effectively, whetherits an emergency or not, this paper presents a proposal of a systemthat requests remote assistance and sends the needed materials. Topropose requirements and build the system’s graphical interface,benchmarking and focus group techniques were used. The proposedhigh-fidelity prototype indicates how the system will allowremote care to be requested through a communication interfacewith Mobile Emergency Service (SAMU) and the Fire Department,which will request the sending of a drone with a first aid kit. Inaddition, the system will allow you to specify the service to beperformed and will assist in its execution remotely
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Nadim, G., U. Ekelund, J. Lundberg, M. Brabrand, H. Jensen, and A. Lassen. "71 Clinical presentation of pulmonary embolism among patients in the emergency department." In Meeting abstracts from the second European Emergency Medical Services Congress (EMS2018). British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjopen-2018-ems.71.

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Dachyar, M., and Camryna H. Pertiwi. "Improvement in Emergency Medical Services using Internet of Things (IoT). Hospital Emergency Department Case: a BPR Approach." In 23rd Asian Forum of Business Education(AFBE 2019). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/aebmr.k.200606.013.

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Lumholdt, M., E. Cresciolo, A. Monti, LR Sørensen, and KA Damgaard. "19 Pre-hospital oxygen therapy and co2retention in patients admitted through the emergency department." In Meeting abstracts from the second European Emergency Medical Services Congress (EMS2017). British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/bmjopen-2017-emsabstracts.19.

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Sørensen, LR, D. Sandager, A. Jørgensen, AB Christensen, M. Ludwig, P. Leutscher, and D. Melgaard. "2 Early multidisciplinairy screening of dysphagia at admission to the emergency department – a pilot study." In Meeting abstracts from the second European Emergency Medical Services Congress (EMS2018). British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjopen-2018-ems.2.

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Wu, Stella Xinzi, Nan Liu, and Marcus Eng Hock Ong. "32 Derivation of a novel inpatient mortality prediction model for emergency department patients in singapore." In Meeting abstracts from the second European Emergency Medical Services Congress (EMS2018). British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjopen-2018-ems.32.

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Miles, J., C. O’Keeffe, R. Jacques, T. Stone, and S. Mason. "59 Ambulance over-conveyance to the emergency department: a large data analysis of ambulance journeys." In Meeting abstracts from the second European Emergency Medical Services Congress (EMS2018). British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjopen-2018-ems.59.

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Geuzebroek, G., E. Zwaan, S. de Vries, MDF Rhebergen, J. Berdowski, MP Gorzeman, and F. Holleman. "63 Use of the SBARR in handovers from the ambulance service to the emergency department." In Meeting abstracts from the second European Emergency Medical Services Congress (EMS2018). British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjopen-2018-ems.63.

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Di Lin, Fabrice Labeau, Xidong Zhang, and GuiXia Kang. "Scheduling medical tests: A solution to the problem of overcrowding in a hospital emergency department." In 2012 IEEE 14th International Conference on e-Health Networking, Applications and Services (Healthcom 2012). IEEE, 2012. http://dx.doi.org/10.1109/healthcom.2012.6380074.

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Hasselqvist-Axe, I., P. Nordberg, J. Herlitz, L. Svensson, M. Jonsson, J. Lindqvist, M. Ringh, et al. "7 Dispatch of fire-fighters and police officers in out-of-hospital cardiac arrest: a nationwide prospective cohort trial." In Meeting abstracts from the second European Emergency Medical Services Congress (EMS2017). British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/bmjopen-2017-emsabstracts.7.

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Reports on the topic "Fire and Emergency Medical Services Department"

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Report on audit of fire and emergency medical services cost sharing between the Department of Energy and Los Alamos County. Office of Scientific and Technical Information (OSTI), October 1995. http://dx.doi.org/10.2172/123196.

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