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Journal articles on the topic 'Response to EMS'

Author: Grafiati

Published: 4 June 2025

Last updated: 1 August 2025

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1

Risavi, DO, MS, FACEP, FAAEM, Brian L., Saad Mahmood, DO, Kevin Andryc, DO, John Libonati, EMT-P, and Mark A. Terrell, EdD. "Reduction in unavailable-for-response episodes in a private emergency medical services agency." Journal of Emergency Management 14, no. 1 (2016): 79. http://dx.doi.org/10.5055/jem.2016.0274.

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Objective: Increased demand for emergency medical services (EMS), financial constraints, emergency department overcrowding, EMS crews kept in hospital, all result in ambulance unavailability. This study seeks to identify daily temporal patterns for unavailable-for-response episodes, impact of increasing staffing during peak periods, and evaluating the extent of reduction in unavailable-for-response episodes due to temporally precise increases in staffing during critical time periods and the resulting cost/ benefit analysis.Design: The authors evaluated all EMS responses during a 7-month time p

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Houser, Ryan. "EMS and Bioterrorism Response." Prehospital and Disaster Medicine 38, S1 (2023): s206. http://dx.doi.org/10.1017/s1049023x23005277.

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Introduction:Previous studies have found that public health systems within the United States are inadequately prepared for an act of biological terrorism. As the COVID-19 pandemic continues, few studies have evaluated bioterrorism preparedness of Emergency Medical Services (EMS), even in the accelerating environment of biothreats.Method:This study utilized an Internet-based survey to assess the level of preparedness and willingness to respond to a bioterrorism attack and identify factors that predict preparedness and willingness among Nebraska EMS providers. The survey was available for 1 mont

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Mendez, Maria, and Jennifer A. Horney. "Impact of the COVID-19 pandemic response on the Emergency Medical Services workforce, Texas, USA." Journal of Emergency Management 21, no. 3 (2023): 215–22. http://dx.doi.org/10.5055/jem.0761.

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Introduction: The physical and mental health impacts of the coronavirus disease 2019 (COVID-19) response on healthcare workers has been extensively studied; less is known about impacts specific to the prehospital Emergency Medical Service’s (EMS) workforce. However, given data about the physical and psychological impacts to EMS workers participating in prior emergencies and disasters, the response to the COVID-19 pandemic likely increased risk among the EMS workforce. Methods: EMS agencies in the State of Texas were stratified according to agency structure, eg, fire-based, nonfire-based

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Preum, Sarah Masud, Sile Shu, Homa Alemzadeh, and John A. Stankovic. "EMSContExt: EMS Protocol-Driven Concept Extraction for Cognitive Assistance in Emergency Response." Proceedings of the AAAI Conference on Artificial Intelligence 34, no. 08 (2020): 13350–55. http://dx.doi.org/10.1609/aaai.v34i08.7048.

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This paper presents a technique for automated curation of a domain-specific knowledge base or lexicon for resource-constrained domains, such as Emergency Medical Services (EMS) and its application to real-time concept extraction and cognitive assistance in emergency response. The EMS responders often verbalize critical information describing the situations at an incident scene, including patients' physical condition and medical history. Automated extraction of EMS protocol-specific concepts from responders' speech data can facilitate cognitive support through the selection and execution of the

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Szymanski, Michael R., Samantha E. Scarneo-Miller, M. Seth Smith, Michelle L. Bruner, and Douglas J. Casa. "Emergency Medical Service Directors’ Protocols for Exertional Heat Stroke." Medicina 56, no. 10 (2020): 494. http://dx.doi.org/10.3390/medicina56100494.

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Background and Objectives: Emergency Medical Service (EMS) protocols vary widely and may not implement best practices for exertional heat stroke (EHS). EHS is 100% survivable if best practices are implemented within 30 min. The purpose of this study is to compare EMS protocols to best practices for recognizing and treating EHS. Materials and Methods: Individuals (n = 1350) serving as EMS Medical or Physician Director were invited to complete a survey. The questions related to the EHS protocols for their EMS service. 145 individuals completed the survey (response rate = 10.74%). Chi-Squared Tes

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Almutairi, Fahad Ghazi, Omar Hussain Alsomali, Eissa Hamed Alsulami, et al. "Paramedic and COVID-19 pandemic." International journal of health sciences 5, S1 (2021): 1170–90. http://dx.doi.org/10.53730/ijhs.v5ns1.15129.

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Background: The COVID-19 pandemic has overwhelmed Emergency Medical Services (EMS) worldwide, resulting in increased call volumes, delays, and disruptions in service delivery. This study explores the impact of the pandemic on EMS operations and identifies key factors contributing to these challenges. Aim: The objective is to analyze the disruptions in EMS services caused by the COVID-19 pandemic, examining various factors that influenced response times, service quality, and overall EMS efficiency during the peak of the crisis. Methods: A narrative review methodology was employed to synthesize

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Cvetković, Vladimir M., Jasmina Tanasić, Renate Renner, Vanja Rokvić, and Hatiža Beriša. "Comprehensive Risk Analysis of Emergency Medical Response Systems in Serbian Healthcare: Assessing Systemic Vulnerabilities in Disaster Preparedness and Response." Healthcare 12, no. 19 (2024): 1962. http://dx.doi.org/10.3390/healthcare12191962.

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Background/Objectives: Emergency Medical Response Systems (EMRSs) play a vital role in delivering medical aid during natural and man-made disasters. This quantitative research delves into the analysis of risk and effectiveness within Serbia’s Emergency Medical Services (EMS), with a special emphasis on how work organization, resource distribution, and preparedness for mass casualty events contribute to overall disaster preparedness. Methods: The study was conducted using a questionnaire consisting of 7 sections and a total of 88 variables, distributed to and collected from 172 healthcare insti

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Miller, Geoffrey T., Joseph A. Scott, Angel A. Brotons, Obed Frometa, and David Lee Gordon. "EMS response to deadly infections." JEMS: Journal of Emergency Medical Services 30, no. 1 (2005): 70–81. https://doi.org/10.1016/s0197-2510(05)70051-6.

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Dasgupta, Shuvra, Simone French, Jean Williams-Johnson, et al. "EMS Response to an Airliner Crash." Prehospital and Disaster Medicine 27, no. 3 (2012): 299–302. http://dx.doi.org/10.1017/s1049023x12000854.

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AbstractThis report of an aircraft crash at a major airport in Kingston, Jamaica examines the response of the local Emergency Medical Services (EMS). Factors that impacted the response are discussed, and the need for more disaster simulation exercises is highlighted. The objective of this case report was to document the response of EMS personnel to the crash of American Airlines Flight 331, and to utilize the information to examine and improve the present protocol.While multiple errors can occur during a mass-casualty event, these can be reduced by frequent simulation exercises during which va

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Goldfine, Shayna, and Nicole Volpi. "The Role of the Louisiana EMS Designated Regional Coordinator in Emergency Response During 2020/2021 COVID Pandemic and Hurricane Season." Prehospital and Disaster Medicine 38, S1 (2023): s43. http://dx.doi.org/10.1017/s1049023x23001504.

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Introduction:Post Katrina Louisiana’s Health Department (LDH) used some of the Hospital Preparedness Program (HPP) funding to create a regional Emergency Medical Services liaison position entitled EMS Designated Regional Coordinators (EMS DRC). Regional EMS DRCs work with local pre-hospital agencies, hospital coalitions, and local/state/federal counterparts during the preparedness and response phases of a disaster. This presentation explores the EMS DRCs role during the 2020/2021 COVID pandemic and annual hurricane season.Method:The EMS DRCs were activated at the beginning of the COVID-19 pand

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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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Ali, Muhammad K., F. Jordan Srour, Nabil Georges Badr, and Abbas Tarhini. "Exploring the System Dynamics of COVID-19 and Reconfiguration of Emergency Medical Services." ITM Web of Conferences 41 (2022): 01004. http://dx.doi.org/10.1051/itmconf/20224101004.

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Emergency Medical Services (EMS) are essential to the medical healthcare landscape. EMS play a crucial role in maximizing the overall expected survival probability of patients with various health emergencies. During the COVID-19 pandemic, peoples’ lifestyle changed and their decisions to seek medical assistance were mixed with fear. This affected the type and number of missions that EMS responded to worldwide. Furthermore, COVID-19 affected EMS systems in terms of response protocols and personal protective equipment levels. These changes influenced the EMS’ provision of these essential service

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Martin, Ashley J., Christine M. Lohse, and Matthew D. Sztajnkrycer. "A Descriptive Analysis of Prehospital Response to Hazardous Materials Events." Prehospital and Disaster Medicine 30, no. 5 (2015): 466–71. http://dx.doi.org/10.1017/s1049023x1500504x.

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AbstractObjectiveLittle is known about the overall frequency of hazardous materials (HazMat) events in the United States and the nature of prehospital care for those exposed. The purpose of the current study was to perform a descriptive analysis of Emergency Medical Services (EMS) activations reported to a national EMS database.MethodsAnalysis of the 2012 National EMS Information System (NEMSIS) Public Release Research Data Set v.2.2.1, containing EMS emergency response data submitted by 41 states, was conducted. Mandatory data elements E0207 (Type of Response Delay), E0208 (Type of Scene Dela

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Bourdon, E., A. B. Tanguay, F. K. Tounkara, A. Marois, and R. Fleet. "MP013: A portrait of rural pre-hospital services in the province of Québec." CJEM 18, S1 (2016): S70. http://dx.doi.org/10.1017/cem.2016.154.

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Introduction: Rural emergency departments (EDs) are important safety nets for 20% of Canadian citizens. In Quebec, the province’s 26 rural EDs treat an average of 19,000 patients/year and are on average 300 km from levels 1 and 2 trauma centers. These distances signify that Emergency Medical Services (EMS) play a considerable role in the care of rural patients. EMS in Quebec province are private local services. There are no published reports on EMS in rural Quebec. As part of a larger study on rural emergency care, this descriptive study aimed at offering a comprehensive portrait of EMS. Metho

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Murphy, David L., Leslie M. Barnard, Christopher J. Drucker, et al. "Occupational exposures and programmatic response to COVID-19 pandemic: an emergency medical services experience." Emergency Medicine Journal 37, no. 11 (2020): 707–13. http://dx.doi.org/10.1136/emermed-2020-210095.

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Rigorous assessment of occupational COVID-19 risk and personal protective equipment (PPE) use is not well-described. We evaluated 9-1-1 emergency medical services (EMS) encounters for patients with COVID-19 to assess occupational exposure, programmatic strategies to reduce exposure and PPE use. We conducted a retrospective cohort investigation of laboratory-confirmed patients with COVID-19 in King County, Washington, USA, who received 9-1-1 EMS responses from 14 February 2020 to 26 March 2020. We reviewed dispatch, EMS and public health surveillance records to evaluate the temporal relationshi

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Anderson, Dustin W., Harinder S. Dhindsa, Wen Wan, and David Salot. "Does the Implementation of an Advanced Life Support Quick Response Vehicle (QRV) in an Integrated Fire/EMS System Improve Patient Contact Response Time?" Prehospital and Disaster Medicine 30, no. 4 (2015): 382–84. http://dx.doi.org/10.1017/s1049023x15004732.

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AbstractBackgroundThe current Fire/Emergency Medical Services (EMS) model throughout the United States involves emergency vehicles which respond from a primary location (ie, firehouse or municipal facility) to emergency calls. Quick response vehicles (QRVs) have been used in various Fire/EMS systems; however, their effectiveness has never been studied.ObjectivesThe goal of this study was to determine if patient response times would decrease by placing an Advanced Life Support (ALS) QRV in an integrated Fire/EMS system.MethodsResponse times from an integrated Fire/EMS system with an annual EMS

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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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Tiam-Lee, Thomas James, Rui Henriques, and Vasco Manquinho. "Associative Analysis of Inefficiencies and Station Activity Levels in Emergency Response." ISPRS International Journal of Geo-Information 11, no. 7 (2022): 356. http://dx.doi.org/10.3390/ijgi11070356.

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Emergency medical services (EMS) around the world face the challenging task of allocating resources to efficiently respond to medical emergencies within a geographical area. While several studies have been done to improve various aspects of EMS, such as ambulance dispatch planning and station placement optimization, few works have focused on the assessment of existing rich real-world emergency response data to systematically identify areas of improvement. In this paper, we propose DAPI (data-driven analysis of potential response inefficiencies), a general tool for analyzing inefficiencies in e

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Phelps, Scot. "Mission Failure: Emergency Medical Services Response to Chemical, Biological, Radiological, Nuclear, and Explosive Events." Prehospital and Disaster Medicine 22, no. 4 (2007): 293–96. http://dx.doi.org/10.1017/s1049023x00004891.

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AbstractIntroduction:Only 4% of the United States Homeland Security funding for public safety terrorism preparedness is allotted to emergency medical services (EMS), despite the primary threat from a mass-terrorism chemical weapons attack (MTCWA) being personal injury. This study examines the preparedness of the EMS torespond to, treat, and transport victims of such attacks.Hypothesis:It was hypothesized that US EMS agencies lack the necessary equipment to mitigate large-scalemorbidity and mortality from a MTCWA.Methods:Seventy after-action reports from full-scale, chemical weapons exercises c

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Jones, Jerrilyn, Ricky Kue, Patricia Mitchell, Sgt Gary Eblan, and K. Sophia Dyer. "Emergency Medical Services Response to Active Shooter Incidents: Provider Comfort Level and Attitudes Before and After Participation in a Focused Response Training Program." Prehospital and Disaster Medicine 29, no. 4 (2014): 350–57. http://dx.doi.org/10.1017/s1049023x14000648.

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AbstractIntroductionEmergency Medical Services (EMS) routinely stage in a secure area in response to active shooter incidents until the scene is declared safe by law enforcement. Due to the time-sensitive nature of injuries at these incidents, some EMS systems have adopted response tactics utilizing law enforcement protection to expedite life-saving medical care.ObjectiveDescribe EMS provider perceptions of preparedness, adequacy of training, and general attitudes toward active shooter incident response after completing a tactical awareness training program.MethodsAn unmatched, anonymous, clos

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Morales-Gabardino, José Antonio, Laura Redondo-Lobato, João Meireles Ribeiro, and Francisco Buitrago. "Geographical Distribution of Emergency Services Times in Traffic Accidents in Extremadura." Portuguese Journal of Public Health 39, no. 2 (2021): 78–87. http://dx.doi.org/10.1159/000519858.

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Objective: To analyze the response time and transport time taken by the emergency medical services (EMS), considering their urban or rural location, to attend traffic accident casualties that occurred in the different geographical areas of Extremadura (Spain) from 2012 to 2015. Methods: This was a cross-sectional study of the data recorded by the Emergency Response Coordination Center 112 (ERCC-112) from traffic accidents attended by EMS. Response time was defined as the time elapsed from the request-for-care receipt until arrival of the EMS at the accident scene, and transport time as that fr

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Binks, Faisal, Lee Alan Wallis, and Willem Stassen. "The Development of Consensus-Based Descriptors for Low-Acuity Emergency Medical Services Cases for the South African Setting." Prehospital and Disaster Medicine 36, no. 3 (2021): 287–94. http://dx.doi.org/10.1017/s1049023x21000169.

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AbstractIntroduction:Emergency Medical Services (EMS) are designed to respond to and manage patients experiencing life-threatening emergencies; however, not all emergency calls are necessarily emergent and of high acuity. Emergency responses to low-acuity patients affect not only EMS, but other areas of the health care system. However, definitions of low-acuity calls are vague and subjective; therefore, it was necessary to provide a clear description of the low-acuity patient in EMS.Aim:The goal of this study was to develop descriptors for “low-acuity EMS patients” through expert consensus wit

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Abdullah, Abdulrahman Albassam Khalid Abdulaziz Aldihan Abdulmalik Yousef Alnasyan Abdulaziz Gassam Alotaibi Abdullah Eid Abdulaal Omar Majed Alobaid Ihab Suliman. "HOW INFORMED ARE THE SAUDI PUBLIC ABOUT THE NEED TO CALL EMERGENCY MEDICAL SERVICES FOLLOWING THE ONSET OF ACUTE MYOCARDIAL INFARCTION." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES 05, no. 12 (2018): 16217–21. https://doi.org/10.5281/zenodo.2324828.

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<strong><em>Objective: </em></strong><em>To assess the factors that are associated with patients delay to call EMS when MI onset occur.</em> <strong><em>Methods:</em></strong><em> A cross-sectional community-based survey was conducted in Riyadh, Saudi Arabia between May and July 2018 to recognize the factors that held most important regarding the correct time and response to the onset of MI. The questionnaire was distributed directly to the participants in Riyadh public facilities i.e. shopping malls and public parks. Participants response to EMS at the onset AMI was the primary outcome and ou

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Goldstein, Judah, Jan L. Jensen, Alix J. E. Carter, Andrew H. Travers, and Kenneth Rockwood. "The Epidemiology of Prehospital Emergency Responses for Older Adults in a Provincial EMS System." CJEM 17, no. 5 (2015): 491–96. http://dx.doi.org/10.1017/cem.2015.20.

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AbstractObjectivesSocietal aging is expected to impact the use of emergency medical services (EMS). Older adults are known as high users of EMS. Our primary objective was to quantify the rate of EMS use by older adults in a Canadian provincial EMS system. Our secondary objective was to compare those transported to those not transported.MethodsWe analysed data from a provincial EMS database for emergency responses between January 1, 2010 and December 31, 2010 and included all older adults (≥65 years) requesting EMS for an emergency call. We described EMS use in relation to age, sex, and resourc

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Yang, Yuhan, Jie Yin, Mingwu Ye, Dunxian She, and Jia Yu. "Multi-coverage optimal location model for emergency medical service (EMS) facilities under various disaster scenarios: a case study of urban fluvial floods in the Minhang district of Shanghai, China." Natural Hazards and Earth System Sciences 20, no. 1 (2020): 181–95. http://dx.doi.org/10.5194/nhess-20-181-2020.

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Abstract. Emergency medical service (EMS) response is extremely critical for pre-hospital lifesaving when disaster events occur. However, disasters increase the difficulty of rescue and may significantly increase the total travel time between dispatch and arrival, thereby increasing the pressure on emergency facilities. Hence, facility location decisions play a crucial role in improving the efficiency of rescue and service capacity. In order to avoid the failure of EMS facilities during disasters and meet the multiple requirements of demand points, we propose a multi-coverage optimal location

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Johnson, David R., W. Ann Maggiore, and David Ralph Davis. "A Method to Reduce Rural EMS Response Times." Prehospital and Disaster Medicine 6, no. 2 (1991): 143–47. http://dx.doi.org/10.1017/s1049023x00028260.

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AbstractProlonged EMS response times are a significant problem in rural areas. In this study, VHF radios and personal medical kits were placed in the private vehicles of rescue squad members. By coordinating the responses using radios, higher level EMTs were sent directly to the scene to initiate patient assessment and other procedures while others proceeded to an unstaffed station to pick up the rescue truck.Using this response system, EMTs arrived at the scene prior to the rescue vehicle on 30 of 35 calls (85.7%). In 25 of 35 calls (71.4%), the first person at the scene was at an advanced EM

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Hertelendy, Attila. "EMS Response on the Mississippi Coast." JEMS: Journal of Emergency Medical Services 30, no. 11 (2005): 86–90. http://dx.doi.org/10.1016/s0197-2510(05)70248-5.

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Harvey, Allison L., William C. Gerard, George F. Rice, and Holmes Finch. "Actual vs perceived ems response time." Prehospital Emergency Care 3, no. 1 (1999): 11–14. http://dx.doi.org/10.1080/10903129908958898.

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Seymour, E. J. "Benefits, threats and getting started with Environmental Management Systems: views of primary producers and catchment managers in Victoria, Australia." Australian Journal of Experimental Agriculture 47, no. 3 (2007): 303. http://dx.doi.org/10.1071/ea06022.

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In Victoria, as in many parts of Australia, there is a mixed understanding of what comprises an Environmental Management System (EMS), particularly among professionals in government and industry and landholders. To help overcome this issue, the Victorian government (then Natural Resources and Environment) and the Victorian Farmers Federation formed a partnership in 2003 to promote EMS adoption and coordinate EMS activity on a statewide basis. The Natural Resources and Environment and Victorian Farmers Federation partnership held a series of 11 workshops for catchment management authority regio

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Jung, Soyoung, and Xiao Qin. "Promoting Emergency Medical Service Infrastructure Equality to Reduce Road Crash Fatalities." Sustainability 16, no. 3 (2024): 1000. http://dx.doi.org/10.3390/su16031000.

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Timely emergency medical service (EMS) is critical to mitigate outcomes of severe traffic crashes, especially in rural areas. The urban–rural inequality of the EMS infrastructure has been one of the factors contributing to a higher death rate for patients in rural road crashes. To address the spatial imbalance of EMS infrastructure, this study aimed to provide a methodological framework for evaluating the existing EMS infrastructure by taking South Korea’s EMS infrastructure expansion plans as the case study. Specifically, this study developed a road crash data-driven methodology to promote sp

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Krammel, Mario, Valentin Drahohs, Thomas Hamp, et al. "The Epidemiology of Pre-Hospital EMS Treatment of Geriatric Patients in the City of Vienna—An Overview." Journal of Clinical Medicine 12, no. 2 (2023): 643. http://dx.doi.org/10.3390/jcm12020643.

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Background: The city of Vienna, Austria, has a gradually aging population. Elderly people, over 65 years old and living at home or in nursing homes, frequently use Emergency Medical Services (EMS). However, there is no previous data comparing the EMS utilization of elderly- and non-elderly patients in Vienna. Methods: We retrospectively analyzed all EMS incidents in Vienna from 2012 to 2019. Transport- and emergency physician treatment rates, annual fluctuations, and the number of non-transports were compared between elderly (≥65 years) and non-elderly (18–64 years) patients. Results: Elderly

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Goldstein, B. "An analysis of the response to gut induction in the C. elegans embryo." Development 121, no. 4 (1995): 1227–36. http://dx.doi.org/10.1242/dev.121.4.1227.

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Establishment of the gut founder cell (E) in C. elegans involves an interaction between the P2 and the EMS cell at the four cell stage. Here I show that the fate of only one daughter of EMS, the E cell, is affected by this induction. In the absence of the P2-EMS interaction, both E and its sister cell, MS, produce pharyngeal muscle cells and body wall muscle cells, much as MS normally does. By cell manipulations and inhibitor studies, I show first that EMS loses the competence to respond before it divides even once, but P2 presents an inducing signal for at least three cell cycles. Second, ind

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Rutkow, Lainie, Jon S. Vernick, Carol B. Thompson, Ronald G. Pirrallo, and Daniel J. Barnett. "Emergency Preparedness Law and Willingness to Respond in the EMS Workforce." Prehospital and Disaster Medicine 29, no. 4 (2014): 358–63. http://dx.doi.org/10.1017/s1049023x14000788.

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AbstractIntroductionFor effective responses to emergencies, individuals must have the ability to respond and also be willing to participate in the response. A growing body of research points to gaps in response willingness among several occupational cohorts with response duties, including the Emergency Medical Services (EMS) workforce. Willingness to respond is particularly important during an influenza or other pandemic, due to increased demands on EMS workers and the potential for workforces to be depleted if responders contract influenza or stay home to care for sick dependents. State emerg

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Strum, Scott, Carlos Diego Holanda Lopes, Jeffrey Bruce, et al. "Validation of ENLIGHT, an AI predictor of immune checkpoint blockade (ICB) response and resistance, across the treatment span." Journal of Clinical Oncology 43, no. 16_suppl (2025): 2632. https://doi.org/10.1200/jco.2025.43.16_suppl.2632.

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2632 Background: Advanced computational AI algorithms, such as ENLIGHT and DeepPT (Med 2023, Nature Cancer 2024), represent a promising approach to identify predictive biomarkers for cancer therapeutics. Evaluation of ICB response prediction via these algorithms through the full span of pre-treatment, on-treatment, and at progression time points provides a dynamic perspective of response prediction abilities. Methods: A post-hoc analysis of two pan-cancer clinical trials was performed: i) BIO2 is a biobanking protocol of ICB-naïve patients (pts) treated with pembrolizumab (NCT02644369); and ii

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Glomb, Nicolaus W., Adeola A. Kosoko, Cara B. Doughty, et al. "Needs Assessment for Simulation Training for Prehospital Providers in Botswana." Prehospital and Disaster Medicine 33, no. 6 (2018): 621–26. http://dx.doi.org/10.1017/s1049023x18001024.

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AbstractBackgroundIn June 2012, the Botswana Ministry of Health and Wellness (MOHW; Gaborone, Botswana) initiated a national Emergency Medical Services (EMS) system in response to significant morbidity and mortality associated with prehospital emergencies. The MOHW requested external expertise to train its developing workforce. Simulation-based training was planned to equip these health care providers with clinical knowledge, procedural skills, and communication techniques.ObjectiveThe objective of this study was to assess the educational needs of the pioneer Botswana MOHW EMS providers based

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Fahmi, Ismail, and Elly Nurachmah. "IMPLEMENTATION OF INTERNET-BASED EMERGENCY MEDICAL SERVICE (EMS) AT OUT-OF CARDIAC ARREST HOSPITAL (OHCA): A SOLUTION TO IMPROVE CARDIAC ARREST RESPONSE TIME AND ITS POTENTIAL APPLICATION IN INDONESIA." Belitung Nursing Journal 4, no. 6 (2018): 530–36. http://dx.doi.org/10.33546/bnj.573.

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Out-of Hospital Cardiac Arrest (OHCA) is a condition when heart stops beating in out of the hospital. The majority of OHCA leads to death because of the delay response. Emergency Medical Service (EMS) system is needed to take care of the patients carefully. The development of Internet-based EMS is one of the best solutions, which is not only to improve the response time, but also to help patients to get the ambulance immediately. The aim of this paper was to understand how the Internet -based EMS can be used and how it will affect the patients with OHCA. Our findings indicated that the Interne

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Clancy, Terry, Kenneth Christensen, and Henry P. Cortacans. "New Jersey's EMS Response to Superstorm Sandy: A Case Study of the Emergency Management Assistance Compact." Prehospital and Disaster Medicine 29, no. 3 (2014): 326–29. http://dx.doi.org/10.1017/s1049023x14000417.

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AbstractIn the United States, understanding the Emergency Management Assistance Compact (EMAC) is critical to responding to a natural disaster or manmade event. Recently, the State of New Jersey responded to Superstorm Sandy and implemented the EMAC system by requesting ambulances to aid in the Emergency Medical Services response. New Jersey's response to Superstorm Sandy was unprecedented in that this storm affected the entire state and EMS community. New Jersey's EMS community and infrastructure were impacted greatly, despite years of planning and preparation for such an event. Once received

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Zare, Mahyar, Elaheh Heidari, Seyedeh Mahsa Hosseini Choupani, Sobhan R. Akhavan, Artur Rombenso, and Noah Esmaeili. "The Recovery Time between Early Mild Stress and Final Acute Stress Affects Survival Rate, Immunity, Health, and Physiology of Oscar (Astronotus ocellatus)." Animals 13, no. 10 (2023): 1606. http://dx.doi.org/10.3390/ani13101606.

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This study investigated how the time interval between the last EMS (netting) and the acute confinement stress (AC stress) at the end of the experiment can influence growth, haematology, blood biochemistry, immunological response, antioxidant system, liver enzymes, and stress response of oscar (Astronotus ocellatus; 5.7 ± 0.8 g). Nine experimental treatments were tested, as follows: Control, Stress28 (EMS in weeks two and eight), Stress27 (EMS in weeks two and seven), Stress26 (EMS in weeks two and six), Stress25 (EMS in weeks two and five), Stress24 (EMS in week two and four), Stress23 (EMS in

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Alanazy, Ahmed, Abdullah Alruwaili, Saleh Alswaidan, et al. "The awareness of public about the Emergency Medical Services in the Eastern region of Saudi Arabia." PLOS ONE 19, no. 7 (2024): e0306878. http://dx.doi.org/10.1371/journal.pone.0306878.

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Emergency Medical Services (EMS) are crucial for immediate medical assistance during life-threatening situations. However, insufficient public awareness about EMS services can impede their effectiveness. This study aimed to assess EMS knowledge and trust among the population of Eastern Saudi Arabia while identifying factors contributing to low awareness. A cross-sectional study was conducted in Eastern Saudi Arabia from September 2022 to September 2023. The study included participants aged 18 to 60 from diverse backgrounds. Using a convenience sampling approach, data was collected using a vali

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Hall, C. A., K. Votova, G. Randhawa, et al. "LO082: EMS response to police use of force events: periods of personal and professional risk in prehospital care." CJEM 18, S1 (2016): S58. http://dx.doi.org/10.1017/cem.2016.119.

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Introduction: This study provides an estimate of the number of EMS calls related to police use of force events that involve struggling, intoxicated and/or emotionally distressed patients. We hypothesized there would be under-reporting of EMS risk by paramedic agencies due to lack of standardized reporting of police events by EMS services and lack of a common linked case number between prehospital agencies in Canada. Methods: Data were collected during a multi-site, prospective, consecutive cohort study of police use of force in 4 Canadian cities using standardized data forms. Use of force was

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Alpert, Evan Avraham, Jolie Kantor, Amber Czinn, and Eli Jaffe. "Maximizing volunteers in emergency medical services: The experience of Israel’s Magen David Adom." American Journal of Disaster Medicine 19, no. 4 (2024): 279–86. https://doi.org/10.5055/ajdm.0495.

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Emergency medical services (EMS) throughout the world utilize volunteers. Magen David Adom (MDA), Israel’s EMS organization and an official member of the International Federation of Red Cross and Red Crescent Societies, has incorporated these volunteer roles on a national level and significantly expanded upon them for pandemic and disaster response. In addition to traditional ambulance-based volunteers, MDA utilizes automobile-based on-call volunteers, motorcycle on-call volunteers, international volunteers, youth volunteers, and volunteers during the coronavirus disease 2019 pandemic. They ar

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Dreifuss, Rodney, and Emil Pascarelli. "On-the-Scene Triage with a Rapid Response Vehicle." Prehospital and Disaster Medicine 1, S1 (1985): 144–45. http://dx.doi.org/10.1017/s1049023x00044198.

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Perhaps the greatest operational problem faced by the New York City Emergency Medical Service (EMS) today is the sheer volume of calls entering the system, and the fact that many of those requests for medical aid are not life-threatening emergencies requiring ambulance transport. This creates two situations that New York City is all too familiar with: (l) ambulances are not available for true emergencies; and (2) response times for ambulances to arrive at the scene of an emergency are extended.A four-month pilot “on-scene triage” program was initiated by EMS as a possible solution to these pro

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Banerjee, Prithwish, Andrew Clark, Klaus Witte, Louis Crowe, and Brian Caulfield. "Electrical stimulation of unloaded muscles causes cardiovascular exercise by increasing oxygen demand." European Journal of Cardiovascular Prevention & Rehabilitation 12, no. 5 (2005): 503–8. http://dx.doi.org/10.1097/01.hjr.0000169188.84184.23.

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Background The development of new strategies to encourage increased levels of physical activity can help to reduce the incidence of cardiovascular disease. A new system of electrical muscle stimulation (EMS) has been developed that attempts to cause an increase in energy expenditure by mimicking the action of shivering in the body. The purpose of this study was to show that this form of EMS is capable of eliciting a cardiovascular exercise response in healthy adults. Design An observational study. Methods Ten healthy volunteers completed a maximal treadmill test and four EMS sessions using a h

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Marincowitz, Carl, Tony Stone, Madina Hasan, et al. "Accuracy of emergency medical service telephone triage of need for an ambulance response in suspected COVID-19: an observational cohort study." BMJ Open 12, no. 5 (2022): e058628. http://dx.doi.org/10.1136/bmjopen-2021-058628.

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ObjectiveTo assess accuracy of emergency medical service (EMS) telephone triage in identifying patients who need an EMS response and identify factors which affect triage accuracy.DesignObservational cohort study.SettingEmergency telephone triage provided by Yorkshire Ambulance Service (YAS) National Health Service (NHS) Trust.Participants12 653 adults who contacted EMS telephone triage services provided by YAS between 2 April 2020 and 29 June 2020 assessed by COVID-19 telephone triage pathways were included.OutcomeAccuracy of call handler decision to dispatch an ambulance was assessed in terms

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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 (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

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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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Zhang, M., M. Mahsin, L. Huang, et al. "LO05: A statistical analysis to estimate the spatial dynamics of opioid-related emergency medical services responses in the city of Calgary 2017." CJEM 20, S1 (2018): S8. http://dx.doi.org/10.1017/cem.2018.67.

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Introduction: Understanding the spatial distribution of opioid abuse at the local level may facilitate community intervention strategies. The purpose of this analysis was to apply spatial analytical methods to determine clustering of opioid-related emergency medical services (EMS) responses in the City of Calgary. Methods: Using opioid-related EMS responses in the City of Calgary between January 1st through October 31st, 2017, we estimated the dissemination area (DA) specific spatial randomness effects by incorporating the spatial autocorrelation using intrinsic Gaussian conditional autoregres

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Apiratwarakul, Korakot, Kamonwon Ienghong, Vajarabhongsa Bhudhisawasdi, Dhanu Gaysonsiri, and Somsak Tiamkao. "Response Times of Motorcycle Ambulances during the COVID-19 Pandemic." Open Access Macedonian Journal of Medical Sciences 8, T1 (2020): 526–29. http://dx.doi.org/10.3889/oamjms.2020.5527.

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BACKGROUND: Motorcycles (motorlance) are often deployed as ambulances to the scene of an emergency to reduce response time. The COVID-19 pandemic has affected emergency medical services (EMS) in Thailand in many respects, and this study was conducted to examine its effect on motorlance operation time. AIM: The aim of the study was to examine motorlance operation time during the COVID-19 pandemic in comparison to normal periods. METHODS: This cross-sectional study examined all EMS motorlance operations dispatched from Srinagarind Hospital (Thailand). Data were collected from the Sri

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Metzler-Zebeli, Barbara U., Stephan Schmitz-Esser, Evelyne Mann, Dietmar Grüll, Timea Molnar, and Qendrim Zebeli. "Adaptation of the Cecal Bacterial Microbiome of Growing Pigs in Response to Resistant Starch Type 4." Applied and Environmental Microbiology 81, no. 24 (2015): 8489–99. http://dx.doi.org/10.1128/aem.02756-15.

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ABSTRACTResistant starch (RS) exacerbates health benefits on the host via modulation of the gut bacterial community. By far, these effects have been less well explored for RS of type 4. This study aimed at gaining a community-wide insight into the impact of enzymatically modified starch (EMS) on the cecal microbiota and hindgut fermentation in growing pigs. Castrated male pigs (n= 12/diet; 29-kg body weight) were fed diets with either 70% EMS or control starch for 10 days. The bacterial profile of each cecal sample was determined by sequencing of the V345 region of the 16S rRNA gene using the

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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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