Emergency medical service accessibility and outcomefrom road traffic accidents

Public Health ◽  
1995 ◽  
Vol 109 (3) ◽  
pp. 169-177 ◽  
Author(s):  
A.P. Jones ◽  
G. Bentham
Keyword(s):  
Emergency Medical Service ◽  
Traffic Accidents ◽  
Medical Service ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Service Accessibility ◽  
Emergency Medical

scholarly journals Organizational Aspects of Providing Emergency Care to Victims in Road Transportation Accidents with Damage to the Facial Skeleton

2021 ◽  
pp. 65-67
Author(s):  
V.V. Maslyakov ◽  
◽  
Yu.E. Barachevsky ◽  
O.N. Pavlova ◽  
A.V. Pimenov ◽  
...  
Keyword(s):  
Medical Care ◽  
Traffic Accidents ◽  
Road Traffic ◽  
The Body ◽  
Trauma Centers ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Emergency Medical Care ◽  
Facial Skeleton ◽  
Emergency Medical

The aim of the study is to investigate the organizational aspects of providing emergency medical care to victims of road traffic accidents with injuries of the facial skeleton. Materials and research methods. The study included 75 victims of road accidents that occurred in the city of Saratov in 2010–2019. In the total number of injured men – 42 (56.0%), women – 33 (44.0%). The age of the victims is 18–70 years, the average age is (37.5 ± 6.0) years. The study did not include: victims under the age of 18; victims with neck trauma, damage to the cerebral section of the skull and to other parts of the body. All the victims got medical assistance from the personnel of the ambulance brigades. Covering sheets, outpatient cards and medical records were used as primary documentation. Study criteria: time during which the ambulance was provided; who provided emergency medical care; correctness of its rendering. Research results and their analysis. Analysis of injuries to the facial skeleton showed: injuries of the facial skeleton are an actual pathology in victims of road traffic accidents in Saratov; victims of road accidents got open and closed injuries of the facial skeleton. With closed injuries, moderate and severe injuries were found in 23 (30.7%) victims, with open injuries — in 19 (23.3%) victims; majority (90.7%) of victims of road accidents got high-quality emergency medical aid in a timely manner. In 9.3% of cases, the quality of care was insufficient due to an incorrect assessment of severity of the victims’ condition and, as a consequence, due to non-fulfillment of anti-shock measures; scope of the provision of emergency medical care to victims of road accidents included temporary hemostasis, treatment of wounds and anti-shock measures; from the accident site were evacuated: to level III trauma centers — 24.0% of victims; to level II — 48.0; to level I trauma centers — 28.0% of victims; complications in the form of purulent-septic processes were observed in 16.0% of victims; competent and timely implementation of anti-shock measures determined an insignificant mortality rate — 4.0%.

scholarly journals Emergency Medical Service Usage and its Effect on Outcomes in Road Traffic Accident Victims in India

2017 ◽  
Vol 32 (S1) ◽  
pp. S164-S165 ◽  
Author(s):  
Sravani Alluri ◽  
Srihari Cattamanchi ◽  
Amalia Voskanyan ◽  
Ritu R. Sarin ◽  
Michael S. Molloy ◽  
...  
Keyword(s):  
Emergency Medical Service ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Medical Service ◽  
Road Traffic ◽  
Service Usage ◽  
Emergency Medical

Metaheuristics in the decentralization of SAMU bases using simulation in northeastern Brazil

2021 ◽  
pp. 1-13
Author(s):  
Eric Lucas dos Santos Cabral ◽  
Wilkson Ricardo Silva Castro ◽  
Davidson Rogério de Medeiros Florentino ◽  
João Florêncio da Costa Junior ◽  
Talita Dias Chagas Frazão ◽  
...  
Keyword(s):  
Response Time ◽  
Medical Care ◽  
Emergency Medical Service ◽  
Simulation Study ◽  
Traffic Accidents ◽  
Medical Service ◽  
Northeastern Brazil ◽  
World Health ◽  
Hospital Medical ◽  
Emergency Medical

BACKGROUND AND OBJECTIVE: The growth of the urban population exerts considerable pressure on municipalities’ public managers to focus their attention on providing emergency medical care that meets the growing demand for emergency pre-hospital medical care. Currently, there are a significant number of traffic accidents and other serious occurrences, such as heart attacks, drownings, epidemics, fires and disasters (floods, landslides, earthquakes) that demand a prompt and seamless response from pre-hospital medical care. As a result of such scenario, the present article endeavours to apply a dual-coverage mathematical model (DSM-Double Standard Model) to define the optimal location of the Emergency Medical Service (SAMU) decentralized dispatch bases in Natal/RN and conduct a simulation study to evaluate the displacement of ambulances between such bases. METHODS: The methodological course that was followed by this research constitutes of 12 steps. The location of decentralized bases for sending emergency ambulances was established using the DSM model and the simulation model was performed using the FlexSim© software version 2018 evaluating base coverage in relation to the total number of calls by demand points for different scenarios. RESULTS: The results obtained throughout the research demonstrated the feasibility of redefining the decentralized bases of SAMU/Natal ambulances as a strategy to reduce response time and guarantee compliance with performance parameters established by international organizations (the World Health Organization, for instance, establishes the time of 8 minutes for emergency medical service calls response). The simulation study showed a significant reduction in response time, by up to 60% in some cases. CONCLUSION: The proposition of new locations for the decentralized dispatch bases of the SAMU/Natal can provide an overall significant reduction on the ambulance response time, so as to contribute to expedite the initiation of treatment of patients, if necessary, sent to hospitals.

scholarly journals Outcomes of Emergency Medical Service Usage in Severe Road Traffic Injury during Thai Holidays

2018 ◽  
Vol 19 (2) ◽  
pp. 266-275 ◽  
Author(s):  
Sattha Riyapan ◽  
Phanthanee Thitichai ◽  
Wansiri Chaisirin ◽  
Tanyaporn Nakornchai ◽  
Tipa Chakorn
Keyword(s):  
Emergency Medical Service ◽  
Medical Service ◽  
Road Traffic ◽  
Road Traffic Injury ◽  
Service Usage ◽  
Traffic Injury ◽  
Emergency Medical

scholarly journals CHARACTERISTICS OF ROAD TRAFFIC ACCIDENTS CAUSES, INJURIES AND OUTCOMES ENCOUNTERED IN FAISALABAD BETWEEN 2016-2019

2020 ◽  
Vol 11 (4) ◽  
pp. 1-6
Author(s):  
Nazim Hayat ◽  
Samia Rasool Tabassum ◽  
Yasir Riaz Gillani ◽  
Nadia Bano ◽  
Irshad Ahmed ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Morbidity And Mortality ◽  
Medical Services ◽  
High Morbidity ◽  
Road Traffic Accidents ◽  
Traffic Crashes ◽  
Road Traffic Crashes ◽  
Emergency Medical

ABSTRACT BACKGROUND & OBJECTIVE: Road traffic accidents are the ninth leading cause of death worldwide, contributing significantly to global disease burden. Emergency Medical services(EMS) play a role in minimizing the morbidity and mortality. Our objective was to determine the characteristics of injury pattern and causes encountered in Road Traffic crashes (RTCs) managed by 1122 in Faisalabad Pakistan andto access the outcome of these accidents.  METHODOLOGY: All Road Traffic crashes and victims in Faisalabad city of Pakistan which were initially managed by Rescue 1122 between 2016 to 2019 were included in the study. Total sample size was 101995. It is descriptive cross-sectional study which includes patients of different ages, sex and motor-vehicles accidents having different injury sites. RESULTS: During the study period there were total 101995 RTCs victims to whom emergency medical services (EMS) were provided. Gender wise 80.73% male victims and 19.27% female victims. Major age groups were between 21-30 years (25.917%). The major risk factors of accidents were over-speeding (56.8%) followed by carelessness (18.32%), wrong turn (8.69%) , u-turn(5.84%) , one wheeling(0.008%), tyre burst (0.117%) and others(10.14%). The injuries frequently encountered are minor which accounts for (44.68%), Single fracture (23.25%), Multiple fracture (16.62%), Head injury (12.40%) and Spinal injury(3.03%). Outcome of RTCs in our study was alive & unstable (54.47%), alive & stable (44.7%) and dead (0.83%). CONCLUSION: This study showed that Road Traffic Accident are the major public health problem in our society and contributes markedly to high morbidity and mortality. Urgent Preventive measures including community education should be established to reduce the risk of their outcome.

scholarly journals Metaheuristics in the Decentralization of Emergency Care.

2020 ◽  
Author(s):  
Eric Lucas dos Santos Cabral ◽  
Wilkson Ricardo Silva Castro ◽  
Davidson Rogério de Medeiros Florentino ◽  
João Florêncio da Costa Junior ◽  
Talita Dias Chagas Frazão ◽  
...  
Keyword(s):  
Response Time ◽  
Medical Care ◽  
Emergency Medical Service ◽  
Simulation Study ◽  
Traffic Accidents ◽  
Medical Service ◽  
World Health ◽  
Hospital Medical ◽  
Emergency Medical ◽  
Health Organization

Abstract BackgroundThe growth of the urban population exerts considerable pressure on municipalities’ public managers to focus their attention on providing emergency medical care that meets the growing demand for emergency pre-hospital medical care. Currently, there are a significant number of traffic accidents and other serious occurrences, such as heart attacks, drownings, epidemics, fires and disasters (floods, landslides, earthquakes) that demand a prompt and seamless response from pre-hospital medical care. As a result of such scenario, the present article endeavours to apply a dual-coverage mathematical model (DSM-Double Standard Model) to define the optimal location of the Emergency Medical Service (SAMU) decentralized dispatch bases in Natal / RN and conduct a simulation study to evaluate the displacement of ambulances between such bases. Patients and methodsThe methodological course that was followed by this research constitute for 12 steps, so as to the location of decentralized bases for sending emergency ambulances was established using the DSM model and the simulation model was performed using the FlexSim software© version 2018 evaluating base coverage in relation to the total number of calls by demand points for different scenarios.ResultsThe results obtained throughout the research demonstrated the feasibility of redefining the decentralized bases of SAMU / Natal ambulances as a strategy to reduce response time and guarantee compliance with performance parameters established by international organizations (the World Health Organization, for instance, establishes the time of 8 minutes for emergency medical service calls response). The simulation study showed a significant reduction in response time, by up to 60% in some cases.ConclusionThe proposition of new locations for the decentralized dispatch bases of the SAMU/Natal can provide an overall significant reduction on the ambulance response time, so as to contributes to expedite the initiation of treatment of patients, if necessary, sent to hospitals.

scholarly journals Evaluation of time factor of providing emergency medical care for victims of road traffic accidents on the federal highway M-8 “Kholmogory”

2020 ◽  
pp. 5-9
Author(s):  
A. V. Baranov ◽  
Yu. E. Barachevsky
Keyword(s):  
Medical Care ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Time Factor ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Emergency Medical Care ◽  
Arkhangelsk Region ◽  
Emergency Medical ◽  
Federal Highway

Relevance. Road traffic injuries, having the nature of a global epidemic, pose an urgent medical and social problem. Among victims of road traffic accidents, mortality is many times higher than that of victims who were injured under other circumstances. The survival of victims in road accidents depends on the timeliness, quality and capacity of emergency medical care, on the competence of care providers and on the effectiveness of the organization of this type of medical care at the prehospital stage.Intention – to estimate the time of providing emergency medical care for victims on the federal highway M-8 “Kholmogory” on the territory of the Arkhangelsk region.Methodology. The material of the study was a sample of 906 medical records (form 003/y) for victims of the road accidents, who were admitted to hospitals of Arkhangelsk region in the period from 01.01.2012 to 31.12.2018. Registered forms were selected according to the criteria of retrospective full-design documentary observation. Differences between the observation groups were considered statistically significant at level of p < 0.05 as adjusted for multiple comparisons (Bonferroni correction).Results and Discussion. Time factor of emergency medical care on the federal highway M-8 “Kholmogory” in 3 medical districts of the Arkhangelsk region was characterized. The ambulance teams arrived at the place of accident within 20 minutes in 30 (3.3 %) cases, from 21 to 40 minutes – in 345 (38.1 %) cases, from 41 to 60 minutes – in 299 (33 %) cases and over a period of more than 1 hour – in 232 (25.6 %) cases. There was no statistically significant difference in time of providing emergency medical care for victims with isolated, multiple and concomitant traumas.Conclusion. It was shown that in 74.4 % of cases (p < 0.001) ambulance arrived at the site of a road accident earlier than 60 minutes. The largest number of cases of providing emergency medical care exceeding 60 minutes was noted in the Arkhangelsk Medical District – 28.4 % (p < 0.013), and the lowest –in the Severodvinsk Medical District – 18.3 %. In more than a quarter (26 %) of cases the emergency medical care was provided for victims with polytrauma beyond the 60 minutes period, with most of them in the Arkhangelsk Medical District (p = 0.004).

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