Emergency Medical Services are a system of emergency services committed to delivering emergency and immediate medical care outside of a hospital, transportation to definitive care, in attempt to establish a efficient system by which individuals do not try to transport themselves or administer non-professional medical care. The primary goal of most Emergency Medical Services is to offer treatment to those in demand of urgent medical care, with the objective of adequately treating the current conditions, or organizing for a prompt transportation of the person to a hospital or place of greater care.
Philosophically the term emergency medical service has developed to represent a transition from a simplistic system of vehicles delivering only transportation, to a system by which certified medical care is provided on scene and during transport. However in some less developed regions, emergency vehicles are still fundamentally a means of transportation to the medical facility that will provide care.
Commonly throughout most countries of the world, citizens of the society at large establish the system for Emergency Medical Services. In the case that the public is not willing or capable of summoning such a service, the country often finds other emergency services, businesses, or the government and authorities who act to employ a system. In other parts of the world, the emergency medical service additionally takes on the role of transporting patients from one medical facility to an alternative one. This occurs with some frequency because once a patient is analyzed and provided care at the immediate hospital; it may be more appropriate for a variety of reasons the patient needs to move to another facility. As one can see, the relat...
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... the same model of Emergency Medical Service, they have responded to the health related issue of gunshot injuries in very similar ways. They each follow the methods as described earlier in order to handle trauma situations such as severe gunshot wounds. The difference lies however in each doctors assessment of the harmed individual. It is up to the doctor of physician’s discretion to decide the type of medical treatment on the scene and when the person is stable or ready to for transport. There is no direct evidence that shows each country’s doctors have been trained differently to assess these types of situations, so it is difficult to determine if one country is more successful than the other in there Emergency Medical Services system. It is more likely that each country has a similar success rate as they are employing a fundamentally similar system of care.
Ambulances, started to affect today’s modern health care after the Civil war. Ambulances are specially equipped motor vehicles. Ambulances carry sick, or injured people from the spot of their accident, to the closest hospital. Ambulances are part of the emergency medical services, EMS, which also includes helicopters, airplanes, and boats. Ambulances typically have room for one or more people. Ambulances can also hold many medical personnel and medical supplies.
The roles of emergency services consist on the medical team who is responsible for scene assessment of personnel and equipment requirements, coordinating information to and from hospitals, oversee treatment from medical and nursing personnel, the ambulance crew will do the triage, patient transfer from the scene, and health service communication. The fire services are responsible for eliminating the fire and rescue trapped casualties using specialist equipment, the police team will control the traffic to aid evacuation, identify and move the dead, maintain law and
The challenges that all acute care hospitals and facilities faces are the demand for highly specialized services has increased. The US population is constantly aging and the elderly tend to need more acute care services. Because many people lack health insurance, they tend to use emergency rooms in the hospitals as their source of care. The increase demand in acute care prompted hospitals to expand their facility
There are pros and cons. Some medical people believe that the EMTALA legislation creates some problems for hospitals. Knowing that hospitals must take care of every person, people may use the ED for routine doctor visit situations. These people believe this contributes to the sometime overcrowding of ED’s. Another problem is that EMTALA legislation mandates caring for everyone no matter what. The hospital therefore, may not get paid. “According to the American College of Emergency Physicians, 55 percent of emergency care goes
Because of the lack of organization with the health care providers in Canada, the wait times are too long and can cause serious complications to any condition the patient went in for in the first place. This situation of how the health care system can resolve wait times was brought to the government but they continue to ignore the proposals brought to them. It is possible to resolve the problems of wait times without extreme change and expenses in the health care system. The solution is to be found in the reorganization of the health care providers. Lack of assistance in the emergency room can make ones illness to become worse, therefore, causes the patient to be forced to wait in emergency rooms for an extended period of time and when they are finally seen by a health care provider, the outcome is very poor due to lack of registered staff, physicians and proper assessment(Goldman & Macpherson, 2005, p.40). The objective of this paper is to discuss and critically analyze the conditions of emergency waiting rooms. The specific issue this paper intends to explore is extensive and prolonged waiting times for patients accessing health care, patients who need urgent treatment and the vulnerability of elderly patients and children. With an in-depth critique of the barriers to health care and shortcomings of emergency rooms, strategies will be provided to enhance a health care system that makes it more accessible and efficient.
Wake County EMS responds to almost 90,000 requests for service annually and serves almost 1 million people, which places the WCEMS system in the top fifty EMS systems in the country based on call volume and size of population served. ("Wake county department," 2012) In response to ever-increasing call volume, a decrease in primary care, and the universal changes in healthcare, which have resulted in more people using EMS and the local emergency room for primary care and non-life threatening events, the EMS Department elected to change their service structure. The department would move away from the traditional EMS mantra of “you call we haul” and having a system being designed around reactive responses to healthcare issues in the community to an evidenced based incident prevention structure. No longer, would it be considered prudent or correct to just continue to add transport resources to address the increasing call volume and continue to place the actual burden of care on the local hospitals, it would become the burden of the EMS system to provide alternatives to properly address the actual healthcare needs of those who called 911. Wake County EMS had already utilized evidenced based ...
The film, The Waiting Room, paints a clear picture of the variety of obstacles that commonly occur in the emergency department. The majority of patients are uninsured, are using the hospital as their primary care physician, long wait times and communication challenges. This paper will outline challenges displayed in the documentary paired with different ideas working to create a more effective health care experience.
The emergency department (ED) is an essential component of the health care system, and its potential impact continues to grow as more individuals seek care and are admitted to the hospital through the ED. Invasive procedures such as central lines are placed with increased frequency
Trzeciak, S. & Rivers, E. (2003). Emergency department overcrowding in the United States: An emerging threat to patient safety and public health. Emergency Medicine Journal, 20, 402−405. doi: 10.1136/emj.20.5.402
Emergency room physicians are on the front lines in a crisis, caring for everyone from trauma victims to sick kids. An ability to think quickly and care for a wide variety of patients makes them valuable assets at every hospital. It also brings some perks. When sudden illness or acute injury strikes, patients turn to hospital emergency rooms for immediate medical assistance. An ER doctor, or emergency medicine specialist, is a physician who diagnoses and treats illnesses and injuries in a hospital emergency room or other urgent care setting. Emergency medicine is a financially rewarding career, and it also comes with the reward of saving lives. ER doctors require intensive training to know how to shoulder their intensive responsibilities.
In 2005, Congress reauthorized the legislation for the NHTSA. Under the Safe, Accountable, Flexible, Efficient Transportation Equality Act: A Legacy for Users or SAFETEA-LU, Congress then created the Federal Interagency Committee on Emergency Medical Services. The EMS system today is still a serious career that is competitive to get into. Medical Assistance is integrated into Law Enforcement, Fire Fighters, and anyone in public safety because it’s an honorable career and works to improve the safety of the community in which we live in.
...inding the suited vehicle which is the closest to the emergency. The vehicle number will be logged and informed of the emergency. Along with the patient information and incident to expect sent to the vehicle, the GPS will provide directions from the current location to the patient and quickest path back to the hospital. The GPS will give the hospital personnel an idea of how long it will take the vehicle to get to the hospital and have equipment, room, and personnel ready to help the patient. By taking the quickest path, along with medical personnel being ready for receiving the patient, could mean the difference of life and death depending on the incident.
medical care, those trained in first aid are able to assess the nature and the extent of an
Emergency is defined as a serious situation that arises suddenly and threatens the life or welfare of a person or group of people. An emergency department (ED) or also known as emergency room (ER) is a department of a hospital concentrating in emergency medicine and is accountable for the delivery of medical and surgical care to patients arriving at the hospital needing an immediate care. Usually patients will arrive without prior appointment, either on their own or by an ambulance.
Pre hospital care and clinical practice in civilian life is not a new idea, in fact it is has been around in one form or another for roughly 200 years. Its foundations lie in the military. During the Napoleonic wars with a French surgeon named Dominique-Jean Larrey. (1) Pre hospital care has come a long way from hauling fallen soldiers off the battlefield in a horse drawn carriage (1) to transporting patients in a different kind of carriage, a four wheel drive one to be precise. Pre hospital care and clinical practice owes many of its advancements in the 200 years since it has existed to the military. Their practices or research conducted during military conflicts has influenced civilian pre hospital care and clinical practice in the areas of triage systems, transport systems, clinical management, equipment and education to name but a few, but where it has had the most influence has been on the transport systems and clinical practices used. Their uses in the military pre hospital care world have worked particularly well in the civilian world. As a result of such they have been adapted by civilian paramedics quite readily.