Assuntos
Ambulâncias , Assistência Ambulatorial , Transporte de Pacientes , Japão , Acidentes , 34600RESUMO
This is a descriptive of the Emergency medical Services response to a bombing of a United States federal Building in Oklahoma City, Oklahoma on 19 april 1995. The explosion emanated from a rented truck parked in the front of the building. The force of the explosion destroyed three of the four support columns in the from of the building and resulted in a pancaking effect of the upper floors onto the lower floors. There were distinct phases of the medical response: 1)Immediately available local EMS ambulances and staff; 2) Additional ambulances staffed by recalled off-duty personnel; 3) mutual-aid ambulances and personnel from the surrounding communities. There were 361 persons in the building at the time of the explosion, 163 of these perished. Within the first hourof the explosion 139 patients were transported to area hospitals. The scene became flooded with volunteers who, although their intention were to provide help and to those injured created a substancial logistical problem for incident Command Several other lessons were learned. 1) telephone lines and cells became overloaded, but the Hospital Emergency Administrative Radio system was operational only in three of the 15 hospitals 2) Volunteer personnel should have responded to the hospitals and not to the scene and 3) Training was an essential for the success of such a response. Thus, the success of this operation was a functions of the intense training, practice and coordination between multiple agencies (AU)
Assuntos
Serviços Médicos de Emergência , Explosões , Assistência ao Paciente , Transporte de Pacientes , Planejamento em Desastres , Estados Unidos , Assistência Médica , Auxiliares de Emergência , Triagem , Evacuação Estratégica , Primeiros Socorros , Voluntários , ViolênciaAssuntos
Ambulâncias , Ambulâncias , Ambulâncias , Legislação , Planejamento em Desastres , Transporte de PacientesRESUMO
Se expone las fases de la acción prehospitalaria ante el accidente de tráfico, revisando especialmente las medidas de seguridad a tomar durante el rescate del as victimas y estableciendo las pautas para la estabilización previa al transporte medicalizado (AU)
Assuntos
Acidentes de Trânsito , Atitude do Pessoal de Saúde , Assistência Médica , Medidas de Segurança , Busca e Resgate , Transporte de PacientesRESUMO
Objective: This paper reports the results of an initial effort to develop and test a measure of the various sources of job-related stress in firefighter and paramedic emergency service workers. Methods: A 57-item paper and pencil measure of occupational stressors in firefighter/emergency medical technicians (EMT) and firefighter/paramedics was developed and administered by annonymous mail survery. results: More than 2,000 emergency service workers completed and returned the surverys. The responses of 1,730 firefighter/EMTs and 253 firefighter/paramedics were very similar in terms of the degree to which job stressors were bothersome. These sources of occupational stress (SOOS) factor scale scores essentially did not correlate with a measure of the social desirability test-taking bias. Finally SOOS factors were identified that correlated with job satisfaction and work-related with job satisfaction and work-related morale of the respondents. Conclusion: The findings suggest that firefighter and paramedic job stress is very complicated and multi-faceted. Based on this preliminary investigation, the SOOS instrument appears to have adequate reliability and concurrent validity (AU)
