RESUMO
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 , ViolênciaRESUMO
Objetive the purpose of this study was to evaluate stresslevels in emergency medical services personnel across the United States.Design: Confidential 20-question survey tool, Medical Personnel Stress Survey Abbreviated (MPSS-R). A total score of 50 indocantes average stress levels. A score of 12.5 on the subset measurements of somatic distress, job dissatisfactions, organizational stress,and negative attitudes towards patients indicates average levels of stress. Data were analyzed using ANOVA and-test (AU)
Assuntos
Serviços Médicos de Emergência , Pessoal de Saúde , Estresse Fisiológico , Auxiliares de Emergência , MétodosRESUMO
Objectives: The concept of the necessity of a good quality assurance (QA) plan for emergency medical services (EMS) is well-accepted, guide-lines as how best to achieve this and how current systems operate have not been defined. The purpose of this study was to survery EMS systems to discover current methods, used to perform medical control and QA and to examine whether the existence of an emergency medicine residency offected these components Methods: a survery was mailed in 1989 to the major teaching hospitals associated with all of the emergency medicine residency programs and all other hospitals with greater than 350 beds within the 50 largest United States metropolitan areas. The survery consisted of questions concerning four general EMS-QA Categories: 1) general informaction, 2) prospective, 3) immediate and 4) retrospective medical control. Conclusion: This survery characterizes some of the current methods utilized nationwide in EMS-QA programs. Further research is needed to determine the effectiveness of these various methods, and to develop a model program (AU)
Assuntos
Emergências em Desastres , Serviços Médicos de Emergência , Assistência Médica , Auxiliares de Emergência , MétodosRESUMO
Se revisó la experiencia de cuatro años comprendida de mayo de 1989 a mayo de 1993, de la Cruz Roja Mexicana en el capítulo referente a la atención médica prehospitalaria, efectuando análisis epidemiológico estadístico del problema de las urgencias médico-traumáticas de la ciudad de México y zonas conurbadas. Se procesó la información de 224.552 solicitudes de urgencia a nuestra Central de Comunicaciones (CECOM) y de 67.693 partes médicos prehospitalarios (30.14
) determinando día y hora más frecuente en la problemática, causa desencadenante, lugar de atención, patología específica traumática-médica, mortalidad en traslado y en la calle, edad, sexo, hospital de referencia, así como también prioridad del traslado, traslado en Helicóptero, urgencias mayores y falsa alarma detectada en el sistema (AU)
Assuntos
Primeiros Socorros , Cruz Vermelha , Auxiliares de Emergência , Organização e Administração , MéxicoRESUMO
This is the first of a proposed annual update of EMS book reviews. The purpose of these reviews is to help enlighten EMS educators and providers concerning books available in their field and help them to compare these books. As more books become available the reviews should become more specific and informative. This book review handout is divided into four sections. The first section consists of reviews for complete texts in the paramedic and special skills training categories. The second section offers suggested reading assignments for these texts. A third section reviews supplemental als texts. The last section lists other als and texts that are available zet not reviewed in this als book review handout
