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1.
Ethiop J Health Sci ; 31(3): 517-524, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34483608

RESUMO

Background: Unknown and unpredictable situations cause emergency medical service (EMS) providers to experience various stressful factors. These factors are affected by sociocultural conditions and expectations of the casualty and affect EMS providers' performance and health at the incident scene. The present study was conducted to explore EMS providers' perception of stressful and health-threatening factors in emergency missions. Method: This qualitative conventional content analysis was conducted in 2020. The participants included 16 EMS providers working at the Emergency Medical Services Department in Hamadan Province, Iran. The participants were selected using purposive sampling and underwent semi-structured interviews until data saturation. Data were analyzed using the Graneheim and Lundman method. Results: Analysis of the interview data yielded six subcategories (i.e., incident scene hazards, violence-related injuries, physical injuries caused by patient care/handling, ambulance crash-related injuries, emotional impact of patients' suffering and ailments, and highly stressful missions), two main categories (i.e., physical injuries and psychological tensions), and a theme of occupational injuries. Conclusions: According to the results, in addition to having concerns about caring for patients and saving the injured, EMS providers also worry about potential threats to their own health. The present study identified and described some major stressors in emergency missions. Thus, for a better and more effective efficiency, the present study results can be used to reduce or modify stressors in EMS providers.


Assuntos
Serviços Médicos de Emergência , Emergências , Serviço Hospitalar de Emergência , Humanos , Percepção , Pesquisa Qualitativa
2.
BMJ Glob Health ; 6(9)2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34489329

RESUMO

In early 2019, following the 2015-2016 severe drought, the provinces of Sofala and Cabo Delgado, Mozambique, were hit by Cyclones Idai and Kenneth, respectively. These were the deadliest and most destructive cyclones in the country's history. Currently, these two provinces host tens of thousands of vulnerable households due to the climatic catastrophes and the massive influx of displaced people associated with violent terrorist attacks plaguing Cabo Delgado. The emergence of the COVID-19 pandemic added a new challenge to this already critical scenario, serving as a real test for Mozambique's public health preparedness. On the planetary level, Mozambique can be viewed as a 'canary in the coal mine', harbingering to the world the synergistic effects of co-occurring anthropogenic and natural disasters. Herein, we discuss how the COVID-19 pandemic has accentuated the need for an effective and comprehensive public health response in a country already deeply impacted by health problems associated with natural disasters and population displacement.


Assuntos
COVID-19 , Tempestades Ciclônicas , Emergências , Humanos , Moçambique/epidemiologia , Pandemias , Saúde Pública , SARS-CoV-2
3.
Front Public Health ; 9: 698995, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34490183

RESUMO

Objective: The first wave of the coronavirus SARS-COV-2 pandemic has revealed a fragmented governance within the European Union (EU) to tackle public health emergencies. This qualitative study aims: 1) to understand the current EU position within the field of public health emergencies taking the case of the COVID-19 as an example by comparing and contrasting experiences from EU institutions and experts from various EU Member States at the beginning of the pandemic; and, 2) to identify and to formulate future EU pandemic strategies and actions based on experts' opinions. Methods: Eighteen semi-structured interviews were conducted with public health experts from various European Member States and European Commission officials from May 2020 until August 2020. The transcripts were analyzed by Thematic Content Analysis (TCA), mainly a manifest content analysis. Results: This study demonstrated that the limited EU mandate in health hinders proper actions to prevent and tackle infectious disease outbreaks, such as the COVID-19 pandemic. The results showed that this limitation significantly impacted the ECDC, as the Member States' competence did not allow the agency to have more capacity. The European Commission has fulfilled its role of coordinating and supporting the Member States by facilitating networks and information exchange. However, EU intra- and inter-communication need further improvement. Although diverse EU instruments and mechanisms were found valid, their implementation needed to be faster and more efficient. The results pointed out that underlying political challenges in EU decision-making regarding health emergencies hinder the aligned response. It was stated that the Member States were not prepared, and due to the restriction of their mandate, EU institutions could not enforce binding guidelines. Additionally, the study explored future EU pandemic strategies and actions. Both, EU institutions and national experts suggested similar and clear recommendations regarding the ECDC, the investment, and future harmonized preparedness tools. Conclusion: The complex politics of public health at the EU level have led to the fragmentation of its governance for effective pandemic responses. This ongoing pandemic has shed light on the fragility of the political and structural systems in Europe in public health emergencies. Health should be of high importance in the political agenda, and robust health reforms at the local, regional, national, and EU levels are highly recommended.


Assuntos
COVID-19 , Saúde Pública , Emergências , União Europeia , Prova Pericial , Humanos , Pandemias/prevenção & controle , SARS-CoV-2
4.
Shanghai Kou Qiang Yi Xue ; 30(3): 323-327, 2021 Jun.
Artigo em Chinês | MEDLINE | ID: mdl-34476454

RESUMO

PURPOSE: This study aimed to summarize and analyze dental emergence data and compare with the same period from 2017 to the first half of 2020, to provide a basis for improving the quality of dental emergency care and formulating rational allocation. METHODS: A total dental emergency cases from 2017 to the first half of 2020 were collected, statistical analysis was carried out according to patients' sex and age, chief complaints and diagnosis with SPSS 18.0 software package. RESULTS: The top three diseases in 2017 of dental emergency were maxillofacial trauma, facial infection and dental pulp disease. From 2018, most of the specialized patients were treated due to oral craniomaxillofacial injury , maxillofacial infection and tumors. The top three chief complaints for 3 consecutive years were facial swelling, toothache and dental trauma. The difference of emergency data within 4 years was statistically significant. CONCLUSIONS: There are a large number of patients which follow the regular pattern and a wide scope of disease types in dental emergency department. The total amount has a rising trend year by year. After divisions of dental emergency department are established, the patients' treatment is more timely, convenient and targeted, and the quality of medical service has been improving.


Assuntos
Emergências , Odontalgia , China/epidemiologia , Serviço Hospitalar de Emergência , Hospitais , Humanos , Estudos Retrospectivos
5.
Arch Esp Urol ; 74(7): 652-655, 2021 Sep.
Artigo em Espanhol | MEDLINE | ID: mdl-34472433

RESUMO

INTRODUCTION: In Argentina, our institutionhas a urology resident on call who handles requests to the single radio during nighttime. Few studies address this important issue that provides useful information to promote education and optimize hospital dynamics. OBJECTIVE: To describe the characteristics of the calls received in the urology radio during night shifts. MATERIALS AND METHODS: During the night shifts, all calls to the radio were recorded during the period between June and July 2019. We determined: time, source, sex, and age of the patient, reason for the call and classified the calls according to: calls for immediate resolution (which required urological instrumental intervention, bladder catheterization or lavage, etc.), unnecessary calls (wrong number), and the number of emergencies that require calling a superior for immediate surgical resolution. RESULTS: We registered a total of 325 calls, most of them male patients. The main reason for calling was for placement, replacement, or washing of the urinary catheter or suprapubic catheter. We obtained 139 calls that required urological intervention. The highest number of calls was from the emergency department (119), followed by the Internal Medicine staff (47). Most of them (242) did not require patient admission. The total of unnecessary calls was three, corresponding to wrong number. CONCLUSION: This study helped us to characterize the calls to the Urology radio from other services and emergency department, allowing us to identify the most common problems and educate based on this.


Assuntos
Encaminhamento e Consulta , Urologia , Emergências , Serviço Hospitalar de Emergência , Humanos , Masculino
6.
J Bus Contin Emer Plan ; 15(1): 17-29, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-34465407

RESUMO

Exercise GTA Unified was a functional, multi-agency, cross-jurisdictional, health-sector focused mass casualty preparedness exercise conducted in the Greater Toronto Area (GTA) on 28th November, 2019. With over 1,000 unique paper-based and electronic injects and 34 participating agencies, including 22 separate hospital sites, Exercise GTA Unified is likely the largest health-sector focused mass casualty preparedness exercise ever conducted in Canada. The exercise design approach supported a successful, objective-based functional exercise, with elements of marked realism for participants. The exercise offered a unique opportunity to collect data for future analysis and the insights gained will have a transformative impact on interagency engagement and cooperation for emergency response planning. Furthermore, the approach adopted for the exercise is affordable, reproducible, scalable and transferrable to sectors beyond the health system. This paper provides a detailed review of the key planning and design components adopted in the development and implementation of the exercise, as well as practical insights for the design and conduct of multi-agency, cross-jurisdictional functional exercises.


Assuntos
Planejamento em Desastres , Incidentes com Feridos em Massa , Canadá , Emergências , Serviço Hospitalar de Emergência , Humanos
7.
Cad Saude Publica ; 37(8): e00271020, 2021.
Artigo em Português | MEDLINE | ID: mdl-34495097

RESUMO

This study aimed to assess the degree of implementation of the response to the emergency of microcephaly associated with Zika virus in Pernambuco State, Brazil. This was a normative evaluative study conducted in the initial epicenter of the public health emergency of international concern, from October 2015 to July 2017. A logical model was produced for the intervention under analysis, with the components of Management, Surveillance, and Care in the dimensions of structure, process, and result, based on technical publications and institutional guidelines, in addition to a corresponding log frame of indicators for assessment. Data were collected through a questionnaire, direct observation, and consultation of official documents. The results showed partial implementation (74.9%) of the response to the microcephaly emergency by the Pernambuco State Health Department, with the process dimension reaching 75% of the expected level and the structure dimension, 74.5%. Surveillance was the only component that was assessed as implemented (81%), although with a shortage of regional and laboratory investments, while Management (74.2%) and Care (68.8%) were partially implemented, with insufficiencies in items related to human resources and physical structure, planning, and evaluation. In conclusion, the response to the public health emergency of international concern involving microcephaly associated with the Zika virus was assessed as partially implemented, with different levels between the intervention´s components, especially surveillance when compared to management and care. The shortcomings signal the need for investments to deal with future public health emergencies, with a view towards more timely and adequate interventions.


Assuntos
Microcefalia , Infecção por Zika virus , Zika virus , Brasil/epidemiologia , Emergências , Humanos , Microcefalia/epidemiologia , Saúde Pública , Infecção por Zika virus/diagnóstico , Infecção por Zika virus/epidemiologia
9.
Vestn Otorinolaringol ; 86(4): 31-35, 2021.
Artigo em Russo | MEDLINE | ID: mdl-34499444

RESUMO

Bleeding is a life-threatening condition, requiring an urgent care. The first line of treatment this kind of patients is ambulance doctors (emergency medical team). Spontaneous bleeding (SB), in this case, don't have a traumatic agent (including surgical trauma). STUDY OBJECTIVE: The purpose of this study was to evaluate spontaneous bleeding epidemiological profile of Moscow city emergency service. METHODS: Study included statistical reports of Moscow city emergency services medical teams (EMT) were servicing adults. We analyzed total number of calls and number of EMT calls to pa-tients with SB during the period between 2015 and 2019. The excluding criteria was EMT re-calls to patents with SB. RESULTS: In a study, it was found that over five-year period of observation, EMT made 15 709 862 calls, included 215 840 calls (1.37%) to patients with SB. It was found that the most frequency sources of SB were: the gastrointestinal tract (33.18%), the nasal cavity (28.14%) and the vagina with the uterus (23.91%). There is the proportion of patients suffering of SB from ENT organs is 28.52% in structure of Moscow city Emergency Medical Service. There are the proportion of epistaxis 98.65%, ear bleeding - 0.89%, throat bleeding - 0.46% in structure of SB from ENT organs. We analyzed, that spontaneous epistaxis most frequent between October and April. This period characterized with 70.6% EMT calls from the total EMT calls to patients with SE.


Assuntos
Serviços Médicos de Emergência , Faringe , Adulto , Emergências , Epistaxe/diagnóstico , Epistaxe/epidemiologia , Feminino , Humanos , Nariz
10.
Aerosp Med Hum Perform ; 92(7): 588-592, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34503633

RESUMO

INTRODUCTION: U.S. airlines often request a healthcare professional to volunteer to assist an ill passenger. Litigation from a Good Samaritans care of an in-flight medical emergency (IME) is considered improbable. The 1998 Aviation Medical Assistance Act (AMAA) encourages health care professionals to volunteer with indemnity for standard and good medical care. It does not offer legal or financial assistance. Our review explored the legal support malpractice companies and U.S. airlines provide if litigation is initiated for IME care. Malpractice insurance policies can differ on IME coverage. We found most private practice physicians policies include IME. Medical institutions may have policies restricting their physicians coverage to the institutions location. Those without malpractice coverage will need to retain and pay for a legal defense to demonstrate no gross negligence and no willful misconduct. The physicians, airline crews, and on-ground IME documentation support should be retained by the Good Samaritan especially for a pediatric or adolescent ill passenger. U.S. airlines consider a Good Samaritan medical volunteer as a passenger and do not extend legal assistance. This contrasts with some foreign airlines that do provide liability protection. Knowledge of the malpractice policy IME coverage is essential prior to traveling by air. After completing care for an ill passenger, physicians should generate their medical documentation and request the IME documentation generated by the airline and on-ground medical expert. We also believe U.S. airlines should assume responsibility to provide legal assistance to a Good Samaritan physician in the event of IME litigation.de Caprariis PJ, Di Maio A. Medical legal implications when providing emergency care on a commercial flight. Aerosp Med Hum Perform. 2021; 92(7):588592.


Assuntos
Serviços Médicos de Emergência , Médicos , Adolescente , Criança , Emergências , Tratamento de Emergência , Humanos , Responsabilidade Legal
11.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54853

RESUMO

SITUATION IN NUMBERS: Region of the Americas 87,430,315 cases; 2,163,219 deaths; 56 countries/areas/territories affected. | Global 226,457,592 cases; 4,660,686 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
12.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54852

RESUMO

SITUATION IN NUMBERS: Region of the Americas 87,208,536 cases; 2,157,081 deaths; 56 countries/areas/territories affected. | Global 225,899,458 cases; 4,649,380 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
13.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54835

RESUMO

SITUATION IN NUMBERS: Region of the Americas 86,988,671 cases; 2,152,441 deaths; 56 countries/areas/territories affected. | Global 225,338,480 cases; 4,639,275 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
14.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54830

RESUMO

SITUATION IN NUMBERS: Region of the Americas 86,674,208 cases; 2,149,319 deaths; 56 countries/areas/territories affected. | Global 224,679,161 cases; 4,630,612 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
15.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54821

RESUMO

SITUATION IN NUMBERS: Region of the Americas 86,226,816 cases; 2,140,275 deaths; 56 countries/areas/territories affected. | Global 223,279,142 cases; 4,606,894 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
16.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54820

RESUMO

SITUATION IN NUMBERS: Region of the Americas 85,969,448 cases; 2,136,263 deaths; 56 countries/areas/territories affected. | Global 222,649,153 cases; 4,597,865 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
17.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54819

RESUMO

SITUATION IN NUMBERS: Region of the Americas 85,719,206 cases; 2,131,332 deaths; 56 countries/areas/territories affected. | Global 221,969,050 cases; 4,586,255 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
18.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54818

RESUMO

SITUATION IN NUMBERS: Region of the Americas 85,398,261 cases; 2,127,415 deaths; 56 countries/areas/territories affected. | Global 221,278,127 cases; 4,575,955 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
19.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54806

RESUMO

SITUATION IN NUMBERS: Region of the Americas 84,756,027 cases; 2,116,981 deaths; 56 countries/areas/territories affected. | Global 219,203,210 cases; 4,543,894 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
20.
COVID-19 Daily Updates
Artigo em Inglês | PAHO-IRIS | ID: phr-54804

RESUMO

SITUATION IN NUMBERS: Region of the Americas 84,498,889 cases; 2,112,810 deaths; 56 countries/areas/territories affected. | Global 218,205,951 cases; 4,526,583 deaths; 236 countries/areas/territories affected.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Análise de Situação , Emergências , América , Região do Caribe
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