Emergency Medical Services Resource Capacity and Competency Amid COVID-19 in the United States: Findings from a National Study

Gibson, Cody; Ventura, Christian; Collier, George Donald

doi:10.2139/ssrn.3576776

Cited by 3 publications

(4 citation statements)

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“…In this regard, a study by Dawei et al(2020) (15) showed that 17.5% of the personnel infected with the virus were the emergency department personnel. Since the personnel working in the EMS are at the forefront of contact with suspected COVID-19 patients, who may require invasive procedures (7), they are at a high risk of infection. Thus, it is necessary for them to follow the instructions on personal protective equipment (PPE)…”

Section: Resultsmentioning

confidence: 99%

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Pre-hospital medical interventions delivered to COVID-19 patients by Emergency Medical Service: A cross-sectional study

Javanmardi

Gilani

Ghafourifard

et al. 2022

Preprint

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Background Many people in the community become infected with the coronavirus and seek help from the pre-hospital Emergency Medical Service (EMS) system. This study aimed to identify the pre-hospital medical intervention delivered to the COVID-19 patients by EMS personnel. Methods In this cross-sectional study, 335 EMS personnel were selected by random sampling method from the 49 pre-hospital emergency stations of east and west Azerbaijan Province, Iran. Data were collected using a questionnaire assessing the demographic characteristics and pre-hospital medical intervention delivered to COVID-19 patients. Data were analyzed using SPSS software version 21. Results The results showed that 68.9% of the missions for COVID-19 patients were emergency situation, and for these patients invasive interventions; Cardiopulmonary Resuscitation (CPR) (60.9%), intubation (53.1%) and suction (38.8%) were performed. Administration of oxygen, intravenous (IV) line, patients transport to emergency department, serum therapy and recommendation for home care were the most common pre-hospital medical interventions. The results showed that there was a significant relationship between the pre-hospital medical intervention with personnel’s educational degree, field of study, and history of the COVID-19 disease (P < 0.001). Conclusions The results showed that EMS personnel, in addition to close contact with COVID-19 patients, perform various advanced interventions for them. Therefore, planning to train these personnel, developing standards, following protocols and adequate access to personal protective equipment (PPE) and diagnostic and therapeutic equipment can be useful in improving the quality of patient care, handling of the patients and personnel safety in recent and future pandemics.

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Section: Resultsmentioning

confidence: 99%

“…The pre-hospital emergency medical service (EMS) personnel are the rst heath service providers whom provide care for the patients with COVID-19 (7). Studies have demonstrated that following the outbreak of COVID-19, the pre-hospital emergency missions for transferring the patients have increased signi cantly (8,9).…”

Section: Introductionmentioning

confidence: 99%

Pre-hospital medical interventions delivered to COVID-19 patients by Emergency Medical Service: A cross-sectional study

Javanmardi

Gilani

Ghafourifard

et al. 2022

Preprint

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“…Several respirators (N95-N99-N100, R95-R99-R100 and P95-P99-P100) have been classified according to the standards of the National Institute for Occupational Safety and Health (NIOSH) (11). Most of the studies have emphasized the importance of the medical personnel members' use of N-95 masks when they provide care to the COVID-19 patients (11,12,18,25,27,30). Some of the studies have recommended the use of these masks only in aerosol-producing procedures such as cardiopulmonary resuscitation, intubation, extubation, tracheostomy, bronchoscopy, suction, and non-invasive ventilation among others due to the lack of equipment and the additional costs it can impose on the normal health care system (24,26,28).…”

Section: N-95 Masksmentioning

confidence: 99%

Required personal protective equipment for prehospital healthcare provider in COVID-19 pandemic: A systematic review

Javanmardi¹,

Dadashzadeh²,

Dehghannezhad³

et al. 2023

Acta fac medic Naissensis

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Aims. Coronavirus Disease 2019 (COVID-19) is a highly contagious disease, and a variety of personal protective equipment (PPE) has been recommended as preventive measures for prehospital emergency personnel, which has led to considerable challenges and a great confusion for the personnel. This review aims to identify different types of PPE required in the care of COVID-19 patients in prehospital emergency system. Material and methods. This study was carried out by searching through databases including: Pubmed, Proqust, Google Scholar, and Cinahl. All articles that recommended different types of PPE against COVID-19 and infectious diseases for prehospital emergency personnel were collected in a table. Results. After carrying out the initial search in the databases, 1,009 studies were obtained and then 16 articles were selected. The findings seem to suggest using equipment including: gloves, face shields (shield/goggles), protective clothes (medical jumpsuit/scrubs), surgical masks, N-95 masks, powered air purifying respirators (PAPR), hair covers, shoe covers and washing up the hands by the emergency medical service (EMS) personnel. Discussion. The scrutiny of the relevant studies showed that each of them advised the EMS personnel to use a number of PPE. The present study highlighted the fact that there are other components of the PPE which can be useful to them. Conclusion. This study identified the most appropriate PPE needed for prehospital emergency personnel against COVID-19, and it is believed that planning for adequate access to this equipment and training on how to use them can significantly help to reduce the infection among the personnel.

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“…The results of the study illustrated that the United States, as a leading country in the eld of emergency medical services (EMS), is facing a serious problem and crisis. At present, treating coronavirus patients in the emergency centers are in accordance with the instructions of the CDC [3,22].…”

Section: Safetymentioning

confidence: 99%

Prevention, Control and Safety of Health Care Providers during COVID-19: A Review Study

Moslehi

Masoumi

Rostamian

et al. 2020

Preprint

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Background: Infection prevention, control, and health workers’ safety in the face of biological agents are among the vital issues in healthcare systems across the world. Considering the high prevalence of COVID-19 infection in the world and its high mortality rate, this epidemic can be tackled to some extent through infection control in the general population and promoting the safety of health centers. This study aims to scrutinize the literature in terms of measures adopted for infection control and safety of healthcare workers in health centers during COVID-19.Methods: We searched key words related to the study namely, “prevention and control”, “safety”, “coronavirus”, “COVID-19”, and “health personnel” in PubMed, Web of Science, ScienceDirect, Scopus databases, Google Scholar, and also in Persian data bases such as SID, Magiran, Irandoc, and Iran Medex using AND/OR functions. To select the documents, the titles of the retrieved studies were first evaluated for relevance; then, the abstracts and full texts of the papers with relevant titles were inspected. Results: Out of 136 retrieved studies, 10 were relevant and their data were analyzed. Four of the articles highlighted the importance of prevention, three enunciated the importance control and three of them related to care providers’ safety. The results showed that the COVID-19 epidemic has affected the healthcare providers’ health; however, it is possible to prevent a catastrophe through strategic planning, prevention and control measures. Conclusions: Considering the importance of the healthcare workers’ health, it is necessary to implement COVID-19 prevention and control management principles according to scientific evidence.

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Emergency Medical Services Resource Capacity and Competency Amid COVID-19 in the United States: Findings from a National Study

Cited by 3 publications

References 0 publications

Pre-hospital medical interventions delivered to COVID-19 patients by Emergency Medical Service: A cross-sectional study

Pre-hospital medical interventions delivered to COVID-19 patients by Emergency Medical Service: A cross-sectional study

Required personal protective equipment for prehospital healthcare provider in COVID-19 pandemic: A systematic review

Prevention, Control and Safety of Health Care Providers during COVID-19: A Review Study

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