Is Emergency Medical Services (EMS) in Islamic Republic of Iran Practical and Efficient in Facing Ebola?

Jadidi, Ali; Irannejad, Behrooz; Bahrami, Paria; Moradi, Yaser; Tarzam, Mohammadreza Zaker

doi:10.29252/beat-0703016

Cited by 9 publications

(13 citation statements)

References 16 publications

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“…Several studies described the condition of the EMS in different places around the world during certain disasters. Much research has discussed the performance and role of the EMS during health emergencies such as the Ebola virus in Iran (Jadidi et al , 2019), and the Middle East Respiratory Syndrome (MERS) in South Korea (Lee et al , 2019) and Taiwan (Chow-In Ko et al , 2004). These studies are relevant to the current study objectives which describe the EMS during the COVID-19 pandemic in terms of response time.…”

Section: Literature Reviewmentioning

confidence: 99%

Determining response time factors of emergency medical services during the COVID-19 pandemic

Mulyono

Pambudi

Ahmad

et al. 2021

IJES

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PurposeThe lack of studies about the response time of emergency medical service during the coronavirus disease 2019 (COVID-19) pandemic in a dense city of a developing country has triggered this study to explore the factors contributing to a high response time of ambulance service to reach patients in need. An evaluation of contributing factors to the response time is necessary to guide decision-makers in keeping a high service level of emergency medical service.Design/methodology/approachThis research employed an agent-based modeling approach with input parameters from interviews with emergency medical service staff in Bandung city, Indonesia. The agent-based model is established to evaluate the relevant contribution of the factors to response time reduction using several scenarios.FindingsAccording to agent-based simulation, four factors contribute to the response time: the process of preparing crew and ambulance during the pandemic, coverage area, traffic density and crew responsiveness. Among these factors, the preparation process during the pandemic and coverage area significantly contributed to the response time, while the traffic density and crew responsiveness were less significant. The preparation process is closely related to the safety procedure in handling patients during the COVID-19 pandemic and normal time. The recommended coverage area for maintaining a low response time is 5 km, equivalent to six local subdistricts.Research limitations/implicationsThis study has explored the factors contributing to emergency medical response time. The insignificant contribution of the traffic density showed that citizens, in general, have high awareness and compliance to traffic priority regulation, so crew responsiveness in handling ambulances is an irrelevant factor. This study might have different contributing factors for less dense population areas and focuses on public emergency medical services provided by the local government.Practical implicationsThe local government must provide additional funding to cover additional investment for ambulance, crew and administration for the new emergency service deployment point. Exercising an efficient process in ambulance and crew preparation is mandatory for each emergency deployment point.Originality/valueThis study evaluates the contributing factors of emergency medical response time in the pandemic and normal situation by qualitative analysis and agent-based simulation. The performance comparison in terms of medical response time before and after COVID-19 through agent-based simulation is valuable for decision-makers to reduce the impact of COVID-19.

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Section: Literature Reviewmentioning

confidence: 99%

Determining response time factors of emergency medical services during the COVID-19 pandemic

Mulyono

Pambudi

Ahmad

et al. 2021

IJES

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“…One of the main strategies to reduce the burden of injuries, especially caused by RTIs, is investing on and developing Prehospital Emergency Care (PEC) [7][8][9]. PEC ranged from a patient's bedside in the community to a hospital emergency [10].…”

Section: Introductionmentioning

confidence: 99%

Development of quality indicators to measure pre-hospital emergency medical services for road traffic injury

Azami-Aghdash

Moosavi

Gharaee

et al. 2021

BMC Health Serv Res

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Abstracts Background Pre-Hospital Emergency Care (PEC) is a fundamental property of prevention of Road Traffic Injuries (RTIs). Thus, this sector requires a system for evaluation and performance improvement. This study aimed to develop quality indicators to measure PEC for RTIs. Methods Following the related literature review, 14 experts were interviewed through semi-structured interviews to identify Quality Measurement Indicators (QMIs). The extracted indicators were then categorized into three domains: structure, performance, and management. Finally, the identified QMIs were confirmed through two rounds of the Delphi technique. Results Using literature review 11 structural, 13 performance, and four managerial indicators (A total of 28 indicators) were identified. Also, four structural, four performance, and three managerial indicators (A total of 11indicators) were extracted from interviews with experts. Two indicators were excluded after two rounds of Delphi’s technics. Finally, 14 structural, 16 performance and, seven managerial indicators (A total of 37indicators) were finalized. Conclusion Due to the importance and high proportion of RTIs compared to other types of injuries, this study set out to design and evaluate the QMIs of PEC delivered for RTIs. The findings of this research contribute to measuring and planning aimed at improving the performance of PEC.

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“…These actions are based on the instructions of infectious diseases care system. This system is based on symptoms or syndromic care announced by the Ministry of Health and Medical Education and has a very effective and critical role [8].…”

Section: Introductionmentioning

confidence: 99%

“…They found that the average score obtained in the study against Ebola was higher than the standards and indicated that the system was relatively well prepared. Still, due to the increasing threats and variability of biological agents, the use and implementation of some measures to strengthen the operational readiness of prehospital emergency medical services against similar infectious and infectious diseases are inevitable [8].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Operational Readiness of Prehospital Emergency Department of Mazandaran University of Medical Sciences in Encountering COVID-19 Epidemic in 2020

Saravi

Tabari

Hoseini

et al. 2021

HDQ

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Background: The ability to respond to any emergency before happening is a potential issue that manifests as operational readiness. This study aimed to evaluate the preparedness of prehospital emergency services of Mazandaran University of Medical Sciences in response to the epidemic of COVID-19. Materials and Methods: This cross-sectional study was performed in April 2020 using a translated standard checklist of the Pan American World Health Organization (PAHO). The list consists of four components of call management (6 items), first responders (operational codes with 3 items), medical transportation (including primary and interhospital with 16 items), and emergency medical services administration (including medical guidelines, human resources, and education with 11 items). Results: There were 168 operational logistics facilities and 555 personnel to cover organizational missions. Except for two items that scored half a point, the rest of the measures received total points (35 out of a maximum of 36 points with 97% of the total points). According to the complete scores, operational readiness was at a good level. Conclusion: The preparedness of the Center for Disaster Management and Medical Emergencies at Mazandaran University of Medical Sciences in the face of the COVID-19 epidemic has been at a good level. However, because of the continuation of the epidemic, strengthening the supply chain and empowering personnel are essential to sustainable readiness.

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Is Emergency Medical Services (EMS) in Islamic Republic of Iran Practical and Efficient in Facing Ebola?

Cited by 9 publications

References 16 publications

Determining response time factors of emergency medical services during the COVID-19 pandemic

Determining response time factors of emergency medical services during the COVID-19 pandemic

Development of quality indicators to measure pre-hospital emergency medical services for road traffic injury

Evaluation of Operational Readiness of Prehospital Emergency Department of Mazandaran University of Medical Sciences in Encountering COVID-19 Epidemic in 2020

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