Success Rate of Pre-hospital Emergency Medical Service Personnel in Implementing Pre Hospital Trauma Life Support Guidelines on Traffic Accident Victims

Gholipour, Changiz; Vahdati, Samad Shams; Notash, Mehdi; Miri, Seyed Hassan; Ghafouri, Rouzbeh Rajaei

doi:10.5505/1304.7361.2014.50103

Cited by 8 publications

(9 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Non-significant methods for Factors contributing to these figures concern the heavy traffic of vehicles on public roads those cities, which hinders the circulation of ambulances and is an impediment to achieving adequate response times as prescribed by the WHO. 2 In Brazil, there is no specific regulation that specifies limitations for response times in EMS [11][12][13]38 .…”

Section: ■ Resultsmentioning

confidence: 99%

“…Another indicator evaluated by the United Nations Development Programmer is the proportionality of health spending relative to the GDP and the life expectancy of the countries [38][39][40] . Evaluating this indicator, it was observed that there is no significant correlation between the GDP percentage allocated to health spending and the response time of the service under discussion ( Table 1).…”

Section: ■ Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Response time in the emergency services. Systematic review

et al. 2018

View full text Add to dashboard Cite

The growth of the urban population raises concern about municipal public managers in the sense of providing emergency medical services (EMS) that are aligned with the needs of prehospital emergency medical care demanded by the population. The literature review aims at presenting the response time of emergency medical services in several parts of the world and discussing some factors that interfere in the result of this indicator such as GDP (Gross Domestic Product) percentage spent on health and life expectancy of countries. The study will also show that in some of the consulted articles, authors suggest to EMS recommendations for decreasing the response time using simulations, heuristics and metaheuristics. Response time is a basic indicator of emergency medical services, in such a way that researchers use the descriptive statistics to evaluate this parameter. Europe and the USA outstand in the publication of studies that present this information. Some articles use stochastic and mathematical methods to suggest models that simulate scenarios of response time reduction and suggest such proposals to the local EMS. Countries in which the response time was identified have a high index of human development and life expectancy between 74.7 and 83.7 years.

show abstract

Section: ■ Resultsmentioning

confidence: 99%

Section: ■ Resultsmentioning

confidence: 99%

Response time in the emergency services. Systematic review

et al. 2018

View full text Add to dashboard Cite

show abstract

“…A study in Pakistan revealed 64% of ambulance staff interviewed were unfamiliar with AM and had limited awareness of AM in critical situations [34]. Another study found that despite 52% of patients in Iran requiring AM, just 20.8% were managed appropriately, defined by PHTLS guidelines [17]. Even when AM courses are implemented, knowledge retention without refresher training remains a concern.…”

Section: Discussionmentioning

confidence: 99%

“…In these settings, patients requiring AM rarely receive appropriate prehospital treatment or transport, adversely affecting outcomes [17]. Additionally, in LMICs, AM is more commonly taught via workshop or self‐directed means, compared to structured training courses in high‐income countries [18].…”

Section: Introductionmentioning

confidence: 99%

Prehospital Airway Management for Trauma Patients by First Responders in Six Sub‐Saharan African Countries and Five Other Low‐ and Middle‐Income Countries: A Scoping Review

et al. 2022

View full text Add to dashboard Cite

The global injury burden disproportionately affecting low-and middle-income countries (LMICs) is exacerbated by a lack of robust emergency medical services. Though airway management (AM) is an essential component of prehospital emergency care, the current standard of prehospital AM training and resources for first responders in LMICs is unknown. This scoping review includes articles published between January 2000 and June 2021, identified using PMC, MEDLINE, and SCOPUS databases, following PRISMA-ScR guidelines. Inclusion criteria spanned programs training formal or informal prehospital first responders. Included articles were assessed for quality using the Newcastle-Ottawa scale. Relevant characteristics were extracted by multiple authors to assess prehospital AM training. Of the initial 713 articles, 17 met inclusion criteria, representing 11 countries. Basic AM curricula were found in 11 studies and advanced AM curricula were found in nine studies. 35.3% (n = 6) of first responder programs provided no equipment to basic life support (BLS) AM training participants, reporting a median cost of $7.00USD per responder trained. Median frequency of prehospital AM intervention was reported in 31.0% (IQR: 6.0, 50.0) of patient encounters (advanced life support trainees: 12.1%, BLS trainees: 32.0%). In three studies, adverse event frequencies during intubation occurred with a median frequency of 22.

show abstract

“…9. Distance (or performance radius of existing RESs): According to the existing regulations (the organization regulation for the comprehensive coverage of pre-hospital emergency medical services), RESs should be established every 20 km or every 40 km at most [51][52][53]. In addition, the distance from existing stations should not be less than 15 km.…”

mentioning

confidence: 99%

Traffic Accident Spatial Simulation Modeling for Planning of Road Emergency Services

Naboureh

Feizizadeh

Naboureh

et al. 2019

IJGI

View full text Add to dashboard Cite

The appropriate locations of road emergency stations (RESs) can help to decrease the impact of traffic accidents that cause around 50 million injuries per year worldwide. In this research, the appropriateness of existing RESs in the Khuzestan province, Iran, was assessed using an integrated fuzzy analytical hierarchy process (FAHP) and geographic information system (GIS) approach. The data used in this research were collected from different sources, including the department of roads, the department of health, the statistics organization, forensics, police centers, the surveying and geological department, remotely-sensed and global positioning system (GPS) data of accident high crash zones. On the basis of previous studies and the requirements of the Ministry of Health and Medical Education, as well as the department of roads of Iran for the location of RESs, nine criteria and 19 sub-criteria were adopted, including population, safety, environmental indicators, compatible area in RES, incompatible area in RES, type of road, accident high crash zones, traffic level and performance radius. The FAHP yielded the criteria weights and the ideal locations for establishing RESs using GIS analysis and aggregation functions. The resulting map matched the known road accident and high crash zones very well. The results indicated that the current RES stations are not distributed appropriately along the major roads of the Khuzestan province, and a re-arrangement is suggested. The finding of the present study can help decision-makers and authorities to achieve sustainable road safety in the case study area.of medical services, such as pre-hospital medical and transportation, trauma care and assistance for people who in need of emergency care [7]. Definitions differ, but in most cases, the geographical availability and provision of services are introduced as main factors [8,9]. Choosing optimal locations for emergency stations can help to achieve these aims. The locations of road emergency stations (RESs) are one of the most critical factors that can play a role in the degree of damage caused by accidents. Proper distribution of RESs is key to being able to respond to accidents within a standard time [10]. Therefore, determining optimum locations for RESs is a vital issue that road administrators face [11].After cardiovascular diseases, road accidents are the main reason for death in Iran [12][13][14]. Iran has a very high rate of road accidents; it is twenty times greater than that of the world's average [15]. The number of fatalities per 100,000 people per year for Iran is 32.1 (Figure 1). According to a UNICEF report, every 19 min one person passes away on Iran's roads, and every 2 min somebody is informed that one of his/her family members has survived a crash accident but with severe injury that may cause lifetime disability [16]. Each year, road traffic accidents cause the death of almost 28,000 people and disable or injure 300,000 more in Iran [12]. Cost of traffic fatalities in Iran is estimated at $6 billion U.S. every y...

show abstract

Success Rate of Pre-hospital Emergency Medical Service Personnel in Implementing Pre Hospital Trauma Life Support Guidelines on Traffic Accident Victims

Cited by 8 publications

References 19 publications

Response time in the emergency services. Systematic review

Response time in the emergency services. Systematic review

Prehospital Airway Management for Trauma Patients by First Responders in Six Sub‐Saharan African Countries and Five Other Low‐ and Middle‐Income Countries: A Scoping Review

Traffic Accident Spatial Simulation Modeling for Planning of Road Emergency Services

Contact Info

Product

Resources

About