Emergency Medical Services are a system of emergency services committed to delivering emergency and immediate medical care outside of a hospital, transportation to definitive care, in attempt to establish a efficient system by which individuals do not try to transport themselves or administer non-professional medical care. The primary goal of most Emergency Medical Services is to offer treatment to those in demand of urgent medical care, with the objective of adequately treating the current conditions, or organizing for a prompt transportation of the person to a hospital or place of greater care.
Philosophically the term emergency medical service has developed to represent a transition from a simplistic system of vehicles delivering only transportation, to a system by which certified medical care is provided on scene and during transport. However in some less developed regions, emergency vehicles are still fundamentally a means of transportation to the medical facility that will provide care.
Commonly throughout most countries of the world, citizens of the society at large establish the system for Emergency Medical Services. In the case that the public is not willing or capable of summoning such a service, the country often finds other emergency services, businesses, or the government and authorities who act to employ a system. In other parts of the world, the emergency medical service additionally takes on the role of transporting patients from one medical facility to an alternative one. This occurs with some frequency because once a patient is analyzed and provided care at the immediate hospital; it may be more appropriate for a variety of reasons the patient needs to move to another facility. As one can see, the relat...
... middle of paper ...
... the same model of Emergency Medical Service, they have responded to the health related issue of gunshot injuries in very similar ways. They each follow the methods as described earlier in order to handle trauma situations such as severe gunshot wounds. The difference lies however in each doctors assessment of the harmed individual. It is up to the doctor of physician’s discretion to decide the type of medical treatment on the scene and when the person is stable or ready to for transport. There is no direct evidence that shows each country’s doctors have been trained differently to assess these types of situations, so it is difficult to determine if one country is more successful than the other in there Emergency Medical Services system. It is more likely that each country has a similar success rate as they are employing a fundamentally similar system of care.
The challenges that all acute care hospitals and facilities faces are the demand for highly specialized services has increased. The US population is constantly aging and the elderly tend to need more acute care services. Because many people lack health insurance, they tend to use emergency rooms in the hospitals as their source of care. The increase demand in acute care prompted hospitals to expand their facility
EMTALA stands for the Emergency Medical Treatment and Active Labor Act. Congress passed the legislation in 1986, making it a federal law. EMTALA states that anyone showing up into the Emergency Department of a Medicare payment receiving hospital, seeking medical attention, must be seen regardless of the individual’s ability to pay. Although, the law is directed towards Medicare accepting hospitals it addresses any and all people wanting medical attention. Relatively all hospitals in the United States participate in and receive monies from Medicare. That is relatively all hospitals in the U.S. are governed by the EMTALA legislation. The wording of “anyone” coming into an Emergency Department is EMTALA’s attempt to cover every person in the U.S. experiencing a medical crisis.
Because of the lack of organization with the health care providers in Canada, the wait times are too long and can cause serious complications to any condition the patient went in for in the first place. This situation of how the health care system can resolve wait times was brought to the government but they continue to ignore the proposals brought to them. It is possible to resolve the problems of wait times without extreme change and expenses in the health care system. The solution is to be found in the reorganization of the health care providers. Lack of assistance in the emergency room can make ones illness to become worse, therefore, causes the patient to be forced to wait in emergency rooms for an extended period of time and when they are finally seen by a health care provider, the outcome is very poor due to lack of registered staff, physicians and proper assessment(Goldman & Macpherson, 2005, p.40). The objective of this paper is to discuss and critically analyze the conditions of emergency waiting rooms. The specific issue this paper intends to explore is extensive and prolonged waiting times for patients accessing health care, patients who need urgent treatment and the vulnerability of elderly patients and children. With an in-depth critique of the barriers to health care and shortcomings of emergency rooms, strategies will be provided to enhance a health care system that makes it more accessible and efficient.
Everyday there are hundreds of ambulances, fire engines and police cars being called to the scene of emergencies. I’m sure you hear the roar of their sirens, but you don’t think twice about them and are able to tune them out. The only time most people even think about the sirens is if they are forced to wait at a light or move over to the right shoulder and let them pass. When you look back and think about those sirens, where do you suppose they are going? Most people probably think that they are going to a car accident with entrapment, or a person with crushing chest pain to try and intervene and get them to the hospital.
Wake County EMS responds to almost 90,000 requests for service annually and serves almost 1 million people, which places the WCEMS system in the top fifty EMS systems in the country based on call volume and size of population served. ("Wake county department," 2012) In response to ever-increasing call volume, a decrease in primary care, and the universal changes in healthcare, which have resulted in more people using EMS and the local emergency room for primary care and non-life threatening events, the EMS Department elected to change their service structure. The department would move away from the traditional EMS mantra of “you call we haul” and having a system being designed around reactive responses to healthcare issues in the community to an evidenced based incident prevention structure. No longer, would it be considered prudent or correct to just continue to add transport resources to address the increasing call volume and continue to place the actual burden of care on the local hospitals, it would become the burden of the EMS system to provide alternatives to properly address the actual healthcare needs of those who called 911. Wake County EMS had already utilized evidenced based ...
Growing up, I was never really sure what career would fit best for me. I didn’t know which direction I was going to take and I always ended up pushing it aside because truly, it scared me. Coming into high school, I ended up with multiple injuries – I sprained my left ankle twice and my right ankle once; I also ended up spraining my elbow. This all happened through cheerleading and lacrosse. I was continually going to the hospital and started to realize what my passion was – being in the medical field. My passion for being in the medical field grew even more when my brother married his girlfriend, Yuko. She happened to be a nurse, as well as my other brother who worked as a physical therapist. Though I didn’t know what field I necessarily wanted to go into, and I still am a little conflicted, I knew my heart was in the medical field. One that I’ve specifically looked into recently has been emergency room nurses.
Ambulances, started to affect today’s modern health care after the Civil war. Ambulances are specially equipped motor vehicles. Ambulances carry sick, or injured people from the spot of their accident, to the closest hospital. Ambulances are part of the emergency medical services, EMS, which also includes helicopters, airplanes, and boats. Ambulances typically have room for one or more people. Ambulances can also hold many medical personnel and medical supplies.
The film, The Waiting Room, paints a clear picture of the variety of obstacles that commonly occur in the emergency department. The majority of patients are uninsured, are using the hospital as their primary care physician, long wait times and communication challenges. This paper will outline challenges displayed in the documentary paired with different ideas working to create a more effective health care experience.
The emergency department (ED) is an essential component of the health care system, and its potential impact continues to grow as more individuals seek care and are admitted to the hospital through the ED. Invasive procedures such as central lines are placed with increased frequency
In 2005, Congress reauthorized the legislation for the NHTSA. Under the Safe, Accountable, Flexible, Efficient Transportation Equality Act: A Legacy for Users or SAFETEA-LU, Congress then created the Federal Interagency Committee on Emergency Medical Services. The EMS system today is still a serious career that is competitive to get into. Medical Assistance is integrated into Law Enforcement, Fire Fighters, and anyone in public safety because it’s an honorable career and works to improve the safety of the community in which we live in.
...inding the suited vehicle which is the closest to the emergency. The vehicle number will be logged and informed of the emergency. Along with the patient information and incident to expect sent to the vehicle, the GPS will provide directions from the current location to the patient and quickest path back to the hospital. The GPS will give the hospital personnel an idea of how long it will take the vehicle to get to the hospital and have equipment, room, and personnel ready to help the patient. By taking the quickest path, along with medical personnel being ready for receiving the patient, could mean the difference of life and death depending on the incident.
medical care, those trained in first aid are able to assess the nature and the extent of an
Emergency is defined as a serious situation that arises suddenly and threatens the life or welfare of a person or group of people. An emergency department (ED) or also known as emergency room (ER) is a department of a hospital concentrating in emergency medicine and is accountable for the delivery of medical and surgical care to patients arriving at the hospital needing an immediate care. Usually patients will arrive without prior appointment, either on their own or by an ambulance.
The roles of emergency services consist on the medical team who is responsible for scene assessment of personnel and equipment requirements, coordinating information to and from hospitals, oversee treatment from medical and nursing personnel, the ambulance crew will do the triage, patient transfer from the scene, and health service communication. The fire services are responsible for eliminating the fire and rescue trapped casualties using specialist equipment, the police team will control the traffic to aid evacuation, identify and move the dead, maintain law and
First Aid is the initial care for an illness or injury. First Aid is usually performed in emergency situations by a non-professional person. First Aid can be performed on animals although it is generally meant for the care of humans. Going back to the beginning of the practice of First Aid, it was first practiced by the religious knights in the Eleventh Century. Care was provided to the Pilgrims and Knights as well as training on how to care for common battle wounds. Aid came to a halt during the High Middle Ages and organizations were not seen again until 1859. A few years later, a few nations met in Geneva and formed what we know to be the Red Cross. The main purpose of the Red Cross was to give Aid to the sick and wounded soldiers during battle. In 1878, the formation of St. John Ambulance was put into effect. The ambulance was generally for aid to people in emergencies. Large railway centers, mining districts and police forces were the first to pair with ambulances. Also in 1878 the concept of teaching First Aid to civilians was announced. Surgeon-Major Peter Shepherd and Dr. Coleman performed the first First Aid class with a curriculum that they had formed. First Aid training began to grow in the UK with high risk activities.