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History of pre hospital care
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The Importance of Pre-Hospital Emergency Care Robert A. Gaylor Waldorf University The Importance of Pre-Hospital Emergency Care In today’s society, the population of the United States is greater than ever before and continues to increase daily. According to Worldometers, the population of the United States in 2010 was 309,876,170 and as of July 11, 2016 has increased to 324,118,787 (U.S. Population (LIVE). (n.d.). That’s a 4.6% increase in approximately five and one half years. If this rate of increase continues, in ten years the population of the Untied States will be approximately 353,937,715. There are a vast number of people, both young and old, who suffer from stroke, heart attacks, and trauma on a daily basis. Throughout the course of …show more content…
This care can include rendering aid for a variety of medical conditions such as stroke, heart attack, and trauma. As we have identified previously, pre-hospital emergency care has been around for a really long time. However, it wasn’t until the mid 1960’s that the importance of, and the need to improve pre-hospital care really began to take shape. Pre-hospital care is important to our society because it gives a greater chance of survival to someone who is experiencing one of the previously mentioned conditions. For example, if someone has suffered a stroke, there is a narrow time frame that person has for the the clot busting medication to be administered in order to dissolve the clots which are causing the stroke. With prompt pre-hospital emergency care and rapid transport, the patient’s chance of survivability is greatly improved. Trauma is another area in which pre-hospital emergency care plays a critical role in survivability. According to the National Trauma Institute, “trauma injury accounts for 30% of all life years lost in the U.S.” (National Trauma Institute. (n.d.). Retrieved July 15, 2016,
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
Nobody is perfect. We all make mistakes. Some of the best lessons in life are learned from making a mistake. But in the healthcare world making mistakes means losing lives. This has started to happen so frequently there has been a term coined – Failure to Rescue or FTR. Failure to rescue is a situation in which a patient was starting to deteriorate and it wasn’t noticed or it wasn’t properly addressed and the patient dies. The idea is that doctors or nurses could’ve had the opportunity to save the life of the patient but because of a variety of reasons, didn’t. This paper discusses the concept of FTR, describes ways to prevent it from happening; especially in relation to strokes or cerebrovascular accidents, and discusses the nursing implications involved in all of these factors.
The data from World Health Organization (WHO) on the leading causes of death worldwide and the global burden of diseases shows that, traumatic injuries are the major cause of mortality, morbidity and disability among children (0 – 14 years) - being responsible for more deaths than the combination of other diseases1. It is against this backdrop that pre-hospital care during emergencies becomes very important in the management of the injured children as it is for adults. In most circumstances, earliest responder who could be a medical doctor, paramedic, or even layman are the first to provide the much needed life saving (basic or advance), vital medical care all with the aim of optimizing the victim’s physiological status prior to arriving nearest medical facility2, 3. Indeed, several evidences suggested that these first life-saving supports have effect on the morbidity and mortality of the injured patient2-4. But, recent researches have also shown that interventions like invasive airway management, IV access and fluid administration are associated with higher rate of complication and failure among paediatric patients, while the few that turned out to be successful were provided by specially trained and experienced personnel3. This is due to the difference in size and overall anatomy of children compared with adult, thus many of these procedures turn out to be difficult or results in complication when performed...
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.
“Summary Report for: 29-2041.00 - Emergency Medical Technicians and Paramedic.” O*Net. 2008. Web. 18 Feb. 2010.
When you suffer an injury, you may immediately think that going to the emergency room is the best option. However, this may not always be the case because going to the emergency room can involve you waiting many hours before being treated. Luckily, there are urgent care centers that are capable of addressing many of the more routine emergencies that people may experience. In particular, the following two problems can often be addressed by these facilities.
Emergency departments of hospitals are fundamental in the treatment of time sensitive conditions such as acute stroke (Trzeciak & Rivers, 2003). A stroke occurs when there is an interruption of blood flow to brain tissue, and therefore is a condition that relies on apt and adequate access to healthcare (Panagos, 2006). Patients who have experienced a stroke will most often present to emergency departments in order to receive treatment (Kothari et al, 1998). However it has been found by Chan et al (2010) that approximately 48% of American hospitals are operating over capacity and therefore not providing satisfactory healthcare. Overcrowding can be defined as the overabundance of patients requiring treatment and may be attributable to the misuse of the emergency area by non-critical patients (Chan et al, 2010; Trzeciak & Rivers, 2003). This has the potential to negatively affect outcomes for stroke patients. The aim of this essay is to investigate factors such as patient knowledge, wait times and patient safety in order to examine the effects of overcrowding of emergency departments on stroke patients.
Emergency care has always been an important part of history all over the world. It has been said that medical assistance has been around and prevalent since as far back as 1500 B.C. Around the 1700’s is when EMS systems first began to experience large advancements, and ever since then, the field continues to grow and improve every year.
Robson, W., & Newell, J. (2007, April). Severe sepsis: Do emergency departments offer patients optimal care? Emergency Nurse, Vol. 15(1), pp. 30-33.
Pre hospital care and clinical practice in civilian life is not a new idea, in fact it is has been around in one form or another for roughly 200 years. Its foundations lie in the military. During the Napoleonic wars with a French surgeon named Dominique-Jean Larrey. (1) Pre hospital care has come a long way from hauling fallen soldiers off the battlefield in a horse drawn carriage (1) to transporting patients in a different kind of carriage, a four wheel drive one to be precise. Pre hospital care and clinical practice owes many of its advancements in the 200 years since it has existed to the military. Their practices or research conducted during military conflicts has influenced civilian pre hospital care and clinical practice in the areas of triage systems, transport systems, clinical management, equipment and education to name but a few, but where it has had the most influence has been on the transport systems and clinical practices used. Their uses in the military pre hospital care world have worked particularly well in the civilian world. As a result of such they have been adapted by civilian paramedics quite readily.
Hospitals, long term care facilities, and mental health all serve as healthcare arenas serving the population in various ways. The hospital provides the most critical type of care, for the seriously ill. Hospitals originally served the poor and ill, but over time with the progression of technology and medical service specialties, they have grown to become healthcare meccas with many outlets. Over the past 30 years the degree of rigor of clinical practice and the scope of scientific knowledge has escalated greatly, and the hospital has become a center of high standards, scientific applications, and advanced technological capability (Williams & Torrens, 2008). The increasing shift of services to an ambulatory care arena facilitated by technological advancement itself has left the hospital with an evermore complex base of patient care, higher acuity, and higher costs (Williams & Torrens, 2008). Markets have changed, pricing pressures have increased, and consumer and payer expectations have evolved for hospitals, changes are constant in the medical arena, and hospitals are no exception.
In general, attentive medical care is what separates us from the inadequate methods of the past. A while ago in Australia, a woman had gone on her daily swim out to sea, and, unfortunately on her return, was stricken by a jellyfish. The effects of the sting were almost immediate and took a toll on her hasty retreat. On her arrival to shore, she was barely breathing. However, with the assistance of passers-by and a speedy ambulance, the woman is alive and healthy today.
Within all hospitals heart attack patients come first, they are the most important patient. With the well-organized hospital, the nurses and
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.
Millions of people go to the hospital each day whether it’s an emergency or an appointment. One day I found myself in this very situation. I didn’t think it was necessary until I got to the hospital.