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| Author | : United States. Congress. House. Committee on the District of Columbia. Subcommittee on Fiscal Affairs and Health |
| Publisher | : |
| Total Pages | : 246 |
| Release | : 1988 |
| Genre | : Ambulance service |
| ISBN | : |
| Author | : United States. Congress. House. Committee on the District of Columbia. Subcommittee on Fiscal Affairs and Health |
| Publisher | : |
| Total Pages | : 228 |
| Release | : 1988 |
| Genre | : Ambulance service |
| ISBN | : |
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 0 |
| Release | : 2012-08-26 |
| Genre | : Medical |
| ISBN | : 9780309253468 |
Catastrophic disasters occurring in 2011 in the United States and worldwide-from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand-have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.
| Author | : Laurie Farnham |
| Publisher | : |
| Total Pages | : 80 |
| Release | : 1974 |
| Genre | : Emergency medical services |
| ISBN | : |
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 291 |
| Release | : 2015-09-29 |
| Genre | : Medical |
| ISBN | : 030937202X |
Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.
| Author | : Matt Zavadsky |
| Publisher | : |
| Total Pages | : 19 |
| Release | : 2015 |
| Genre | : |
| ISBN | : |
The Area Metropolitan Ambulance Authority (more commonly known as MedStar), an emergency medical service provider serving the Fort Worth, TX, area, uses mobile health care paramedics to provide in-home and telephone-based support to patients who frequently call 911 and to other patient populations who are at risk for potentially preventable admissions or readmissions. Working as part of MedStar?s Mobile Integrated Healthcare Practice, these paramedics conduct an in depth medical assessment, develop a customized care plan based on that assessment, and periodically visit or telephone the patient and family to support them in following the plan. Support generally continues until they can manage on their own. Four additional similar programs serve individuals with congestive heart failure, patients who can be managed transitionally at home versus an overnight observational admission in the hospital, in-home hospice patients who are at risk for hospice revocation, and as a support for home health agencies to prevent unnecessary visits to the emergency department. These programs have significantly reduced the number of 911 calls, the number of potentially preventable emergency department visits and hospital admissions, the number of overnight observational admissions, and the number of hospice revocations, leading to declines in emergency medical services and emergency department charges and costs, and freeing up capacity in area emergency departments.
| Author | : MedStar Mobile Healthcare |
| Publisher | : Jones & Bartlett Publishers |
| Total Pages | : 164 |
| Release | : 2016 |
| Genre | : Medical |
| ISBN | : 1449690165 |
The healthcare landscape in the United States is evolving rapidly but has largely ignored EMS, until recently. As the country focuses on cost containment and more appropriate methods to deliver services as a result of healthcare reform, EMS will need to undergo dramatic change to fill a new role in the healthcare system. The current traditional delivery method for EMS is financially unsustainable and will soon not be a viable option for care. EMS has a choice to make--adapt to the new environment or be left behind. A viable alternative to the current structure of EMS is Mobile Integrated Healthcare (MIH)--community-based health management that is fully integrated with the overall health system. Various programs like this have appeared across the United States, but a definitive resource that describes how to successfully implement such a program has not been available. Mobile Integrated Healthcare: Approach to Implementation fills this void by serving as a reference not only to the EMS community, but also to other medical professionals working toward implementation of a successful MIH program. Mobile Integrated Healthcare: Approach to Implementation provides a step-by-step approach for the identification of community needs, forming the appropriate partnerships, selection of staff, acquiring resources, patient identification, and overcoming hurdles to a successful program. Examples from successful programs across the country are included. The author team of Mobile Integrated Healthcare: Approach to Implementation has developed and implemented a functioning, successful program. Their experiences with community partners and other healthcare specialists provide a broad-based view of the future of EMS in the healthcare industry. Mobile Integrated Healthcare: Approach to Implementation is written by leaders in the field of EMS who are committed to guiding the successful evolution of EMS. Their approach to integration should be considered by EMS management, hospital-based social workers, and community partners such as county health authorities, homeless coalitions, and psychiatric services. The type of care EMS providers give needs to evolve with the changing landscape of healthcare. This text describes how healthcare professionals and community partners can work together to facilitate that change and define a successful MIH program.
| Author | : Carole Cooper |
| Publisher | : |
| Total Pages | : 246 |
| Release | : 1968 |
| Genre | : Ambulance service |
| ISBN | : |
| Author | : Penton Overseas, Inc. Staff |
| Publisher | : Penton Kids |
| Total Pages | : 0 |
| Release | : 2003-03 |
| Genre | : Board books |
| ISBN | : 9781591252740 |
It's Time to Call 911 offers parents a children's book about emergencies, and how to deal with them.
| Author | : Jeffrey A. Covitz |
| Publisher | : |
| Total Pages | : 153 |
| Release | : 2018 |
| Genre | : |
| ISBN | : |
Thirty-three local emergency medical services (EMS) authority agencies serve the 58 counties in California. A local EMS authority (LEMSA) in California governs either EMS providers in a single county or several counties combined. Each LEMSA dictates widely different treatment and transport protocols for its paramedics. Preliminary data for this thesis substantiate previously published literature, which shows broad disparities in prehospital care and patient outcomes among LEMSA jurisdictions in California. Although previous research has established the problem of geographic EMS disparities, nothing definitively explains their cause. This thesis contends that the decentralized LEMSA system is the chief culprit for EMS disparities in California, based on an analysis of the available California EMS performance-measure data. Regression analysis does not identify a single factor to explain the problem; the only constant across all LEMSAs in California is that their treatment protocols and training standards to maintain local accreditation vary widely. Unfortunately, the striking lack of performance-measure data--a data desert--for EMS throughout the United States limits the scope of research seeking to explain the inconsistency in EMS care.
