Introduction: Patients with life-threatening injuries are a significant concern in the emergency department (ED). These injured people require timely care, as their lives depend on it, and a longer ...wait can result in organ failure, irreversible damage, and poor survival outcomes.
The purpose of this research is the evaluation, epidemiology, management, diagnosis, treatment, systematization, and the results obtained for the injured in life-threatening cases with trauma, reducing morbidity, disability, and mortality while increasing survival.
Material and Methods. In this retrospective study, we researched and analyzed the data of patients with critical traumatic injuries in DE treated from January-December 2021
Results. During the study period, we analyzed 75,899 ED patients. Of these, 627 cases, or 0.83%, were severely injured and traumatically admitted as a life-threatening traumatic medical emergency in the resuscitation room. Attacked age were males 507 cases or 80.87% and females 120 cases 19.13% and over 16 were 46 cases or 6.67%. The main problem in the admission of the sick was the injured with disorders of consciousness, shock, cardiac, and respiratory failure, as well as issues at the systemic level.
Conclusion. During the study period, we analyzed 75,899 ED patients. Of these, 627 cases, or 0.83%, were severely injured and traumatically admitted as a life-threatening traumatic medical emergency in the resuscitation room. Attacked age were males 507 cases or 80.87% and females 120 cases 19.13% and over 16 were 46 cases or 6.67%. The main problem in the admission of the sick was the injured with disorders of consciousness, shock, cardiac, and respiratory failure, as well as issues at the systemic level.
Also, these critically injured require structured and well-organized care in the DE in the resuscitation room, with educated medical staff, nurses, and support staff trained with the mandatory BLS, BTLS, PHTLS, and ATLS courses, implementing and developing the algorithms standardized for structured care of the critically injured.
Keywords: DE, traumatic, life-threatening medical emergency, CPR. monitoring, management,
With the advancements of the Unmanned Aerial Vehicles (UAV) technology for use in different environments, it can be easily substituted for traditional transportation in event of emergencies. In the ...medical domain, UAV can play a vital role in the fast and efficient delivery of first aid and medical supplies. In the current study, safe and smooth UAV navigation from the initial position to the medical emergency location was achieved with optimal path planning through a proposed algorithm. On the notification of patient about his health condition using GSM band, doctor drone was sent from the nearest hospital facility. To avoid traffic congestion the doctor drone provides medical assistance with minimum computational time and transportation cost. The vehicle routing was carried out through proposed algorithms i.e., capacitated Vehicle Routing Problem (CVRP), Particle Swarm Optimization (PSO), Ant Colony Optimization (ACO) and Genetic Algorithm (GA). The comparison between the algorithms was carried out at different vehicle capacities and numbers. The CVRP was found to outperform other algorithms with a runtime of 0.06 sec and cost of 419 at vehicle capacity 10, which is 50% less having the same number of the vehicles but increasing the capacities to 20. The results indicate that the effective path planning method could be applied to provide medical aid in real-time with efficacy.
On-board medical emergencies are increasing. Different geographies have different legislation and requirements for medical emergency kits and first aid kits. A comprehensive review to compare the ...contents of both kits was conducted, including the International Air Transport Association, European Union Aviation Safety Agency, and Federal Aviation Administration, as well as some from other geographical areas of the globe to cover continents and regions with the highest air traffic, such as Brazil, Kenya, Australia, and Taiwan.
On June 10, 2023, a search was conducted using standardized medical terms (medical subject headings) within the PubMed
database. The relevant terms identified were "Aircraft" and "Medical Emergencies"; articles published within the last 10 yr were filtered. Subsequently, even articles published before 2013 were consulted if cited by the initial ones. The main regulatory entities' documentation was found using the Google search engine and consulted.
It is impossible to be prepared for every emergency on board. Still, as doctors, we have a moral and ethical obligation to try to improve the outcomes of those emergencies. Getting a standardized report of every on-board emergency is crucial. That would make optimizing the items to include in the emergency and first aid kits easier. There are many similarities among the compared entities, but essential differences have been found. There is room for improvement, especially for pediatric travelers.
This article aims to explain the process of social worker interventions in emergency response situations in Iran. Content analysis techniques were used to analyze the experiences of hospital social ...workers (n = 40). The nominal group technique was used to design and compile the process (n = 10). Focus group discussion and the AGREE guidance critique technique were conducted in the presence of experts. In this study, the process of providing specialized interventions of hospital social workers in crisis situations, the challenges, and professional roles were identified. The principles and basis of work in crisis situations are similar, but at the same time, each one needs special consideration.
Abstract Introduction Early warning scores (EWS) are recommended as part of the early recognition and response to patient deterioration. The Royal College of Physicians recommends the use of a ...National Early Warning Score (NEWS) for the routine clinical assessment of all adult patients. Methods We tested the ability of NEWS to discriminate patients at risk of cardiac arrest, unanticipated intensive care unit (ICU) admission or death within 24 h of a NEWS value and compared its performance to that of 33 other EWSs currently in use, using the area under the receiver-operating characteristic (AUROC) curve and a large vital signs database ( n = 198,755 observation sets) collected from 35,585 consecutive, completed acute medical admissions. Results The AUROCs (95% CI) for NEWS for cardiac arrest, unanticipated ICU admission, death, and any of the outcomes, all within 24 h, were 0.722 (0.685–0.759), 0.857 (0.847–0.868), 0.894 (0.887–0.902), and 0.873 (0.866–0.879), respectively. Similarly, the ranges of AUROCs (95% CI) for the other 33 EWSs were 0.611 (0.568–0.654) to 0.710 (0.675–0.745) (cardiac arrest); 0.570 (0.553–0.568) to 0.827 (0.814–0.840) (unanticipated ICU admission); 0.813 (0.802–0.824) to 0.858 (0.849–0.867) (death); and 0.736 (0.727–0.745) to 0.834 (0.826–0.842) (any outcome). Conclusions NEWS has a greater ability to discriminate patients at risk of the combined outcome of cardiac arrest, unanticipated ICU admission or death within 24 h of a NEWS value than 33 other EWSs.
Rapid response systems Lyons, Patrick G.; Edelson, Dana P.; Churpek, Matthew M.
Resuscitation,
07/2018, Volume:
128
Journal Article
Peer reviewed
Open access
Rapid response systems are commonly employed by hospitals to identify and respond to deteriorating patients outside of the intensive care unit. Controversy exists about the benefits of rapid response ...systems.
We aimed to review the current state of the rapid response literature, including evolving aspects of afferent (risk detection) and efferent (intervention) arms, outcome measurement, process improvement, and implementation.
Articles written in English and published in PubMed.
Rapid response systems are heterogeneous, with important differences among afferent and efferent arms. Clinically meaningful outcomes may include unexpected mortality, in-hospital cardiac arrest, length of stay, cost, and processes of care at end of life. Both positive and negative interventional studies have been published, although the two largest randomized trials involving rapid response systems – the Medical Early Response and Intervention Trial (MERIT) and the Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized Pediatric Patients (EPOCH) trial – did not find a mortality benefit with these systems, albeit with important limitations. Advances in monitoring technologies, risk assessment strategies, and behavioral ergonomics may offer opportunities for improvement.
Rapid responses may improve some meaningful outcomes, although these findings remain controversial. These systems may also improve care for patients at the end of life. Rapid response systems are expected to continue evolving with novel developments in monitoring technologies, risk prediction informatics, and work in human factors.
A BSTRACT Background and Objectives: Acute poisoning is one of the most common medical conditions which requires emergency management. This study was aimed to generate the clinico-epidemiological ...profile of acute poisoned patients admitted to the emergency department in a tertiary care hospital. Methods: A retrospective research study was conducted in between June 2018 and September 2019. All acute poisoned patients admitted in KH hospital Manipal were included in the study. Collected data were analyzed using descriptive and inferential statistics. The obtained results were stated as frequency, percentage, and Chi-square analysis. Results: Among 324 poisoned patients, 47.5% were organophosphate poisoning, with 48.9% belonging to the age group of 19–35 years. Apparently, 59.2% were male patients. The most common route of poisoning seen is 96.60% ingestion. Suicidal poisoning was noted in majority of the patients 92.90%. A large number of poisoned patients, 61.11%, were conscious while reporting to emergency department. The main reason for poisoning was marital disharmony 54.32%, and 14.5% patients were put on ventilator life support during treatment. Recovered and discharged from the hospital was seen in 76.54% of patients and death witnessed in 12.34% of poisoned patients. The patient outcome was found to be significantly associated with type of poisoning ( P < 0.001) and motive of poison consumption ( P < 0.001). Conclusion: This study has succeeded to contribute added evidence concerning the clinico-epidemiological profile and consequence of acute poisoning patients admitted in a tertiary care hospital. Increased treatment expenses and admission in intensive care make burden to the family.
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