Articles: emergency-medical-services.
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Sudden unexpected death is a traumatic event for surviving family and friends. When the survivors learn of their loss, they react with turmoil and disbelief. ⋯ To provide emergency staff with guidelines, we review the dynamics of grief and discuss intervention in the following six phases: contacting the survivors; arrival of the survivors; notification of death; the grief response; viewing the body; and the concluding process. We conclude with a discussion of intervention with children.
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Acta Chir Scand Suppl · Jan 1986
The ambulance helicopter is a prerequisite for centralised emergency care.
During the summer seasons of 1978-1983 (56 weeks), trial activity with a physician-manned ambulance helicopter was carried out in the County of Stockholm (population 1.5 million). The area includes an extensive archipelago. Within the region there are 11 large general hospitals, three of which are supplied with a helicopter pad. ⋯ By special training of emergency call operators, the number of unnecessary helicopter missions could be minimised (9% of all missions). To continuing specialisation and centralisation of emergency care with extended catchment areas, demands an advanced transport system. This trial has shown that through the use of a physician-manned ambulance helicopter the emergency care within the region can be centralised with retention of adequate turn-out times.
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Health Care Manage Rev · Jan 1986
Satisfaction with hospital emergency department as a function of patient triage.
For most people, waiting is inherently dissatisfying and emergency department patients are no exception. Most patients and people accompanying the patient find the treatment waiting time in emergency medical care facilities to be a source of great dissatisfaction. The dissatisfaction is compounded in many cases by the anxiety of all associated with the patient and the discomfort or pain the patient feels. ⋯ With the trend toward new forms of health care delivery systems such as "emergicenters" and the increase in the number of physicians per capita, the emergency department will no longer be the most attractive or the only alternative available to the patients who have a nonemergency medical need. For emergency departments to remain profitable, it will be more important than ever before to meet the needs and expectations of their current and potential users. This can be accomplished by a program designed to reduce cost and waiting time and improve communication, and by other programs to educate the user so that the user's expectations more closely conform with what is actually needed or can be economically provided.
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Pediatric emergency care · Dec 1985
A pediatric emergencies training program for emergency medical services.
Accidents are the leading cause of death in children, accounting for more pediatric deaths than all other causes combined. Accidents also account for 21.7 million injuries to children that require medical care annually. ⋯ The course consists of 18 hours of lectures and skill stations focusing on medical emergencies, care of the injured child, the special needs of the infant, and the emotional response of the child and family in an emergency. Test evaluations before and after the course from the 190 participants demonstrate a significant improvement in their knowledge and skills in treating pediatric emergencies (P less than 0.001).