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Health 2015年第8期7卷 910-914页

作者： Neila Maaroufi Jalel Rzeigui Lotfi Ayari Zeineb Abid Mahassen Dhaouadi Hadda Saidi emergency service General Hospital of Jendouba Jendouba Tunisia emergency service General Hospital of Tabarka Tabarka Tunisia

The study assessed the relationship between exposure to stress and posttraumatic symptoms among nurses and physicians in a Jendouba general hospital. Hospital staff who were exposed to stress were assessed for posttraumatic stress disorder. High levels of stress symptoms were found in physicians and nurses. Logistic regression analysis showed that nurses had an increased risk for posttraumatic stress disorder factors characterized by negative behavior to patient, increased workload excessive ambiguity and role conflict and the lack of free. These findings showed that nurses suffered from more severe posttraumatic symptoms compared to physicians after exposure to prolonged stress. The gap between physicians and nurses warrants further study.

关键词： Stress Hospital Personnel Nursing Depressive Symptoms Workload

emergency service results of central venous catheters:Single center,1042 patients,10-year experience

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World Journal of Critical Care Medicine 2021年第4期10卷 120-131页

作者： Abuzer Coskun SakirÖmür Hıncal Sevki Hakan Eren emergency Medicine Clinic SBU Istanbul Bağcılar Training and Research HospitalIstanbul 34200Turkey Department of emergency Gaziantep University Medical FacultyGaziantep 27410Turkey

BACKGROUND Central venous catheterization is currently an important procedure in critical *** catheterization has important advantages in many clinical *** can also lead to different complications such as infection,hemorrhage,and *** is important to investigate critically ill patients undergoing *** To evaluate the characteristics,such as hospitalization,demographic characteristics,post-catheterization complications,and mortality relationships,of patients in whom a central venous catheter was placed in the emergency *** A total of 1042 patients over the age of 18 who presented to the emergency department between January 2005 and December 2015 were analyzed *** patients were divided into three groups,jugular,subclavian,and femoral,according to the area where the catheter was *** related to catheterization were determined as pneumothorax,guidewire problems,bleeding,catheter site infection,arterial intervention,and *** the treatment follow-up of the patients,three groups were formed as outpatient treatment,hospitalization,and *** The mean age of the patients was 60.99±19.85 years;423(40.6%)of them were *** time was 11.89±16.38 *** was a significant correlation between the inserted catheters with gender(P=0.009)and hospitalization time(P=0.040).Also,blood glucose,blood urea nitrogen,creatinine,and serum potassium values among the biochemical values of the patients who were catheterized were significant.A significant association was observed in the analysis of patients with complications that develop according to the catheter region(P=0.001)and the outcome stage(P=0.001).In receiver operating characteristic curve analysis of hospitalization time and mortality area under curve was 0.575,the 95%confidence interval was 0.496-0.653,the sensitivity was 71%,and the specificity was 89%(P=0.040).CONCLUSION Catheter location and length of stay ar

关键词： emergency service Central venous catheter Complications Infection Mortality

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Cost analysis and characteristics of the patients admitted to emergency service with poisoning

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Journal of Acute Disease 2018年第3期7卷 130-133页

作者： Kilicli Elif Kavalci Cemil Findik Meliha Muratoglu Murat Baskent University Faculty of Medicine Emergency DepartmentAnkaraTurkey

Objective: To investigate the cost analysis and hospitalization rates and modes of poisoning of patients who applied to Bakent University Ankara Hospital Adult emergency service. Methods: Poisoning Patients who applied to emergency service due to suicide attempt between 01.01.2011- 31.12.2014 were included in the study. Patients' age, gender, date of admission, definite diagnosis, the rate of hospitalization, and hospital costs were examined. A total of 646 patients were included in the study. 208 (32.2%) of the patients were male. The median age of the patients was 29 years. Results: The most causes of poisoning was drug intake. The median cost of the patients was 75.14 TL (IQR: 66.5). Conclusion: There was a positive correlation between age and cost (Pemergency dapartment with drug poisoning and female.

关键词： emergency Poisoning Cost

Association of post-traumatic stress disorder and work performance: A survey from an emergency medical service, Karachi, Pakistan

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World Journal of emergency Medicine 2017年第3期8卷 214-222页

作者： Salima Kerai Omrana Pasha Uzma Khan Muhammad Islam Nargis Asad Junaid Razzak Epidemiology and Biostatistics Community Health Sciences Department Aga Khan University Community Health Sciences Department Aga Khan University Psychiatry Department Aga Khan University emergency Medicine Department Johns Hopkins University School of Medicine

BACKGROUND: The purpose of the study was to explore the association between posttraumatic stress disorder(PTSD) and work performance of emergency medical services personnel in Karachi, ***: emergency medical service personnel were screened for potential PTSD using Impact of Event Scale-Revised(IES-R). Work performance was assessed on the basis of fi ve variables: number of late arrivals to work, number of days absent, number of days sick, adherence to protocol, and patient satisfaction over a period of 3 months. In order to model outcomes like the number of late arrivals to work, days absent and days late, negative binomial regression was applied, whereas logistic regression was applied for adherence to protocol and linear for patient satisfaction ***: Mean scores of PTSD were 24.0±12.2. No association was found between PTSD and work performance measures: number of late arrivals to work(RRadj 0.99; 0.98–1.00), days absent(RRadj 0.98; 0.96–0.99), days sick(RRadj 0.99; 0.98–1.00), adherence to protocol(ORadj 1.01; 0.99–1.04) and patient satisfaction(β 0.001%–0.03%) after adjusting for years of formal schooling, living status, coping mechanism, social support, working hours, years of experience and anxiety or ***: No statistically significant association was found between PTSD and work performance amongst EMS personnel in Karachi, Pakistan.

关键词： emergency medical service Karachi Pakistan Post-traumatic stress disorder Stress Work performance

Self-Reported Use of Personal Protective Equipment during the SARS-CoV-2 Pandemic in emergency Medical service Employees in Germany—A Survey

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Open Journal of Preventive Medicine 2021年第11期11卷 391-409页

作者： Theresa Berthold Jan-Thorsten Gräsner Janina Kosan Marcel Zill Leonie Hannappel Birgitt Alpers Jan Wnent Institute for emergency Medicine University Hospital Schleswig-Holstein Kiel Germany COVID-19 Expert Working Group Intensive Care Infectiology and Emergency Medicine (COVRIIN) Berlin Germany Department of Anesthesiology and Intensive Care Medicine University Hospital Schleswig-Holstein Kiel Germany Scientific Working Group emergency Medicine of the German Society of Anesthesiology and Intensive Care Medicine (DGAI) Nuremberg Germany School of Medicine University of Namibia Windhoek Namibia

Background: Multicentric prospective cohort investigation survey conducted between 1st of March and 1st of April 2021on SARS-CoV-2 occupational risk for German emergency Medical services (EMS) personnel. Study Objectives: Primary: The objective is to take stock of the use and availability of Personal Protective Equipment (PPE) in German EMS, both at managerial and employee level, during the SARS-CoV-2 pandemic. Secondary: Generate additional data on individual perceptions of risk of infection and occurrence of infections at respective places of service. Methods: Multicentric prospective cohort investigation survey conducted online at two levels of German EMS personnel—EMS managers and EMS employees, both medical and paramedical—with questions adapted slightly to fit the respective study population. Results: A total of 34 responses were received in the managerial group;a total of 2389 responses were received in the group of employees. Self-reported PPE adherence of EMS employees for confirmed SARS-CoV-2 positive patients: use of gloves (99.8%), FFP2 or FFP3 masks (99.8%), gowns or coveralls (99.1%), goggles (89.7%), face shields (24.0%), surgical masks (0.0%). Self-reported PPE adherence of EMS employees for suspected SARS-CoV-2 positive patients: gloves (98.8%), FFP2 or FFP3 masks (total: 99.4%), gowns or coveralls (total: 95.9%), goggles (85.6%), face shields (19.2%), surgical masks (0.2%). Conclusions: Findings included an overall improved self-reported adherence to PPE compared to studies that were conducted before the pandemic. Self-reported general adherence to PPE recommendations when attending to confirmed SARS-CoV-2 positive patients was good, with the exception of goggles. Self-reported adherence to PPE recommendations dropped when attending to suspected SARS-CoV-2 positive patients.

关键词： SARS-CoV-2 Personal Protective Equipment emergency Medical services

Creating a‘planning emergency levels of service’framework-a silver bullet,or something useful for target practice?

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Resilient Cities and Structures 2023年第2期2卷 1-12页

作者： R.Mowll J.Becker L.Wotherspoon C.Stewart D.Johnston D.Neely Wellington Lifelines Group New Zealand Joint Centre for Disaster Research Massey UniversityNew Zealand The University of Auckland New Zealand College of Heath Massey UniveristyNew Zealand School of Psychology Massey UniversityNew Zealand Wellington Region emergency Management Office New Zealand

‘Planning emergency Levels of service’(PELOS)are service delivery goals for infrastructure providers during and after an emergency *** goals could be delivered through the existing infrastructure(e.g.,pipes,lines,cables),or through other means(trucked water or the provision of generators).This paper describes how an operationalised framework of PELOS for the Wellington region,New Zealand was created,alongside the key *** undertook interviews and workshops with critical infrastructure entities to create the *** this process we found five themes that informed the context and development of the PELOS framework:interdependencies between critical infrastructure,the need to consider the vulnerabilities of some community members,emergency planning considerations,stakeholders’willingness to collaborate on this re-search/project and the flexibility/adaptability of the delivery of infrastructure services following a major *** themes are all explored in this *** research finds that the understanding of the hazardscape and potential outages from hazards is critical and that co-ordination between key stakeholders is essential to create such a *** paper may be used to inform the production of PELOS frameworks in other localities.

关键词： Infrastructure Resilience Recovery emergency management

Overview of the Shenzhen emergency Medical service Call Pattern

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World Journal of emergency Medicine 2012年第4期3卷 251-256页

作者： Shuk Man Lo Yi Min Yu Lap Yip Larry Lee Mi Ling Eliza Wong Sck Ying Chair Edward J Kalinowski Tak Shing Jimmy Chan Accident and emergency Department Alice Ho Miu Ling Nethersole Hospital Hong Kong China 120 Despatching Department 120 Despatching Department of Shenzhen Medical Emergency Center Shenzhen China The Nethersole School of Nursing Faculty of Medicine The Chinese University ofHong Kong Hong Kong China Department of emergencyMedical services Kapiolani Community College University of Hawaii USA

BACKGROUND：In Shenzhen, the emergency Medical service （EMS） system has been in service since 1997. This study aims to examine the operation of Shenzhen 120 EMS center and to identify the reasons of calling ***：In this retrospective quantitative descriptive study, the data from the Shenzhen 120 EMS registry in 2011 were ***：Shenzhen 120 EMS center is a communication command center. When the number of 120 are dialed, it is forwarded to the closest appropriate hospital for ambulance dispatch. In 2011, the Shenzhen 120 EMS center received 153 160 ambulance calls, with an average of 420 calls per day. Calling emergency services was mainly due to traffic accidents. Trauma and other acute diseases constituted a majority of ambulance transports. The adult patients aged 15-60 years are the principal users of EMS. There are no recognized ＇paramedic＇ doctors and nurses. The pre-hospital emergency service is under the operation of emergency departments of hospitals. Shenzhen at present does not have specialized pre-hospital training for doctors and nurses in posttrauma management. Moreover, specialized pre-hospital training, financial support, and public health education on proper use of EMS should be ***：The Shenzhen 120 EMS center has its own epidemiology characteristics. Traumatic injury and traffic accident are the main reasons for calling ambulance service. In-depth study emphasizing the distribution and characteristics of trauma patients is crucial to the future development of EMS.

关键词： emergency Medical service System Shenzhen Pre-hospital emergency care

The Polytraumatized in the emergency Hosting service and the service of Resuscitation Gabriel TouréMali

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Surgical Science 2018年第4期9卷 157-163页

作者： Diop Thierno Madane Magane Moustapha Issa Almeimoune Abdoulhamidou Dembélé AlajiSeidou Dabo Aminata Ouattara Kassoum Dembélé Bakary Tientigui Traoré Alhassane Togo Adegné Diango Mahamane Djibo Department Anesthesia-Intensive Care and emergency Gabriel Toure University Hospital Bamako Mali Anesthesia Department Ophthalmological Institute West African University Hospital Bamako Mali General Surgery Department Gabriel Toure University Hospital Bamako Mali

Summary: Polytrauma is the leading cause of death in the under-40 population. They are accompanied by major morbidity with severe sequelae. The polytraumatized is defined as a serious trauma with several bodily injuries, at least one of which is life-threatening in the very short term. The initial hospital care must not barely delay and directly affect the prognosis. In developing countries, the absence of pre-hospital medicine means that mortality is still very high, which leads us to initiate this work, which aims to study the epidemiological and clinical aspects of polytrauma in emergency and in resuscitation of Gabriel Toure University Hospital. Material and Methods: This was a retrospective study that took place over a period of ten (10) months from February to November 2016. We included all patients received for polytrauma emergency hosting service. The data were collected using a surveycard. Results: During our study period, we collected a total of 200 polytraumatized cases out of a total of 16,141 patients admitted to the emergency hosting service, a prevalence of 1.3%. The age group of 20 - 29 years was the most represented with average age of 32.39 years. The male sex was predominant with 65% with a sex ratio of 1.9. The students were the most represented with 24%. The trauma occurred at 22.5% between 8:00 and 12:00 am, the public road was the main place of the trauma with 57.5% of the cases. Two-wheeled vehicles were involved in the accident in 68.9% of cases. The delay between trauma and admission was minus 6 hours in 70.5% of cases, 15.5% had a Glasgow lessthan 8% and 44.5% PAS Conclusion: The polytrauma is clinical situation putting the patients vital prognosis at stake. The haemorrhage is the origin of the student mortality. The installation of rigorous diagnostic system and a pre-hospital medicine will reduce the morbi-mortality.

关键词： Polytraumatized emergency Resuscitation Bamako Mali

Factors Influencing the emergency Medical service Response Time for Cardiovascular Disease in Guangzhou, China

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Current Medical Science 2019年第3期39卷 463-471页

作者： Xiao-qian CHEN Zi-feng LIU Shi-kun ZHONG Xing-tang NIU Yi-xiang HUANG Ling-ling ZHANG Department of Health Policy and Management School of Public Health Sun Yat-sen University Guangzhou 510080China Department of Medicine Guanghua School of Stomotology Hospital of Stomatology Sun Yat-sen University Guangzhou 510080 China Department of Network Management Guangzhou City Emergency Care Centre Guangzhou 510080 China Department of Plastic Surgery the First Affiliated Hospital Sun Yat-sen University Guangzhou 510080China Department of Nursing College of Nursing and Health Sciences University of Massachusetts Boston Boston 02125-3393 USA

While emergency medical service (EMS) response time (ERT) is a major factor associated with the survival of patients with cardiovascular disease (CVD), relatively few studies have explored the factors associated with ERT. This study aimed to assess the current status of ERT and to identify the factors affecting ERT in patients with CVD in China. Between January 1, 2011 and December 31, 2015, EMS responses to CVD incidents in Guangzhou, China, were examined. The primary outcome was ERT, defined as the time from receipt of an emergency call to the arrival of paramedics on the scene. Factors associated with ERT were evaluated by multivariable logistic regression. A total of 44 383 CVD incidents were analysed. The median ERT was 12.58 min (interquartile range=9.98-15.67). Among the risk factors, distance (OR=13.73, 95% CI=11.76- 16.04), level of hospital (OR=1.57, 95% CI=1.40-1.75), and site of the incident (OR=1.53, 95% CI=1.38-1.69) were the top three significant factors affecting the ERT. Our results suggest that greater attention should be given to factors affecting the ERT. It is essential to make continuous efforts to promote the development of effective interventions to reduce the response time.

关键词： emergency medical service cardiovascular disease response time factors China

Mental Wellbeing Monitoring in a Sample of emergency Medical service Personnel

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Occupational Diseases and Environmental Medicine 2020年第1期8卷 26-33页

作者： Charles Van Wijk Frans Cronje Jack Meintjes Private Simon’s Town South Africa Hyperbaric Medicine Unit Emergency Medical Services Cape Town South Africa Division of Health Systems and Public Health Department of Global Health Stellenbosch University Cape Town South Africa Tygerberg Academic Hospital Occupational Health Department Cape Town South Africa

Background: There have been concerns regarding the mental wellbeing of emergency medical service staff, particularly when faced with multiple trauma exposures. This study aimed to describe a cross-sectional view of the mental wellbeing status of emergency medical service workers, as well as to comment on the usefulness of an electronic survey tool to reach staff that is distributed across large geographical areas. Methods: The data presented here are drawn from an anonymous, voluntary, electronic survey, made available via the internet, to emergency medical service workers in the Western Cape province of South Africa. This paper reports on four domain expressions of mental wellbeing, namely disordered mood, problematic substance use, post-traumatic stress disorder, and domestic discord. Results: Elevated rates were reported by this sample, across all four distress domains, i.e. mood disorder = 12.3%;problematic substance use = 14.9%;post-traumatic stress disorder = 11.9%;and domestic discord = 11.9%. These rates were generally similar to data from comparable emergency worker groups, and much higher than local population estimates. Conclusions: The data support earlier findings that emergency medical work is associated with increased risk for symptoms of psychological distress, which present a strong case for regular organizational monitoring of employees’ mental wellbeing. In this regard, a brief, internet delivered, survey-type tool showed promise for screening employees, in order to guide further streaming of distressed individuals towards appropriate support services. Further work is required to develop clear mechanisms for referral and intervention in order to optimize a confidential and supportive monitoring program.

关键词： emergency Medical service Employees Internet Screening Mental Wellbeing Psychological Distress