Articles: emergency-medical-services.
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Emergency medical services (EMS) systems in 25 midsized cities (population, 400,000 to 900,000) are described. Information describing EMS system configuration and performance was collected by written and telephone surveys with follow-ups. Responding cities provide either one- or two-tier systems. ⋯ Overall, the code 3 response time for all cities is an average of 6.6 minutes. The average response time of two-tier systems is 5.9 minutes versus 7.0 minutes for one-tier systems (.05 less than P less than .1). These data suggest that the two-tiered system B allows for a given number of ALS units to serve a much larger population while maintaining a rapid code 3 response time.
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Vestn. Khir. Im. I. I. Grek. · May 1990
[Characteristics of surgical tactics in rendering specialized services to the victims of the earthquake with long-term crush syndrome].
Mass admission of patients with the crush syndrome to ++non-profile medical institutions allowed to detect three clinical forms of the crush syndrome. Adequate methods of surgical treatment are proposed for each of them.
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Whether in the prehospital setting or in the Emergency Department, the emergency physician is usually the first care-giver to the burned elderly patient. Though the predominance of care over the long-term is by burn specialists, attention to the details of resuscitation and stabilization by the emergency physician in the initial stages has a vital role in the overall scheme of care.
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Severity of illness or injury should be the primary justification for aeromedical transport. To determine whether differences in patient severity were detectable in air transport programs, helicopter-transported patients were examined by three established physiologic scores: the Trauma Score, the Acute Physiology and Chronic Health Evaluation Score, and the Rapid Acute Physiology Score. These scores were obtained prospectively on 1,868 consecutive patient transfer requests from six air medical services for periods ranging from two to six months. ⋯ Patients transported from inpatient hospital units and patients with cardiac disease were less likely to be critically ill than those transported emergently from scenes of accident or from emergency departments. There were also significant differences between programs with regard to the percentage of critically ill patients transported. This study suggests that physiologic scoring may be useful in comparing air ambulance programs and that a majority of patients transported by these services may not be critically ill.