Articles: emergency-services.
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Prehosp Disaster Med · Oct 1991
The integration of a helicopter emergency medical service in a mass casualty response system.
Since 1985, the state of Connecticut has been served by a hospital-based, advanced life support (ALS) helicopter air medical service. The service is stationed at a 1,000-bed, Level 1, trauma center that is responsible for its operation. Connecticut statute requires the hospital to file operations reports with the Office of Emergency Medical Services, which reports to the Connecticut Department of Public Health. ⋯ This approach has allowed for joint planning and multi-agency, simulated drills. The helicopter emergency medical service has responded to 15 simulated emergencies (drills) and seven actual mass casualty incidents from May, 1985 to June, 1989. In Connecticut, the planning process conducted by the Department of Public Health and the Office of State EMS produced a coordinated, multi-jurisdictional, mass-casualty response plan.
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Resuscitative medicine is an area of intense interest. Rigid protocols exist for dealing with the victim of a acute cardiac arrest. ⋯ We present an overview of post-resuscitative care in the emergency department and algorithms to facilitate that care. Like the treatment protocols used in advanced life support, these algorithms are a suggested way of proceeding with the post-resuscitative care of the victims of arrest.
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To examine the assessment of adolescent self harm patients attending an accident and emergency department. ⋯ Doctors working in accident and emergency departments should be encouraged to liaise with child psychiatrists before discharging such patients.
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To assess the extent and distribution of hospital and emergency department crowding nationally. ⋯ Our study strongly suggests that ED crowding is not an isolated phenomenon; ED crowding and its attendant problems appear to affect hospitals with similar adverse effects regardless of ownership. Although our results suggest that ED crowding is concentrated in metropolitan areas and in a smaller subset of hospitals, we found instances of crowding among hospitals nationwide.