ABSTRACT
The service reorganization is a part of the healthcare system reform. Some hospitals may not be able to provide all services in a 24-h basis. This evaluation was on all night-time (22 : 00 p.m. to 07 : 00 a.m.) interfacility transport by Alice Ho Miu Ling Hospital emergency department from January 2008 to December 2010, which were in-patients from nonemergency wards. The safety, speed, and performance were analyzed. During the study period, 73 cases were transferred out. Majority of them were having neurosurgical emergency (n=21, 29%) or surgical emergency (n=34, 46%). En-route physiological deteriorations were encountered in 4% (3/73) of cases. The mean acceptance time was 8 min and the team mobilization time was 13 min on average. The total service time ranged from 40 to 115 min. In conclusion, en-route adverse event was not rare. The specialized team can act as a facilitator and coordinator to improve the safety and effectiveness of the whole process.
Subject(s)
Critical Illness , Efficiency, Organizational/statistics & numerical data , Emergency Service, Hospital/statistics & numerical data , Professional Competence/statistics & numerical data , Task Performance and Analysis , Transportation of Patients/statistics & numerical data , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Female , Glasgow Coma Scale , Hong Kong , Humans , Infant , Infant, Newborn , Male , Middle Aged , Retrospective Studies , Surveys and Questionnaires , Time , Young AdultABSTRACT
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 EMS. METHODS: In this retrospective quantitative descriptive study, the data from the Shenzhen 120 EMS registry in 2011 were analyzed. RESULTS: 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 post-trauma management. Moreover, specialized pre-hospital training, financial support, and public health education on proper use of EMS should be emphasized. CONCLUSION: 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.
Subject(s)
Education, Continuing/standards , Emergency Medical Technicians/education , Emergency Medicine/education , Pediatrics/education , Adolescent , Child , Child, Preschool , Curriculum/standards , Diagnosis-Related Groups , Emergencies/epidemiology , Emergency Medical Technicians/standards , Emergency Medicine/standards , First Aid/standards , First Aid/statistics & numerical data , Humans , Infant , Infant, Newborn , Pediatrics/standards , Registries/statistics & numerical data , United StatesSubject(s)
Education, Continuing/standards , Emergency Medical Technicians/education , Emergency Medicine/education , Pediatrics/education , Adolescent , Child , Child, Preschool , Clinical Competence/standards , Credentialing/standards , Curriculum/standards , Emergency Medical Technicians/standards , Emergency Medicine/standards , Humans , Infant , Infant, Newborn , Pediatrics/standards , Programmed Instructions as Topic/standards , United StatesABSTRACT
Each Emergency Medical Services (EMS) system is unique in its development and scope od practice. In many instances. It is important to the intellectual growth of the Emergency Medical Technicians that they visualize EMS design from an international perspective. This article describe the EMS system that exists ion Hong Kong. It explores the changes that are occurring, defines the relationship between. Hong Kong and China and considers the influence that this evolving model might have on China after 1997 (AU)
