Download Free Trained Paramedics Provide Ongoing Support To Frequent 911 Callers Reducing Use Of Ambulance And Emergency Department Services Book in PDF and EPUB Free Download. You can read online Trained Paramedics Provide Ongoing Support To Frequent 911 Callers Reducing Use Of Ambulance And Emergency Department Services and write the review.

The Area Metropolitan Ambulance Authority (more commonly known as MedStar), an emergency medical service provider serving the Fort Worth, TX, area, uses mobile health care paramedics to provide in-home and telephone-based support to patients who frequently call 911 and to other patient populations who are at risk for potentially preventable admissions or readmissions. Working as part of MedStar?s Mobile Integrated Healthcare Practice, these paramedics conduct an in depth medical assessment, develop a customized care plan based on that assessment, and periodically visit or telephone the patient and family to support them in following the plan. Support generally continues until they can manage on their own. Four additional similar programs serve individuals with congestive heart failure, patients who can be managed transitionally at home versus an overnight observational admission in the hospital, in-home hospice patients who are at risk for hospice revocation, and as a support for home health agencies to prevent unnecessary visits to the emergency department. These programs have significantly reduced the number of 911 calls, the number of potentially preventable emergency department visits and hospital admissions, the number of overnight observational admissions, and the number of hospice revocations, leading to declines in emergency medical services and emergency department charges and costs, and freeing up capacity in area emergency departments.
In a recent paradigm shift, local governments find themselves shouldering more responsibility for day-to-day governance and crisis management, thanks to regulations and federal spending cuts. While 20 years ago a book on local government administration might have been considered complete with chapters on budgeting, public personnel management, productivity and responsivity, and community engagement, any discussion of local government must now also include resilience, emergency management, climate change, smart cities, social media, and infrastructure funding. Bringing together key voices from the academic and public sectors, Local Government Management offers techniques and insight into how local government can most effectively lead and manage their resources in an evolving political—and environmental—landscape. Featuring examples from expert contributors’ own decades of public service and research, this forward-thinking book explores the rapid speed of change in local communities and the need for local government to not only adapt but also proactively plan for the future. Local Government Management is essential reading for local government officials, public stakeholders, practitioners, and students of public administration and management.
Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.
Catastrophic disasters occurring in 2011 in the United States and worldwide-from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand-have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.
Based on nationally recognized and field-tested curricula from across the country, Community Health Paramedicine offers clarity and precision in a concise format that ensures comprehension and encourages critical thinking. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.
Emergency Medical Services (EMS) is a critical component of our nation's emergency and trauma care system, providing response and medical transport to millions of sick and injured Americans each year. At its best, EMS is a crucial link to survival in the chain of care, but within the last several years, complex problems facing the emergency care system have emerged. Press coverage has highlighted instances of slow EMS response times, ambulance diversions, trauma center closures, and ground and air medical crashes. This heightened public awareness of problems that have been building over time has underscored the need for a review of the U.S. emergency care system. Emergency Medical Services provides the first comprehensive study on this topic. This new book examines the operational structure of EMS by presenting an in-depth analysis of the current organization, delivery, and financing of these types of services and systems. By addressing its strengths, limitations, and future challenges this book draws upon a range of concerns: • The evolving role of EMS as an integral component of the overall health care system. • EMS system planning, preparedness, and coordination at the federal, state, and local levels. • EMS funding and infrastructure investments. • EMS workforce trends and professional education. • EMS research priorities and funding. Emergency Medical Services is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.
This new text covers basic principles commonly found in the introduction to emergency medicine course. Comprised of five sections, diagnosis and management is presented from an emergency medicine perspective. Includes 75 case-based clinical vignettes to help students prepare for the course and clerkship as well as the USMLE. The common complaint section features a template covering differential history and physical, pathophysiology, and treatment of the given topics. Illustrations and line drawings supplement the text. Curricula objectives from the Society for Academic Emergency Medicine (SAEM) and the American College of Emergency Physicians (ACEP) are addressed.
A practical guide to the origins and treatment options for agitation, a common symptom of psychiatric and neurologic disorders.
The specific problem addressed by this study was the failure of the New Smyrna Beach Fire Department (NSBFD) to perform a pre-event needs assessment to support developing programs to reduce the incidence of non-emergency 911 EMS use. The purpose of this applied research project was to conduct a pre-event needs assessment for non-emergency medical services placed through the 911 system. The study used a qualitative applied research method with primary data collected through interviews with five subjects that have excessively used the EMS system for non-emergency care. The research questions focused on identifying the underlying medical and social factors contributing to overuse of EMS for non-emergency medical services in New Smyrna Beach. They also sought to identify strategies and approaches that could be implemented to reduce overuse of EMS for non-emergency medical services.
How can we meet the special needs of children for emergency medical services (EMS) when today's EMS systems are often unprepared for the challenge? This comprehensive overview of EMS for children (EMS-C) provides an answer by presenting a vision for tomorrow's EMS-C system and practical recommendations for attaining it. Drawing on many studies and examples, the volume explores why emergency care for childrenâ€"from infants through adolescentsâ€"must differ from that for adults and describes what seriously ill or injured children generally experience in today's EMS systems. The book points the way to integrating EMS-C into current emergency programs and into broader aspects of health care for children. It gives recommendations for ensuring access to emergency care through the 9-1-1 system; training health professionals, from paramedics to physicians; educating the public; providing proper equipment, protocols, and referral systems; improving communications among EMS-C providers; enhancing data resources and expanding research efforts; and stimulating and supporting leadership in EMS-C at the federal and state levels. For those already deeply involved in EMS efforts, this volume is a convenient, up-to-date, and comprehensive source of information and ideas. More importantly, for anyone interested in improving the emergency services available to childrenâ€"emergency care professionals from emergency medical technicians to nurses to physicians, hospital and EMS administrators, public officials, health educators, children's advocacy groups, concerned parents and other responsible adultsâ€"this timely volume provides a realistic plan for action to link EMS-C system components into a workable structure that will better serve all of the nation's children.