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Profile of an accident flying squad : analysis by injury severity scoring systemsSteedman, David James January 1988 (has links)
No description available.
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An examination of out of hospital cardiac arrest and violent crime in New Orleans, LouisianaJanuary 2018 (has links)
acase@tulane.edu / Out of hospital cardiac arrest remains one of the most common causes of death in the United States. Researchers continue to study a wide variety of modifiable risk factors at the individual level and research survival with the goal of creating interventions at multiple levels to reduce mortality and morbidity. These traditional variables, however, account for only a portion of the survival, and research on neighborhood level factors has recently shown promise for explaining differences in outcomes, including short term survival. In this dissertation we seek to evaluate out of hospital cardiac arrest (OHCA) data from New Orleans, Louisiana, over the five-year period from 2012 to 2017 (n=1,602 cases) and to examine selected literature and neighborhood level variables to determine the associations with OHCA. Traditionally studied predictors of cardiac arrest, such as age, sex, race, and health status, account for less than 75 percent of the variability in survival and substantial differences in survival among communities remains unexplained. Seeking to better explain the factors influencing survival, the central hypothesis is that certain neighborhoods, delineated by census tracts in New Orleans (n=172), have previously unidentified characteristics, namely violent crime, which contribute to increased incidence of cardiac arrest. First, we examine the level of association between violence in neighborhoods and incidence of cardiac arrest. Then, we examine the role of bystander CPR and what correlations with neighborhood violent crime rates may exist. Finally, we examine ambulance response times in neighborhoods with high rates of violent crime.
We find that those neighborhoods with higher rates of violent crime are more likely to have higher rates of cardiac arrest, to a statistically significant level. We also identify opportunities for public health interventions based upon analysis of rates of both witnessed cardiac arrests and bystander CPR provision, as well as ambulance response times to cardiac arrests in neighborhoods with high rates of violent crime. / 1 / Aaron Miller
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The application reliability of the South African triage score in adult emergency cases presenting to a central academic hospitalHoffman, Deidre Ann January 2014 (has links)
A research report submitted to the Faculty of Health Sciences, University of the
Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the
degree of Master of Medicine (MMed) in the Division of Emergency Medicine.
Johannesburg, 2014 / Introduction: Over-triage and access-block are worldwide phenomena which
critically compromise patient care and increase morbidity and mortality. Triage is
designed to place the patient in the right place at the right time with the right
resources. We sought to determine and evaluate the application reliability of the
South African Triage Score/Scale (SATS) in adult emergency cases presenting to
a central academic hospital and to identify which factors may have influenced this.
Methods: Emergency department (ED) triage data for adult patients at a central
academic hospital in Johannesburg over a seven day period were captured
retrospectively. The investigator applied the SATS 2008 to each triage form.
Triage scores and colour banding for the trieur versus the investigator were
compared and the overall degree of triage concordance and discordance
observed.
Results: A total sample size of 1758 cases was recorded. Moderate agreement
(quadratically weighted 0.524 at 95%CI 0.450-0.598) for the overall triage
banding assignment revealed rates of concordance of 50.6%, discordance of
49.4%, over-triage of 28.5% and under-triage of 20.9%. Tuesday showed the
highest patient load with 21.3% of the weekly total. The mean daily and hourly
patient loads were 285 and 14 respectively. Time of day analysis showed a
daytime predominance of 2/3 of total presentations and a peak hour between
08h00-09h00.
Conclusions: The over-triage (28.5%) rate fell within the American College of
Surgeons Committee on Trauma’s (ACSCOT) accepted rate of 30-50%, while
under-triage (20.9%) exceeded the accepted ACSCOT levels (<10%). When the
triage score was calculated and recorded there was improved concordance, interrater
reliability and reduced over-triage. The discordance levels of over-triage
decreased and under-triage increased respectively with increasing patient acuity.
There was no significant correlation between the extent of triage concordance or
discordance and patient load.
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Emergency Department Utilization Patterns and Subsequent Prescription Drug Overdose Death: A Study of Emergency Care Recipients, New York State, 2006-2010Brady, Joanne E. January 2014 (has links)
The primary purpose of this dissertation was to understand if emergency department utilization patterns are associated with subsequent drug overdose death. Specifically, it was hypothesized that that increasing emergency department (ED) utilization (as measured by such indices as two or more visits in 72-hours, two or more visits in a 30-day period, four or more visits in a 365-day period) was associated with increasing risk of fatal unintentional drug overdose compared with patients without two or more visits in a given time frame.
Using ED data from the New York State Department of Health's (NYSDOH) Statewide Planning and Research Cooperative System (SPARCS) for the years 2006-2010 linked with unintentional fatal prescription drug overdose data from death certificates and medical examiner case files from the New York City Department of Health and Mental Hygiene (NYC DOHMH) and the NYSDOH for the years 2006-2010, a retrospective dynamic cohort of ED encounter data was conducted. In the first study, the patient population consisted of 1,755,734 New York State residents who were 18-64 years of age and had selected diagnoses on their entry visit. Extended Cox proportional hazards regression models were conducted to estimate the association of ED utilization patterns and subsequent drug overdose death. Compared to time periods in which patients had no visits within a year, patients who had 3, 4-10, or > 10 visits in a year had elevated risks of prescription drug overdose death after adjustment for demographic characteristics: 3 visits (adjusted hazard ratio (aHR 4.77, 95% CI 3.60, 6.15)), 4 - 10 (aHR 7.39, 95%CI 5.81, 9.41), and > 10 ED (aHR 18.37, 95% CI 13.38, 25.23).
ED utilization patterns are strong predictors of subsequent overdose death. Understanding the timing of overdose death in relation to ED utilization is essential to recognizing which patients to target with overdose prevention interventions. Identifying time-periods of increased risk may be used as an indicator for developing prediction tools to classify patients at increased risk for overdose.
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An assessment of ambulance infection control in an emergency medical service in the Ilembe District of KwaZulu-NatalNaguran, Sageshin January 2008 (has links)
Thesis (M.Tech.: Emergency Medical Care)- Dept. of Emergency Medical Care and Rescue, Durban University of Technology, 2008.
xvii, 198 leaves. / The purpose of the study was to assess ambulance infection control in an emergency medical service in the Ilembe District of KwaZulu-Natal, by determining the prevalence of bacteria and fungi in ambulances, including those that are potentially pathogenic, and evaluating the knowledge and practices of staff in infection control.
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Highway and roadway risk management techniques for emergency respondersBertrang, Allyn L. January 2009 (has links) (PDF)
Thesis PlanB (M.S.)--University of Wisconsin--Stout, 2009. / Includes bibliographical references.
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Factors which influence the satisfaction of care received by emergency unit patients a research report submitted in partial fulfillment ... /Thier, Lisa. January 1976 (has links)
Thesis (M.S.)--University of Michigan, 1976.
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Factors which influence the satisfaction of care received by emergency unit patients a research report submitted in partial fulfillment ... /Thier, Lisa. January 1976 (has links)
Thesis (M.S.)--University of Michigan, 1976.
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The role of conscientiousness in the task and contextual performance of ambulance paramedics /Laing, Jenny. January 2004 (has links) (PDF)
Thesis (M.Psych.Org.) - University of Queensland, 2004. / Includes bibliography.
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An assessment of ambulance infection control in an emergency medical service in the Ilembe District of KwaZulu-NatalNaguran, Sageshin January 2008 (has links)
Thesis (M.Tech.: Emergency Medical Care)- Dept. of Emergency Medical Care and Rescue, Durban University of Technology, 2008.
xvii, 198 leaves. / The purpose of the study was to assess ambulance infection control in an emergency medical service in the Ilembe District of KwaZulu-Natal, by determining the prevalence of bacteria and fungi in ambulances, including those that are potentially pathogenic, and evaluating the knowledge and practices of staff in infection control.
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