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Jaffe E, Alpert EA. Health Care Workers and War in the Middle East. JAMA 2024; 331:169. [PMID: 38109158 DOI: 10.1001/jama.2023.27284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2023]
Affiliation(s)
- Eli Jaffe
- Community Division, Magen David Adom, Or-Yehuda, Israel
| | - Evan Avraham Alpert
- Department of Emergency Medicine, Hadassah Medical Center-Ein Kerem, Jerusalem, Israel
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Kaim A, Bodas M, Bieler D, Radomislensky I, Matthes G, Givon A, Trentzsch H, Waydhas C, Lefering R. Severe trauma in Germany and Israel: are we speaking the same language? A trauma registry comparison. Front Public Health 2023; 11:1136159. [PMID: 37200993 PMCID: PMC10186152 DOI: 10.3389/fpubh.2023.1136159] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Accepted: 04/04/2023] [Indexed: 05/20/2023] Open
Abstract
Background Trauma registries are a crucial component of trauma systems, as they could be utilized to perform a benchmarking of quality of care and enable research in a critical but important area of health care. The aim of this study is to compare the performance of two national trauma systems: Germany (TraumaRegister DGU®, TR-DGU) and Israel (Israeli National Trauma Registry, INTR). Methods The present study was a retrospective analysis of data from the described above trauma registries in Israel and Germany. Adult patients from both registries treated during 2015-2019 with an Injury Severity Score (ISS) ≥ 16 points were included. Patient demographics, type, distribution, mechanism, and severity of injury, treatment delivered and length of stay (LOS) in the ICU and in the hospital were included in the analysis. Results Data were available from 12,585 Israeli patients and 55,660 German patients. Age and sex distribution were comparable, and road traffic collisions were the most prevalent cause of injuries. The ISS of German patients was higher (ISS 24 vs. 20), more patients were treated on an intensive care unit (92 vs. 32%), and mortality was higher (19.4 vs. 9.5%) as well. Conclusion Despite similar inclusion criteria (ISS ≥ 16), remarkable differences between the two national datasets were observed. Most probably, this was caused by different recruitment strategies of both registries, like trauma team activation and need for intensive care in TR-DGU. More detailed analyses are needed to uncover similarities and differences of both trauma systems.
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Affiliation(s)
- Arielle Kaim
- Israel National Center for Trauma and Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat-Gan, Israel
- Department of Emergency and Disaster Management, Faculty of Medicine, School of Public Health, Sackler Tel Aviv University, Tel Aviv, Israel
- *Correspondence: Arielle Kaim,
| | - Moran Bodas
- Israel National Center for Trauma and Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat-Gan, Israel
- Department of Emergency and Disaster Management, Faculty of Medicine, School of Public Health, Sackler Tel Aviv University, Tel Aviv, Israel
| | - Dan Bieler
- Department of Trauma Surgery and Orthopedics, University Düsseldorf, Düsseldorf, Germany
- Department for Trauma Surgery and Orthopedics, Reconstructive Surgery, Hand Surgery, Burn Medicine, German Armed Forces Central Hospital, Koblenz, Germany
| | - Irina Radomislensky
- Israel National Center for Trauma and Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat-Gan, Israel
| | - Gerrit Matthes
- Department of Trauma and Reconstructive Surgery, Hospital Ernst-von-Bergmann, Potsdam, Germany
| | - Adi Givon
- Israel National Center for Trauma and Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat-Gan, Israel
| | - Heiko Trentzsch
- Institut für Notfallmedizin und Medizinmanagement (INM), Klinikum der Universität München, LMU München, Munich, Germany
| | | | - Christian Waydhas
- Department of Surgery, BG University Hospital Bergmannsheil, Bochum, Germany
- Medical Faculty of University Duisburg-Essen, Essen, Germany
| | - Rolf Lefering
- Institute for Research in Operative Medicine, University Witten/Herdecke, Cologne, Germany
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Perry O, Jaffe E, Bitan Y. Dynamic Communication Quantification Model for Measuring Information Management During Mass-Casualty Incident Simulations. HUMAN FACTORS 2022; 64:228-249. [PMID: 34275344 PMCID: PMC8873974 DOI: 10.1177/00187208211018880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2020] [Revised: 02/25/2021] [Accepted: 04/22/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE To develop a new model to quantify information management dynamically and to identify factors that lead to information gaps. BACKGROUND Information management is a core task for emergency medical service (EMS) team leaders during the prehospital phase of a mass-casualty incident (MCI). Lessons learned from past MCIs indicate that poor information management can lead to increased mortality. Various instruments are used to evaluate information management during MCI training simulations, but the challenge of measuring and improving team leaders' abilities to manage information remains. METHOD The Dynamic Communication Quantification (DCQ) model was developed based on the knowledge representation typology. Using multi point-of-view synchronized video, the model quantifies and visualizes information management. It was applied to six MCI simulations between 2014 and 2019, to identify factors that led to information gaps, and compared with other evaluation methods. RESULTS Out of the three methods applied, only the DCQ model revealed two factors that led to information gaps: first, consolidation of numerous casualties from different areas, and second, tracking of casualty arrivals to the medical treatment area and departures from the MCI site. CONCLUSION The DCQ model allows information management to be objectively quantified. Thus, it reveals a new layer of knowledge, presenting information gaps during an MCI. Because the model is applicable to all MCI team leaders, it can make MCI simulations more effective. APPLICATION This DCQ model quantifies information management dynamically during MCI training simulations.
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Affiliation(s)
- Omer Perry
- 26732 Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Eli Jaffe
- 26732 Ben-Gurion University of the Negev, Beer-Sheva, Israel
- Magen David Adom (MDA), Israel
| | - Yuval Bitan
- 26732 Ben-Gurion University of the Negev, Beer-Sheva, Israel
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The Role of Emergency Medical Services in Earthquake Response: Integrating the ABC Approach of Israel's Magen David Adom. Disaster Med Public Health Prep 2021; 15:770-776. [PMID: 32624082 DOI: 10.1017/dmp.2020.124] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Throughout history, earthquakes have caused devastation and loss of life. Emergency medical services (EMS) plays a vital role in the response to any mass-casualty incident or disaster. Magen David Adom, Israel's premier EMS organization, has a unique strategy known as the ABC approach to earthquake response. It involves thousands of salaried workers and trained volunteers who are prepared to respond to an earthquake based on the extent of the disaster. Depending on the amount of destruction, they will be working locally or available to help in other areas. A Level A earthquake causes local destruction and minimal casualties. Any EMS responders in that area as well as in surrounding areas will be available to help. Furthermore, all responders will need to work automatically and autonomously. A Level B earthquake causes extensive destruction, and all responders in the region will be busy caring for the victims. Anyone available outside of the region will come and help. A Level C earthquake is completely devastating, and all workers nationwide will be involved in responding to the catastrophe. The role of EMS responders using the ABC approach to earthquake response, as described here, may be integrated in part or whole in other EMS systems.
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Jaffe E, Dopelt K, Davidovitch N, Bitan Y. Vaccination of the Elderly in Assisted Living by the Israeli Emergency Medical Services. Am J Public Health 2021; 111:1223-1226. [PMID: 34370533 DOI: 10.2105/ajph.2021.306318] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Emergency Medical Services (EMS) in Israel was called on to vaccinate the most vulnerable population-the elderly in assisted living facilities and their caregivers. Two parameters led the operation: (1) maximum use of the scarce COVID-19 vaccine, and (2) minimizing the time it took to reach this entire population. We present the process of vaccinating 126 245 people in two weeks at 756 locations countrywide, focusing on the planning and logistics of this operation. Resilience, flexible logistics, and dedicated personnel provided an efficient public health operation.
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Affiliation(s)
- Eli Jaffe
- Eli Jaffe is with Magen-David-Adom (Israel National Emergency Medical Services), Tel-Aviv, Israel. Keren Dopelt, Nadav Davidovitch, and Yuval Bitan are with the Department of Health Systems Management, Ben-Gurion University of the Negev, Be'er Sheva, Israel. Keren Dopelt is also with the Department of Public Health, Ashkelon Academic College, Ashkelon, Israel
| | - Keren Dopelt
- Eli Jaffe is with Magen-David-Adom (Israel National Emergency Medical Services), Tel-Aviv, Israel. Keren Dopelt, Nadav Davidovitch, and Yuval Bitan are with the Department of Health Systems Management, Ben-Gurion University of the Negev, Be'er Sheva, Israel. Keren Dopelt is also with the Department of Public Health, Ashkelon Academic College, Ashkelon, Israel
| | - Nadav Davidovitch
- Eli Jaffe is with Magen-David-Adom (Israel National Emergency Medical Services), Tel-Aviv, Israel. Keren Dopelt, Nadav Davidovitch, and Yuval Bitan are with the Department of Health Systems Management, Ben-Gurion University of the Negev, Be'er Sheva, Israel. Keren Dopelt is also with the Department of Public Health, Ashkelon Academic College, Ashkelon, Israel
| | - Yuval Bitan
- Eli Jaffe is with Magen-David-Adom (Israel National Emergency Medical Services), Tel-Aviv, Israel. Keren Dopelt, Nadav Davidovitch, and Yuval Bitan are with the Department of Health Systems Management, Ben-Gurion University of the Negev, Be'er Sheva, Israel. Keren Dopelt is also with the Department of Public Health, Ashkelon Academic College, Ashkelon, Israel
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Kranc H, Novack V, Shtein A, Sherman R, Novack L. Extreme temperature and out-of-hospital-cardiac-arrest. Nationwide study in a hot climate country. Environ Health 2021; 20:38. [PMID: 33820550 PMCID: PMC8022396 DOI: 10.1186/s12940-021-00722-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2020] [Accepted: 03/17/2021] [Indexed: 05/11/2023]
Abstract
BACKGROUND Out-of-hospital-cardiac arrest (OHCA) is frequently linked to environmental exposures. Climate change and global warming phenomenon have been found related to cardiovascular morbidity, however there is no agreement on their impact on OHCA occurrence. In this nationwide analysis, we aimed to assess the incidence of the OHCA events attended by emergency medical services (EMS), in relation to meteorological conditions: temperature, humidity, heat index and solar radiation. METHODS We analyzed all adult cases of OHCA in Israel attended by EMS during 2016-2017. In the case-crossover design, we compared ambient exposure within 72 h prior to the OHCA event with exposure prior to the four control times using conditional logistic regression in a lag-distributed non-linear model. RESULTS There were 12,401 OHCA cases (68.3% were pronounced dead-on-scene). The patients were on average 75.5 ± 16.2 years old and 55.8% of them were males. Exposure to 90th and 10th percentile of temperature adjusted to humidity were positively associated with the OHCA with borderline significance (Odds Ratio (OR) =1.20, 95%CI 0.97; 1.49 and OR 1.16, 95%CI 0.95; 1.41, respectively). Relative humidity below the 10th percentile was a risk factor for OHCA, independent of temperature, with borderline significance (OR = 1.16, 95%CI 0.96; 1.38). Analysis stratified by seasons revealed an adverse effect of exposure to 90th percentile of temperature when estimated in summer (OR = 3.34, 95%CI 1.90; 3.5.86) and exposure to temperatures below 10th percentile in winter (OR = 1.75, 95%CI 1.23; 2.49). Low temperatures during a warm season and high temperatures during a cold season had a protective effect on OHCA. The heat index followed a similar pattern, where an adverse effect was demonstrated for extreme levels of exposure. CONCLUSIONS Evolving climate conditions characterized by excessive heat and low humidity represent risk factors for OHCA. As these conditions are easily avoided, by air conditioning and behavioral restrictions, necessary prevention measures are warranted.
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Affiliation(s)
- Hannan Kranc
- Department of Public Health, Faculty of Health Sciences, School of Medicine, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Victor Novack
- Clinical Research Center, Soroka University Medical Center, Beer Sheva, Israel
- Department of Internal Medicine, Soroka University Medical Center, Beer Sheva, Israel
| | - Alexandra Shtein
- Department of Geography and Environmental Development, Faculty of Humanities and Social Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | | | - Lena Novack
- Negev Environmental Health Research Institute, Soroka University Medical Center, 84101 Beer Sheva, Israel
- Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
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Alpert EA, Herbst R, Abramovich I, Strugo R, Jaffe E. Mass COVID-19 vaccination of residents in geriatric facilities by emergency medical services: the Israeli experience. THE LANCET. HEALTHY LONGEVITY 2021; 2:e189-e190. [PMID: 33782674 PMCID: PMC7990486 DOI: 10.1016/s2666-7568(21)00058-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Evan Avraham Alpert
- Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel
- Department of Emergency Medicine, Shaare Zedek Medical Center, Jerusalem 9103102, Israel
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Utilizing Advanced Telecommunication Strategies to Enhance the Response of Emergency Medical Services Volunteers. Disaster Med Public Health Prep 2020; 15:86-91. [PMID: 32000881 DOI: 10.1017/dmp.2019.126] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Emergency medical services (EMS) provides a critical role in the rapid treatment, stabilization, and transfer of patients in the prehospital setting. The national EMS provider for Israel has developed a robust and unique organization of volunteers with advanced telecommunication strategies to activate and direct them in order to improve these processes. The volunteers include local high school students, international college students, emergency medical technicians, on-call volunteers, motorcyclists, and Life Guardian first responders. The telecommunication strategies include pagers, push-to-talk over cellular, and sophisticated smartphone-based software applications. These are monitored and directed via a central command and control station. Such processes, both on an organizational as well as technical level, can be adapted to improve prehospital emergency care.
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Abstract
Multi-casualty incidents (MCIs) continue to occur throughout the world, whether they be mass shootings or natural disasters. Prehospital emergency services have done a professional job at stabilizing and transporting the victims to local hospitals. When there are multiple casualties, there may not be enough professional responders to care for the injured. Bystanders and organized volunteer first responders have often helped in extricating the victims, stopping the bleeding, and aiding in the evacuation of the victims. Magen David Adom (MDA translated as "Red Shield of David"), the national Emergency Medical Services (EMS) provider for Israel, has successfully introduced a program for volunteer first responders that includes both a mobile-phone-based application and appropriate life-saving equipment. Most of the responders, known as Life Guardians, are already medical professionals such as physicians, nurses, or off-duty medics. They are notified by a global positioning system application if there is a nearby life-threatening incident such as respiratory or cardiac arrest, major trauma, or an MCI. They are given a kit that includes a bag-valve mask device, oropharyngeal airways, tourniquets, and bandages. There are currently 17,000 Life Guardians, and in the first-half of 2017, they responded to 253 events.The Life Guardians are essentially an out-of-hospital manpower multiplier using a simple crowdsourcing application who have the necessary skills and equipment to treat those in cardiopulmonary arrest, or victims of trauma, including MCIs. Such a model can be integrated into other systems throughout the world to save lives. JaffeE, DadonZ, AlpertEA. Wisdom of the crowd in saving lives: the Life Guardians app. Prehosp Disaster Med. 2018;33(5):550-552.
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Shashar S, Yitshak-Sade M, Sonkin R, Novack V, Jaffe E. The Association Between Heat Waves and Other Meteorological Parameters and Snakebites: Israel National Study. J Emerg Med 2018; 54:819-826. [PMID: 29661659 DOI: 10.1016/j.jemermed.2018.02.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2017] [Revised: 02/02/2018] [Accepted: 02/06/2018] [Indexed: 10/17/2022]
Abstract
BACKGROUND Published annual estimates report a global burden of 2.5 million snakebite cases and >100,000 deaths. In Israel, envenomations are the third most frequent cause of poisonings that are of moderate to major clinical severity. Most studies focus on the clinical descriptions of snakebites in tropical climates, and we sought to investigate the association between snakebite frequency and meteorological parameters. OBJECTIVE We sought to investigate the seasonality of snakebites and evaluate the association between increasingly common heat waves and other meteorological parameters and snakebite frequency in a semiarid nontropical climate. METHODS We obtained data for all medical evacuations (2008-2015) because of snakebites in Israel. Climate data included daily 24-hour average temperature (°C) and relative humidity (%). We used a time-stratified case crossover method, in which a conditional logistic regression was applied to estimate the association, and we also stratified our analysis by season and by region. RESULTS We identified 1234 snakebite cases over 8 years, of which most (74.2%) occurred in hot seasons and between 6 pm and 9 pm. The risk of snakebite was positively associated with temperature >23°C (odds ratio [OR] 1.24, 95% confidence interval [CI] 1.01-1.53) and inversely with humidity >40% (OR 0.74, 95% CI 0.57-0.97). We also found an association with heat waves both in cold (OR 1.62, 95% CI 1.01-2.60) and hot seasons (OR 1.50, 95% CI 1.18-1.92). CONCLUSIONS In a semiarid nontropical climate, we observed an association between an increase in the number of snakebite cases and higher temperatures and lower humidity. Moreover, heat waves increased the frequency of snakebites in both cold and hot seasons.
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Affiliation(s)
- Sagi Shashar
- Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Maayan Yitshak-Sade
- Harvard T. H. Chan School of Public Health, Harvard University, Boston, Massachusetts
| | | | - Victor Novack
- Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
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Domrev-Benkovich A, Ronen A, Grinstein-Cohen O. Does experience change anything? Attitudes of paramedic students regarding drinking and driving. J Public Health (Oxf) 2017. [DOI: 10.1007/s10389-017-0814-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Celik S, Dursun R, Aycan A, Gönüllü H, Adanaş C, Eryılmaz M, Gönüllü E, Akyol ME, Keskin S, Güloğlu C. The dynamics of prehospital/hospital care and modes of transport during civil conflict and terrorist incidents. Public Health 2017; 152:108-116. [PMID: 28886492 DOI: 10.1016/j.puhe.2017.07.029] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Revised: 07/17/2017] [Accepted: 07/27/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVE Prehospital and hospital care during incidents of mass violence and civil conflict involve a number of aspects that distinguish it from care during times of peace. We aimed to analyze the dynamics and outcomes of prehospital and hospital care during ongoing conflicts. STUDY DESIGN Multicentric prospective observational study. METHOD Patients enrolled in the study, which was conducted in Turkey, were all injured in armed conflict and taken to level 1 trauma centers. On admittance, patients were requested to complete a semistructured questionnaire containing questions on patient demographics, transport type, weapons used, injury severity score (ISS), and other incident-related factors. We analyzed patient outcomes (mortality, morbidity, complications, and length of hospital stay) and transfers of patients between hospitals. The present study evaluated the cases of 390 victims enrolled over a 9-month period and followed up for 6 months. RESULTS The majority of patients were transported by ambulances (n = 334, 85.6%); other transport modes were helicopters (n = 32, 8.2%) and private vehicles (n = 24, 6.2%). Nearly half of patients (48.7%) did not benefit by changing hospitals. During transport to hospitals, 4.1% of the vehicles in the study were involved in accidents. Using multiple regression analysis, only ISS (odds ratio [OR]: 1.098, 95% confidence interval [CI]: 1.044-1.156) and the Glasgow Coma Scale (OR: 0.744, 95% CI: 0.639-0.866) were found to affect mortality. In Receiver-operator characteristic analysis, a cutoff value of 22.5 for ISS had a sensitivity of 100% and a specificity of 89.6% for mortality. CONCLUSIONS Despite lower ISS values, patient outcomes were worse in terror incidents/civil conflicts. Transport modes did not significantly affect outcomes, whereas hospital transport was found to be inefficiently used.
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Affiliation(s)
- S Celik
- Department of General Surgery, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey.
| | - R Dursun
- Department of Emergency Medicine, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
| | - A Aycan
- Department of Neurosurgery, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey
| | - H Gönüllü
- Department of Emergency Medicine, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey
| | - C Adanaş
- Department of Orthopaedics and Traumatology, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey
| | - M Eryılmaz
- Department of Emergency Medicine, Gulhane Military Medical Academy, Ankara, Turkey
| | - E Gönüllü
- Anesthesiology and Reanimation Clinic, Van Research and Training Hospital, Van, Turkey
| | - M E Akyol
- Department of Neurosurgery, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey
| | - S Keskin
- Department of Biostatistics, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey
| | - C Güloğlu
- Department of Emergency Medicine, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
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Ginsberg GM, Kark JD, Einav S. Cost–utility analysis of treating out of hospital cardiac arrests in Jerusalem. Resuscitation 2015; 86:54-61. [DOI: 10.1016/j.resuscitation.2014.10.024] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2014] [Revised: 10/02/2014] [Accepted: 10/26/2014] [Indexed: 10/24/2022]
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Metelmann C, Metelmann B, Wendt M, Meissner K, von der Heyden M. LiveCity. INTERNATIONAL JOURNAL OF ELECTRONIC GOVERNMENT RESEARCH 2014. [DOI: 10.4018/ijegr.2014070104] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The goal of emergency medicine is to treat time-critical diseases and conditions to reduce morbidity and mortality. The improvement of emergency medicine is an important topic for governments worldwide. A common problem is the inevitable lack of support by emergency doctors, when paramedics need their assistance at the emergency site but are without an emergency doctor. Video-communication in real time from the emergency site to an emergency doctor, offers an opportunity to enhance the quality of emergency medicine. The core piece of this study is a video camera system called “LiveCity camera”, enabling real-time high quality video connection of paramedics and emergency doctors. The impact of video communication on emergency medicine is clearly appreciated among providers, based upon the extent of agreement that has been stated in this study´s questionnaire by doctors and paramedics. This study is part of the FP7-European Union funded research project “LiveCity” (Grant Agreement No. 297291).
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Affiliation(s)
- Camilla Metelmann
- Klinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerzmedizin, Universitätsmedizin Greifswald, Greifswald, Germany
| | - Bibiana Metelmann
- Klinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerzmedizin, Universitätsmedizin Greifswald, Greifswald, Germany
| | - Michael Wendt
- Klinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerzmedizin, Universitätsmedizin Greifswald, Greifswald, Germany
| | - Konrad Meissner
- Klinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerzmedizin, Universitätsmedizin Greifswald, Greifswald, Germany
| | - Martin von der Heyden
- Klinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerzmedizin, Universitätsmedizin Greifswald, Greifswald, Germany
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Lockey D. International EMS systems: Geographical lottery and diversity but many common challenges. Resuscitation 2009; 80:722. [PMID: 19427091 DOI: 10.1016/j.resuscitation.2009.04.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 03/29/2009] [Indexed: 10/20/2022]
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