Cardiac Arrest and Healthcare Research Paper

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Role of ALS in EMS

ALS (Advanced Life Support) represents a complex collection of rules and procedures extending beyond elementary life support, for further aiding ailing or injured individuals in clearing their windpipe, breathing and ensuring air circulates throughout their body, thus supporting blood circulation under emergency circumstances (Advanced Life Support (Definition and Explanation), 2016). The following individuals commonly need ALS transport (Lifeline: Basic and Advanced Life Support, 2016):

A surgical or medical patient with ongoing intravenous medicine but not requiring any Registered Nurse, in keeping with state regulation.

Individuals with Cardiac Monitor attached

Urgent care center patients

Patients suffering from a possible compromise of the airway

Obstetrical Patients

Patients regarded as having a possible complication in the course of transport, as indicated by a report forwarded by the sending healthcare facility.

Whiteman, C., Shaver, E., Doerr, R., Davis, S., Blum, F., Davidov, D., & Lander, O. (2014). Trauma patient access: the role of the emergency medical services system in North-Central West Virginia. The West Virginia Medical Journal.

Individuals suffering from trauma encounter a number of impediments when attempting to access North-Central West Virginia's healthcare system. Hence, the authors of this paper underline and discuss some hurdles and legislative and administrative programs which could aid in mitigating the inequalities encountered by rural patients of trauma.

The research has adopted an observational, reflective design and employed data gleaned from West Virginia University's "Medcom Database." EMS (emergency medical service) calls linked to trauma, between the years 2002 and 2011, were analyzed for ascertaining several EMS-offered care parameters in the Medcom's catchment area. A total of 54,952 trauma-linked EMS patients were studied to establish ETA (estimated arrival time) at destination healthcare center, trauma activation conditions, EMS response level, transport time and date, etc.

Observation and Conclusion:

The average emergency transport ETA, on the whole, was found to be 11.7 minutes (average emergency transport ETA in case of Pendleton County -- the most far-flung one -- was 28.4 minutes). Rudimentary life support providers took care of roughly 23% of calls, while advanced life support personnel took care of the remaining 76%. Thirty percent of emergency transports fulfilled West Virginia's trauma activation conditions. Advanced life support personnel and elementary support personnel offered transport to 78 and 19% of traumatic patients, respectively.

The State's north-central region witnesses numerous trauma patient barriers to healthcare, including lengthy transport durations, roughly half the counties lack a hospital altogether or having one whose treatment capacity when it comes to caring for trauma-related EMS patients is limited, and limited capabilities of responding EMS team (Whiteman, et al., 2014).

1. Anest, T., Ramirez, S., Balhara, K., Hodkinson, P., Wallis, L., & Hansoti, B. (2016). Defining and improving the role of emergency medical services in Cape Town, South Africa.

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Emergency Medical Journal.

Underdeveloped and developing nations bear an excessively heavy burden of child (under 18 years) mortality and morbidity. The developing nation, South Africa, suffers a far too high rate of mortality among kids aged below five years. Several factors contributing to children's mortality rate prove to be time-sensitive, needing competent emergency care access. Obstacles and holdups in EMS delivery cause a growth in pediatric mortality and morbidity due to time sensitive ailments.

The research is in the form of a qualitative assessment of pre-hospital care for patients aged below 18 years in a major South African city, Cape Town. A purposive healthcare worker sample, participating in or, at least, interacting with Cape Town's EMS system, was interviewed using a structured interviewing method. Every interview was both transcribed and audio recorded, and two separate reviewers carried out the transcribed interviews' blinded content examination. The journal has been cited in Grant's 2015 work.

Results and Conclusion

Study authors performed thirty-three structured coding over a span of about one month. The coding process gave rise to 8 general themes, namely communication, access, infrastructure, equipment, community education, triage, staffing, and training. Researchers utilized subcategories for identifying areas to conduct targeted intervention. A 93.36% overall agreement was found between the two coders (κ-coefficient=0.69).

Pre-hospital systems prove crucial to time-sensitive pediatric patient care delivery. In one middle-income single-facility area, obstacles to communication between dispatch workers and EMS providers or healthcare centers were identified as an area to be prioritized for interventions, ensuring care delivery improvements. Other targeted intervention areas must include training dispatch workers on basic medical lingo and widening the ALS provider base (Anest, et al., 2016).

1. Page, C., Sbat, M., Vazquez, K., & Yalcin, Z. (2013). Analysis of Emergency Medical Systems Across the World. Worcester: Worcester Polytechnic Institute.

The MIRAD Lab-focused IQP (Interactive Qualifying Project) offers a basic insight into EMS's role in particular nations across the globe. The paper presents a summary of the Franco-Germany and Anglo-American EMS systems, their functions, structure, and regulatory standards of operation. Numerous nations across the globe are utilizing these systems for delivering superior quality care within emergency or pre-hospital settings.

The Physician EMS-centered Franco-German model allows EMS personnel and a physician to assess and treat medical emergency patients, who may be transported to a healthcare facility for additional examination, if needed. Meanwhile, the other, Anglo-American EMS model involves ambulances having paramedics and EMTs (Emergency Medical Technicians) who have received training in elementary, middle-level and advanced/complex life support. These personnel offer the pre-hospital services of patient stabilization, transport to healthcare facility for additional evaluation, and intervention. The IQP analyzes both models, and studies select nations like the U.S., Germany,.....

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