This article discusses the history of emergency medical services, heath stroke, comprehensive stroke centre, holding hospitals accountable, facility health standards, and addressing patient networks.
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Running head: MANAGING EMERGENCY MEDICAL SERVICES1 Managing Emergency Medical Services Name Institutional Affiliation
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MANAGING EMERGENCY MEDICAL SERVICES2 The History of Emergency Medical Services System The United States have experienced a rapid growth in Emergency Medical Services since 1960 to 1973 due to a number of factors such as social, medical, and historical forces. EMS researchers must acknowledge the fact that these forces exist and have limitations that need to be modified to achieve a high quality acute care to the residence of the United States and generally help through the disease prevention programs, injury control, and new community needs. Evolution of Emergency Medical services system has been slow however; the modern EMS was initially experienced during the Napoleon’s time to dress the injured soldiers. The new forces have resulted into a structured Emergency Medical Services system that has had profound implication in the public health sector today. Jean Dominique is considered as the inventor of the modern Emergency Medical Services. He was a napoleon’s Chief physician who organized how the injured French soldiers would be transported and treated during the civil war. The methods applied during this period of civil war were referred to as civil Emergency Medical Services that were realized during the late 1800s. This system was later developed in 1960 with services provided by fire departments, hospitals, and volunteer groups. Physicians used ambulances while othershadminimaltrainingoruntrainedpersonnel.Despitetheexperienceofmedical specialization and the need of more methods of health delivery after World War II, the Emergency Medical System had not received much attention that is required. Introduction Emergency medical services [EMS], also known as Paramedical or ambulance services, are all categorized as emergency services in hospital facilities. Emergency medical services can also be elucidated as comprehensivesystems that provide the arrangement of personnel,
MANAGING EMERGENCY MEDICAL SERVICES3 equipment and facilities that provide efficient health care for the affected stroke related patients or an accident (Kobusingnye et al, 2005). In order to reduce death and disability, there is the need to have motivated personnel, adequate supplies of equipment and proper management. The aim of emergency medical services is to focus on providing timely care to the affected victims or emergencies in order to prevent needless mortality or long-term effects to the patient. The function of Emergency Medical Services includes; accessing emergencies, care in the community, providing care and transportation and providing care in the rural health facilities. High quality of care giving, which implies lower deaths, encourages people to transfer patients to such facilities promptly (Leigh et al, 1997). An emergency service is a system that is mainly composed of coordinated systems in the emergency medical Centre. Emergency medical services are mainly composed of organizations, communication, and agencies. Its serves are integrated and it aims at improving health care in the community (Kobusingnye et al, 2005). Heath stroke Howlett (2012) describes stroke as a neurological condition that involves death of cells in a certain part of the brain, which is caused by reduced flow of blood flow. It can also be caused by damaged blood vessels in the brain [intra-cerebral haemmohage. Stroke is the third leading deadly disease along cancer and heart related illnesses. The brain controls a number of body functions, stroke diagnosis is essential for its successful treatment. Treatment of stroke related complications should always occur in two intervals; but the common phase is resuscitation and maintenance. Speed is therefore critical to the whole process (Musuka & Wilton, 2015).
MANAGING EMERGENCY MEDICAL SERVICES4 The New York State Department of Health (2007) realizes two main known types of stroke; Ischemic stroke which is commonly by blocked arteries and narrowed blood vessels treatment is always by regulating the amount of blood flow, emergency procedures are always carried out to reduce risks of strokes. Hemorrhage is a stroke condition that is always caused by blood leaking to the brain; treatment is done by administering drugs to the patient to reduce blood pressure, and to prevent seizures. Stroke affected patients in St Mary’s hospital and Baptist hospital are always affected emotionally, specific therapies are administered to the affected victims, therapies include; speech, physical and occupational therapy. Occupational therapy is aimed at improvements in handling daily routine chores, speech therapy aids in helping out problems dealing with producing and understanding speech while on the other hand physical therapy helps the patient to relearn movements and coordination. There are different tests done to diagnose patients with stroke and to specify which type of stroke happened. Furthermore, there are tremendous advances that have been made to ensure rapid diagnosis and treatment of stroke (Gorelick, 2012). For example, telephone calls provoke stroke to be treated as a top-level emergency (Acker et al, 2007). Comprehensive stroke Centre Comprehensive center have specialized personal and resources, these services are all in large referral units, which admit huge amount of stroke-affected individuals, which always includescomplexrelatedissues.Strokeservicesareadedicatedunit,organizedtolink emergencysystems,rehabilitationofpatient’spreventionandcommunityintegration. Comprehensive care units allow access to highly specialized personnel; it also allows handling of more complicated stroke patients and a place to provide excellent outcomes.
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MANAGING EMERGENCY MEDICAL SERVICES5 Comprehensive stroke center provides standards eligible for a primary stroke Centre this include; availabilityoftrainedpersonnelinvascularneurology,andendovascularprocedures; experiencedexpertisetreatingpatientswithlargestrokeintracerebralhemorrhageand subachnuid hemorrhage(Alberts, 2005). Someservices are tasked on the responsibity of planning and coordinating stroke services for a designated area. Skilled and professional stroke teams are essential components in fighting and tracing stroke affected victims (Cramm & Nieboer, 2011). Data of stroke-affected victims are to be kept for future record and references. Description of stroke data sets includes; a national audit, national indicator set and minimum data sets. Stroke Network and Transport Stroke network provides patients with enhanced in-house stroke care and access at all preferred times to highly specialized neurologists who can provide advanced therapy for patients with strokes. St Mary’s hospital and Baptist hospital Emergency Medical Services bypass due to telestroke site service suspension(Jagolino, 2016).. Bidding for and setting up a comprehensive stroke unit to enhance monitoring of stroke network team. Every stroke-affected patient is assessed against the health standards of that particular country/state. Clinical pathways for local stroke network ambulance crews who transport stroke-affected patients appropriately are able to access the facilities. Stroke team creation and primary stroke Centre certification, the team must integrate with the facilities availableinthepatientwithacutestrokeincludinglaboratory,Nursingandcomputed tomography.
MANAGING EMERGENCY MEDICAL SERVICES6 Holding Hospitals Accountable Health care is a top priority in any government, making health care providers and the entire organization accountable to promoting positive behaviors(Forster, 2012).St Mary’s hospital and Baptist hospital is tasked to direct individuals and health organizations towards setting important priorities towards healthcare setting up targets that promotes collaboration in any health facility.Integrity and accountability are fundamental to ensuring trust between healthcare provider and to the public at large; there is need for existence of good and lasting relationships between the patient and health providers. As the chairperson of EMS, I will set the rule of holding staff on night shift accountable for any patient complaints and negligence. Unacceptable behaviors among the employees can prevent the organization from reaching; attaining their goals, who is to be held responsible for the quality of care, decision about a patient care is an increasing subject to the factors outside the nurses, and doctors’ control, creating challenges for the license individuals and the entire board of members. Facility health standards Healthcare compliance is the process of administering legal and professional standards, which are applicable to the organization; its aim is exerting pressure to the health facilities that do not comply with the law (Baker & McKenzie, 2015).As the chairman of the selected committee, my aim is to set the laws and make sure that every individual has to adhere to the rules set aside by the committee. Health facilities are set to be standardized according to the law. The committee will make stroke networks effective by; promoting the use of standardized approach in the facility setups, ensuring that every approach is set to be viewed and put into
MANAGING EMERGENCY MEDICAL SERVICES7 place. Delivering good and high quality comprehensive stroke services requires advanced and well developed technology available to health care givers, some stroke services offers to the affected stroke affected patients requires usage of technology such as videoconferencing so as to link patients between the two hospitals. The committee responsible will make sure that there is good governance by including guiding principles and rules, besides creating good interactions among the employees of St Mary’s hospital and Baptist hospital by taking care of the stroke-affected patients. Addressing Patient Networks As the chairman my main aim is addressing comprehensive care units in St Mary’s and Baptist hospital, it’s unclear if all patients are to be transferred to comprehensive care Centre however clinical data remains and in support of transporting stroke patients to comprehensive care centers, especially when the time is too short and running out. The distance between St Mary’s hospital and Baptist hospital is miles away due to this, there should exist the use of transport emergency in the departments, systematic record keeping are to be put into place for future and emergency references. It will be important to address the two hospitals in the north and south to enlarge their stroke units to enable admissions of each stroke patients to comprehensive care units after continuous and onset of stroke symptoms. By exerting pressure on holding clinical programme at respective comprehensive care units for screening of stroke related complications and emerging illnesses by facilitating and integrating the patients to the community. Data and record keeping is an essential and basic requirement in any health facility regardless of the department behind held upon, keeping and recording data at all times in stroke
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MANAGING EMERGENCY MEDICAL SERVICES8 comprehensive care units of St Mary’s and Baptist hospital. This will help keep track of all the patients being admitted, discharged, on rehabilitation centers and patients being on transit to the north and south to help in tracing and keeping their networks intact. Patients networks are to be constructed and monitored in St Mary’s and Baptist hospitals which should offer habilitations programme and counseling insights to patients who are affected by secondary effects of stroke; this always helps them to stay safely and beside that it helps in aiming and improving the quality of care at their respective homes. The period at which the affected stroke patients are to be admitted and treated; how long should patients in critical conditions are to stay in comprehensive care units and how their treatment and care is to be monitored. The time duration of such related illness should always be short but if the illness process takes too long to heal then time the time should be increased. As the chairman of St Mary’s and Baptist hospital set committee, there is need in developing care process in which a certain large number of stroke patients are to be admitted directly in the north and south comprehensive care centers. The importance of admitting patients directly to the facility is to pose little risk to their health and getting proper treatment instantly. Conclusion Stroke is a highly rated predicament third after cancer and heart related illnesses. Proper diagnosis and care should be the first priority in handling affected patients. Health care should educate patients and the entire community on preventions and risks related to stroke.
MANAGING EMERGENCY MEDICAL SERVICES9 References Alberts, M. (2005).Recommendations for Comprehensive Stroke Centres.Brain Attack Coalition. Leigh, B., Kandeh, H. B. S., Kanu, M. S., Kuteh, M., Palmer, I. S., Daoh, K. S., & Moseray, F. (1997). Improving emergency obstetric care at a district hospital, Makeni, Sierra Leone. International Journal of Gynecology & Obstetrics,59(S2). Baker & McKenzie. (2015).Essential Elements of Corporate Compliance:A global template. Cramm & Nieboer. (2011). Proffessionals' view on inproffessional stroke team functioning. International Journal of Integrated Care, 11. Dobkin, B. (2005). Rehabilitation After Stroke.HHS Public Access, 5(2}, 1677- 1684. Forster, A. J., & van Walraven, C. (2012). The use of quality indicators to promote accountability in health care: the good, the bad, and the ugly.Open Medicine,6(2), e75. Gorelick, P. B. (2012). Assessment of stent retrievers in acute ischaemic stroke.The Lancet, 380(9849), 1208-1210. Gorelick, P. B. (2013). Primary and comprehensive stroke centers: history, value and certification criteria.Journal of stroke,15(2), 78. Howlett, P. (2012).NEUROLOGICAL DISORDERS.Norway: Bodoni. Acker, J. E., Pancioli, A. M., Crocco, T. J., Eckstein, M. K., Jauch, E. C., Larrabee, H., ... & Sand, C. (2007). Implementation strategies for emergency medical services within stroke systems of care: a policy statement from the American Heart Association/American
MANAGING EMERGENCY MEDICAL SERVICES10 Stroke Association Expert Panel on Emergency Medical Services Systems and the Stroke Council.Stroke,38(11), 3097-3115. Jagolino, A. L., Jia, J., Gildersleeve, K., Ankrom, C., Cai, C., Rahbar, M., ... & Wu, T. C. (2016). A call for formal telemedicine training during stroke fellowship.Neurology,86(19), 1827-1833. Musuka, T. D., Wilton, S. B., Traboulsi, M., & Hill, M. D. (2015). Diagnosis and management of acute ischemic stroke: speed is critical.Canadian Medical Association Journal, 187(12), 887-893. New York Department of Health. (2007).Types of Stroke.New York: Department of Health. Chang, W. H., & Kim, Y. H. (2013). Robot-assisted therapy in stroke rehabilitation.Journal of stroke,15(3), 174.