Case Study Analysis: Pre-Hospital Emergency Care Experiences

This medical case study explores the experiences of patients and first responders in pre-hospital emergency care. Employing a qualitative research approach, the study examines the initial encounters from the perspectives of injured patients, next of kin, firemen, policemen, and ambulance staff. The methodology includes unstructured interviews analyzed using a phenomenological approach, focusing on the meaning of the first encounter. Findings reveal that the initial encounter is often chaotic, involving waiting periods, and that the presence of human support provides a sense of security and safety. The study highlights the importance of narratives and empowering patients within the caring process, emphasizing the dynamic interplay of control, dependence, fear, and security in these critical situations. The research underscores that effective emergency care extends beyond medical treatment to encompass a holistic understanding of the patient's experience.

Medical Case Study 2
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Table of Contents
Aim or Focus: .................................................................................................................................3
Types of Study: ...............................................................................................................................3
Setting:.............................................................................................................................................3
Population: ......................................................................................................................................3
Methodology:...................................................................................................................................4
Analysis:..........................................................................................................................................4
Results and Findings: ......................................................................................................................4
Discussion (Level of Evidence): .....................................................................................................5
References............................................................................................................................................6
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Aim or Focus:
“To describe and understand the patient's first encounter with pre-hospital emergency care as
experienced by the patient and first responders”
Types of Study:
There are two types of study: qualitative and quantitative. The present research is qualitative
type of study as in this, researcher is inquiring patient's pre-hospital condition in many various
academic disciplines. The main aim of using this type of study is to describe essential meaning of
first counter with pre-hospital emergency care. Due to this, investigation is in-depth which provides
better understanding and information with proper collection of data with respect to the subject. On
the other hand, primary study is conducted by the author for gathering important and proper
information from the various participants. This helps investigator in doing proper and effective
research as per the requirement of topic (Tadros and et.al., 2012).
Setting:
One of the common factor of emergency care services is short and fragmented demand for
the fast and quick treatments and efficiency. Various researches are conducted on the pre-hospital
emergency care experienced by the patients but they are not able to present appropriate results. The
complete study is based on the experiences faced by the patients and first respondents with respect
to the pre-hospital emergency care (Leonard, Mao and Jaffe, 2012).
Population:
Population in research refers to the large collection of individuals who are the major focus of
a scientific query for getting appropriate findings. From the population, a small sample is selected
by the investigators for conducting primary research. For the current study, the population includes
injured patients, fireman, policemen, ambulance staff, next of kin and many more. From this
population, author has selected four patients, one next of kin, eight policemen, two firemen and
three ambulance staff (Steinberg and et.al., 2016). These are the participants of the study on
patient's first encounter with pre-hospital emergency care as experienced by the patient and first
responders. Along with this, informants were properly contacted by the author for arranging time
and place for interview. On the other hand, confidentiality by signing a written consent is
guaranteed by the researcher to all participants. This helped in developing trust and loyalty over the
respondents and due to this, they share each and every information openly and properly with the
investigator regarding the pre-hospital emergency care (Blanchard and et.al., 2011).
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Methodology:
Research methodology refers to the use of methods and techniques as per the requirement of
study for collecting appropriate information and findings. In the current study, various methods,
tools and techniques are used by the author for finding proper results. Phenomenological approach
is used by the author in which analysis follows principles regarding reflective lifeworld approach
(Taylor, Bogdan and DeVault, 2015). On the other hand, qualitative research type is selected by the
researcher for in-depth study and effective understanding. In addition to this, unstructured and open
ended interviews are conducted by the investigator for collecting all the information about the lived
experiences of the patients first encounter with prehospital emergency care. The interviews were
lasted for 45 to 155 min and were properly recorded and transcribed verbatim. The appropriate and
right methods and tools are used by the investigator for collecting information from the
respondents. Ethical considerations are also used by the researcher for keeping the personal and
private information of participants safe and secure (Blanchard and et.al., 2011).
Analysis:
As the study is qualitative and approach used by the author is phenomenological, the
analysis is takes place by using reflective lifeworld approach. The major aim of data analysis is to
explain the importance of first encounter with pre-hospital emergency care. Systematic and rigorous
analysis is takes place in the study. Different situations are used by the researcher which includes
encounter with the helpless injured body, confirming existential encounter, encounter while waiting,
recapitulated encounter and lived encounter (Egly and et.al., 2011). All these situations are properly
analysed and evaluated by the author for collecting appropriate information with respect to the
subject of the study. For achieving the goal, author needs to present obtained data in unspecific and
open manner for describing uniqueness for every person and situation they face. On the other hand,
in the analysing process author properly analyse each and every interview for understanding the
concept of diversity and their meanings. For getting better results and understanding, information
was divided into smaller integral parts which are known as meaning units. Each and every meaning
unit is carefully compared with each and every situation. In addition, language used by the author
was naïve language of the participants for avoiding influence of theoretical explanations and
interpretations (Hoyle Jr and et.al., 2011).
Results and Findings:
It is found that, the first encounter of patients with prehospital emergency care is chaotic and
include some time of waiting. While handling responsibilities for injured body, patients feel relief
and less stressed. The participants i.e. next of kin, policemen, firemen and ambulance staff
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represents the necessity of human availability at the time of injury. They help injured person to
remain conscious by giving information, talking, holding hands, etc. This situation is describe4d as
a security and safety by the patients. On the other hand, chaos is created by the sudden accidents or
injuries in the patients' lives. It is also found that how an injured body continue to live the encounter
as a limitless experience with loss of control over the body and sense of time. This encounter is
struggled by the patient for gaining life in ICU (Intensive care unit) (Burnett and et.al., 2012).
Discussion (Level of Evidence):
The first encounter of patient regarding pre-hospital emergency care is more important than
only medical treatment and various life support factors. It is also essential to understand about
empowering patients with narratives in their whole caring process. If narratives are intergal part of
the emergency care, then there are more chances that patient will catch up normal life more
appropriately just after the incident. On the other hand, a dynamic movement between control-
dependence and fear- security characterises the encounter at which threat to the life makes
individual to struggle for the life (Nielsen and et.al., 2012)..
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REFERENCES
Books and Journals
Blanchard, I.E. and et.al., 2011. Emergency medical services response time and mortality in an
urban setting.Prehospital Emergency Care. 16(1). pp.142-151.
Burnett, A.M. and et.al., 2012. The emergency department experience with prehospital ketamine: a
case series of 13 patients. Prehospital Emergency Care. 16(4). pp.553-559.
Egly, J. and et.al., 2011. Assessing the impact of prehospital intubation on survival in out-of-
hospital cardiac arrest. Prehospital Emergency Care. 15(1). pp.44-49.
Hoyle Jr, J.D. and et.al., 2011. Medication dosing errors in pediatric patients treated by emergency
medical services. Prehospital Emergency Care. 16(1). pp.59-66..
Leonard, J.C., Mao, J. and Jaffe, D.M., 2012. Potential adverse effects of spinal immobilization in
children. Prehospital Emergency Care. 16(4). pp.513-518.
Nielsen, K. and et.al., 2012. Assessment of the status of prehospital care in 13 low-and middle-
income countries. Prehospital Emergency Care. 16(3). pp.381-389.
Steinberg, M.T. and et.al., 2016. Defibrillation success during different phases of the mechanical
chest compression cycle. Resuscitation.
Tadros, A.S. and et.al., 2012. Effects of an Emergency Medical Services–based resource access
program on frequent users of health services. Prehospital Emergency Care. 16(4). pp.541-
547.
Taylor, S.J., Bogdan, R. and DeVault, M., 2015. Introduction to qualitative research methods: A
guidebook and resource. John Wiley & Sons.
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