Motorist aid systems study. State of the art report. Final report.

Federal Highway Administration, Office of Development, Washington, D.C.

EMS outcomes evaluation: an examination of key issues and future directions.

Mode of access: Internet.

Uniform pre-hospital EMS data conference summary report.

National Highway Traffic Safety Administration, Washington, D.C.

Highway safety program manual. Volume 11, addendum 1. Communications manual.

Mode of access: Internet.

Citizens band monitor guide.

Mode of access: Internet.

Highway safety program manual.

Supplements accompany some volumes.

Illinois violent injury reporting.

Explains the legal mandate, reporting requirements, and other details of the Illinois Dept. of Public Health's statistical registry (started in March 1998) of victims of violent injuries in Illinois. Includes pie charts depicting 1998 and preliminary 1999 statistics on child/adult maltreatment and violent injuries according to gender. Also contains 2 sample reports from reporting facilities.

Illinois violent injury reporting, 2005.

Explains the legal mandate, reporting requirements, and other details of the Illinois Dept. of Public Health's statistical registry (started in March 1998) of victims of violent injuries in Illinois.

Factors influencing Hong Kong Chinese patients' decision-making in seeking early treatment for acute myocardial infarction

The purpose of this study was to identify, through in-depth interview, factors that influenced 27 Hong Kong Chinese patients' decision-making in seeking early treatment for acute myocardial infarction (AMI). The median delay time from the onset of symptoms to arrival at the hospital was 15.6 hours for men and 53.7 hours for women. Three major categories emerged from the data: (a) becoming aware of the threat, (b) maintaining a sense of normality, and (c) struggling to mobilize resources. A variety of decisions were made by patients from the onset of chest Pain to seeking help. These decisions were heavily influenced by healthcare factors (access to emergency medical service (EMS) and treatment), personal factors (cognitive interpretations of symptoms), sociocultural factors (family situation, cultural beliefs, and practices), and coping strategies. (c) 2006 Wiley Periodicals, Inc.

Atividade de forma����o interprofissional em urg��ncia pr��-hospitalar

To acting in emergencies it is important that health professionals develop specific and differentiated skills, which shows us the importance of training in emergency planning. So undergraduate courses in medicine and nursing should encourage the development of these skills and evaluate them through various instruments targeted to the different fields. The aim of this study was to implement an optional and interprofessional curricular component, focusing on interprofessional education in pre-hospital emergency for medical and nursing courses Federal University of Rio Grande do Norte (UFRN). This is an exploratory descriptive study, with 24 medical and nursing graduates of last year undergraduate of supervised training, who underwent theoretical and practical training in the care of pre-hospital emergency services. There were theoretical and practical lessons per week for one school semester, taught by doctors and nurses of the Emergency Medical Service (EMS), where the topics discussed were: basic and advanced life support, safe transport in clinical emergencies, trauma, gynecological, obstetric, pediatric and psychiatric diseases, and have been carried out practical activities in ambulances. The students were evaluated by pre-test, post-test and practical stations made through the Objective Structured Clinical Evaluation (OSCE), in the skills laboratory of the Health Sciences Center. During the activities the students were encouraged to critical and reflective thinking, highlighting the importance of integration between the various health care professionals. It was observed that 88% of the students had a score increase over the pre-test. In the evaluation process carried out by medical students and nursing UFRN have similar expectations regarding the essential skills acquired during the training activity. The results of this study will form the basis for the organization of interprofessional education activity in pre-hospital emergency medical students and nursing, as well as helped to organize practices stations, identifying basic clinical skills, and implementing student assessment tools UFRN.

Natriuretic peptide-based screening and collaborative care for heart failure:the STOP-HF randomized trial

<p>IMPORTANCE: Prevention strategies for heart failure are needed.</p><p>OBJECTIVE: To determine the efficacy of a screening program using brain-type natriuretic peptide (BNP) and collaborative care in an at-risk population in reducing newly diagnosed heart failure and prevalence of significant left ventricular (LV) systolic and/or diastolic dysfunction.</p><p>DESIGN, SETTING, AND PARTICIPANTS: The St Vincent's Screening to Prevent Heart Failure Study, a parallel-group randomized trial involving 1374 participants with cardiovascular risk factors (mean age, 64.8 [SD, 10.2] years) recruited from 39 primary care practices in Ireland between January 2005 and December 2009 and followed up until December 2011 (mean follow-up, 4.2 [SD, 1.2] years).</p><p>INTERVENTION: Patients were randomly assigned to receive usual primary care (control condition; n=677) or screening with BNP testing (n=697). Intervention-group participants with BNP levels of 50 pg/mL or higher underwent echocardiography and collaborative care between their primary care physician and specialist cardiovascular service.</p><p>MAIN OUTCOMES AND MEASURES: The primary end point was prevalence of asymptomatic LV dysfunction with or without newly diagnosed heart failure. Secondary end points included emergency hospitalization for arrhythmia, transient ischemic attack, stroke, myocardial infarction, peripheral or pulmonary thrombosis/embolus, or heart failure.</p><p>RESULTS: A total of 263 patients (41.6%) in the intervention group had at least 1 BNP reading of 50 pg/mL or higher. The intervention group underwent more cardiovascular investigations (control, 496 per 1000 patient-years vs intervention, 850 per 1000 patient-years; incidence rate ratio, 1.71; 95% CI, 1.61-1.83; P&lt;.001) and received more renin-angiotensin-aldosterone system-based therapy at follow-up (control, 49.6%; intervention, 56.5%; P=.01). The primary end point of LV dysfunction with or without heart failure was met in 59 (8.7%) of 677 in the control group and 37 (5.3%) of 697 in the intervention group (odds ratio [OR], 0.55; 95% CI, 0.37-0.82; P���=���.003). Asymptomatic LV dysfunction was found in 45 (6.6%) of 677 control-group patients and 30 (4.3%) of 697 intervention-group patients (OR, 0.57; 95% CI, 0.37-0.88; P���=���.01). Heart failure occurred in 14 (2.1%) of 677 control-group patients and 7 (1.0%) of 697 intervention-group patients (OR, 0.48; 95% CI, 0.20-1.20; P���=���.12). The incidence rates of emergency hospitalization for major cardiovascular events were 40.4 per 1000 patient-years in the control group vs 22.3 per 1000 patient-years in the intervention group (incidence rate ratio, 0.60; 95% CI, 0.45-0.81; P���=���.002).</p><p>CONCLUSION AND RELEVANCE: Among patients at risk of heart failure, BNP-based screening and collaborative care reduced the combined rates of LV systolic dysfunction, diastolic dysfunction, and heart failure.</p><p>TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00921960.</p>

Iowa Immunization Program Annual Report 2013, April 30, 2014

The Bureau of Immunization is part of the Division of Acute Disease Prevention and Emergency Response (ADPER) at the Iowa Department of Public Health (IDPH). The ADPER division provides support, technical assistance and consultation to local hospitals, public health agencies, community health centers, emergency medical service programs and local health care providers regarding infectious diseases, disease prevention and control, injury prevention and public health and health care emergency preparedness and response. The division encompasses the Center for Acute Disease Epidemiology (CADE), the Bureau of Immunization and Tuberculosis (ITB), the Bureau of Emergency Medical Services (EMS), the Bureau of Communication and Planning (CAP), the Office of Health Information Technology (HIT), and the Center for Disaster Operations and Response (CDOR). The Bureau of Immunization and Tuberculosis includes the Immunization Program, the Tuberculosis Control Program, and the Refugee Health Program. The mission of the Immunization Program is to decrease vaccine���preventable diseases through education, advocacy and partnership. While there has been major advancement in expanding immunizations to many parts of Iowa���s population, work must continue with public and private health care providers to promote the program���s vision of healthy Iowans living in communities free of vaccine���preventable diseases. Accomplishing this goal will require achieving and maintaining high vaccination coverage levels, improving vaccination strategies among under���vaccinated populations, prompt reporting and thorough investigation of suspected disease cases, and rapid institution of control measures. The Immunization Program is comprised of multiple programs that provide immunization services throughout the state: Adolescent Immunization Program, Adult Immunization Program, Immunization Registry Information System (IRIS), Vaccines for Children Program (VFC), Perinatal Hepatitis B Program, and Immunization Assessment Program.

Ensihoitopalvelun kysynn��n ja kapasiteetin hallinta ennakoitavissa palvelutarpeen muutoksissa

Ensihoidossa kysynn��n ja kapasiteetin hallinta on toiminnan kriittinen tekij��. Potilaiden hoidontarve asettaa ensihoitopalvelulle varsin tiukat ajalliset ja laadulliset suorituskykyvaatimukset, joista poikkeaminen vaikuttaa suoraan hoidon tuloksiin. T��ss�� ty��ss�� tarkasteltiin ensihoitopalvelun kysynn��n ja kapasiteetin hallintaa ennakoitavissa palvelutarpeen muutoksissa. Ty��n tavoitteena oli kehitt���� kohdeorganisaation ensihoitopalveluun toimintamalli, jonka avulla se voi nykyist�� paremmin tunnistaa normaalista poikkeavat palvelutarpeen muutokset, arvioida niiden vaikutukset ja tarpeet sek�� suunnitella ja toteuttaa toiminnan turvallisesti ja tehokkaasti. Ty�� tehtiin laadullisena toimintatutkimuksena. Empirian osalta ty��ss�� perehdyttiin ensihoidon palvelutuotannon vaatimuksiin sek�� kohdeorganisaation toimintaan, tarpeisiin ja menetelmiin. Teoriassa tukeuduttiin p����asiassa palvelun kysynn��n ja kapasiteetin hallinnan teoriaan. Toimintamallin kehitt��misess�� hy��dynnettiin kohdeorganisaation kokemusta ja asiantuntemusta ratkaisumallien arvioinnissa. Ty��n tuloksena m����riteltiin toimintamalli, jonka avulla kohdeorganisaatio voi systemaattisesti tunnistaa ja analysoida normaalivaihtelusta poikkeavia palvelutarpeen muutoksia, m����ritell�� kysynn��n ja kapasiteetin, suunnitella ja toteuttaa toiminnan sek�� arvioida ja kehitt���� menettely�� systemaattisesti.

A systematic review of adverse events arising from the use of synthetic cannabinoids and their associated treatment