The Emergency Medical Care Services And Management Of Trauma

Normal accidents are very closely linked to risk society. As our culture takes on new, more advanced technologies and

The Emergency Medical Treatment and Active Labor Act (EMTALA) was enacted in 1986 as a part of the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985. EMTALA was enacted to prevent hospitals with Emergency Departments from refusing to treat or transferring patients with emergency medical conditions (EMC) due to an inability to pay for their services. This act also applies to satellite locations whom advertise titles such as “Immediate Care” or “Urgent Care,” and all other facilities where one-third of their patient intake are walk-ins. Several rules and regulations to this act have been established and it has become a very serious piece of legislation and health

Assess the current Models of Care in their Emergency Departments using the given criteria It is recognised that not all of the Models of Emergency Care are applicable for all NSW Emergency Departments. Decisions to implement them will be made based on the staff, patient presentations and space available in the ED to operate each model. Assess the potential to introduce models to their hospitals that may improve patient care and flow, the patient experience and clinical outcomes

According to Mozes “Americans who suffer traumatic injury faces a greater risk of dying at the hospital that serves as a high proportion of minority patients a new study show the increase of death in hospital.” (Mozes, 2011)

Paramedics in term are classified as street doctors (Legal ones). They have a great understanding of situations that occur traumatically and diagnostically. Without doctors treating injuries on the go there would be an incredibly high death rate. Even though schooling for medics isn’t that long, the information that is learned is enough to treat the patient in a pre-hospital care environment. Training for medical scenarios is a daily routine that medics run against to prepare for real events, such as triaging (Order of who needs treatment right away) patients when there is a mass causality. A medic’s most important tool to treat injured patients is their equipment. There is variety of

Firstly, reported that Pam is living in a remoted community, transportation (family arranged or non-emergency patient transport providers) should be arranged before discharge accordingly to patient’s decision. Secondly, adequacy of facilities in the chosen accommodation should be assessed in supporting medical needs of the patient. Thirdly, summary of patient information on diagnosis, health status and medication list should be accurately transferred to the corresponding local community health carer. In addition, local indigenous organization should be consulted to provide cultural safety support

Nearby hospitals that are trauma units, their are two level one's within a ten mile radius and one, level two trauma units within the area.

No, even though hospitals are obligated to provide a medical exam and stabilizing treatment for anyone that comes to the ED during a disaster; the facility is only requires to provide services within their capabilities. Under EMTALA, if an individual’s condition requires immediate stabilizing treatment and the hospital do not have the capability to stabilize the individual, then the individual should be appropriate transfer to another hospital for medical care. Transferring a patient because the hospital cannot provide stabilizing treatment is a violation of EMTALA (Gravely, Whaley, & Sanders 2007).

Must provide emergency services to any person living in hospital’s service area who cannot afford those services.

A study was carried out to assess the required knowledge, skills and competencies to deal medical emergency incidents successfully. Study finding showed that there is superficial knowledge on medical emergencies, drug and equipments among health professionals working emergency unit (McGaghie.et al, 2010).

EGPFD advised they had medics available in case of severe trauma or injury to officers and members of traveling public as a result

In a disaster where healthcare facilities are face with a large number casualties, mass casualty triage is use to allocate the facilities resources to do the greatest good for the most people. Mass casualty is a four colored coded tag system, starting with red tags; immediate, these are life or limb threatening, but are survivable. Followed by yellow tags; delayed, which are injuries that are significant and require medical treatment; however, they are non-life or limb threatening and can wait for hours. Next are green tags; minimal injuries that are minor and can wait for hours or days be for receiving treatment. Lastly is the black tags; expectant, which are injuries that are extensive and chances for survival is unlikely (Hinkle & Cheever,

Thus, emergency physicians cannot rely on earned trust or on prior knowledge of the patient's condition, values, or wishes regarding medical treatment. The patient's willingness to seek emergency care and to trust the physician is based on institutional and professional assurances rather than on an established personal relationship. Fourth, emergency physicians practice in an institutional setting, the hospital emergency department, and in close working relationships with other physicians, nurses, emergency medical technicians, and other health care professionals. Thus, emergency physicians must understand and respect institutional regulations and inter-professional norms of conduct. Fifth, in the United States, emergency physicians have been given a unique social role and responsibility to act as health care providers of last resort for many patients who have no other feasible access to care. Sixth, emergency physicians have a societal duty to render emergency aid outside their normal health care setting when such intervention may save life or limb. Finally, by virtue of their broad expertise and training, emergency physicians are expected to be a resource for the community in pre-hospital care, disaster management, toxicology, cardiopulmonary resuscitation, public health, injury control, and related areas. All of these special circumstances shape the

It is said that a healthy nation is a wealthy nation. Healthcare is an important concern for every government as people get ill, accidents happen, emergencies arise and the health institutions are needed to diagnose, manage and treat the different types of ailments or diseases that may arise. The healthcare industry is divided into several areas in order to meet the health needs of anyone and everyone. All over the world, the healthcare structures are different to accommodate specific needs of the people in that demographic however the healthcare methodology in Third World Countries does not accommodate the needs of their respective inhabitants in comparison to First world Countries. The Rate of corruption, quality of healthcare institutions, lack of adequate, functional surveillance systems and problematic hygiene conditions are amongst the top reasons why the healthcare systems in third world countries are substandard in comparison to First world nations.

The response to any emergency is considered to be very critical and therefore should be as efficient as possible. In the healthcare sector, responses to situations are counted by the seconds. From natural disasters to epidemics, the only chance left to respond to any of this occurrence could only be counted in seconds. That means life is either saved or lost in a matter of seconds. Putting in place certain responses to these unexpected occurrences, such as crises management communication plan, help save lives and arrest crises from aggravating. Failure to have crises management communication plan is considered by many commentators to be a crisis in itself. Accepted medical care is highly dependent on effective communication between healthcare providers and the patients; among healthcare providers and the outside world. The characteristics of crises make it necessary for prior planning and effective communication among stakeholders in the health sector (Klaene and Sanders, 2006; Ronen, 2006).