Browsing by Subject "Emergency medical services"
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Item Emergency Medical Services in American Indian Reservations and Communities: Results of a National Survey(Center for Transportation Studies, University of Minnesota, 2019-05) Quick, Kathryn; Dufour, Sara; Narváez, GuillermoThe focus of this exploratory study is emergency medical response (EMS) for motor vehicle crashes (MVCs) in American Indian reservations and communities. Tribal transportation professionals have raised questions about the role of EMS in the high MVC fatality rate – 656 annually – in these areas. We conducted a national survey (n=189) of tribal governments, first responders, and state-tribe transportation liaisons. They assessed factors in the quality of EMS response in their areas (e.g., 911 access, dispatch, accessibility of MVC locations, responders’ training and equipment, distance to hospital; and inter-jurisdictional coordination). We recommend continuing research on MVCs specifically in American Indian reservations and communities. Specifically, more research is needed on dispatch issues (e.g., cell phone coverage and dispatchers’ ability to pinpoint MVC sites) because this is study respondents’ single highest area of concern, and the whole EMS response hinges on successfully placing a call for help. And, examples of productive inter-jurisdictional coordination need to be identified since tribes report vastly different experiences with this aspect of EMS system functioning. Two statistically significant findings merit further study, namely: a) heightened concern about response times and hospital access among responders from the Pacific Northwest and Alaska (compared with other regions); and b) higher optimism on all aspects of EMS response from study participants who work for tribal governments versus participants without that affiliation. Finally, it is important for researchers to communicate clearly about the geographic areas covered under “American Indian reservations and communities” in order to improve characterization of road safety and EMS issues.Item ITS and Transportation Safety: EMS System Data Integration to Improve Traffic Crash Emergency Response and Treatment - Phase III Report(Intelligent Transportation Systems Institute, Center for Transportation Studies, 2011-10) Schooley, Benjamin; Horan, Thomas A.; Hilton, BrianThe transportation safety and Emergency Medical Services (EMS) literature has called for the development of better information system tools to support EMS to aid in reducing the human impact of medical emergencies. Building upon previous research by the researchers, this project seeks to advance a prototype of a mobile and web-based information service, known as CrashHelp, designed for use by various emergency medical practitioners involved in the end-to-end continuum of emergency patient care. The broad objective in this report was to examine the potential to provide – through a geographic information system (GIS)-based visual and interactive platform -- an easy to use analytical tool that can provide a holistic view of crash information (such as distance, age, severity of crash) that can better serve practitioners and agencies in planning for and responding to traffic crashes. The specific research objectives were to: (1) collect and examine information regarding the potential for using the CrashHelp system in the state of Idaho as a case-study; (2) identify and develop aggregate performance metrics for end-to-end EMS responses to automobile crashes for inclusion in CrashHelp; and (3) expand the CrashHelp prototype to include aggregate level clinical and operational performance metrics that would provide valuable decision-level information for planners and practitioners.Item ITS and Transportation Safety: EMS System Data Integration to Improve Traffic Crash Emergency Response and Treatment – Phase II Report(Intelligent Transportation Systems Institute, Center for Transportation Studies, 2011-08) Horan, Thomas A.; Schooley, Benjamin; McClintock, Roni; Lee, YoonmiThis research project examines the linkages between ITS systems and the SHSP, focusing on three elements. The first element relates to the role of ITS in producing timely data on safety dimensions, including its visual representation in geographic information systems and related platforms. The second element examines the use of ITS with emergency medical services (EMS) and the data that can be used from EMS systems for safety planning purposes. The third element includes an analysis of innovative and new practices for capturing, sharing, and visualizing safety information required by emergency healthcare providers for enhanced levels of decision making and planning.Item ITS and Transportation Safety: EMS System Data Integration to Improve Traffic Crash Emergency Response and Treatment – Phases IV and V(Intelligent Transportation Systems Institute, Center for Transportation Studies, University of Minnesota, 2012-09) Schooley, Benjamin; Horan, Thomas A.; Abed, Yousef; Murad, AbdullahResearchers developed a software system called “CrashHelp” to improve the information exchange from emergency medical services (EMS) practitioners to emergency room/trauma center providers. The system combines mobile smartphone, multimedia, Web server, and location-based technologies for paramedics to send key information to hospital providers in a more data-rich manner than is currently available. This study outlines the development of a second version of CrashHelp and summarizes the results of an initial pilot testing in the Boise, Idaho, region. In addition, the study contains an analysis of the data system standards for EMS and intelligent transportation systems to understand how they should be applied to the CrashHelp system. Finally, the study investigates the potential sustainability of the CrashHelp system in several respects, including deployment in regions with little prior infrastructure, as well as in more urban and developed areas. This included investigating business models and deployment models for delivering CrashHelp as a product or service in the future.