Advances in pre-hospital emergency care

Enhancing outcomes through innovative practices and technology

https://doi.org/10.53730/ijhs.v7nS1.15106

Authors

  • Hatim Faihan Alotaibi KSA, National Guard Health Affairs
  • Sultan Mohammed Alanazi KSA, National Guard Health Affairs
  • Rakan Faisal Albasri KSA, National Guard Health Affairs
  • Ibrahim Mohammed Alanazi KSA, National Guard Health Affairs

Keywords:

Emergency Medical Services, pre-hospital care, mobile health technology, telemedicine, diagnostic devices, trauma care, electronic patient care reporting, simulation training, innovation in EMS

Abstract

Background: Emergency Medical Services (EMS) in the United States have evolved significantly since the 1960s, leading to a complex and diverse system that varies across regions. Despite the critical role EMS plays in pre-hospital care, there remains substantial confusion about its operations, structure, and effectiveness. This complexity has driven the need for innovative practices and technology to enhance pre-hospital care and patient outcomes. Aim: This article reviews recent advancements in pre-hospital emergency care, focusing on innovations and technological developments designed to improve EMS efficiency and patient outcomes. Methods: A comprehensive review of literature and current practices in pre-hospital care was conducted, examining advancements in technology, EMS curricula, and the integration of new tools and techniques into emergency medical practices. Results: Key innovations in pre-hospital care include mobile health technology, telemedicine integration, advanced diagnostic devices, automated external defibrillators (AEDs), wearable health sensors, drones for medical delivery, enhanced trauma care equipment, electronic patient care reporting (ePCR), portable ventilators, and simulation training. These advancements have improved real-time data collection, patient monitoring, diagnostic accuracy, and overall efficiency of emergency responses. Conclusion: The integration of innovative technologies and practices into EMS has substantially enhanced pre-hospital care. 

Downloads

Download data is not yet available.

References

NHTSA. Review of National 911 Data Collection. July 2013. [Online] Available from: https://www.911.gov/pdf/current911datacollection-072613.pdf.

NASEMSO. National EMS Assessment. December 2009. [Online] Available from: https://www.nasemso.org/documents/National_EMS_Assessment_Final_Draft_12202011.pdf.

NHTSA. Safety in numbers. DOT HS 812 027. May 2014. [Online] Available from: https://www.ems.gov/pdf/ems-data/Provider-Resources/SafetyInNumbers_EMS_May2014.pdf.

Institute of Medicine. Emergency Medical services at the crossroads. Washington, D.C.: National Academies Press; 2007. Chapter 6.

NHTSA. National EMS Education Standards. DOT HS 811 077A. January 2009. [Online] Available from: https://www.ems.gov/pdf/education/EMS-Education-for-the-Future-A-Systems-Approach/National_EMS_Education_Standards.pdf.

Margolis GS, Studnek J, Fernandez AR. Will work for free. Are volunteerism rates falling? J Emerg Med Serv. 2006;31(5):48, 51. DOI: https://doi.org/10.1016/S0197-2510(06)70389-8

Federal Interagency Committee on Emergency Medical Services. 2011 National EMS Assessment. U.S. Department of Transportation, National Highway Traffic Safety Administration, DOT HS 811 723,Washington, D.C.; 2012. [Online] Available from: www.ems.gov; page 106.

Martin T. Aeromedical transportation: a clinical guide. Boca Raton: Taylor & Francis Group; 2006.

Varon J, Wenker O, Fromm R Jr. Aeromedical transport: facts and fiction. Internet J Emerg Intensive Care Med. 2006;1(1).

NHTSA. What is EMS? 2007. [Online] Available from: https://www.ems.gov/whatisEMS.html.

Patel A, Waters N, Blanchard I, Doig C, Ghali W. A validation of ground ambulance pre-hospital times modeled using geographic information systems. Int J Health Geogr. 2012;11(1):42. DOI: https://doi.org/10.1186/1476-072X-11-42

Roach B, Echols K, Burnett A. Excited delirium and the dual response: preventing in-custody deaths. July 2014. [Online] Available from: https://leb.fbi.gov/2014/july/excited-delirium-and-the-dual-responsepreventing-in-custody-deaths.

Abdelmalak, B. B., & Doyle, D. J. (2020). Recent trends in airway management. F1000Research, 9. DOI: https://doi.org/10.12688/f1000research.21914.1

Soar, J., Berg, K. M., Andersen, L. W., Böttiger, B. W., Cacciola, S., Callaway, C. W., ... & Zelop, C. M. (2020). Adult advanced life support: 2020 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation, 156, A80-A119. DOI: https://doi.org/10.1016/j.resuscitation.2020.09.012

Bérubé, M., Pasquotti, T., Klassen, B., Brisson, A., Tze, N., & Moore, L. (2020). Implementation of the best practice guidelines on geriatric trauma care: a Canadian perspective. Age and ageing, 49(2), 227-232. DOI: https://doi.org/10.1093/ageing/afz153

Kiavialaitis, G. E., Müller, S., Braun, J., Rössler, J., Spahn, D. R., Stein, P., & Kaserer, A. (2020). Clinical practice of pre-hospital analgesia: an observational study of 20,978 missions in Switzerland. The American journal of emergency medicine, 38(11), 2318-2323. DOI: https://doi.org/10.1016/j.ajem.2019.10.033

Yancey, C. C., & O'Rourke, M. C. (2020). Emergency department triage.

Zdravkovic, M., Berger‐Estilita, J., Sorbello, M., & Hagberg, C. A. (2020). An international survey about rapid sequence intubation of 10,003 anaesthetists and 16 airway experts. Anaesthesia, 75(3), 313-322. DOI: https://doi.org/10.1111/anae.14867

Amaral, C. B., Ralston, D. C., & Becker, T. K. (2020). Prehospital point-of-care ultrasound: a transformative technology. SAGE Open Medicine, 8, 2050312120932706. DOI: https://doi.org/10.1177/2050312120932706

Ismail, M. T., & Elbaih, A. H. (2020). Principles of intravenous fluids therapy. EC Emerg Med Critical Care, 4(6), 24-46.

Owusu-Ansah, S., Moore, B., Shah, M. I., Gross, T., Brown, K., Gausche-Hill, M., ... & COMMITTEE ON PEDIATRIC EMERGENCY MEDICINE. (2020). Pediatric readiness in emergency medical services systems. Pediatrics, 145(1). DOI: https://doi.org/10.1542/peds.2019-3308

Babu, G., Upchurch, B. D., Young, W. H., & Levine, B. D. (2020). Medicine in extreme environments: A new medical student elective class for wilderness, aerospace, hyperbaric, exercise, and combat medicine. Wilderness & Environmental Medicine, 31(1), 110-115. DOI: https://doi.org/10.1016/j.wem.2019.10.006

Published

15-01-2023

How to Cite

Alotaibi, H. F., Alanazi, S. M., Albasri, R. F., & Alanazi, I. M. (2023). Advances in pre-hospital emergency care: Enhancing outcomes through innovative practices and technology. International Journal of Health Sciences, 7(S1), 3422–3434. https://doi.org/10.53730/ijhs.v7nS1.15106

Issue

Section

Peer Review Articles

Most read articles by the same author(s)