Chemical, biological and radiological (CBR) incidents have the potential to shut down emergency departments that do not have an adequate CBR response. Secondary contamination also poses a threat to the safety and wellbeing of staff and other patients. On activation of a CBR response, "clean" and "contaminated" areas should be clearly marked, and all patients decontaminated before being allowed ...

Although the principles of pediatric decontamination are similar as those for adults, the actual practice is much more challenging. The unique needs and vulnerabilities of children will require health care personnel to be sensitive to developmental stages of the victims and physiological hazards during decontamination. Unless medically indicated, families should undergo decontamination together...

Introduction: Emergency medical services (EMS) personnel are subject to moral hazards during work, leading them to find moral distress (MD). Our literature review showed a gap in knowledge related to MD in EMS personnel. Therefore, this study investigated MD and its influential factors in pre-hospital emergency technicians. Methods: This descriptive-analytic study was conducted in Iran in 2017...

Background Prompt and safe extrication of motor vehicle accident patients is essential to allow efficient transport to hospital. A rapid extrication technique was developed in the Oslo-Akershus Emergency Medical Services (EMS) and fire service in 1999. The Norwegian Air Ambulance Foundation trains fire fighters, police and EMS personnel in this technique. This study investigated how well the te...

background: this study aimed to evaluate the design of emergency departâ­ments regarding to the patients’ and staff's privacy, confidentiality and facilities in genâ­eral teaching hospitals. methods: emergency departments of all the general teaching hospitals of shahid beâ­heshti university of medical sciences, tehran, iran were evaluated in 2007 through both direct observation and interview ...

BACKGROUND There were over 5,000,000 ambulance dispatches during 2010 in Japan, and the time for transportation has been increasing, it took over 37 minutes from dispatch to the hospitals. A way to reduce transportation time by ambulance is to shorten the time of searching for an appropriate facility/hospital during the prehospital phase. Although the information system of medical institutions ...

when stretcher came to unit and i was put in my bed, nursing personnel of surgical ward said to me hello. i had seen their face from yesterday night when they were transferring patients from emergency ward to this unit.  in that time, i had the role of emergency ward assistant manager. today, i am a weak patient that even is unable for smallest movement. cause of my admission to hospital is mus...

conclusions the number of studies conducted on pre-hospital emergency services in iran is limited. to promote public health, consideration of prevention areas, processes to provide pre-hospital emergency services, policymaking, foresight, systemic view, comprehensive research programs and roadmaps, and assessments of research needs in pre-hospital emergency seem necessary. context pre-hospital ...

introduction: several mechanisms were introduced as causes of serum creatinine phosphokinase (cpk) raise in intoxicated patients. this study aimed to assess the relationship between serum cpk level in the first 24 hours and baseline characteristics as well as outcomes of these patients. methods: this one year retrospective cross-sectional study was conducted on all intoxicated patients, who wer...