Page 540 (image) |
Previous | 337 of 569 | Next |
|
|
small (250x250 max)
medium (500x500 max)
Large
Extra Large
large ( > 500x500)
Full Resolution
|
Loading content ...
Figure 2. A Patient Flow and Information System Model for EMS Systems in North Carolina. meat may ha\c been directed toward obvious or overt injuries. But covert injuries such as laceration of major blood vessels, retroperitoneal hemorrhage or fat embolism may have been the primary cause of death. The findings in large numbers of autopsies must be critically analyzed in order to point the way to necessary changes in treatment. One such study of 950 consecutive autopsies of accident victims revealed an unexpected finding: in 38 percent of those who died in the hospital, or after returning home, following fracture of the hip, the primary cause of death was pulmonary embolism. Yet. pulmonary embolism was the recorded cause of death in onlv two percent of a large number of patients who had not been autopsied, but whose cases were similar.'' Of the utmost importance in undertaking the design and implementation of an Emergency Medical Ser-\ices system is the inclusion, from the start, ol methods for evaluation and monitoring of the system. W ith the introduction of modern computer technolog\. it is nov\ possible to thonuighly investigate the epide- 540 miological and clinical aspects of this major health problem. As information is collected for the epidemiologic information system — kind of accident, treatment at the scene and en route to the EMS facility, extent of anatomic damage, operative treatment employed, and specific complications — the program will not only be formulating solutions but also initiating feedback based on fact rather than on intuition. The information system will be instrumental in analyzing morbidity and mortality rates for graded injuries in paired patients, or in comparable groups of patients managed by the various regions, different kinds of emergency vehicle services, and different or similar levels of EMS facilities. Other areas of assessing an EMS system should be concerned with quantifying some of the variations in convalescence, disability and rehabilitation. In order lo carry out this kind of quantitative assessment, acceptable scales of measurement in these areas must be developed. The de\elopmenl of such scales is no eas\ matter. luir example, at a meet-inii of a local Committee on Trauma of the American College of Surgt ons, approximately 50 distinguishe surgeons were presented with a the( retical problem as to when a your man should resume heavy labor fo lowing specific injury.-' Their est mates of the duration of disabilii ranged from two months to one yea with little concentration of the est mates between. There is currently scant scientif basis on which to predict or measui convalescence or the duration of di ability. The information collecte and studied by epidemiologic metl ods from various EMS systems ar facilities should begin to shed son light on these problem areas. SIMMAR^ The implementation of a broat based EMS system as described this paper is a very real probler 1 he development of any major r organization scheme and the co' comitant distribution of medical r sources will unfortunately meet resistance to change. The medic societv, the hospitals, and most ir pcrtant, the physicians in the fie must be convinced of the value Vol. 3?. N(
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-Present] |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1974 |
Identifier | NCHH-17-035 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 35 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-035.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-035 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 540 (image) |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1974 |
Identifier | NCHH-17-035-0342 |
Form General | Periodicals |
Page Type | all; all images; diagram; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | ncarolinamed351974medi_0342.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 35 |
Issue Number | 9 |
Page Number | 540 |
Health Discipline | Medicine |
Full Text | Figure 2. A Patient Flow and Information System Model for EMS Systems in North Carolina. meat may ha\c been directed toward obvious or overt injuries. But covert injuries such as laceration of major blood vessels, retroperitoneal hemorrhage or fat embolism may have been the primary cause of death. The findings in large numbers of autopsies must be critically analyzed in order to point the way to necessary changes in treatment. One such study of 950 consecutive autopsies of accident victims revealed an unexpected finding: in 38 percent of those who died in the hospital, or after returning home, following fracture of the hip, the primary cause of death was pulmonary embolism. Yet. pulmonary embolism was the recorded cause of death in onlv two percent of a large number of patients who had not been autopsied, but whose cases were similar.'' Of the utmost importance in undertaking the design and implementation of an Emergency Medical Ser-\ices system is the inclusion, from the start, ol methods for evaluation and monitoring of the system. W ith the introduction of modern computer technolog\. it is nov\ possible to thonuighly investigate the epide- 540 miological and clinical aspects of this major health problem. As information is collected for the epidemiologic information system — kind of accident, treatment at the scene and en route to the EMS facility, extent of anatomic damage, operative treatment employed, and specific complications — the program will not only be formulating solutions but also initiating feedback based on fact rather than on intuition. The information system will be instrumental in analyzing morbidity and mortality rates for graded injuries in paired patients, or in comparable groups of patients managed by the various regions, different kinds of emergency vehicle services, and different or similar levels of EMS facilities. Other areas of assessing an EMS system should be concerned with quantifying some of the variations in convalescence, disability and rehabilitation. In order lo carry out this kind of quantitative assessment, acceptable scales of measurement in these areas must be developed. The de\elopmenl of such scales is no eas\ matter. luir example, at a meet-inii of a local Committee on Trauma of the American College of Surgt ons, approximately 50 distinguishe surgeons were presented with a the( retical problem as to when a your man should resume heavy labor fo lowing specific injury.-' Their est mates of the duration of disabilii ranged from two months to one yea with little concentration of the est mates between. There is currently scant scientif basis on which to predict or measui convalescence or the duration of di ability. The information collecte and studied by epidemiologic metl ods from various EMS systems ar facilities should begin to shed son light on these problem areas. SIMMAR^ The implementation of a broat based EMS system as described this paper is a very real probler 1 he development of any major r organization scheme and the co' comitant distribution of medical r sources will unfortunately meet resistance to change. The medic societv, the hospitals, and most ir pcrtant, the physicians in the fie must be convinced of the value Vol. 3?. N( |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-035.pdf |
Document Sort | all; nchh-17 |
Article Title | Emergency Medical Services In North Carolina: I. A Proposal For The Organization Of A Statewide Emergency Services System In North Carolina |
Article Author | Frank Cordle |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-035 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Tags
Comments
Post a Comment for Page 540 (image)