Emergency Medical Services and Trauma Services - Research Paper Example

Emergency Medical Services and Trauma Services Introduction In most cases, Emergency Medical Services remain as highly structured system of agencies organizations in communications and transportation networks pertaining issues on trauma systems, as well as hospitals and trauma centers. In addition, it provides special care centers, and rehabilitation facilities with trained professionals such as physicians, nurses, therapists, administrators who inform the public on what to do responses in case of emergency at the Emergency Medical Center (Hanlon, 2003). More significantly, the health system is constantly under increased development of advanced technology and costly acute interventions that seek to promote societal health as it promotes focus on increased consistent verification and modification of risk factors before illness or injury strikes. As a result, the increased transition in the health care industry will lead to a more cost-effective medical management system that improves patient outcomes while undertaking treatment. More significantly, Emergency Medical Services seeks to establish the future of community-based health management as it is fully integrated with the overall health care system. In most cases, the establishment of unique medical services will have the ability to identify and modify illness that seeks to focus on injury risks, and provides acute illness and injury care and follow-up, which eventually contribute to treatment of chronic conditions and community health monitoring (Governor’s EMS and Trauma Advisory Council, 2006). In addition, the establishment of the new entity in the medical sector will seek to develop an integrated health care system that comprises of other health care providers, public health and public safety agencies. More considerably, the establishment of improved community health care remains as the most appropriate approach to improve enhanced community health and use of acute health care resources. More so, injuries remain as the leading causes of deaths in the United States of America because the elaborated traumatic injuries remain at over 161,000 deaths each year and at the rate of 55.9 for every 100,000 persons. Additionally, unintentional injury rank as the fifth most common cause of death in America therefore, Emergency Medical Services has been developed to try to reduce deaths. More significantly, the future of Emergency Medical Services is developing into community based health management that embraces the whole of the health care system in the country. As a result, it has created the ability to discover the different diseases and injury risks as well as contributing to the treatment of chronic conditions while constantly monitoring people health conditions (Key, 2002). Nonetheless, in recent times, Emergency Medical Services have encountered slow response cases while meeting the challenges of ambulances diversions, closure of trauma centre, ground and air crashes. Even though, the Emergency Medical Services encounter this challenges they have currently advanced and emergency 9-1-1 service that links the injured and ill patients to immediate medical units that are prompt and efficient in the provision of quality medical services. In addition, the patients are transferred to well-equipped health facilities that use advanced techniques, which give them the best health care. Currently, organizations that provide health care have extended their services to the rural areas by providing air ambulances services within closer range of trauma care and emergencies centers. As a result, EMS provides out-of-facility medical care that is integrated community health care that seeks to increase public health surveillance by EMS personnel with perceived urgent needs. As a component of increased provision of social services agencies, in the overall health care system Emergency Medical Services seeks to deliver treatment as a way of attenuating the increased morbidity and mortality for specific patient subpopulations. More significantly, the EMS consistently seeks to improve services through the provision of increased availability of new pharmacological agents and technology that seek to develop means of delivering life-saving care faster (Schultz, Koenig, Lewis, 2003). Through the use of automated external defibrillators (AEDs) administered by lesser trained personnel and dispatch life support seeks to begin to systematically look into the needs of specific groups of patients, especially outcomes of patients who have faced an emergency health care situation that has dramatically improved. Considerably, trauma system has developed into being inclusive by engaging the public health facilities that are within their range of operations. For this reason, the emergency care initiative goal is set to reduce the incidence and the rate of injuries in the country. Also, trauma system is advanced as it is a community based and includes all the people including the elderly persons, children with special needs, those with special needs and persons with different cultural consideration. Nevertheless, trauma system has failed to foresee public health, prevention of injuries and planning for disasters. Noticeably, the system enables Emergency Medical Services personnel, medical providers and health officials are connected and ensure they communicate with the patients immediately after the injuries and illness then provide an immediate response. This will enable prompt action on the condition of patients get the best services immediately and reducing the damages such as deaths that are likely to occur (Trunkey, 2000). Additionally, the system tries to incorporate the public to ensure transparency while training them in how to engage in prevention and monitoring of the systems performance. Literature review In today’s world, Emergency Medical Services are incorporated into the health systems to address special needs of the entire population segment. Additionally this system includes the education, system design and resources component in order to provide the best emergency health care services. More so, private and public organizations responsible for the structure, processes and outcomes of Emergency Medical Services must collaborate to create a framework in order to provide better emergency services of high quality. In most cases, care offered in health care institutions can differ immensely between localities dependent on the increased variations in the availability of local resources, especially based on the differences in accepted medical standards, and expectations of communities (Health Resources and Services Administration, 2005). As a result, Texas Hospital Association has sought to undertake increased establishment of minimum performance standards for hospitals that seeks to offer increased specialized trauma care as it recognizes increased focus on four levels of trauma facility care with a formal designation process. The key objectives of the Emergency medical services/Trauma system are to ensure that each patient is directed to the most appropriate health facilities according to their conditions. As a result, coordination plays a critical role in addressing the issues of hospital and trauma centers being overcrowded and becoming less accessible. Consequently, the Emergency medical services/trauma services tries to communicate with each other to provide information on operation on how they can share and transfer patients to the subsequent hospital with capacity and ability to handled certain situation. On the other hand, increased medical care delivered can differ immensely between localities depending on the increased variations in the availability of local resources, expectations of communities and differences in accepted medical standards. More considerably, Texas Hospital Association as an institution focused on the provision of increased as it has established minimum performance standards especially among the hospitals that offer specialized trauma care as it seeks to recognize the four levels of trauma facility care based on a formal designation process (Bazzoli et al., 1995). Even though, the trauma center has sought to provide increased care there has been increased focus on increased health care services provisions as opposed to the remaining inconsistencies in trauma care for adult and pediatric. Significantly, the federal led Emergency medical services agency is mandated by the law and funded is accepted in the health care and public safety systems in the country (Beachley, 2005). The agency is important in coordination of development and functioning of Emergency medical services throughout the nation by providing guidelines on how they should operate. As a result, it creates an oversight authority that guides and oversees the functions of Emergency medical services throughout the United States. In addition, they are able to audit them to ascertain if they met the needed quality in the provision of emergence health services. More so, health care tends to differ in localities due to the difference in resources Texas Health department has established the minimum standard that the hospitals who offer specialized trauma care should met before they are allowed to provide the service. This has resulted in making the trauma providing facilities to provide the most appropriate treatment to ill and injured patients. As a result, the basis is to make sure that standardize health care is provided throughout the state. Appreciably, Emergency medical services have evolved into embracing the pharmacological agents and new technology in order to deliver life saving care that is faster and reliable (Trunkey, 2000). In addition, this system enables to address the needs of specific groups of patients to make them drastically improve. However, health care provision as continue to differ in trauma care of both adults and children’s in Texas hospitals due to voluntary participation of hospitals in the provision of trauma care and Emergency medical services. More than often, communication is done using the number 9-1-1 is available for emergency calls throughout the state of Texas. The important information that is provided to Emergency medical services is the location of the person who requires helps and automatically give a dually response. More so, the person who handles the calls give life saving techniques over the phone before emergency medical service. Although, it tries to facilitated the provision of health care more should be done to provide the adequate time between first responders,Emergency medical services personnel and staff in the hospitals. In addition, the ability of the public to access the emergency services when communicating irrespective of their socioeconomic status, age and special need care that after wards is paid by low-cost health insurance has resulted to decrease in mortality rates due to injuries and chronic illness. Research An emergency medical service provides advanced medical services to those who need transporting to and from the health facilities. Mobility and availability distinguish Emergency medical services from other health care services in the United States. The services involve transporting of critically injured people in accidents and people who are ill to the nearest health care facilities. More so, Emergency medical services clinical care and transportation are interlinked and coordinated in solving the emergences that occurs. As a component of increased provision of social services agencies, in the overall health care system Emergency Medical Services seeks to deliver treatment as a way of attenuating the increased morbidity and mortality for specific patient subpopulations. More significantly, the EMS consistently seeks to improve services through the provision of increased availability of new pharmacological agents and technology that seek to develop means of delivering life-saving care faster. More so, the education training on Emergency medical services personnel is different from one state to another. For example, the National Standard Curricula developed by the federal governments requires the paramedics to receive training of 1000-1200 hours of didactic training. Nonetheless, the training depends on each state others going as little as 270 hours and other as much as 2000 hours (Persse et al, 2003). As a result, the training should be formulated to be uniform throughout the United States.However, currently National Emergency medical services scope of practice model task force has formulated a framework in getting a license for Emergency medical services personnel. Considerably, the occurrence of major trauma activities in the United States in the 1980s and 1990s prompted the health professional to distinguish different illness and injuries. Additionally, tragic events that continue to occur such as the terror attack in 2001 engineered the development of emergencies centers such as the Texas EMS Trauma and Acute Care Foundation (TETAF).Consequently, it made the country and state of Texas to remain prepared for any emergencies that are likely to occur. In addition, this enables the health facilities to handle situations such as the terrorist attack in the year 2001 and natural disasters. Significantly, Emergency medical technicians and paramedics are important in the taking care of emergencies in the United States. As a result, they try to reduce the mortality rates of accidents cases in the country by providing prompt and best services to victims. In addition, local communities have developed their own Emergency Medical Services using their own resources to have a hospital-based ambulance (Beachley, 2005). Accordingly, enable the development of quick rapid emergence unit that deals with emergence medical situation that occurs in their locality. Notably, coordination of resources for effective delivery of emergency health care’s services is provided by Emergency medical services and the Trauma system. As a result, they aim at ensuring that critically injured and ill people are given the right care in the appropriate time and place. The working of Regional Advisory Council provides information by creating a regional plan that enables the easier coordination of locations to the by Emergency medical services (Governor’s EMS and Trauma Advisory Council, 2006). Additionally, integrations of hospital providers into the Emergency medical services /Trauma system enable faster accessibility and providing better health care to its patients. As a result, Emergency medical services have evolved over time to being reliable and more efficient in the provision of emergence health care. In addition, the Emergency Medical Services and trauma service are able to ascertain wether each patient is directed to the most appropriate health facilities according to their conditions. As a result, coordination plays a vital role in addressing the issues of hospital and trauma centers being overcrowded and able to transfer patients to the most suitable health facilities in the State of Texas. More than often, the Emergency medical services/trauma services communicate on how to distribute the patients into different hospital in accordance with the order of priority based on those who are in serious and need medical condition. On the other hand, increased medical care delivered can differ immensely between localities depending on the increased variations in the availability of local resources, expectations of communities and differences in accepted medical standards. Significantly, the Texas EMS, Trauma, and Acute Care Foundation (TETAF) were created to ensure optimal, equitable and accessible for all persons who sustain injuries and those who are ill. In addition, those who are disadvantaged are able to access the medical care that is affordable and high quality. This enables the center to be prepared in responding to emergencies at the shortest time possible. Therefore, reducing the rates of mortalities in the state that are caused by accidents. Notably, the development of Texas EMS, Trauma, and Acute Care Foundation (TETAF) reduces the costs that are incurred in taking care of emergent care in Texas. As a result, the cost incurred was high because private institution charged with the intention of making a profit. However, the coming up of the trauma centre that is nonprofit making organization provided the quality emergency medical services at a cheaper price. In addition, the Texas states government is able to budget for the Centre making the cost favorable to the Texans. Considerably, the Texas EMS, Trauma, and Acute Care Foundation (TETAF) has the best Human Resources who are a dedicated team of competent, compassion with complementary skills and are expertise (Governor’s EMS and Trauma Advisory Council, 2006). As a result, they are able to take of any condition in the state and provide the best services in the provision of medical care in Centre. In addition, the victims of medical and trauma emergences are handle by a health professional who are aware of modern treatment while providing quality health services that is desirable in Texas. In addition, Texas EMS, Trauma, and Acute Care Foundation (TETAF) provides operational support and help fill the gap that the federal government and private entities that cannot provide increased provisional of health care services. As a result, Texas EMS, Trauma, and Acute Care Foundation (TETAF) plays an essential role in filling the need of trauma services in the Texas state and whole of the United States. More so, it able to keep ambulances in a strategic location and dispatched centrally this allows for easier covering of wide area (Key, 2002). Noticeably, the 22 Regional Advisory Councils and by Emergency medical services /Trauma System plays an essential role in carrying out the public awareness on how to access and use the health system. More so, to advocate measures on educating the public on injury prevention measures on issues they are faced with in day-to-day activities. As a result, successful education of the public enables to understand on how the systems works resulting to better health care service in Texas state (Governor’s EMS and Trauma Advisory Council, 2006). Consequently, the resources that are invested in the health care by health provider have increased drastically. As a result, by Emergency medical services has grown over the years from 326 who were certified in 1970 to 728 in 2002 who are equipped with 3300 vehicles and 22 developing systems and designated 190 Trauma facilities in the state of Texas. Research Methodology With the rampant increase, in the cases requiring Emergency Medical Services that involve those of Emergency Medical Centers and trauma centers a qualitative case study research was important to recognize the benefits of Emergency Medical Services (EMS) and Trauma Services as essential services in local governments. More significantly, the use of a case study approach, to conduct research on Emergency Medical Services and Trauma services in giving an in-depth perspective of them as being essential services in the local governments remains essential. It point out system of local governments immediately after, the local government realized that the outcome of Emergency Medical Services and Trauma services are important in the provision of emergency health service in the Texas state, it undertook several research to find out about the Texas EMS, Trauma, and Acute Care Foundation (TETAF). Even though, qualitative interviews of the employees of Texas EMS, Trauma, and Acute Care Foundation (TETAF) and the public in Texas state would be an ideal way of setting out to explore a deductive study (Silverman, 2005). Conversely, a qualitative research interview was not so effective during the research because it had a large scope to be covered and could end up becoming too expensive. Nonetheless, the examination of secondary sources in the case study is a practicable option of obtaining information on of Emergency Medical Services and Trauma services in Texas because many secondary sources focus on the outcome of the case. Over the years, the Emergency Medical Services and Trauma services cases have been widely discussed, and as a result, there is unlimited existence of such sources making its use more practical. More so, the research case study will focus on the role of the Texas EMS, Trauma, and Acute Care Foundation (TETAF) in the provision of emergency service and trauma service. In addition, the research focuses on recognition the Texas EMS, Trauma, and Acute Care Foundation (TETAF) benefits in the provision of Emergence Medical Service and Trauma Service in the State of Texas (Key, 2002). As a result, the research methodology adopted is a case study analysis on the benefits of Emergency Medical services and Trauma centre in the State of Texas. This include assessment of Texas EMS, Trauma, and Acute Care Foundation (TETAF) that was establish in the Texas state to deal with the increase in numbers of Illness and accidents .Even though, research case study would deem suitable to carry out the research it would not give explanatory study that takes into consideration recent changes in the Emergency Medical Services and Trauma services. More significantly, the purpose of the research is to determine whether Emergency Medical Services and Trauma services are beneficial to the local government in the Texas state. Conclusion and recommendations In conclusion, the study was able to show that the Texas EMS, Trauma, and Acute Care Foundation (TETAF) remains essential in providing the operational support and help in filling the gap that the federal government and private entities have not provided in terms of Emergency Medical Services and Trauma Service in the state of Texas. As a result, the Emergency medical service provides the best and high quality care to the people of Texas State and throughout the country. More considerably, the development of Texas EMS, Trauma, and Acute Care Foundation (TETAF) has drastically reduced the costs in the provision of emergency medical care services and trauma services. As a result, the Texas state government has provided some resources for covering expenses that the Emergency Medical Centers and Trauma centre are able to subsidize the cost of health care in the Texas state. As a component of increased provision of social services agencies, in the overall health care system Emergency Medical Services seeks to deliver treatment as a way of attenuating the increased morbidity and mortality for specific patient subpopulations. More significantly, the EMS consistently seeks to improve services through the provision of increased availability of new pharmacological agents and technology that seek to develop means of delivering life-saving care faster. Extensively, the Texas EMS, Trauma, and Acute Care Foundation (TETAF) created an optimal condition to ensure, equitable and accessible emergences and trauma situation for all persons who sustain injuries and those who are ill. In addition, those who are disadvantaged are able to access the medical care that is affordable and of high quality health care to the people in Texas state. This enables the center to be prepared in responding to emergencies at the quickest time possible. As a result, it has lead to the reduction mortalities in emergencies that could be avoided at the easiest time possible. In addition, the Emergency Medical Services and trauma service are able to support high quality care that each patient is directed to the most appropriate health facilities according to their conditions. As a result, coordination plays a vital role in addressing the issues of hospital and trauma centers being overcrowded and able to transfer patients to the most suitable health facilities in the State of Texas. Accordingly, the Emergency medical services/trauma services communicate on how to distribute the patients into different hospital in accordance with the order of priority those who are in serious and need medical condition. On the other hand, increased medical care delivered can differ immensely between localities depending on the increased variations in the availability of local resources, expectations of communities and differences in accepted medical standards. Considerably, Emergency medical services have evolved from time to time in embracing the pharmacological agents and new technology as a result making the Emergency medical centers and Trauma centers to easily adopt new and modern technology (Trunkey, 2000). On the other hand, health care provision as continue to differ in trauma care of both adults and children’s in Texas hospitals due to voluntary participation of hospitals in the provision of trauma care and Emergency medical services. As a result, the Texas EMS, Trauma, and Acute Care Foundation (TETAF) has played a critical role in embracing new technology especially in treatment of complicated diseases in an efficient way. More significantly, it is important to understand that Emergency Medical Centers and Trauma centers are best at providing prompt medical services to the patient and during disaster. Consequently, the medical services that are provided in the Texas EMS, Trauma, and Acute Care Foundation (TETAF) give good quality emergency services that are favorable to a patient who are in the state of Texas. More so, emerging issues have led to development of sosphicated and fast communication of emergency that occur in the State of Texas. In addition ,the system should try and change the response to emergency in dealing with people with critical diseases and injuries in accidents..Also, the development of emergency responded to the situation that has occurred. While developing cooperation between different health providers in communicating and coordination on issues arising pertaining Emergence Medical services and Trauma Services. More so, it is essential to understand that Emergency medical Service and Trauma Centre have developed over the years. As a result, situation that are likely to occur for example accidents and natural disasters that occur are likely solved by having Emergency Medical Services and trauma services that are provided by health facilities such as Texas EMS, Trauma, and Acute Care Foundation (TETAF). Considerably, it is important for the provision of Emergency Medical Services and trauma services that private players and the federal government to invest in health facilities that are reliable and sophisticated that leads to the people of the country to be privileged in getting medical care that is cheap and quality health services. In addition, this provides medical care that is affordable and of high quality, which suits all classes of people irrespective of individuals’ background and standard of living. References Bazzoli, J., Madura, J., Cooper, F., MacKenzie, J., & Maier, V. (1995). Progress in the development of trauma systems in the United States: Results of a national survey. Journal of the American Medical Association, 273, 395–401. Beachley, M (2005) The evolution of trauma nursing and the Society of Trauma Nurses: A noble history. Journal of Trauma Nursing, 2005, 12(4). Governor’s EMS and Trauma Advisory Council. (2006). Model Trauma System Planning And Evaluation U.S. Department of Health and Human Services Program Support Center, Visual Communications Branch. Hanlon, C. R. (2003). The American College of Surgeons at 90. Bulletin of the American College of Surgeons, 10, 19–25. Health Resources and Services Administration. (2005). Rural Emergency Medical Services and Trauma Technical Assistance Center. Retrieved on December 8, 2012, from http://www.ruralhealth.hrsa.gov/ruralems/index.html Key, B. ( 2002). Operational issues in EMS. Emergency Medicine Clinics of North America 20(4):913-927 Persse DE, Key CB, Bradley RN, Miller CC, Dhingra A. 2003. Cardiac arrest survival as a function of ambulance deployment strategy in a large urban emergency medical services system. Resuscitation. 59(1):97-104. Schultz CH, Koenig KL, Lewis RJ. 2003. Implications of hospital evacuation after the Northridge, California, Earthquake. New England Journal of Medicine 348(14):1349-1355. Silverman, D., (2005), Doing Qualitative Research. London: Sage Trunkey, D. (2000). History and development of trauma care in the United States. Clinical Orthopedics and Related Research, 374, 36–40. Read More