conclusions emergency medical services should be considered as a system with its independent components. establishing an independent ems organization, integrating pre-hospital and hospital emergency under single supervision and management, as well as, extending the possibility of providing ems through private sector are essential in order to make fundamental reforms in providing emergency medic...

introduction: one of the most important duties of manager is to organize and maintain enterprise systems. managers are responsible for the amount and type of employee commitment to the values of organization. committed and loyal workforces have significant impact on health service delivery in health organization. the purpose of this study was to identify average of three dimensions of commitmen...

iran is one of the countries with considerable road traffic injuries.  pre-hospital interventions have an important role in preventing mortalities and disabilities caused by traffic accidents. the present study aimed to explore the barriers of pre-hospital care in traffic injuries in tehran, iran. a qualitative content analysis approach was conducted based on 21 semi-structured interviews with ...

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this was a prospective cross-sectional study of consecutive transported patients by emergency medical service (ems) to a referral hospital. the goal of this study was the evaluation of emergency medical technician intermediate prediction about their transported patients disposition in emergency department of imam khomeini hospital. 2950 patients were transported to this hospital, questionnaires...

several observations have addressed high rates of occupational burnout among personnel of emergency medical services (emss) centers.  occupational burnout influences ems personnel's well-being and quality of life. the main objective of this study was to assess burnout and its determinants among iranian ems personnel. this study was carried out at all ems centers in two provinces of kermanshah a...

introduction : although many protocols are available in the field of the prehospital medical care (pmc), there is still a notable gap between protocol based directions and applied clinical practice. this study measures the rate of protocol adherence in pmc provided for patients with chest pain and loss of consciousness (loc). method : in this cross-sectional study, 10 educated research assistan...

objective: most previous retrospective studies failed to show a consistent association between pre-hospital time intervals and mortality in trauma patients, bringing the recommendation of “transport fast to increase survival” under question. the aim of this study was to evaluate the association of response time, scene time, and transport time with 24-hour in-hospital mortality.   methods: in th...

conclusions this study showed that the employees in the kashan pems obtained half of the score of organizational commitment and about two-thirds of the job involvement score. therefore, the higher level managers of the emergency medical system are advised to implement some strategies to increase the employees’ job involvement and organizational commitment. materials and methods this cross-secti...

background due to the high number of road accidents in iran, pre-hospital care plays a vital role in saving the lives of trauma patients. although several studies have been conducted on the pre-hospital emergency status and its indicators, there are no comprehensive studies presenting its status. objective therefore, this review examines iranian studies conducted on pre-hospital emergency statu...