background sedation is a condition of reduced level of consciousness (loc) for a patient that is created to decrease irritability, anxiety, and restlessness. objectives in this study, we compared the sedative effect of oral administration of ketamine, midazolam, and atropine cocktail with diphenhydramine in the referent children to the emergency department. patients and methods based on the dou...

introduction: midazolam has turned into a common drug for pediatric procedural sedation and analgesia. however, there is not much data regarding its proper dose and potential side effects in the iranian children population. therefore, the present study was done to compare 2 doses of iv midazolam in this regard. methods:  the present clinical trial was performed to compare 0.1 and 0.3 mg/kg dose...

introduction: patient satisfaction is crucial to the long-run success in health care center. with regard to the highest patients’ referral to the emergency department and the existing challenges due to the patient’s need to urgent care, we aimed to evaluate health care services quality in this unit to find out whether the patients have different expectations from health care providers and if th...

The reasonable utilization of limited resources is critical to realize the sustainable developments. In the initial 72-h crucial rescue period after the disaster, emergency supplies have always been insufficient and the demands in the affected area have always been uncertain. In order to improve timeliness, utilization and sustainability of emergency service, the allocation of the emergency sup...

The risk of occupational death is disproportionately high for emergency medical services (EMS) personnel, largely as a consequence of the high incidence of transportation-related fatalities. The purpose of this narrative review is twofold: to raise awareness in the EMS community by examining the various factors that contribute to vehicular EMS injuries and fatalities and to outline practical st...

In our country, Student transportations’ security and driving accidents statistics for students is one of the major concerns for relevant organizations such as educational organization. In current year, a system, was named Sepand, was formed in city taxi driver ::::::union:::::: by educational organization, NAJA traffic and city taxi driver ::::::union::::::. In this systems’ plan, ...

INTRODUCTION The number of accidents involving emergency vehicles is a major concern for emergency service providers. OBJECTIVES This study assessed the effectiveness of adding a driving simulator to a traditional training program. METHODS The sample consisted of students attending the National Emergency Medical Services Academy in Lafayette, Louisiana. Each participant self-scheduled two d...

BACKGROUND Response time is viewed as a key performance indicator in most emergency medical services (EMS) systems. OBJECTIVE To determine the effect of increased emergency vehicle numbers on response time performance for priority 1 incidents in an urban EMS system in Cape Town, South Africa, using discrete-event computer simulation. METHOD A simulation model was created, based on input dat...

The approaching deadline for eCall service implementation for new cars in 2018, raises a series of technical and logistic issues. The eCall service, part of iCar initiative, aims to reduce the road fatalities and severity injured person reduction, for post-crash situations. The eCall service consists into an In Vehicle System (IVS), which will be delivered mandatory on new cars, starting with 2...

Evaluation of the contamination of stethoscopes used in pediatric units of a hospital and emergency service showed that 87% of them presented contaminated diaphragms. Coagulase-negative Staphylococcus was the microorganism most frequently isolated. The resistance to antibiotics indicates that stethoscopes should be considered to be an important vehicle for disseminating bacteria resistant to an...