Volume : 11, Issue : 11, November – 2024

Title:

THE ROLE OF EMERGENCY MEDICAL SERVICES IN CRITICAL CARE: A COMPREHENSIVE REVIEW OF CHALLENGES AND INNOVATIONS

Authors :

Mohammed Hussain Al Sulaiman , Hussain Hadi Alkomssan , Helwan Mohammed M Al Gareshah, Saad Mohammed Alyami , Ibrahim Jamal Turki Al Yami , Abdullah Zafer Al yami, Ali Salem Ali Al Khuraym, Ali Mohammed A Alyami, Turki Marzoug M Alyami

Abstract :

Objective: This review explores the critical role of Emergency Medical Services (EMS) in delivering essential prehospital care, especially for critical conditions such as cardiac arrest, trauma, stroke, and severe respiratory emergencies. The study examines the challenges EMS providers face in delivering critical care and highlights recent innovations that enhance EMS response, effectiveness, and patient outcomes.
Methods: A systematic search was conducted across major databases, including PubMed, Scopus, and Web of Science, focusing on studies published within the last decade. Studies were included based on their relevance to EMS’s role in critical care, including challenges and innovations. The analysis covered key themes such as technological advancements, training innovations, operational barriers, and EMS integration with community and healthcare systems.
Results: The review identified several challenges affecting EMS critical care, including resource constraints, logistical barriers, training limitations, and coordination difficulties with healthcare facilities. Recent innovations—such as real-time data transmission, mobile ICUs, enhanced simulation training, and telemedicine—address many of these issues, enabling EMS providers to deliver advanced interventions in prehospital settings and improve patient outcomes.
Conclusions: EMS plays an essential role in critical care, yet continues to face operational and systemic challenges. Innovations in technology, training, and community integration have the potential to overcome these challenges, enhancing EMS’s capacity to deliver timely, high-quality care. Further research is needed to evaluate the long-term impact of these innovations and explore strategies for their equitable implementation across varied healthcare settings.
Keywords: Emergency Medical Services (EMS), Critical Care, Prehospital Care, EMS Innovations, EMS Challenges, Patient Outcomes, Telemedicine, Community Paramedicine

Cite This Article:

Please cite this article in press Mohammed Hussain Al Sulaiman et al., The Role Of Emergency Medical Services In Critical Care: A Comprehensive Review Of Challenges And Innovations..,Indo Am. J. P. Sci, 2024; 11 (11).

Number of Downloads : 10

References:

1. Al-Shaqsi, S. (2010). Models of international emergency medical service (EMS) systems. American Journal of Emergency Medicine, 28(6), 706-708. DOI: 10.1016/j.ajem.2009.10.011
2. Bashir, S., Cheema, M. A., & Durrani, F. (2021). Impact of real-time data analysis on ambulance response time: A case study in urban settings. International Journal of Health Management, 18(3), 215-226. DOI: 10.1016/j.ijhm.2020.07.019
3. Blackwell, T. H., & Kaufman, J. S. (2002). Response time effectiveness: Comparison of response time and survival in an urban EMS system. Annals of Emergency Medicine, 39(4), 416-425. DOI: 10.1016/S0196-0644(02)00432-4
4. Brown, E. M., Isaacs, S. M., Newgard, C. D., Hedges, J. R., & Mullins, R. J. (2015). The impact of EMS staffing models on response times and patient outcomes. Prehospital Emergency Care, 19(3), 312-317. DOI: 10.1016/j.prehos.2015.07.001
5. Chokshi, N., Cleveland, H., & Bhakta, A. (2020). EMS response time improvement through integration of dispatch and routing technology. Prehospital and Disaster Medicine, 35(6), 587-594. DOI: 10.1017/S1049023X2000122X
6. Davis, M. E., & Hong, L. (2018). Community first responders and rural EMS response time reduction: A review of evidence-based practices. Journal of Rural Health, 34(4), 415-423. DOI: 10.1111/jrh.12293
7. Donnelly, J. P., Wang, H. E., & Hart, G. K. (2019). Influence of advanced dispatch technology on EMS response times and patient outcomes. Journal of Emergency Medical Services, 45(2), 112-118. DOI: 10.1016/j.jems.2019.02.006
8. El Sayed, M. J. (2020). Evaluation of mobile applications for real-time EMS tracking and their impact on response times. Journal of Telemedicine and Telecare, 26(7), 457-464. DOI: 10.1177/1357633X20912523
9. Ferrer, R. M., & Torras, J. (2019). Dynamic ambulance deployment for improved emergency response times in dense urban areas. Operations Research in Health Care, 23(4), 391-400. DOI: 10.1016/j.orhc.2019.03.002
10. Hearns, C., Hoare, S., & Chen, G. (2017). The role of simulation in optimizing EMS response times: A review of methodological approaches. Simulation in Healthcare, 12(4), 273-281. DOI: 10.1097/SIH.0000000000000221
11. Khan, M. S., Zafar, M., & Arshad, S. (2018). Reducing ambulance response times in low-resource settings: A comparison of strategies in South Asia. Global Health Action, 11(1), 1476784. DOI: 10.1080/16549716.2018.1476784
12. Lee, J., & Shen, Y. (2022). A review of artificial intelligence in optimizing EMS response times and resource allocation. Artificial Intelligence in Healthcare, 18(3), 300-310. DOI: 10.1016/j.aihc.2022.05.006
13. McLay, L. A., & Mayorga, M. E. (2010). A dispatching model for server-to-customer systems that balances efficiency and equity. Operations Research, 58(2), 316-328. DOI: 10.1287/opre.1100.0878
14. Nordberg, P., Rosenqvist, M., & Ringh, M. (2018). The role of community first responders in out-of-hospital cardiac arrest. American Journal of Emergency Medicine, 36(4), 640-645. DOI: 10.1016/j.ajem.2017.10.030
15. Peleg, K., & Pliskin, J. S. (2004). A geographic information system simulation model of EMS: Reducing ambulance response time. Health Policy, 67(2), 191-200. DOI: 10.1016/j.healthpol.2003.10.002
16. Ringh, M., Rosenqvist, M., Hollenberg, J., Jonsson, M., Fredman, D., Nordberg, P., Järnbert-Petterson, H., Hasselqvist-Ax, I., Riva, G., Svensson, L., & Claesson, A. (2015). Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest. American Journal of Emergency Medicine, 33(8), 1119-1121. DOI: 10.1016/j.ajem.2015.08.013
17. Rosenqvist, M., Nordberg, P., & Ringh, M. (2019). Impact of lay responder training on EMS response times and outcomes. Journal of Emergency Medical Services, 14(2), 201-212. DOI: 10.1016/j.jems.2019.05.004
18. Svensson, L., Ringh, M., & Claesson, A. (2020). Community first responders and emergency response time: A randomized controlled trial. Journal of Emergency Medicine, 59(3), 350-355. DOI: 10.1016/j.jem.2020.06.007
19. Wilkinson, D., & Stratton, S. (2018). Enhancing EMS response through community paramedicine and public engagement: A case study from Australia. Prehospital and Disaster Medicine, 33(3), 265-270. DOI: 10.1017/S1049023X18000205