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Ambulance Services : Leadership and Management Perspectives

https://libcat.nshealth.ca/en/permalink/provcat39325
Paresh Wankhade, Kevin Mackway-Jones, editors. (1st ed.) --Cham: Springer , c2015.
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This volume provides fresh insights and management understanding of the changing role of the ambulance services against the backdrop of massive cuts in health budgets around the world and the changing context of pre-hospital care within the wider healthcare networks. The challenges of funding, training and cultural transformation are now felt globally. The book offers critical insights into the theory and practice of strategic and operational management of ambulance services and the leadership …
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Other Authors
Wankhade, Paresh
Mackway-Jones, Kevin
Responsibility
Paresh Wankhade, Kevin Mackway-Jones, editors
Edition
1st ed.
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2015
Physical Description
1 online resource (xiv, 192 p. : 15 illus., 7 illus. in color)
Series
Leadership & management of emergency services : ambulance, fire & rescue, and police
Series Title
Leadership & management of emergency services
ISBN
9783319186429
9783319186412 (print ed.)
Subjects (MeSH)
Ambulances - organization & administration
Emergency Medical Services - organization & administration
Emergency Service, Hospital - organization & administration
Abstract
This volume provides fresh insights and management understanding of the changing role of the ambulance services against the backdrop of massive cuts in health budgets around the world and the changing context of pre-hospital care within the wider healthcare networks. The challenges of funding, training and cultural transformation are now felt globally. The book offers critical insights into the theory and practice of strategic and operational management of ambulance services and the leadership needs for the service. One of the highlight of this volume is to bring together scholarship using experts--academics, practitioners and professionals in the field, to each of the chosen topics. The chapters are based in the practical experiences of the authors and are written in a way that is accessible and suitable for a range of audiences. We are confident that this book will cater to a wider audience to inform policy and practice, both in the UK and internationally. Paresh Wankhade is Professor of Leadership and Management at Edge Hill University, UK Kevin Mackway-Jones is the Medical Director at North West Ambulance Service NHS Trust, UK. This unique and valuable publication, charts the history and development of the ambulance service in England over the last hundred years or so. The role of this key emergency service has always been important, and arguably never more so than today. The contributing authors have not only provided the reader with great insights into where the service has come from and the leadership challenges it has, and continues to face; it also gives examples of how the future could look as our journey of transformation continues. Peter Bradley CBE, MBA (and author of Taking Healthcare to the Patient 2005), Chief Executive Officer. St John National Headquarters, New Zealand "With a year on year increase in demand for emergency ambulances and over 9 million calls annually, the UK Ambulance Service must change from its emergency care and transport focus model. Whilst there is some historical and cultural resistance to change there is a need for further development in clinical skills and a new perspective for the future Ambulance Service. This book brings together practitioners, managers, academics and provides a broad understanding of the major management issues in the UK Ambulance Service. It includes the history of the Ambulance Service, quality and risk management issues, commissioning, leadership, intra-operability and shape of the future ambulance service. The content will be of interest to students, practitioners and academics". Sir Keith Porter, Professor of Clinical Traumatology, University Hospitals Birmingham NHS Foundation Trust, United Kingdom.
Format
e-Book
Location
Online
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ECMO-extracorporeal life support in adults

https://libcat.nshealth.ca/en/permalink/provcat33838
Fabio Sangalli, Nicolò Patroniti, Antonio Pesenti, editors. --Milan: Springer , c2014.
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Extracorporeal membrane oxygenation (ECMO) has been in clinical use for some 40 years, but it is only in the past decade that its application in the treatment of life-threatening circulatory and respiratory failure has truly flourished. This book presents a comprehensive overview of both pathophysiological and practical aspects of circulatory and respiratory extracorporeal support. The basics of ECMO, including its history, the "ECMO team", cannulation, materials, and blood-surface interactions…
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Other Authors
Sangalli, Fabio
Patroniti, Nicolò
Pesenti, Antonio
Responsibility
Fabio Sangalli, Nicolò Patroniti, Antonio Pesenti, editors
Place of Publication
Milan
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (xii, 489 pages)
ISBN
9788847054271 (electronic bk.)
9788847054264
Subjects (MeSH)
Extracorporeal Membrane Oxygenation
Heart Diseases - therapy
Respiration, Artificial
Respiratory Tract Diseases - therapy
Subjects (LCSH)
Extracorporeal membrane oxygenation
Blood - Circulation, Artificial - Instruments
Oxygen - Physiological transport
Abstract
Extracorporeal membrane oxygenation (ECMO) has been in clinical use for some 40 years, but it is only in the past decade that its application in the treatment of life-threatening circulatory and respiratory failure has truly flourished. This book presents a comprehensive overview of both pathophysiological and practical aspects of circulatory and respiratory extracorporeal support. The basics of ECMO, including its history, the "ECMO team", cannulation, materials, and blood-surface interactions, are first discussed. The various indications for and particular characteristics of circulatory and respiratory extracorporeal life support are then described in detail in the main part of the book. Patient care during ECMO and monitoring of the ECMO patient are also carefully covered, with explanation of the management of technical and clinical complications and transport-related problems. Further topics include long-term therapy options beyond ECMO, such as ventricular assist devices and transplants, outcome, the new frontiers of ECMO for organ procurement and future challenges.
Contents
Part I. History and Technical Aspects -- History of Extracorporeal Life Support -- Developing a New ECMO Program -- Basic Aspects of Physiology During ECMO Support -- Percutaneous Cannulation: Indication, Technique, and Complications -- Surgical Cannulation: Indication, Technique, and Complications -- Materials: Cannulas, Pumps, Oxygenators -- Coagulation, Anticoagulation, and Inflammatory Response -- Part II. ECMO for Circulatory Support -- Extracorporeal Life Support: Interactions with Normal Circulation -- ECMO for Ischemic Cardiogenic Shock -- ECMO for Refractory Cardiac Arrest -- ECMO for Postcardiotomic Shock -- ECMO in Myocarditis and Rare Cardiomyopathies -- ECMO for High-Risk Procedures -- ECMO for Severe Accidental Hypothermia -- ECMO in Drug Intoxication -- Newer Indications for ECMO: Pulmonary Embolism, Pulmonary Hypertension, Septic Shock and Trauma -- Left Ventricular Rest and Unloading During VA ECMO -- Weaning from Extracorporeal Circulatory Support -- Treatment Options for End-Stage Cardiac Failure -- Part III. ECMO for Respiratory Support -- Ventilatory Management of ARDS Before and During ECMO -- Respiratory Monitoring of the ECMO Patient -- Structure of an ECMO Network for Respiratory Support -- ECMO and Thoracic Surgery -- ECMO in the Awake/Extubated Patient -- ECMO as a Bridge to Lung Transplant -- Low-Flow ECMO and CO2 Removal -- Weaning from VV ECMO -- Part IV. ECMO for Organ Procurement -- Heart-Beating and Non-Heart-Beating Donors -- Lung Reconditioning -- Part V. Monitoring the ECMO Patient -- Patient Care During ECMO -- Echocardiography in Venoarterial and Venovenous ECMO -- Haemodynamic Monitoring -- Respiratory Monitoring During VA ECMO -- Neurological Monitoring During ECMO -- Monitoring the ECMO Patient: The Extracorporeal Circuit -- Part VI. Complications of ECMO -- Complications of Extracorporeal Support and Their Management -- Troubleshooting Common and Less Common Problems -- Part VII. Transport of the ECMO Patient -- Air Transport: Fixed-Wing and Helicopter -- Ground Transport: Ambulance -- Part VIII. Conclusion -- Newer Indications and Challenges.
Format
e-Book
Location
Online
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Handbook of healthcare operations management : methods and applications

https://libcat.nshealth.ca/en/permalink/provcat42220
Brian T. Denton, editor. --New York, NY: Springer , c2013.
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Collectively, the chapters in this book address application domains including inpatient and outpatient services, public health networks, supply chain management, and resource constrained settings in developing countries. Many of the chapters provide specific examples or case studies illustrating the applications of operations research methods across the globe, including Africa, Australia, Belgium, Canada, the United Kingdom, and the United States. Chapters 1-4 review operations research methods…
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Other Authors
Denton, Brian T.
Responsibility
Brian T. Denton, editor
Place of Publication
New York, NY
Publisher
Springer
Date of Publication
c2013
Physical Description
1 online resource (x, 536 pages)
Series Vol.
184
Series Title
International series in operations research & management science
ISBN
9781461458845 (print ed.)
9781461458852
Subjects (MeSH)
Delivery of Health Care - organization & administration
Health Services Administration
Operations Research
Abstract
Collectively, the chapters in this book address application domains including inpatient and outpatient services, public health networks, supply chain management, and resource constrained settings in developing countries. Many of the chapters provide specific examples or case studies illustrating the applications of operations research methods across the globe, including Africa, Australia, Belgium, Canada, the United Kingdom, and the United States. Chapters 1-4 review operations research methods that are most commonly applied to health care operations management including: queuing, simulation, and mathematical programming. Chapters 5-7 address challenges related to inpatient services in hospitals such as surgery, intensive care units, and hospital wards. Chapters 8-10 cover outpatient services, the fastest growing part of many health systems, and describe operations research models for primary and specialty care services, and how to plan for patient no-shows. Chapters 12–16 cover topics related to the broader integration of health services in the context of public health, including optimizing the location of emergency vehicles, planning for mass vaccination events, and the coordination among different parts of a health system. Chapters 17-18 address supply chain management within hospitals, with a focus on pharmaceutical supply management, and the challenges of managing inventory for nursing units. Finally, Chapters 19-20 provide examples of important and emerging research in the realm of humanitarian logistics.
Contents
1. Improving Access to Healthcare: Models of Adaptive Behavior -- 2. Queueing Models for Healthcare Operations -- 3. Applications of Agent-Based Modeling and Simulation to Healthcare Operations Management -- 4. Optimization in Healthcare Delivery Modeling: Methods and Applications -- 5. Operating Room Planning and Scheduling -- 6. The Modeling, Analysis, and Management of Intensive Care Units -- 7. Improving the Flow of Patients Through Healthcare Organizations -- 8. Capacity Allocation and Flexibility in Primary Care -- 9. Improving Scheduling and Flow in Complex Outpatient Clinics -- 10. No-Show Modeling for Adult Ambulatory Clinics -- 11. Simulation and Real-Time Optimised Relocation for Improving Ambulance Operations -- 12. Planning and Managing Mass Prophylaxis Clinic Operations -- 13. Emergency Departments: “Repairs While You Wait, No Appointment Necessary” -- 14. Location Models in Healthcare -- 15. Models and Methods for Improving Patient Access -- 16. Coordinating Health Services: An Operations Management Perspective -- 17. Managing Supply Critical to Patient Care: An Introduction to Hospital Inventory Management for Pharmaceuticals -- 18. The Challenges of Hospital Supply Chain Management, from Central Stores to Nursing Units -- 19. Overcoming the Challenges of the Last Mile: A Model of Riders for Health -- 20. Allocating Scarce Healthcare Resources in Developing Countries: A Case for Malaria Prevention -- Index.
Format
e-Book
Publication Type
Handbook
Location
Online
Copies
1
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Medical response to major incidents and disasters : a practical guide for all medical staff

https://libcat.nshealth.ca/en/permalink/provcat31128
Sten Lennquist, editor. --Berlin, Heidelberg: Springer , c2012.
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Disaster medicine is constantly gaining in importance owing to the impact of a variety of trends, including the rising global population, increased levels of travel, increasing production and transport of hazardous material, the development of global terrorism, and the increasing likelihood of disasters due to climatic changes. Additional skills are needed to respond effectively to the emergencies that arise from these developments, yet the available textbooks are mainly theoretical and provide…
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Other Authors
Lennquist, Sten
Responsibility
Sten Lennquist, editor
Place of Publication
Berlin, Heidelberg
Publisher
Springer
Date of Publication
c2012
Physical Description
1 online resource (xxiv, 412 p. : 179 ill., 176 ill. in color)
ISBN
9783642218958
Subjects (MeSH)
Disasters
Emergency Medical Services - methods
Subjects (LCSH)
Emergency medicine
Public health
Trauma
Abstract
Disaster medicine is constantly gaining in importance owing to the impact of a variety of trends, including the rising global population, increased levels of travel, increasing production and transport of hazardous material, the development of global terrorism, and the increasing likelihood of disasters due to climatic changes. Additional skills are needed to respond effectively to the emergencies that arise from these developments, yet the available textbooks are mainly theoretical and provide limited practical advice and few methodological guidelines. This book, written by members of the core faculty responsible for European courses on Medical Response to Major Incidents (MRMI), is designed to redress the balance by providing a practical guide that covers the full range of disaster scenarios and is relevant to all medical staff. It combines within one comprehensive volume, in an easily accessible format, the entire spectrum of knowledge from command and coordination through to the management of individual casualties. Central importance is attached to the key component of decision making by explaining what needs to be done for patients in particular situations and the required order and timing of treatment measures. Simplified methods receive due attention, as it is often necessary for medical staff to administer primary treatment outside of their own specialty. This book will prove an invaluable aid to all who may be involved in the response to major accidents and disasters, including medical and nursing students, ambulance crew, and military personnel as well as medical specialists.
Contents
Major incidents: definitions and demands on the health care system -- Major incidents: Examples and experiences -- The prehospital response -- Triage -- The hospital response -- Management and identification of dead victims -- Incidents caused by physical trauma -- Incidents caused by fire and toxic gas -- Incidents in cold and wet environments -- Incidents caused by hazardous material -- Incidents caused by irradiation -- Infectious diseases and microbiological threats -- Incidents caused by changes in nature and climate -- Combat casualty management -- Terrorist attacks on the civilian community -- Scoring systems related to outcome in severe injuries -- Psychological crisis support in major incidents -- Education and training -- Further methodological development and research.
Format
e-Book
Location
Online
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Paramedic care. Vol. 7, Operations : principles & practice

https://libcat.nshealth.ca/en/permalink/provcat26277
Bryan E. Bledsoe, Robert S. Porter, Richard A. Cherry. (4th ed.) --Boston, MA: Pearson , c2013.
Call Number
WB 105 B646p 2013 v.7
Location
Halifax Infirmary
Paramedic Care: Principles & Practice, Fourth Edition, is intended to serve as a foundational guide and reference to paramedicine. Developed to stay ahead of current trends and practices in paramedicine, all seven volumes are based on the National EMS Education Standards and the accompanying Paramedic Instructional Guidelines. Volume 7, Operations, focuses on Paramedic-related operational issues and includes a review of ground ambulance operations, new changes in terminology that have been e…
Call Number
WB 105 B646p 2013 v.7
Author
Bledsoe, Bryan E
Other Authors
Porter, Robert S
Cherry, Richard A
Responsibility
Bryan E. Bledsoe, Robert S. Porter, Richard A. Cherry
Edition
4th ed.
Alternate Title
Operations
Place of Publication
Boston, MA
Publisher
Pearson
Date of Publication
c2013
Physical Description
168 p.
ISBN
9780132112345
Subjects (MeSH)
Emergencies
Emergency Medical Services
Emergency Medical Technicians
Emergency Treatment
Abstract
Paramedic Care: Principles & Practice, Fourth Edition, is intended to serve as a foundational guide and reference to paramedicine. Developed to stay ahead of current trends and practices in paramedicine, all seven volumes are based on the National EMS Education Standards and the accompanying Paramedic Instructional Guidelines. Volume 7, Operations, focuses on Paramedic-related operational issues and includes a review of ground ambulance operations, new changes in terminology that have been established through the NIMS process, a new chapter on air medical operations, and updated coverage on responding to terrorist acts.
Format
Book
Location
Halifax Infirmary
Copies
1
Loan Period
3 weeks
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Pre-Hospital Anesthesia Handbook

https://libcat.nshealth.ca/en/permalink/provcat39903
Tim Lowes, Amy Gospel, Andrew Griffiths, Jeremy Henning. (Second edition) --Cham: Springer , c2016.
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This second edition handbook details new and improved procedures, current drugs and updated algorithms used by the crews of the Great North Air Ambulance who have been providing this life saving intervention since 2004. It will be of interest to pre-hospital care doctors and trainees, especially those studying for the GNAAS course. Pre-Hospital Anaesthesia is one of the most demanding interventions that can be made in the field. The exact incidence of failed intubation is difficult to quantify,…
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Author
Lowes, Tim
Other Authors
Gospel, Amy
Griffiths, Andrew
Henning, Jeremy
Responsibility
Tim Lowes, Amy Gospel, Andrew Griffiths, Jeremy Henning
Edition
Second edition
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2016
Physical Description
1 online resource (xxii, 208 p. : 49 illus., 42 illus. in color)
ISBN
9783319230900
9783319230894 (print ed.)
Subjects (MeSH)
Anesthesia - methods
Emergency Medical Services
Emergency Treatment - methods
Intubation, Intratracheal - methods
Abstract
This second edition handbook details new and improved procedures, current drugs and updated algorithms used by the crews of the Great North Air Ambulance who have been providing this life saving intervention since 2004. It will be of interest to pre-hospital care doctors and trainees, especially those studying for the GNAAS course. Pre-Hospital Anaesthesia is one of the most demanding interventions that can be made in the field. The exact incidence of failed intubation is difficult to quantify, but it is clear that it is higher than in hospital. Equally it is certain that anyone undertaking it should have clear instruction in the technique and a thorough understanding of all it entails.
Contents
1. Introduction -- 2. Indications and Decision Making -- 3. Pre-Hospital Rapid Sequence Intubation (PRSI) -- 4. Crew Resource Management (CRM) -- 5. Post-Intubation Management -- 6. Equipment and Minimum Monitoring Standards -- 7. Drugs and Sedation -- 8. Special Circumstances -- 9. Complications, Adverse Events and Clinical Governance -- Appendices.
Format
e-Book
Location
Online
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Treatment of Ongoing Hemorrhage : The Art and Craft of Stopping Severe Bleeding

https://libcat.nshealth.ca/en/permalink/provcat43253
Chad G. Ball, Elijah Dixon, editors. --Cham: Springer , c2018.
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Location
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This volume provides a concise yet comprehensive review of techniques for stopping ongoing hemorrhage in all areas of the body. The text discusses open surgical techniques and minimally invasive (percutaneous, endoscopic, radiologic, laparoscopic) approaches, as well as techniques appropriate to pre-hospital settings, such as "on the scene", ambulance, and the battlefield. The techniques and tips are delivered in a detailed, yet simple and straight-forward manner so that readers are more readil…
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Other Authors
Ball, Chad G.
Dixon, Elijah
Responsibility
Chad G. Ball, Elijah Dixon, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2018
Physical Description
1 online resource (xii, 272 p.) : 187 illus., 117 illus. in color
ISBN
9783319634951
9783319634944 (print ed.)
9783319634968 (print ed.)
9783319875712 (print ed.)
Subjects (MeSH)
Hemorrhage - surgery
Hemorrhage - therapy
Specialty
Emergency Medicine
Abstract
This volume provides a concise yet comprehensive review of techniques for stopping ongoing hemorrhage in all areas of the body. The text discusses open surgical techniques and minimally invasive (percutaneous, endoscopic, radiologic, laparoscopic) approaches, as well as techniques appropriate to pre-hospital settings, such as "on the scene", ambulance, and the battlefield. The techniques and tips are delivered in a detailed, yet simple and straight-forward manner so that readers are more readily able to replicate these concepts in the face of ongoing, life-threatening hemorrhage. Written by experts in the field, Treatment of Ongoing Hemorrhage: A Practical Guide is a valuable resource for surgeons, trainees, and any physician who works within the emergency department or upon critically ill patients.
Contents
Medical Principles of Hemostasis: Just Give Me the Nuts and Bolts! -- Surgical Principles of Hemostasis: Ideas Worth Considering -- Endovascular Management of Hemorrhage: Playing Video Games -- Head and Neck Hemorrhage: What Do I Do Now? -- Major Pulmonary Hemorrhage: Breathing Underwater -- Cardiac Hemorrhage: Treatment of the Bleeding Heart -- Thoracic Vascular and Great Vessel Hemorrhage: Big Red and Big Blue -- Abdominal Vascular Hemorrhage: More than Just Clamp and Sew -- Liver Trauma Hemorrhage: The Bleeding Won't Stop! -- Liver Resection Hemorrhage: Prevention is the Key! -- Liver Transplantation Hemorrhage: Taking Bleeding to Another Level -- Pancreas Resection and Pancreatitis Hemorrhage: Taking Years Off Your Life -- Pancreas Trauma Hemorrhage: So Much Trouble from this Small Organ -- Genitourinary and Splenic Hemorrhage: We're Important Organs Too! -- Pelvic Trauma Hemorrhage: How Do We Stop Bleeding in that Space? -- Vascular Damage Control Techniques: What Do I Do When All Else Fails? -- Extremity Trauma Hemorrhage: More than Just a Tourniquet -- Endoscopic Hemorrhage: This is Even Harder than the Laparoscope! -- Laparoscopic Hemorrhage: Do We Have to Open? -- Hemorrhage in Prehospital and Extreme Environments: We Can't Just Go Home -- Hemorrhage in the Critical Care Environment: Do We Have to Go Back to the OR?
Format
e-Book
Location
Online
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7 records – page 1 of 1.