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pece_annotation_1478925605

Sara.Till

1) "The inclusion of a single anecdote in a research overview can lead to a reprimand, for reliance on storytelling."

2) "Because clinical observations often do pan out, they serve as low­level evidence — especially if they jibe with what basic science suggests is likely. To be sure, this approach, giving weight to the combination of doctors’ experience and biological plausibility, stands somewhat in conflict with the principles of evidence­based medicine"

3) "HERE is where I want to venture a radical statement about the worth of anecdote. Beyond its roles as illustration, affirmation, hypothesis­builder and lowlevel guidance for practice, storytelling can act as a modest counterbalance to a straitened understanding of evidence."

pece_annotation_1480201074

Sara.Till

This study utilized a random sample of rape victim advocates to determine whether the current community systems and services work for these victims. As is mentioned in the introduction, the services for rape victims are typically separated in terms of legal, medical, mental health; studies tend to focus on these entities individually when evaluating their procedures, thus greatly narrowing the scope of the procedure. This study, therefore, aims to create a comprehensive view of the system as a whole and whether services provided to victims work in this larger context.

pece_annotation_1473780386

wolmad

Liberian emergency responders are portrayed in the film as being completely overwhelmed by the situation at hand and unable to cope with the nature of the illness, people's innitial denial to the extreme communicability of the disease, and the sheer number of patients. Most predominantly, first responders are illustrated by 2 abandoned ambulances on the side of a road and by the story of a woman saying that an ambulance was called to a dying pregnant woman and they ended up leaving her on the side of the road for an ebola crew to respond to, which came too late.

pece_annotation_1480867180

wolmad
Annotation of

This report does not specifically address disaster, however it shows a new trend in primary care medicine, taking it out of doctor's offices and hospital emergency rooms and bringing it into people's residences. Recent trends have shown massive increases in ED usage for non emergency conditions, causing a shortage in beds and resources. The communuty paramedic program has the purpose of "respond[ing] to identified health needs in underserved communities, ultimately improving the quality of life and health of rural and remote citizens and visitors." The report also cites previous community paramedic programs in Fort Worth, TX, and Nova Scotia, Canada, where the program was shown to decrease ED usage by 23% and reduce costs by over $2 million. 

pece_annotation_1480860811

Sara.Till

This organization seeks to provide emergency medical services to community members of Bed-Stuy, an area seeing disproportionate levels of physical violence and trauma. Before BSVAC the average ambulatory response time to the city was approximately 30 minutes, gravely eating into the "Golden hour" trauma patients are allowed. In light of this, two EMS workers chose to start a volunteer EMS agency to provide emergency care to the city, expose community members to careers in EMS, and teach BLS skills to residents.