How Henrico firefighters respond to COVID-19 nursing home calls

In Washington, D.C. triage nurses are partnering with 911 dispatchers to help divert non-emergency needs from emergency care in the city. This new pilot program aims to reduce the percentage of 911 calls that are not actually emergencies so that resources are utilized efficiently and the city can save money while still helping those who need it.

Emergency medical response systems are facing challenges in meeting the needs of clients and financial limits. This has left the system unable to effectively serve their communities. Now, responders in Portland, Oregon, and Reno, Nevada, are creating new solutions to make this system more efficient.

The Healing Hurt People program, or HHP, is an ER-based violence intervention program that works on the public health-based notion that violence - like other diseases that spread - can be prevented. It targets services to those at highest risk, patients like those in Philadelphia, who are being treated for violent injuries in the city's emergency rooms. Unlike other programs, it recognizes and attempts to heal the underlying emotional trauma that results from, and often predates, violent injury.

Victims of violence that end up in the emergency room can return within two years with more injuries because of retaliation efforts. Philadelphia’s Healing Hurt People is a hospital-based violence intervention program that assists individuals who need medical care and mental health services. The hospital and social work collaboration helps reduce emergency room costs.

In Ukraine, Médecins Sans Frontières, or Doctors Without Borders, operates a specialized train service to transport patients from hospitals in battle-torn areas of the country to facilities in safer regions. The train, which is outfitted with beds, generators for medical equipment, and an intensive care unit, has evacuated more than 1,000 people in critical need of treatment so far, including those with war-related injuries as well as chronic health concerns.

Since 2014, all Austin police officers and cadets receive first-aid training, including the use of tourniquets and CPR. The training, which covers four weeks for cadets, is meant to provide stopgap, life-saving aid when more highly trained medics cannot reach the scene of a mass shooting quickly enough. Gunshot victims can bleed to death quickly, making the speed of the response paramount. Police provided such aid to multiple victims of a June 12, 2021, mass shooting, including transporting people in police vehicles to hospitals. The response is credited with saving lives.

Next Step is a hospital-based violence intervention program based at Minneapolis' Hennepin County Medical Center that counsels gunshot victims to try to help lower the chances that they will be harmed again or seek to harm others. Focusing on young adults and their families, the program starts its work when a victim is hospitalized. The counseling and connections to support services can continue for months and even years.

Behind the nightly protests against racism and police brutality on Portland's streets for more than five months stands a network of street medics and mutual aid groups dedicated to equipping and protecting protesters, and treating their injuries after clashes with police. Portland's already-vibrant street medic community responded to the policing protests with emergency medical care. Their work, plus that of other mutual aid groups, has taken on an added dimension during the pandemic, with masks and hand sanitizer added to the list of supplies.

The Violence Intervention Program at the University of Maryland Medical Center's Shock Trauma Center helps people meet basic needs after they have suffered a gunshot injury. Along with clothing, transportation vouchers, and toothbrushes, the program's social workers also provide talk therapy. The goal is to keep victims of violence from becoming victims again, and the approach is to build trust by giving the help without strings attached. Many people return for the help, and the therapy.

Since the 2018 opening of a trauma-care center near the neighborhoods most affected by Chicago's gun violence, the University of Chicago Medical Center's Violence Recovery Program has helped survivors and victims' families to address the emotional harm that can go untreated when only physical harm is treated. Part of a growing field nationwide, hospital-based violence intervention, the program's nine specialists counsel people through the immediate shock of a gun injury or death. Then they address longer-term needs for services. The goals are both humanitarian and pragmatic, to head off more violence.