1,851 results match your criteria Prehospital Emergency Care [Journal]


Effect of Specialized Critical Care Transport Unit on Short-Term Mortality of Critically Ill Patients Undergoing Interhospital Transport.

Prehosp Emerg Care 2019 Apr 18:1-13. Epub 2019 Apr 18.

f Seoul National University Hospital , Jongno-gu , 110-744 Korea.

Objective To minimize risk and prevent harmful incidents during interhospital transport, the critical care transport unit service called Seoul Mobile Intensive Care Unit (SMICU) was organized and initiated its service within the city of Seoul. We sought to evaluate the effectiveness of critical care transport units on outcomes of critically ill patients undergoing interhospital transport in Seoul Methods A retrospective observational case-control study was designed to evaluate the effectiveness of critical care transport units on outcomes of critically ill patients undergoing interhospital transport. ED patients transported from other hospitals in Seoul during 2016 were identified in the National Emergency Department Information System (NEDIS) and according to use of SMICU. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1
Publisher Site
http://dx.doi.org/10.1080/10903127.2019.1607959DOI Listing
April 2019
1 Read

Improving the Continuum of Care by Bridging the Gap between Prehospital and Hospital Discharge Data through Stepwise Deterministic Linkage.

Prehosp Emerg Care 2019 Apr 11:1-10. Epub 2019 Apr 11.

a Bureau of EMS and Trauma System , Arizona Department of Health Services , Phoenix , AZ , USA.

Objective: To describe the process, benefits, and challenges of linking Arizona's prehospital registry to hospital discharge data.

Methods: Data were queried from the Arizona Prehospital Information and Emergency Medical Services Registry System (AZ-PIERS) and the Arizona Hospital Discharge Database (HDD) for the calendar year 2015. To maximize the number of matched records, the databases were deterministically linked in seventeen (17) steps using different combinations/variations of patient personal identifiers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1604925DOI Listing

Immediate Interventions for Presyncope of Vasovagal or Orthostatic Origin: A Systematic Review.

Prehosp Emerg Care 2019 Apr 8:1-63. Epub 2019 Apr 8.

h Thames Valley Air Ambulance , United Kingdom.

Background Syncope is a common condition that may be prevented. There are non-pharmacological interventions that may be of benefit during the acute episode preceding syncope (presyncope), including physical counter-pressure maneuvers (PCM) or change of body position. We performed a systematic review of interventions that may be applied during presyncope as an immediate, first aid tactic. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1605431DOI Listing
April 2019
2 Reads

Predictors of hypothermia upon trauma centre arrival in severe trauma patients transported to hospital via EMS.

Prehosp Emerg Care 2019 Apr 4:1-10. Epub 2019 Apr 4.

a Division of Emergency Medicine, Department of Medicine , Western University , London , Canada.

Introduction: Hypothermia in severe trauma patients can increase mortality by 25%. Active warming practices decrease mortality and are recommended in the Advanced Trauma Life Support (ATLS) guidelines. Despite this, many emergency medical services (EMS) vehicles do not carry equipment necessary to perform active warming. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1599474DOI Listing
April 2019
2 Reads

Evidence-Based Guidelines for EMS Administration of Naloxone.

Prehosp Emerg Care 2019 Mar 29:1-15. Epub 2019 Mar 29.

The opioid crisis is a growing concern for Americans, and it has become the leading cause of injury-related death in the United States. An adjunct to respiratory support that can reduce this high mortality rate is the administration of naloxone by Emergency Medical Services (EMS) practitioners for patients with suspected opioid overdose. However, clear evidence-based guidelines to direct EMS use of naloxone for opioid overdose have not been developed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1597955DOI Listing
March 2019
2 Reads

Paramedic-Identified Enablers of and Barriers to Pediatric Seizure Management: A Multicenter, Qualitative Study.

Prehosp Emerg Care 2019 Mar 27:1-14. Epub 2019 Mar 27.

a Baylor College of Medicine, Department of Pediatrics, Section of Emergency Medicine , Texas Children's Hospital , 6621 Fannin Street , Houston , 77030 United States.

Background: Seizures have the potential to cause significant morbidity and mortality, and are a common reason EMS are requested for a child. An evidence-based guideline (EBG) for pediatric prehospital seizures was published and has been implemented as protocol in multiple EMS systems. Knowledge translation and protocol adherence in medicine can be incomplete. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1595234DOI Listing
March 2019
1 Read

Caring for Infectious Disease in the Prehospital Setting: A Qualitative Analysis of EMS Providers Experiences and Suggestions for Improvement.

Prehosp Emerg Care 2019 Mar 27:1-25. Epub 2019 Mar 27.

b Rutgers New Jersey Medical School , Department of Emergency Medicine , 185 South Orange Ave, MSB E609 , Newark , NJ , 07103 , USA.

Objective: The purpose of this study was to examine the attitudes and behaviors of EMTs and Paramedics when faced with the decision to care for patients with suspected Ebola Virus Disease, and to illicit suggestions for improvement of infectious disease (ID) preparedness.

Methods: A convenience sample of 22 EMT/Paramedics were recruited from an emergency department at one of the designated Ebola centers. Each provider participated in one of three on-site focus groups. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1601313DOI Listing

Non-auto-injector epinephrine administration by basic life support providers: A literature review and consensus process.

Prehosp Emerg Care 2019 Mar 27:1-11. Epub 2019 Mar 27.

g Dell Medical School.

Anaphylaxis is a life-threatening condition with a known effective prehospital intervention: parenteral epinephrine. The National Association of EMS Physicians (NAEMSP) advocates for EMS providers to be allowed to carry and administer epinephrine. Some states constrain epinephrine administration by basic life support (BLS) providers to administration using epinephrine auto-injectors (EAIs), but the cost and supply of EAIs limits the ability of some EMS agencies to provide epinephrine for anaphylaxis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1595235DOI Listing
March 2019
1 Read

Timing of Advanced Airway Placement after Witnessed Out-of-Hospital Cardiac Arrest.

Prehosp Emerg Care 2019 Mar 26:1-20. Epub 2019 Mar 26.

d Department of Biostatistics , Vanderbilt University Medical Center , Nashville , TN , USA.

Background: Advanced airways (endotracheal tubes, supraglottic airways) are frequently placed by Emergency Medical Services (EMS) in patients with out-of-hospital cardiac arrest (OHCA). However, if an airway is to be placed, it is unknown whether this should occur early or late in the sequence of resuscitation events. This study evaluated the association between the timing of airway placement and the minute-to-minute probability of achieving return of spontaneous circulation (ROSC). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1595236DOI Listing

CPR Induced Inappropriate Shocks from a Subcutaneous Implantable Cardioverter Defibrillator during Out-of-Hospital Cardiac Arrest.

Prehosp Emerg Care 2019 Mar 23:1-5. Epub 2019 Mar 23.

We present the case of a 30-year-old man with a subcutaneous implantable cardioverter defibrillator (S-ICD) who suffered sudden out-of-hospital cardiac arrest. During resuscitation, the patient received inappropriate shocks due to oversensing by the S-ICD of chest compression induced artifact. The rhythm on the EMS monitor showed asystole throughout the period of resuscitation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1599475DOI Listing
March 2019
3 Reads

How Well Do EMS Providers Predict Intracranial Hemorrhage in Head-Injured Older Adults?

Prehosp Emerg Care 2019 Mar 21:1-13. Epub 2019 Mar 21.

a Department of Emergency Medicine , UC Davis School of Medicine , Sacramento , CA.

Objective: To evaluate the accuracy of emergency medical services (EMS) provider judgment for traumatic intracranial hemorrhage (tICH) in older patients following head trauma in the field. We also compared EMS provider judgment with other sets of field triage criteria.

Methods: This was a prospective observational cohort study conducted with 5 EMS agencies and 11 hospitals in Northern California. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1597954DOI Listing
March 2019
2 Reads

Evaluation of Trauma Triage Criteria Performance in a Regional Trauma System.

Prehosp Emerg Care 2019 Mar 20:1-10. Epub 2019 Mar 20.

Objective: We evaluated the performance of individual trauma triage criteria using data from a regional trauma registry.

Methods: Los Angeles County (LAC) paramedics use triage criteria adapted from the 2011 Center for Disease Control (CDC) guidelines to triage injured patients to Trauma Centers (TCs). TCs report outcomes to a LAC EMS registry. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1
Publisher Site
http://dx.doi.org/10.1080/10903127.2019.1588444DOI Listing
March 2019
3 Reads

Dutch Prospective Observational Study on Prehospital Treatment of Severe Traumatic Brain Injury: The BRAIN-PROTECT Study Protocol.

Prehosp Emerg Care 2019 Mar 20:1-8. Epub 2019 Mar 20.

Background: Severe traumatic brain injury (TBI) is associated with a high mortality rate and those that survive commonly have permanent disability. While there is a broad consensus that appropriate prehospital treatment is crucial for a favorable neurological outcome, evidence to support currently applied treatment strategies is scarce. In particular, the relationship between prehospital treatments and patient outcomes is unclear. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1
Publisher Site
http://dx.doi.org/10.1080/10903127.2019.1587126DOI Listing
March 2019
11 Reads

Characteristics of Patients with Recurrent Emergency Medical Services Utilization for Symptomatic Hypoglycemia in an Urban Setting.

Prehosp Emerg Care 2019 Mar 20:1-8. Epub 2019 Mar 20.

Background: Symptomatic hypoglycemia frequently results in utilization of emergency medical services (EMS). Understanding the characteristics of hypoglycemic patients with high EMS utilization may help providers optimize resource allocation.

Objective: To describe characteristics of patients utilizing EMS for hypoglycemia and to determine if any factors identifiable in the prehospital setting are associated with recurrent EMS utilization. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1
Publisher Site
http://dx.doi.org/10.1080/10903127.2019.1587125DOI Listing
March 2019
11 Reads

Automated External Defibrillator Shock Advisement Discordance Among Multiple Electrocardiographic Rhythms and Devices: A Preliminary Report.

Prehosp Emerg Care 2019 Mar 20:1-6. Epub 2019 Mar 20.

a University of Pittsburgh , Pittsburgh , United States.

Background: The early use of automated external defibrillators (AEDs) can save lives by correcting lethal ventricular arrhythmia with minimal operator intervention. AED shock advisements also play a role in termination of resuscitation strategies. AED function is dependent on the accuracy of their shock advisement algorithms, which may differ between manufacturers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1586603DOI Listing
March 2019
1 Read

Characteristics of Prehospital Electrocardiogram Use in North Carolina Using a Novel Linkage of Emergency Medical Services and Emergency Department Data.

Prehosp Emerg Care 2019 Mar 18:1-8. Epub 2019 Mar 18.

Objective: Prehospital electrocardiography (ECG) is recommended for patients with suspected acute coronary syndrome (ACS), yet only 20-80% of chest pain patients receive a prehospital ECG. Less is known about prehospital ECG use in patients with less common complaints (e.g. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1597230DOI Listing
March 2019
2 Reads

Layperson Ability and Willingness to Use Hemostatic Dressings: A Randomized, Controlled Trial.

Prehosp Emerg Care 2019 Mar 15:1-7. Epub 2019 Mar 15.

Background: The Hartford Consensus and Stop the Bleed Campaign empower the public to stop bleeding. While evidence for civilian tourniquet use is mounting, there is limited evidence regarding the public's ability to use hemostatic dressings. This study seeks to determine if laypeople can apply hemostatic dressings, and which hemostatic dressing they can use most successfully. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1593566DOI Listing
March 2019
2 Reads

Bolus Dose Epinephrine Improves Blood Pressure but is Associated with Increased Mortality in Critical Care Transport.

Prehosp Emerg Care 2019 Mar 15:1-8. Epub 2019 Mar 15.

Objective: Hypotension in the prehospital environment is common and linked to dose-dependent mortality. Bolus dose epinephrine (BDE) may reverse hypotension. We tested if BDE use to treat profound hypotension is associated with 24-hour survival. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1
Publisher Site
http://dx.doi.org/10.1080/10903127.2019.1593564DOI Listing
March 2019
23 Reads

A Geospatial Analysis of Distances to Hospitals that Admit Pediatric Asthma Patients.

Prehosp Emerg Care 2019 Apr 5:1-5. Epub 2019 Apr 5.

Objective: Pediatric care is now concentrated in urban specialty centers ("regionalization"), even for common conditions such as asthma. At the same time, rural emergency medical services (EMS) faces challenges related to adequate workforce staffing and financing. This statewide study describes how regionalization of pediatric inpatient care for asthma exacerbations affects EMS operations, particularly for rural agencies. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1
Publisher Site
http://dx.doi.org/10.1080/10903127.2019.1593565DOI Listing
April 2019
4 Reads

Weather and Temporal Factors Associated with Use of Emergency Medical Services.

Prehosp Emerg Care 2019 Mar 15:1-9. Epub 2019 Mar 15.

Background: Fluctuations in emergency medical services (EMS) responses can have a substantial impact on the ability of agencies to meet resource needs within an EMS system. We aimed to identify weather characteristics as potentially predictable factors associated with EMS responses.

Methods: We reviewed hourly counts of scene responses documented by 24 EMS agencies in Western Pennsylvania from January 1, 2014 to December 31, 2017 and compared rates of responses to weather characteristics. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1593563DOI Listing
March 2019
4 Reads

Push Dose Epinephrine Use in the Management of Hypotension During Critical Care Transport.

Prehosp Emerg Care 2019 Feb 26:1-8. Epub 2019 Feb 26.

Introduction: Hypotension is a critical event during the transport of critically ill patients. Push dose vasopressor use, though widely adopted by anesthesiologists, has only recently found use in the field of emergency medicine and may have utility in the management of out-of-hospital hypotension. This study aimed to characterize the hemodynamic effects and adverse events that occur following push dose epinephrine (PDE) administration by critical care transport (CCT) providers to correct documented hypotension. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1
Publisher Site
http://dx.doi.org/10.1080/10903127.2019.1588443DOI Listing
February 2019
7 Reads

Effects of Real-time EMS Direction on Optimizing EMS Turnaround and Load-balancing Between Neighboring Hospital Campuses.

Prehosp Emerg Care 2019 Feb 25:1-7. Epub 2019 Feb 25.

Background: Implemented in September 2017, the "nurse navigator program" identified the preferred emergency department (ED) destination within a single healthcare system using real-time assessment of hospital and ED capacity and crowding metrics.

Objective: The primary objective of the navigator program was to improve load-balancing between two closely situated emergency departments, both of which feed into the same inpatient facilities of a single healthcare system. A registered nurse in the hospital command center made real-time recommendations to emergency medical services (EMS) providers via radio, identifying the preferred destination for each transported patient based on such factors as chief complaint, ED volume, and waiting room census. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1587123DOI Listing
February 2019
2 Reads

Comparison of Outcomes and Characteristics of Emergency Medical Services (EMS)-Witnessed, Bystander-Witnessed, and Unwitnessed Out-of-Hospital Cardiac Arrests in Singapore.

Prehosp Emerg Care 2019 Feb 22:1-8. Epub 2019 Feb 22.

Objectives: The objective was to compare the survival outcomes of emergency medical services (EMS)-witnessed to bystander-witnessed, and unwitnessed out-of-hospital cardiac arrests (OHCA) in Singapore. Secondary aims are to describe the 5-year trend in survival rates of EMS-witnessed arrests.

Methods: This was a retrospective analysis of the Singapore's OHCA registry data from 2011 to 2015. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1587124DOI Listing
February 2019
2 Reads

Evaluation of a Selective Prehospital Pediatric Spinal Protection Protocol.

Prehosp Emerg Care 2019 Feb 22:1-8. Epub 2019 Feb 22.

Background: Recent studies demonstrate an association between spinal immobilization and neck pain, increased use of radiographs, and increased admission rates for pediatric trauma patients. There is an increasing trend toward spinal protection protocols that limit the use of backboards in trauma patients. However, many of these protocols do not address the youngest patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1585502DOI Listing
February 2019

Effects of Spinal Immobilization and Spinal Motion Restriction on Head-Neck Kinematics during Ambulance Transport.

Prehosp Emerg Care 2019 Feb 19:1-9. Epub 2019 Feb 19.

Objective: To determine the influence of ambulance motion on head-neck (H-N) kinematics and to compare the effectiveness of two spinal precaution (SP) protocols: spinal immobilization (SI) and spinal motion reduction (SMR).

Methods: Eighteen healthy volunteers (7 females) underwent a series of standardized ambulance transport tasks, across various speeds, under the two SP protocols in a balanced order (n = 12 drivers, n = 7 ambulances). Inertial measurement units were placed on participants' heads and sternums, with another affixed to the stretcher mattress frame. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1584833DOI Listing
February 2019
1 Read

Effectiveness of Prehospital Dual Sequential Defibrillation for Refractory Ventricular Fibrillation and Ventricular Tachycardia Cardiac Arrest.

Prehosp Emerg Care 2019 Feb 17:1-6. Epub 2019 Feb 17.

Objective: Dual sequential defibrillation (DSD) - successive defibrillations with two defibrillators - offers a novel approach to refractory ventricular fibrillation (RVF) and tachycardia (VF/VT). While associated with rescue shock success, the effect of DSD upon out-of-hospital cardiac arrest (OHCA) is unknown. We evaluated the association of DSD with survival after refractory VF/VT OHCA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1584256DOI Listing
February 2019
6 Reads

Executive Summary of Educational Content from EMS Agenda 2050.

Prehosp Emerg Care 2019 Feb 17:1-4. Epub 2019 Feb 17.

EMS Agenda 2050 follows the original EMS Agenda for the Future and EMS Education Agenda for the Future. These visionary documents discussed and described learning content, requirements, and design of EMS education. This article written by members of the EMS Agenda 2050 Technical Expert Panel highlights the content in the preceding agendas for the future and content from EMS Agenda 2050 in an effort to provide a summarized guide for new and existing EMS education curriculums. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1584257DOI Listing
February 2019
1 Read

Characteristics of Neighborhoods Where Emergency Medical Services Encounter Children at Risk for Maltreatment.

Prehosp Emerg Care 2019 Feb 22:1-11. Epub 2019 Feb 22.

Objective: The objective of this study was to determine if neighborhood rates of pediatric Emergency Medical Services (EMS) encounters correlate with rates of child maltreatment reporting and if there are neighborhood-level risk factors for EMS encountering children with maltreatment reports.

Methods: We conducted a retrospective cohort study using the electronic medical records of children ages <18 years who had Columbus Division of Fire EMS encounters between 2011 and 2015. We used Nationwide Children's Hospital electronic medical records to identify child maltreatment reports. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1573940DOI Listing
February 2019
2 Reads

Effect of Physician-Staffed Emergency Medical Services (P-EMS) on the Outcome of Patients with Severe Traumatic Brain Injury: A Review of the Literature.

Prehosp Emerg Care 2019 Jan 29:1-10. Epub 2019 Jan 29.

a Department of Trauma Surgery and HEMS Lifeliner 1 , VU University Medical Centre, Amsterdam, The Netherlands (ZP, MT, FWB, GFG) Department of Anesthesiology and HEMS Lifeliner 1 , VU University Medical Centre, Amsterdam, The Netherlands.

Introduction: Traumatic injury is the fourth leading cause of death in western countries and the leading cause of death in younger age. However, it is still unclear which groups of patients benefit most from advanced prehospital trauma care. A minimal amount is known about the effect of prehospital physician-based care on patients with specifically traumatic brain injury (TBI). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1575498DOI Listing
January 2019

Performance of the RACE Score for the Prehospital Identification of Large Vessel Occlusion Stroke in a Suburban/Rural EMS Service.

Prehosp Emerg Care 2019 Jan 22:1-7. Epub 2019 Jan 22.

Introduction: Emergency Medical Services (EMS) providers may identify and preferentially transport patients experiencing large vessel occlusion (LVO) stroke to appropriate treatment centers. The Rapid Arterial oCclusion Evaluation (RACE) scale was created for prehospital LVO detection, yet few studies have evaluated its function in real-world EMS settings. Our objective was to assess the prehospital performance of the RACE scale for detecting LVO stroke following implementation at a large suburban/rural agency in the United States. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1
Publisher Site
http://dx.doi.org/10.1080/10903127.2019.1573281DOI Listing
January 2019
17 Reads

Existing Science on Human Factors and Ergonomics in the Design of Ambulances and EMS Equipment.

Prehosp Emerg Care 2019 Jan 14:1-16. Epub 2019 Jan 14.

Background: Emergency medical services (EMS) personnel face a disproportionally high risk for fatality and injury due to the nature of their work; and current ambulance and EMS equipment design standards do not adequately safeguard EMS personnel from sacrificing personal safety for patient care, a known human factors and ergonomic (HFE) design challenge. Despite the desire to include HFE interventions or considerations into a standard, the effectiveness of existing HFE interventions for EMS is unclear.

Objective: Therefore, this study aimed to synthesize the peer-reviewed literature on the design features of patient compartments and EMS equipment that affect EMS personnel's performance or well-being. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1
Publisher Site
http://dx.doi.org/10.1080/10903127.2019.1568651DOI Listing
January 2019
13 Reads

Telehealth Impact on Primary Care Related Ambulance Transports.

Prehosp Emerg Care 2019 Jan 9:1-6. Epub 2019 Jan 9.

Introduction: Telehealth has been used nominally for trauma, neurological, and cardiovascular incidents in prehospital emergency medical services (EMS). Yet, much less is known about the use of telehealth for low-acuity primary care. We examine the development of one telehealth program and its impact on unnecessary ambulance transports. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1568650DOI Listing
January 2019
1 Read

Reducing 9-1-1 Emergency Medical Service Calls By Implementing A Community Paramedicine Program For Vulnerable Older Adults In Public Housing In Canada: A Multi-Site Cluster Randomized Controlled Trial.

Prehosp Emerg Care 2019 Jan 9:1-12. Epub 2019 Jan 9.

Objective: Older adults account for 38-48% of emergency medical service (EMS) calls, have more chronic diseases, and those with low income have lower quality of life. Mobile integrated health and community paramedicine may help address these health inequalities and reduce EMS calls. This study examines the effectiveness of the Community Paramedicine at Clinic (CP@clinic) program in decreasing EMS calls and improving health outcomes in low-income older adults. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1
Publisher Site
http://dx.doi.org/10.1080/10903127.2019.1566421DOI Listing
January 2019
5 Reads

Appropriate Needle Length for Emergent Pediatric Needle Thoracostomy Utilizing Computed Tomography.

Prehosp Emerg Care 2019 Jan 9:1-9. Epub 2019 Jan 9.

Objective: Needle thoracostomy is a life-saving procedure. Advanced Trauma Life Support guidelines recommend insertion of a 5 cm, 14-gauge needle for pneumothorax decompression. High-risk complications can arise if utilizing an inappropriate needle size. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1566422DOI Listing
January 2019
8 Reads

Emergency Medical Services Bypass of the Closest Facility for Pediatric Patients.

Prehosp Emerg Care 2018 Dec 8:1-6. Epub 2018 Dec 8.

Objectives: Pediatric specialty care is increasingly regionalized. It is unknown how regionalization affects emergency medical services (EMS) providers' destination decisions for non-trauma pediatric patients. We sought to characterize the rates of bypass of the closest facility, and destination facilities' levels of pediatric care in three diverse EMS agencies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2018.1557304DOI Listing
December 2018
3 Reads

Physician Oversight of Specialized Emergency Medical Services.

Authors:

Prehosp Emerg Care 2018 Dec 4:1-2. Epub 2018 Dec 4.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2018.1551452DOI Listing
December 2018
2 Reads

Pediatric Behavioral Health-Related EMS Encounters: A Statewide Analysis.

Prehosp Emerg Care 2019 Jan 7:1-9. Epub 2019 Jan 7.

Objectives: Pediatric behavioral health disorders and related emergency department visits are increasing, but effects on emergency medical services (EMS) are unknown. This study's objective was to describe the statewide epidemiology of pediatric behavioral health-related EMS encounters in Florida, including mental health and substance use.

Methods: This analysis is a retrospective study of pediatric behavioral health-related EMS encounters from Florida's statewide EMS Tracking and Reporting Systems Database from 2011 to 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2019.1566423DOI Listing
January 2019
1 Read

Quality Assessment of Expired Naloxone Products from First-Responders' Supplies.

Prehosp Emerg Care 2018 Dec 30:1-7. Epub 2018 Dec 30.

Objective: Naloxone is an opioid receptor antagonist that reverses life-threatening effects of opioid overdose. Since the 1970s, naloxone products have been developed as injectable solutions, and more recently as nasal sprays. Naloxone products have saved many lives in emergency settings. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2018.1563257DOI Listing
December 2018
7 Reads

Analysis of Injuries and Prehospital Interventions Sustained by Females in the Iraq and Afghanistan Combat Zones.

Prehosp Emerg Care 2018 Dec 27:1-8. Epub 2018 Dec 27.

Background: Women served in both combat and non-combat units in the recent conflicts in Iraq and Afghanistan. Moreover, the recent conflicts lacked traditional separation of civilians from combatants carrying additional risk for injury to local civilians. There is a relative paucity of data specific to this topic. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2018.1560849DOI Listing
December 2018
10 Reads
1.806 Impact Factor

Outcomes for patients who contact the emergency ambulance service and are not transported to the Emergency Department: a data linkage study.

Prehosp Emerg Care 2018 Dec 24:1-27. Epub 2018 Dec 24.

Objectives Emergency ambulance services do not transport all patients to hospital. International literature reports non-transport rates ranging from 3.7%-93. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2018.1549628DOI Listing
December 2018
1 Read

Ethnic and Neighborhood Socioeconomic Differences In Incidence and Survival From Out Of Hospital Cardiac Arrest In Singapore.

Prehosp Emerg Care 2018 Dec 22:1-12. Epub 2018 Dec 22.

Objective: We aimed to examine the association of ethnicity and socioeconomic status (SES) with Out-of-Hospital Cardiac Arrest (OHCA) incidence and 30-day survival in Singapore.

Methods: We analyzed the Singapore cohort of Pan-Asia Resuscitation Outcome Study (PAROS), a multi-center, prospective OHCA registry between 2010 and 2015. The Singapore Socioeconomic Disadvantage Index (SEDI) score, obtained according to zip code, was used as surrogate for neighborhood SES. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2018.1558317DOI Listing
December 2018
5 Reads

Availability and Use of an Automated External Defibrillator at Emergency Medical Dispatch.

Prehosp Emerg Care 2018 Dec 20:1-8. Epub 2018 Dec 20.

Objective: The aim of this study was to determine the frequency of automatic external defibrillator (AED) retrieval and placement by bystander callers when prompted by an Emergency Medical Dispatcher (EMD).

Methods: This retrospective descriptive study utilized a convenience sample of emergency dispatch data collected from 23 Emergency Communication Centers (ECCs) spanning 14 states across the United States (U.S. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2018.1559565DOI Listing
December 2018
1 Read

Safety and Effectiveness of Field Nitroglycerin in Patients with Suspected ST Elevation Myocardial Infarction.

Prehosp Emerg Care 2018 Dec 17:1-9. Epub 2018 Dec 17.

Objective: While widely used in the treatment of cardiac conditions, only limited data characterize out-of-hospital nitroglycerin (NTG) use. We sought to determine the safety of out-of-hospital sublingual NTG administered for suspected ST-segment elevation myocardial infarction (STEMI) and its effect on the patient's pain score.

Methods: We prospectively identified adult patients with suspected STEMI transported by paramedics to three percutaneous Coronary Intervention PCI-capable hospitals in a large urban-suburban emergency medical services (EMS) system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2018.1558318DOI Listing
December 2018
2 Reads

Emergency Call Characteristics and EMS Dispatcher Protocol Adherence for Possible Anaphylaxis.

Prehosp Emerg Care 2018 Dec 11:1-9. Epub 2018 Dec 11.

Objective: Anaphylaxis is a medical emergency requiring prompt recognition and treatment with intramuscular epinephrine to optimize outcomes. To date, there is a paucity of data regarding the demographic characteristics of the subset of patients calling 9-1-1 for allergic reactions and the emergency medical services (EMS) dispatcher's adherence to national protocols for their response to a suspected allergic reaction.

Methods: We conducted a retrospective review of dispatch calls to a local municipality that were dispatched with an impression of an "allergic reaction" or "difficulty breathing related to a suspected allergic reaction" from January 2016 to June 2016. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/10903127.2018.1
Publisher Site
http://dx.doi.org/10.1080/10903127.2018.1557305DOI Listing
December 2018
27 Reads

Autistic Man Falling Through the Cracks: Advanced Patient Transport and the "Pop-up" Recovery Ward.

Prehosp Emerg Care 2018 Dec 3:1-2. Epub 2018 Dec 3.

The Royal Flying Doctor Service was tasked to relocate a 19 year-old autistic patient with severe social anxiety, agoraphobia, and morbid obesity from one residential location to another. The retrieval team was confronted with two main challenges: 1) Continuous risk elevation in an elective patient transportation as distinct from other urgent prehospital transfers of mental health patients; and 2) prehospital ketamine/propofol sedation of an aggressive/combative patient with recovery from sedation in a private property. The transfer accomplished the successful relocation of the patient. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2018.1555296DOI Listing
December 2018
1 Read

The Use of Epinephrine for Out-Of-Hospital Treatment of Anaphylaxis.

Authors:

Prehosp Emerg Care 2018 Dec 4. Epub 2018 Dec 4.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2018.1551453DOI Listing
December 2018
4 Reads

Emergency medical services provider perspectives on pediatric calls: A qualitative study.

Prehosp Emerg Care 2018 Nov 27:1-26. Epub 2018 Nov 27.

a Allina Health Emergency Medical Services , 167 Grand Avenue, St. Paul , Minnesota , USA.

Objective: Previous research indicates that 9-1-1 response to incidents involving children is particularly distressing for emergency medical services (EMS) clinicians. This qualitative study was conducted to increase understanding about the difficulties of responding to pediatric calls and to obtain information about how organizations can better support EMS providers in managing potentially difficult calls.

Methods: Paramedics and emergency medical technicians from a single US ambulance service were invited to participate in focus groups about responding to 9-1-1 calls involving pediatric patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2018.1551450DOI Listing
November 2018
2 Reads

Longer Prehospital Time was not Associated with Mortality in Major Trauma: A Retrospective Cohort Study.

Prehosp Emerg Care 2018 Nov 21:1-11. Epub 2018 Nov 21.

Objective: The objective of this study was to determine the association between prehospital time and outcomes in adult major trauma patients, transported by ambulance paramedics.

Methods: A retrospective cohort study of major trauma patients (Injury Severity Score >15) attended by St John Ambulance paramedics in Perth, Western Australia, who were transported to hospital between January 1, 2013 and December 31, 2016. Inverse probability of treatment weighting (IPTW) using the propensity score was performed to limit selection bias and confounding. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2018.1551451DOI Listing
November 2018
17 Reads