1,827 results match your criteria Prehospital Emergency Care [Journal]


Evaluation of a Selective Prehospital Pediatric Spinal Protection Protocol.

Prehosp Emerg Care 2019 Feb 22:1-12. Epub 2019 Feb 22.

e Children's National Health System , Emergency Medicine , 111 Michigan Ave , NW , Washington , 20010 United States.

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 towards 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

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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 19:1-12. Epub 2019 Feb 19.

g University of Winnipeg , Gupta Faculty of Kinesiology and Applied Health , 515 Portage Avenue , Winnipeg , Manitoba , R3B 2E9 Canada.

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

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

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

Prehosp Emerg Care 2019 Feb 17:1-8. Epub 2019 Feb 17.

e McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth) , Emergency Medicine , Houston , United States.

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

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

An Executive Summary of Educational Content from EMS Agenda 2050.

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

f Los Angeles County EMS Agency , Santa Fe Springs , United States.

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

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

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

Prehosp Emerg Care 2019 Jan 31:1-11. Epub 2019 Jan 31.

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

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http://dx.doi.org/10.1080/10903127.2019.1573940DOI Listing
January 2019
1 Read

The 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 29:1-14. Epub 2019 Jan 29.

a Department of Trauma Surgery and HEMS Lifeliner 1 , VU University Medical Centre De Boelelaan 1117 , 1081 HV Amsterdam , The Netherlands.

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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

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https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1
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http://dx.doi.org/10.1080/10903127.2019.1573281DOI Listing
January 2019
8 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

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https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1
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http://dx.doi.org/10.1080/10903127.2019.1568651DOI Listing
January 2019
6 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

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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

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https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1
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http://dx.doi.org/10.1080/10903127.2019.1566421DOI Listing
January 2019
2 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

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http://dx.doi.org/10.1080/10903127.2019.1566422DOI Listing
January 2019
4 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

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

Physician Oversight of Specialized Emergency Medical Services.

Authors:

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

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http://dx.doi.org/10.1080/10903127.2018.1551452DOI Listing
December 2018
1 Read

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

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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

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http://dx.doi.org/10.1080/10903127.2018.1563257DOI Listing
December 2018
6 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

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http://dx.doi.org/10.1080/10903127.2018.1560849DOI Listing
December 2018
3 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

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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

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http://dx.doi.org/10.1080/10903127.2018.1558317DOI Listing
December 2018
4 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

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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

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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

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https://www.tandfonline.com/doi/full/10.1080/10903127.2018.1
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http://dx.doi.org/10.1080/10903127.2018.1557305DOI Listing
December 2018
13 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

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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.

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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

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http://dx.doi.org/10.1080/10903127.2018.1551450DOI Listing
November 2018
1 Read

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

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

Evaluation and comparison of different prehospital triage scores of trauma patients on in-hospital mortality.

Prehosp Emerg Care 2018 Nov 20:1-20. Epub 2018 Nov 20.

Introduction: Several prehospital major trauma patient triage scores have been developed, the triage revised trauma score (T-RTS), Vittel criteria, Mechanism/Glasgow Coma Scale/Age/Systolic blood pressure score (MGAP) and the new trauma score (NTS). These scoring schema allow a rapid and accurate prognostic assessment of the severity of potential lesions. The aim of our study was to compare these scores with in-hospital mortality predictions in a cohort of consecutive trauma patients admitted in a Level 1 trauma center. Read More

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http://dx.doi.org/10.1080/10903127.2018.1549627DOI Listing
November 2018
1 Read

Characterization of Children with Septic Shock Cared for by Emergency Medical Services.

Prehosp Emerg Care 2018 Nov 15:1-30. Epub 2018 Nov 15.

Objective: To inform the future development of a pediatric prehospital sepsis tool, we sought to 1) describe the characteristics, emergent care, and outcomes for children with septic shock who are transported by emergency medicine services (EMS) and compare them to those self-transported; and 2) determine the EMS capture rate of common sepsis screening parameters and the concordance between the parameters documented in the EMS record and in the emergency department (ED) record.

Methods: This is a retrospective cohort study of children ages 0 through 21 years who presented to a pediatric ED with septic shock between 11/2013 and 06/2016. Data, collected by electronic and manual chart review of EMS and ED records, included demographics, initial vital signs in both records, ED triage level, site of initial ED care, ED disposition, ED therapeutic interventions, outcomes and times associated with processes. Read More

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http://dx.doi.org/10.1080/10903127.2018.1539147DOI Listing
November 2018
2 Reads

Characteristics and Diversity Of ACGME Accredited EMS Fellowship Programs.

Prehosp Emerg Care 2018 Nov 8:1-23. Epub 2018 Nov 8.

Introduction: There is little published data in regards to Emergency Medical Services (EMS) fellowship programs. The purpose of this study was to obtain program characteristics and diversity data regarding EMS fellowship programs.

Methods: A survey was sent to program directors at all EMS fellowship programs accredited by the Accreditation Council of Graduate Medical Education (ACGME). Read More

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http://dx.doi.org/10.1080/10903127.2018.1544327DOI Listing
November 2018
1 Read

A Prospective Study of the Safety and Effectiveness of Droperidol in Children for Prehospital Acute Behavioural Disturbance.

Prehosp Emerg Care 2018 Oct 31:1-26. Epub 2018 Oct 31.

Study Objective: Although uncommon, children (<16 years) with acute behavioural disturbance are a significant issue for emergency medical service providers. In this study we aimed to investigate the safety and effectiveness of droperidol in children with prehospital acute behavioural disturbance.

Methods: This was a prospective observational study over 1 year investigating the use of droperidol (0. Read More

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https://www.tandfonline.com/doi/full/10.1080/10903127.2018.1
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http://dx.doi.org/10.1080/10903127.2018.1542473DOI Listing
October 2018
31 Reads

Ready for Children: Assessing Pediatric Care Coordination and Psychomotor Skills Evaluation in the Prehospital Setting.

Prehosp Emerg Care 2018 Oct 31:1-25. Epub 2018 Oct 31.

Objective: Pediatric patients represent low frequency but potentially high-risk encounters for EMS providers. Scant information is available from EMS agencies on the frequency of pediatric skill evaluation and the presence of pediatric emergency care coordination, both which may help EMS systems optimize care for children. The objective of our study was to assess the frequency and type of methods used to assess psychomotor skills competency using pediatric-specific equipment and pediatric care coordination in EMS ground transport agencies. Read More

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http://dx.doi.org/10.1080/10903127.2018.1542472DOI Listing
October 2018
1 Read

NAEMSE Position Paper on the Critical Care Paramedic.

Prehosp Emerg Care 2018 Oct 16:1-5. Epub 2018 Oct 16.

Critical care paramedicine is a specialty practice of the EMS profession. Development of a bachelor's degree is supported as a requirement for entry-level paramedic education and training and targeted specialty continuing education as a requirement for certifying critical care paramedics. Critical care paramedic certification is required for the establishment of national practice standards, recognition and standardization of scopes of practice at the state-level. Read More

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https://www.tandfonline.com/doi/full/10.1080/10903127.2018.1
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http://dx.doi.org/10.1080/10903127.2018.1536772DOI Listing
October 2018
11 Reads

Multi-organ system injury from inhalant abuse.

Prehosp Emerg Care 2018 Oct 15:1-10. Epub 2018 Oct 15.

We present an illustrative case of a 24-year old male who developed cardiovascular and multi-organ system toxicity after inhaling a keyboard dust cleaner containing a halogenated hydrocarbon. In the field, the patient demonstrated neurotoxic effects in addition to electrocardiographic changes concerning for toxic myocarditis. We discuss the types of hydrocarbons, methods of abuse, and toxic effects of their inhalation including "sudden sniffing death" from myocardial sensitization. Read More

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http://dx.doi.org/10.1080/10903127.2018.1536771DOI Listing
October 2018
2 Reads

Use of Ultrasound for Joint Dislocation Reduction in an Austere Wilderness Setting: A Case Report.

Prehosp Emerg Care 2018 Nov 7:1-6. Epub 2018 Nov 7.

Point-of-care ultrasound has been shown to have a demonstrable impact in the austere/out-of-hospital environment. As ultrasounds become more affordable and portable, a myriad of uses in austere environments are becoming recognized. We present a case of a stranded hiker with an ultrasound-confirmed glenohumeral joint dislocation who underwent ultrasound-guided intra-articular lidocaine injection and ultrasound-confirmed reduction. Read More

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https://www.tandfonline.com/doi/full/10.1080/10903127.2018.1
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http://dx.doi.org/10.1080/10903127.2018.1532474DOI Listing
November 2018
8 Reads

Proximal External Aortic Compression for Life-Threatening Abdominal-Pelvic and Junctional Hemorrhage: An Ultrasonographic Study in Adult Volunteers.

Prehosp Emerg Care 2018 Nov 2:1-5. Epub 2018 Nov 2.

Introduction: Following life-threatening junctional trauma, the goal is to limit blood loss while expediting transfer to operative rescue. Unfortunately, life-threatening abdominal-pelvic or junctional hemorrhage is often not amenable to direct compression and few temporizing strategies are available beyond hemostatic dressings, hypotensive resuscitation, and balanced transfusion.

Objectives: In this study, we evaluated proximal external aortic compression to arrest blood flow in healthy adult men. Read More

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https://www.tandfonline.com/doi/full/10.1080/10903127.2018.1
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http://dx.doi.org/10.1080/10903127.2018.1532477DOI Listing
November 2018
2 Reads

An Urban 9-1-1 System's Experience with Left Ventricular Assist Device Patients.

Prehosp Emerg Care 2018 Nov 5:1-6. Epub 2018 Nov 5.

Background: Left ventricular assist devices (LVADs) are used with increasing frequency and left in place for longer periods of time. Prior publications have focused on the mechanics of troubleshooting the device itself. We aim to describe the epidemiology of LVAD patient presentations to emergency medical services (EMS), prehospital assessments and interventions, and hospital outcomes. Read More

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http://dx.doi.org/10.1080/10903127.2018.1532475DOI Listing
November 2018
10 Reads

Real-Time Fatigue Mitigation with Air-Medical Personnel: The SleepTrackTXT2 Randomized Trial.

Prehosp Emerg Care 2018 Oct 29:1-14. Epub 2018 Oct 29.

Objective: The aims of this study were: 1) to determine the short-term impact of the SleepTrackTXT2 intervention on air-medical clinician fatigue during work shifts and 2) determine the longer-term impact on sleep quality over 120 days.

Methods: We used a multi-site randomized controlled trial study design with a targeted enrollment of 100 (ClinicalTrials.gov NCT02783027). Read More

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https://www.tandfonline.com/doi/full/10.1080/10903127.2018.1
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http://dx.doi.org/10.1080/10903127.2018.1532476DOI Listing
October 2018
12 Reads

Combining Unmanned Aerial Vehicles, and Internet Protocol Cameras to Reconstruct 3-D Disaster Scenes During Rescue Operations.

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

Objective: Strong earthquakes often cause massive structural and nonstructural damage, timely assessment of the catastrophe related massive casualty incidents (MCIs) for deploying rescue resource are critical in order to minimize ongoing fatalities. A magnitude 6.6 earthquake struck southern Taiwan on February 6, 2016 (the so-called 02/06 Meinong earthquake). Read More

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https://www.tandfonline.com/doi/full/10.1080/10903127.2018.1
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http://dx.doi.org/10.1080/10903127.2018.1528323DOI Listing
November 2018
2 Reads

Hypoglycemia Emergencies: Factors Associated with Prehospital Care, Transportation Status, Emergency Department Disposition, and Cost.

Prehosp Emerg Care 2018 Nov 2:1-12. Epub 2018 Nov 2.

Objectives: The objectives of this study were to evaluate demographic/clinical characteristics and treatment/transportation decisions by emergency medical services (EMS) for patients with hypoglycemia and link EMS activations to patient disposition, outcomes, and costs to the emergency medical system. This evaluation was to identify potential areas where improvements in prehospital healthcare could be made.

Methods: This was a retrospective analysis of the National Emergency Medical Services Information System (NEMSIS) registry and three national surveys: Nationwide Emergency Department Sample (NEDS), National Hospital Ambulatory Medical Care Survey (NHAMCS), and Medical Expenditure Panel Survey (MEPS) from 2013, to examine care of hypoglycemia from the prehospital and the emergency department (ED) perspectives. Read More

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http://dx.doi.org/10.1080/10903127.2018.1528322DOI Listing
November 2018
4 Reads

Statewide Method of Measuring Ambulance Patient Offload Times.

Prehosp Emerg Care 2018 Oct 25:1-8. Epub 2018 Oct 25.

Objective: Ambulance patient offload time (APOT) also known colloquially as "Wall time" has been described in various jurisdictions but seems to be highly variable. Any attempt to improve APOT requires the use of common definitions and standard methodology to measure the extent of the problem.

Methods: An Ambulance Offload Delay Task Force in California developed a set of standard definitions and methodology to measure APOT for transported 9-1-1 patients. Read More

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http://dx.doi.org/10.1080/10903127.2018.1525456DOI Listing
October 2018
3 Reads

Need to Prioritize Education of the Public Regarding Stroke Symptoms and Faster Activation of the 9-1-1 System: Findings from the Florida-Puerto Rico CReSD Stroke Registry.

Prehosp Emerg Care 2018 Oct 25:1-8. Epub 2018 Oct 25.

Objective: Demographic differences (race/ethnicity/sex) in 9-1-1 emergency medical services (EMS) access and utilization have been reported for various time-dependent critical illnesses along with associated outcome disparities. However, data are lacking with respect to measuring the various components of time taken to reach definitive care facilities following the onset of acute stroke symptoms (i.e. Read More

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http://dx.doi.org/10.1080/10903127.2018.1525458DOI Listing
October 2018
17 Reads
1.810 Impact Factor

Intraosseous Administration of Tissue Plasminogen Activator on a Mobile Stroke Unit.

Prehosp Emerg Care 2018 Oct 25:1-6. Epub 2018 Oct 25.

Objective: Mobile stroke units offer improved time to administration of thrombolytics for ischemic stroke patients. Acquisition of intravenous (IV) access, however, can be challenging in the prehospital environment leading to treatment delays. Intraosseous (IO) access is commonly used in the prehospital setting for a variety of conditions and may serve as a viable means for tPA (tissue plasminogen activator) administration. Read More

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http://dx.doi.org/10.1080/10903127.2018.1526355DOI Listing
October 2018
9 Reads

Abstracts for the 2019 NAEMSP Scientific Assembly.

Prehosp Emerg Care 2018 Sep 15:1-251. Epub 2018 Sep 15.

a Division of EM , Geisinger Health System CATEGORY OF SUBMISSION: STUDENT, RESIDENT, FELLOW.

Background: The approach to managing out-of-hospital cardiac arrest (OOHCA) has generally involved either minimal on-scene resuscitation to reduce time to arrival at hospital or extended care at the scene to increase the chance of return of spontaneous circulation (ROSC) before transport. This study compared patient outcomes across EMS agencies with respect to the duration of on-scene time. We hypothesized that EMS agencies with greater average time on-scene would have more favorable outcomes. Read More

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http://dx.doi.org/10.1080/10903127.2018.1521488DOI Listing
September 2018
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Evaluation of an Integrated Rescue Task Force Model for Active Threat Response.

Prehosp Emerg Care 2018 Oct 17:1-10. Epub 2018 Oct 17.

Objective: An integrated response to active threat events is essential to saving lives. Coordination of law enforcement officer (LEO) and emergency medical services (EMS) roles requires joint training, as maximizing survival is a shared responsibility. We sought to evaluate the performance of an integrated LEO-EMS Rescue Task Force (RTF) response to a simulated active shooter incident utilizing objective performance measures. Read More

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http://dx.doi.org/10.1080/10903127.2018.1521487DOI Listing
October 2018
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Comparing the Accuracy of Mass Casualty Triage Systems in a Pediatric Population.

Prehosp Emerg Care 2018 Oct 17:1-5. Epub 2018 Oct 17.

Introduction: It was previously difficult to compare the accuracy of different mass casualty triage systems to one another. This pilot study is one of the first attempts to operationalize an expert panel's criterion standard definitions of triage categories in a pediatric population in order to compare accuracy between different systems.

Objective: To compare the accuracy of 4 different mass casualty triage systems (SALT, JumpSTART, Triage Sieve, and CareFlight) when used for children. Read More

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http://dx.doi.org/10.1080/10903127.2018.1520946DOI Listing
October 2018
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Feasibility of Out-of-Hospital Cardiac Arrest Ultrasound by EMS Physicians.

Prehosp Emerg Care 2018 Oct 17:1-7. Epub 2018 Oct 17.

Introduction: Point-of-care ultrasound (POCUS) has been suggested as a useful tool to predict survival and guide interventions in out-of-hospital cardiac arrest (OHCA). While POCUS has been deployed in prehospital settings, a minimal amount of data exists on prehospital use, particularly by personnel with limited ultrasound experience. We aimed to characterize the feasibility and barriers to prehospital POCUS during OHCA by emergency medicine services (EMS) physicians in training. Read More

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http://dx.doi.org/10.1080/10903127.2018.1518505DOI Listing
October 2018
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Innovations in EMS Education.

Prehosp Emerg Care 2018 Sep 7:1-12. Epub 2018 Sep 7.

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http://dx.doi.org/10.1080/10903127.2018.1520947DOI Listing
September 2018
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Interfacility Transport of the Pregnant Patient: A 5-year Retrospective Review of a Single Critical Care Transport Program.

Prehosp Emerg Care 2018 Sep 25:1-8. Epub 2018 Sep 25.

Introduction: Interfacility transport of the pregnant patient poses a challenge for prehospital providers as it is an infrequent but potentially high acuity encounter. Knowledge of clinically significant events (CSEs) that occur during these transports is important both to optimize patient safety and also to help enhance crew training and preparedness. This study evaluated a critical care transport program's 5-year longitudinal experience transporting pregnant patients by ground and air, and described CSEs that occurred during the out-of-hospital phase of care. Read More

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http://dx.doi.org/10.1080/10903127.2018.1519005DOI Listing
September 2018
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Joint Position Statement on Degree Requirements for Paramedics.

Prehosp Emerg Care 2018 Oct 11:1-4. Epub 2018 Oct 11.

The National Association of EMS Educators, the National EMS Management Association, and the International Association of Flight and Critical Care Paramedics believe the time has come for paramedics to be trained through a formal education process that culminates with an associate degree. Once implemented a degree requirement will improve the care delivered by paramedics and enhance paramedicine as a heath profession. Read More

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https://www.tandfonline.com/doi/full/10.1080/10903127.2018.1
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http://dx.doi.org/10.1080/10903127.2018.1519006DOI Listing
October 2018
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Decision-Making in the Moments Before Death: Challenges in Prehospital Care.

Prehosp Emerg Care 2018 Oct 11:1-8. Epub 2018 Oct 11.

Background: The primary charge of Emergency Medical Services (EMS) is to save lives. However, EMS personnel are frequently called to scenes where prolonging life may not be the primary goal. When someone is nearing death, family members may feel compelled to call 9-1-1 because they are feeling uncertain about how to manage symptoms at the end of life. Read More

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https://www.tandfonline.com/doi/full/10.1080/10903127.2018.1
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http://dx.doi.org/10.1080/10903127.2018.1518504DOI Listing
October 2018
11 Reads