Christoph West, Bernhard Kaus, Sean O' Sullivan, Henning Schneider, Oskar Seifert
BACKGROUND: Hemorrhage is one of the main causes of death in trauma. Critical bleeding in patients needs to be detected as soon as possible to save the patient. Drones are gaining increasing importance in emergency services and can support rescue forces in accident scenarios such as a mass casualty incident. METHODS: In this study, a simulated pelvic hemorrhage was detected using a drone from 7 m above the ground over a time span of 30 s. RESULTS: The results allow a good detection of the pelvic hemorrhage...
December 1, 2023: BMC Emergency Medicine
Emily G Alexander, Fraser Denny, Malcom Wg Gordon, Cieran McKiernan, David J Lowe
BACKGROUND AND IMPORTANCE: Use of video review in medicine is established in contexts such as surgery. Although not widely used in the emergency department (ED), some centres use it to evaluate non-technical skills (NTS) to support teaching and quality improvement. OBJECTIVE: There is no consensus on assessment of NTS using video review in the ED and the purpose of this review was to identify tools used in this context. DESIGN, SETTING AND PARTICIPANTS: Studies were identified using Embase, Medline, CINAHL and Google Scholar...
November 29, 2023: BMC Emergency Medicine
Arnaud Nze Ossima, Bibi Fabiola Ngaleu Siaha, Maroua Mimouni, Nadia Mezaour, Meryl Darlington, Laurence Berard, Marine Cachanado, Tabassome Simon, Yonathan Freund, Isabelle Durand-Zaleski
BACKGROUND: The aim of this trial-based economic evaluation was to assess the incremental costs and cost-effectiveness of the modified diagnostic strategy combining the YEARS rule and age-adjusted D-dimer threshold compared with the control (which used the age-adjusted D-dimer threshold only) for the diagnosis of pulmonary embolism (PE) in the Emergency Department (ED). METHODS: Economic evaluation from a healthcare system perspective alongside a non-inferiority, crossover, and cluster-randomized trial conducted in 16 EDs in France and two in Spain with three months of follow-up...
November 29, 2023: BMC Emergency Medicine
Muzeen Ismath, Holly Black, Carmen Hrymak, Rhonda J Rosychuk, Patrick Archambault, Patrick T Fok, Thomas Audet, Brenden Dufault, Corinne Hohl, Murdoch Leeies
OBJECTIVE: The risk of occupational exposure during endotracheal intubation has required the global Emergency Medicine (EM), Anesthesia, and Critical Care communities to institute new COVID- protected intubation guidelines, checklists, and protocols. This survey aimed to deepen the understanding of the changes in intubation practices across Canada by evaluating the pre-COVID-19, early-COVID-19, and present-day periods, elucidating facilitators and barriers to implementation, and understanding provider impressions of the effectiveness and safety of the changes made...
November 24, 2023: BMC Emergency Medicine
Mohammad Rostami, Saeed Babajani-Vafsi, Arash Ziapour, Kourosh Abbasian, Mojgan Mohammadimehr, Armin Zareiyan
BACKGROUND: In recent years, Iran has encountered a growing frequency of earthquake disasters. Given that nurses constitute the largest group of healthcare providers, it is imperative that they possess adequate disaster preparedness skills, irrespective of the location or time. Despite the operating room nurses' roles in disasters, their experiences and challenges in disaster preparedness have been overlooked. Consequently, this study aimed to investigate the experiences, challenges, perspectives, and factors influencing the disaster preparedness of operating room nurses during the 2017 earthquake in Kermanshah, Iran...
November 23, 2023: BMC Emergency Medicine
James D van Oppen, Simon P Conroy, Timothy J Coats, Nicola J Mackintosh, Jose M Valderas
BACKGROUND: Although outcome goals for acute healthcare among older people living with frailty often include Health-Related Quality of Life (HRQoL) and other patient-reported outcome measures (PROMs), current quality metrics usually focus on waiting times and survival. Lay and patient review have identified the EuroQol EQ-5D as a candidate measure for this setting. This research appraised the EQ-5D for feasibility, psychometric performance, and respondents' outcomes in the acute frailty setting...
November 19, 2023: BMC Emergency Medicine
Ali Afshari, Mohammad Torabi, Sasan Navkhasi, Marzieh Aslani, Afshin Khazaei
INTRODUCTION: The unpredictability of prehospital emergencies combined with constantly changing circumstances can lead to increased stress and mental health issues among Emergency Medical Technicians (EMTs). To accurately determine the stress-inducing factors in the prehospital environment, it is important to first identify the stressful events that occur in this environment. Therefore, this study strives to provide a thorough analysis of the stressors in the prehospital environment...
November 15, 2023: BMC Emergency Medicine
Mahmoud Hatami, Milad Ahmadi Marzaleh, Mostafa Bijani, Mahmoudreza Peyravi
BACKGROUND: One of the most significant advantages of Helicopter Emergency Medical Service (HEMS) in disaster relief efforts is their ability to reach inaccessible or remote areas quickly. This is especially important in the aftermath of natural disasters such as earthquakes, floods, or hurricanes, where roads may be blocked or damaged, and conventional ground transportation may not be available. There are many factors can affect the performance of Helicopter Emergency Medical Service (HEMS) in disasters...
November 13, 2023: BMC Emergency Medicine
Eva Dolenc Šparovec, Damjan Slabe, Ivan Eržen, Uroš Kovačič
BACKGROUND: Older people need to acquire knowledge and skills at first aid (FA) training tailored to them. Our research aimed to evaluate an FA training programme adapted for older people. We assumed that satisfaction with FA training, as well as knowledge of FA, would be higher among older people who received training according to an adapted programme compared to those who received training according to the existing programme for the general public. METHODS: We trained older people according to the existing FA programme for the general public and according to a new FA training programme adapted for older people...
November 10, 2023: BMC Emergency Medicine
Asmaa Ramadan, Tamer Abdallah, Hassan Abdelsalam, Ahmed Mokhtar, Assem Abdel Razek
BACKGROUND: Early recognition and appropriate treatment has shown to decrease morbidity and mortality in patients with undifferentiated shock. There are many ultrasound protocols in shock; each protocol combines core ultrasound elements such as IVC and cardiac assessment which includes detection of cardiac tamponade, left ventricular function and right ventricular strain.Valvular assessment is absent in majority of ultasound protocols, while lung ultrasound is included in some of them...
November 9, 2023: BMC Emergency Medicine
Asiye Aminafshar, Majid Sartipi, Abdolrazzagh Pakzad
BACKGROUND: Natural disasters, health, terrorism, infectious diseases, and social unrest affect more than 200 million people worldwide each year. The present study is an attempt to evaluate the self-efficacy of senior, middle, and operational managers of the Incident Command System (ICS) of Zahedan University of Medical Sciences in Iran. METHODS: The study examined the perceived self-efficacy of 103 senior, middle, and operational managers of the Incidence Command System (ICS) of Zahedan University of Medical Sciences in 2021...
November 9, 2023: BMC Emergency Medicine
Heribert Kirchner, Heiko Ullrich, Peter Neu, Nik Hulsmans, Georg Juckel, Patrick Brzoska
BACKGROUND: In emergency departments, patients with mental health conditions are a major concern and make up the third or fourth of the most common diagnosis seen during all consultations. Over the past two decades, there has been a noticeable rise in the number of cases, particularly due to an increase in nonurgent visits for somatic medical issues. The significance of nonurgent visits for psychiatric patients is yet to be determined. This study aims to uncover the significance and identify the characteristics of this group...
November 8, 2023: BMC Emergency Medicine
David Häske, Fabian Eppler, Niklas Heinemann, Benjamin Schempf
BACKGROUND: Analgesia is a core intervention in emergency medicine. Pain is subjective, so patient-reported experience with pain and analgesia is essential for healthcare professionals. The aim of this study was to evaluate patient-reported side effects and satisfaction associated with pre-hospital analgesia with low-dose esketamine. METHODS: This is an observational cross-sectional study conducted as part of quality assurance measures of the German Red Cross Emergency Medical Service, Reutlingen, Germany...
November 4, 2023: BMC Emergency Medicine
Malik Haoutar, David Pinero, Hodane Yonis, Eric Cesareo, Mehdi Mezidi, Olivier Peguet, Karim Tazarourte, Matteo Pozzi, Pierre-Yves Dubien, Jean-Christophe Richard, Laurent Bitker
BACKGROUND: Inter-facility transport of patients with acute respiratory distress syndrome (ARDS) in the prone position (PP) is a high-risk situation, compared to other strategies. We aimed to quantify the prevalence of complications during transport in PP, compared to transports with veno-venous extracorporeal membrane oxygenation (VV-ECMO) or in the supine position (SP). METHODS: We performed a retrospective, single center cohort study in Lyon university hospital, France...
November 4, 2023: BMC Emergency Medicine
Juntao Wang, Chuanzhu Lv, Xingyue Song, Yanlan Hu, Wenjie Hao, Lanfen He, Yu Chen, Yong Gan, Xiaotong Han, Shijiao Yan
OBJECTIVES: We aim to understand the current situation of the first aid ability and training needs of Chinese medical personnel to provide a scientific basis for formulating the contents and methods of emergency medical rescue training and thereby improve the first aid level of Chinese medical personnel. METHODS: A cross-sectional survey was conducted between June 2022 and February 2023 using a two-stage cluster sampling method with a structured questionnaire sent to medical workers in 12 provinces in China...
November 3, 2023: BMC Emergency Medicine
Yuanlu Shu, Ziwei Deng, Ye Deng, Jianliang Zhou, Jin Wang, Zhenxing Duan, Tao Jiang, Xiang Zhao, Zhihua Shi, Chengfeng Qiu
OBJECTIVES: Pro-protein convertase subtilisin/kexin 9 (PCSK9) decreases the clearance of the pathogenic lipids, supporting the potential role of PCSK9 in the prognosis of sepsis. METHODS: In this prospective cohort study, patients with sepsis were consecutively recruited from 1 to 2020 to 30 September 2021 at the First People's Hospital of Huaihua, China. All the eligible patients were categorized into low-PCSK9 and high-PCSK9 groups, based on their PCSK9 levels at admission...
October 31, 2023: BMC Emergency Medicine
Mark Hodkinson, Kurtis Poole
BACKGROUND: Pre-hospital emergency anaesthesia is a critical intervention undertaken by helicopter emergency medical teams. Previous studies informed current practice for induction regimes, using a standardized approach of fentanyl, ketamine and rocuronium. There may be a trend towards post-induction hypotension attributed to the induction regime used. Several new combinations of fentanyl, ketamine and rocuronium are emerging in clinical practice. There is currently no consensus on what induction regimes should be used...
October 31, 2023: BMC Emergency Medicine
Jae Yun Ahn, Hyun Wook Ryoo, Sungbae Moon, Haewon Jung, Jungbae Park, Won Kee Lee, Jong-Yeon Kim, Dong Eun Lee, Jung Ho Kim, Sang-Hun Lee
BACKGROUND: Prehospital factors play a vital role in out-of-hospital cardiac arrest (OHCA) survivability, and they vary between countries and regions. We investigated the prehospital factors associated with OHCA outcomes in a single metropolitan city in the Republic of Korea. METHODS: This study included adult medical OHCA patients enrolled prospectively, using data from the citywide OHCA registry for patients registered between 2018 and 2021. The primary outcome was survival to hospital discharge...
October 26, 2023: BMC Emergency Medicine
Erika Hörlin, Samia Munir Ehrlington, Rani Toll John, Joakim Henricson, Daniel Wilhelms
BACKGROUND: The Clinical Frailty Scale (CFS) is a frailty assessment tool used to identify frailty in older patients visiting the emergency department (ED). However, the current understanding of how it is used and accepted in ED clinical practice is limited. This study aimed to assess the feasibility of CFS in an ED setting. METHODS: This was a prospective, mixed methods study conducted in three Swedish EDs where CFS had recently been introduced. We examined the completion rate of CFS assessments in relation to patient- and organisational factors...
October 26, 2023: BMC Emergency Medicine
Íde O'Shaughnessy, Christine Fitzgerald, Aoife Whiston, Patrick Harnett, Helen Whitty, Des Mulligan, Marian Mullaney, Catherine Devaney, Deirdre Lang, Jennifer Hardimann, Brian Condon, Christina Hayes, Alison Holmes, Louise Barry, Claire McCormack, Megan Bounds, Katie Robinson, Margaret O'Connor, Damien Ryan, Denys Shchetkovsky, Fiona Steed, Leonora Carey, Emer Ahern, Rose Galvin
BACKGROUND: Innovations in models of care for older adults living with frailty presenting to the emergency department (ED) have become a key priority for clinicians, researchers and policymakers due to the deleterious outcomes older adults experience due to prolonged exposure to such an environment. This study aimed to develop a set of expert consensus-based statements underpinning operational design, outcome measurement and evaluation of a Frailty at the Front Door (FFD) model of care for older adults within an Irish context...
October 20, 2023: BMC Emergency Medicine
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