Teresa Maek, Ulrike Fochtmann, Pascal Jungbluth, Bastian Pass, Rolf Lefering, Carsten Schoeneberg, Sven Lendemans, Bjoern Hussmann
BACKGROUND: Major trauma and its consequences are one of the leading causes of death worldwide across all age groups. Few studies have conducted comparative age-specific investigations. It is well known that children respond differently to major trauma than elderly patients due to physiological differences. The aim of this study was to analyze the actual reality of treatment and outcomes by using a matched triplet analysis of severely injured patients of different age groups. METHODS: Data from the TraumaRegister DGU® were analyzed...
January 24, 2024: BMC Emergency Medicine
Simon P Vella, Alla Melman, Danielle Coombs, Christopher G Maher, Michael S Swain, Elizabeth Monk, Gustavo C Machado
BACKGROUND: Musculoskeletal conditions are the most common health condition seen in emergency departments. Hence, the most effective approaches to managing these conditions is of interest. This systematic review aimed to evaluate the effectiveness of allied health and nursing models of care for the management of musculoskeletal pain in ED. METHODS: MEDLINE, EMBASE, CINAHL and LILACS databases were searched from inception to March 2023 for published randomised trials that compared the effectiveness of allied health and nursing models of care for musculoskeletal conditions in ED to usual ED care...
January 17, 2024: BMC Emergency Medicine
Chie Tanaka, Takashi Tagami, Junya Kaneko, Nobuya Kitamura, Hideo Yasunaga, Shotaro Aso, Munekazu Takeda, Masamune Kuno
BACKGROUND: In the chain of survival for Out-of-hospital cardiac arrest (OHCA), each component of care contributes to improve the prognosis of the patient with OHCA. The SARS-CoV-2 (COVID-19) pandemic potentially affected each part of care in the chain of survival. The aim of this study was to compare prehospital care, in-hospital treatment, and outcomes among OHCA patients before and after the COVID-19 pandemic. METHODS: We analyzed data from a multicenter prospective study in Kanto area, Japan, named SOS-KANTO 2017...
January 8, 2024: BMC Emergency Medicine
Glenn Larsson, Christer Axelsson, Magnus Andersson Hagiwara, Johan Herlitz, Håkan Klementsson, Thomas Troëng, Carl Magnusson
BACKGROUND: There is a lack of knowledge regarding the epidemiology of severe trauma assessed by Swedish emergency medical services (EMS). AIM: To investigate the prevalence of trauma in Sweden assessed by EMS from a national perspective and describe patient demography, aetiology, trauma type, prehospital triage and clinical outcomes. METHODS: Data from two national quality registries, the Swedish Ambulance Registry and the Swedish Trauma Registry (SweTrau) were collected from January 1 to December 31, 2019...
January 8, 2024: BMC Emergency Medicine
Kun-Te Lin, Zih-Yang Lin, Cheng-Chieh Huang, Shang-Yan Yu, Jing-Lan Huang, Jian-Houng Lin, Yan-Ren Lin
INTRODUCTION: Focused assessment with sonography for trauma helps detect abdominal free fluid. Prehospital ultrasound scanning is also important because the early diagnosis of hemoperitoneum may reduce the time to definitive treatment in the hospital. This study investigated whether prehospital ultrasound scanning can help detect abdominal free fluid. MATERIALS AND METHODS: In this systematic review, relevant databases were searched for studies investigating prehospital ultrasound examinations for abdominal free fluid in trauma patients...
January 7, 2024: BMC Emergency Medicine
Leanna Wyer, Yair Guterman, Vivian Ewa, Eddy Lang, Peter Faris, Jayna Holroyd-Leduc
BACKGROUND: Long-term care (LTC) was overwhelmingly impacted by COVID-19 and unnecessary transfer to emergency departments (ED) can have negative health outcomes. This study aimed to explore how the COVID-19 pandemic impacted LTC to ED transfers and hospitalizations, utilization of community paramedics and facilitated conversations between LTC and ED physicians during the first four waves of the pandemic in Alberta, Canada. METHODS: In this retrospective population-based study, administrative databases were linked to identify episodes of care for LTC residents who resided in facilities in Alberta, Canada...
January 7, 2024: BMC Emergency Medicine
Ting-Min Hsieh, Kuo-Chen Huang, Po-Chun Chuang, Chun-Ting Liu, Bei-Yu Wu, Ching-Hua Hsieh, Fu-Jen Cheng
BACKGROUND: The effect of alcohol consumption on trauma remains controversial. The effects of alcohol on hemorrhage and peritonitis after blunt abdominal trauma have rarely been discussed. This study aimed to explore the effects of acute alcohol intoxication on the clinical characteristics, injury patterns, and outcomes in a surgical blunt bowel mesenteric injury (BBMI) cohort. METHODS: A retrospective data analysis was performed using trauma cases of patients who had been tested for alcohol and had surgically proven BBMI from a Trauma Registry System from 2009 to 2021...
January 7, 2024: BMC Emergency Medicine
Hans Hedberg, Pia Hedberg, Jonas Aléx, Sofia Karlsson, Michael Haney
BACKGROUND: The risk of high-energy trauma injuries on construction sites is relatively high. A delayed response time could affect outcomes after severe injury. This study assessed if an advanced first aid course for first aid response for laypersons (employees or apprentices) in the construction industry or real-time video communication and support with ambulance personnel, or neither, together with access to an advanced medical kit, would have an effect on immediate layperson vital responses in a severe injury scenario...
January 7, 2024: BMC Emergency Medicine
Marte Irene Skille Carlsen, Jostein Rødseth Brede, Christian Medby, Oddvar Uleberg
BACKGROUND: In patients with major hemorrhage, balanced transfusions and limited crystalloid use is recommended in both civilian and military guidelines. This transfusion strategy is often applied in the non-trauma patient despite lack of supporting data. The aim of this study was to describe the current transfusion practice in patients with major hemorrhage of both traumatic and non-traumatic etiology in Central Norway, and discuss if transfusions are in accordance with appropriate massive transfusion protocols...
January 7, 2024: BMC Emergency Medicine
Khadijeh Akbari, Arezoo Yari, Abbas Ostadtaghizadeh
BACKGROUND: Nurses have always been at the forefront of providing services for victims of disasters. Using nurses' experiences in disaster planning can play an important role in improving their readiness to provide healthcare during disasters. The objective of this study is not only to understand the challenges but also to explore and document the broader spectrum of experiences encountered by nurses in these critical situations. By focusing on their experiences, we aim to contribute valuable insights to enhance disaster preparedness and healthcare delivery strategies...
January 7, 2024: BMC Emergency Medicine
Selamawit Amare, Henok Tadele
BACKGROUND: Pericardial effusion (PE) is a rare yet an important cause of child mortality due to collection of excess fluid in pericardial space. The study aimed to describe the PE profile in the national cardiac referral hospital, Addis Ababa, Ethiopia. METHODS: The study employed cross-sectional study design for a 7-year review of childhood PE in Tikur Anbessa Specialized Hospital. Descriptive and analytic statistics were applied. RESULTS: There were 17,386 pediatric emergency/ER admissions during the study period, and PE contributed to 0...
January 7, 2024: BMC Emergency Medicine
Kazuki Nagashima, Nobuhiro Yasuno, Machiko Watanabe
BACKGROUND: During disasters (including epidemics such as coronavirus disease 2019), the capacity of emergency departments is exceeded, thereby hindering the administration of appropriate lifesaving measures. Furthermore, the number of overdose patients increases because of the stress overload during emergency situation. The fact that overdose patients are forced to be transported to medical facilities that do not typically treat them is becoming worrisome. Moreover, there is no definitive score for overdose...
January 7, 2024: BMC Emergency Medicine
Keiko Ueno, Chie Teramoto, Daisuke Nishioka, Shiho Kino, Hiroyuki Sawatari, Kazuaki Tanabe
BACKGROUND: Prolonged prehospital time is a major global problem in the emergency medical system (EMS). Although factors related to prolonged on-scene times (OSTs) have been reported in patients with trauma and critical medical conditions, those in patients with minor diseases or injuries remain unclear. We examined factors associated with prolonged OSTs in patients with minor diseases or injuries. METHODS: This population-based observational study used the ambulance transportation and request call record databases of the Higashihiroshima Fire Department, Japan, between January 1, 2016, and December 31, 2022...
January 7, 2024: BMC Emergency Medicine
Jamileh Farokhzadian, Parvin Mangolian Shahrbabaki, Hojjat Farahmandnia, Gülcan Taskiran Eskici, Faezeh Soltani Goki
BACKGROUND: Healthcare providers, particularly nurses, play a critical role in mitigating the impact of disasters on victims and the healthcare system. However, nurses face unique challenges in disasters that may not experience in their daily practice, which can make it harder for them to deal with disasters efficiently. This study aimed to investigate the challenges faced by nurses for disaster response. METHODS: A qualitative content analysis approach was used in this study...
January 3, 2024: BMC Emergency Medicine
Siyue Wang, Junxian Song, Chongyou Lee, Jin Jiang, Mengying Wang, Dongjing Liu, Zhuqing Wang, Yuan Yuan, Wenyong Li, Ren Zhou, Hongchen Zheng, Jianmin Wei, Yonghua Hu, Tao Wu, Zhenbiao Tian, Hong Chen
BACKGROUND: Implementing training programs to educate patients on the prodromal symptoms of acute coronary syndrome (ACS) may assist patients in accurately recognizing these symptoms, and ultimately decrease their time delay in seeking emergency medical services (EMS). However, the effectiveness of this approach remains uncertain, particularly among the Chinese population. METHODS: A cross-sectional study was conducted within 22 communities in Beijing, China between 2015 and 2018, with a total of 1099 participants recruited...
December 16, 2023: BMC Emergency Medicine
Kari Heinonen, Markku Kuisma, Heli Salmi, Tuukka Puolakka
BACKGROUND: Emergency medical services (EMS) were the first point of contact for many COVID-19 patients during the pandemic. The aim of this study was to investigate whether the non-conveyance decision of a COVID-19 patient was more frequently associated with a new EMS call than direct ambulance transport to the hospital. METHODS: All confirmed COVID-19 patients with an EMS call within 14 days of symptom onset were included in the study. Patients were compared based on their prehospital transport decision (transport vs...
December 6, 2023: BMC Emergency Medicine
Huijuan Chen, Libing Sun, Xiangyan Kong
BACKGROUND: Deep vein thrombosis (DVT) is a common complication in orthopedic patients. Previous studies have focused on major orthopedic surgery.There are few studies with multiple trauma. We aimed to describe the prevalence of DVT and compare the predictive power of the different risk assessment scales in patients with multiple trauma. METHODS: This prospective cohort study involved multiple trauma patients admitted to our hospital between October 2021 and December 2022...
December 5, 2023: BMC Emergency Medicine
Mostafa Bijani, Saeed Abedi, Azam Zare, Ziba Tavacol, Fozieh Abadi, Abdulhakim Alkamel
BACKGROUND: Today, using the medical technology of telecardiology, as part of advanced medical services, plays an essential role in providing care to cardiac patients in life-threatening conditions who need emergency care. However, pre-hospital emergency care personnel are faced with certain challenges in using telecardiology, with adverse effects on their performance. Therefore, the present study aimed to investigate the challenges to using telecardiology as viewed by pre-hospital emergency care personnel in Southern Iran...
December 4, 2023: BMC Emergency Medicine
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
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