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Journals Scandinavian Journal of Trauma...

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

https://read.qxmd.com/read/38867316/enhancing-prehospital-analgesia-advantages-and-further-indications-of-nalbuphin
#1
LETTER
Gerrit Jansen, Marvin Deslandes, Martin Deicke, Julia Johanna Grannemann, Annika Hoyer, Matthias Kalmbach, André Kobiella, Thomas Plappert, Bernd Strickmann, Jochen Hinkelbein
No abstract text is available yet for this article.
June 12, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38858718/112-what-s-your-emergency-overview-of-mental-health-and-sleep-disorders-among-emergency-medical-dispatchers-in-a-french-112-call-center
#2
JOURNAL ARTICLE
Louise Giaume, Y Daniel, A Jimenez, G Burlaton, D Jost, M Petitclerc, F Briche, P Hertgen, P Amzstut, P Mercier, C Louyot, M Trousselard, S Travers
BACKGROUND: Emergency medical dispatchers (EMD) experience significant occupational stress. Medical dispatching includes call-taking, triage, dispatch, and providing callers gesture guidance to the victims. Every decision has a major impact on the patient's outcome. Chronic exposure to stress and potentially traumatic situations, combined with night shifts can impact the stress response and physical health of staff. OBJECTIVES: To evaluate the prevalence of mental health and sleep disorders among EMD personnel working in a 112-call center, prior to an evidence-based prevention intervention (primary outcome); and to assess the relationship between health outcomes and DM (secondary outcome)...
June 10, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38849929/invited-letter-to-editor-respons-stre-d-24-00176
#3
LETTER
Risco van Vliet, Lennert Breedveld, Annemieke A J Heutinck, Bram H A Ockeloen, Arnoud W J van 't Hof, Xavier R J Moors
No abstract text is available yet for this article.
June 7, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38849908/prehospital-procedural-sedation-and-analgesia-agent-selection-propofol-etomidate-ketamine
#4
LETTER
Sarper Yılmaz, Ali Cankut Tatlıparmak, Rohat Ak
No abstract text is available yet for this article.
June 7, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38844970/enhancing-prehospital-analgesia-addressing-methodological-concerns-and-proposing-the-start-a-mnemonic
#5
LETTER
Rohat Ak, Ali Cankut Tatliparmak, Sarper Yilmaz
No abstract text is available yet for this article.
June 6, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38840226/pediatric-trauma-patients-in-swedish-ambulance-services-a-retrospective-observational-study-of-assessments-interventions-and-clinical-outcomes
#6
JOURNAL ARTICLE
Glenn Larsson, Sanna Larsson, Viktoria Strand, Carl Magnusson, Magnus Andersson Hagiwara
BACKGROUND: Pediatric trauma patients constitute a significant portion of the trauma population treated by Swedish Emergency Medical Services (EMS), and trauma remains a notable cause of death among Swedish children. Previous research has identified potential challenges in prehospital assessments and interventions for pediatric patients. In Sweden, there is limited information available regarding pediatric trauma patients in the EMS. The aim of this study was to investigate the prevalence of pediatric trauma patients within the Swedish EMS and describe the prehospital assessments, interventions, and clinical outcomes...
June 5, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38835039/online-training-to-improve-bls-performance-with-dispatcher-assistance-results-of-a-cluster-randomised-controlled-simulation-trial
#7
RANDOMIZED CONTROLLED TRIAL
Janina Bathe, Anne Daubmann, Christoph Doehn, Antonia Napp, Marco Raudies, Stefanie Beck
BACKGROUND: The prognosis for patients improves significantly with effective cardiopulmonary resuscitation (CPR) performed by bystanders. Current research indicates that individuals who receive CPR from trained bystanders have a greater likelihood of survival compared to those who receive dispatcher-assisted CPR from untrained laypersons. This cluster-randomised controlled trial assessed the impact of a 30-min online training session prior to a simulated cardiac arrest situation with dispatcher-assisted CPR (DA-CPR) on enhancing Basic Life Support (BLS) performance...
June 4, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38831372/implementation-of-a-point-of-care-ultrasound-archiving-system-and-governance-framework-in-a-uk-physician-paramedic-staffed-helicopter-emergency-medical-service
#8
JOURNAL ARTICLE
Shadman Aziz, Christopher T Edmunds, Jon Barratt
INTRODUCTION: There has been a rapid expansion in the use of point-of-care ultrasonography (POCUS) by emergency medical services (EMS). However, less than a third of UK EMS utilise imaging archiving for POCUS, and fewer review saved images as part of a clinical governance structure. This paper describes the implementation of a novel image archiving system and a robust clinical governance framework in our UK physician-paramedic staffed helicopter emergency medical service (HEMS). METHODS: A retrospective database review was conducted of all patients attended by East Anglian Air Ambulance (EAAA) between the introduction of a new POCUS device and image archiving system on 1 December 2020 to 31 January 2024...
June 3, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38807153/mortality-after-paediatric-emergency-calls-for-patients-with-or-without-pre-existing-comorbidity-a-nationwide-population-based-cohort-study
#9
JOURNAL ARTICLE
Vibe Maria Laden Nielsen, Morten Breinholt Søvsø, Regitze Gyldenholm Skals, Lars Bender, Alasdair Ross Corfield, Hans Morten Lossius, Søren Mikkelsen, Erika Frischknecht Christensen
BACKGROUND: Life-threatening conditions are infrequent in children. Current literature in paediatric prehospital research is centred around trauma and paediatric out-of-hospital cardiac arrests (POHCA). The aims of this study were to (1) outline the distribution of trauma, POHCA or other medical symptoms among survivors and non-survivors after paediatric emergency calls, and (2) to investigate these clinical presentations' association with mortality in children with and without pre-existing comorbidity, respectively...
May 28, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38773613/the-accuracy-of-prehospital-triage-decisions-in-english-trauma-networks-a-case-cohort-study
#10
JOURNAL ARTICLE
G Fuller, J Baird, S Keating, J Miller, R Pilbery, N Kean, K McKnee, J Turner, F Lecky, A Edwards, A Rosser, R Fothergill, S Black, F Bell, M Smyth, J E Smith, G D Perkins, E Herbert, S Walters, C Cooper
BACKGROUND: Care for injured patients in England is provided by inclusive regional trauma networks. Ambulance services use triage tools to identify patients with major trauma who would benefit from expedited Major Trauma Centre (MTC) care. However, there has been no investigation of triage performance, despite its role in ensuring effective and efficient MTC care. This study aimed to investigate the accuracy of prehospital major trauma triage in representative English trauma networks...
May 21, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38773532/attributes-of-leadership-skill-development-in-high-performance-pre-hospital-medical-teams-results-of-an-international-multi-service-prospective-study
#11
MULTICENTER STUDY
J A Deodatus, M A Kratz, M Steller, N Veeger, B Dercksen, R M Lyon, M Rehn, L Rognås, C Coniglio, B Sheridan, C Tschautscher, D J Lockey, E Ter Avest
BACKGROUNDS: Team leadership skills of physicians working in high-performing medical teams are directly related to outcome. It is currently unclear how these skills can best be developed. Therefore, in this multi-national cross-sectional prospective study, we explored the development of these skills in relation to physician-, organization- and training characteristics of Helicopter Emergency Medicine Service (HEMS) physicians from services in Europe, the United States of America and Australia...
May 21, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38750532/health-related-quality-of-life-in-severely-injured-patients-in-finland-an-observational-cohort-study-of-325-patients-with-1-year-follow-up
#12
JOURNAL ARTICLE
Antti Riuttanen, Vilma Brand, Jarkko Jokihaara, Tuomas T Huttunen, Ville M Mattila
BACKGROUND: Major trauma has a significant effect on Health-Related Quality of Life (HR-QoL). It is unclear, however, which factors most affect HR-QoL. This study aims to evaluate HR-QoL after severe injury in Finland and determine how different injury patterns and patient-related factors, such as level of education and socioeconomic group, are associated with HR-QoL. We also assess how well different injury scoring systems associate with HR-QoL. METHODS: We retrospectively analyzed 325 severely injured trauma patients (aged ≥ 18 years, New Injury Severity Score, (NISS) ≥ 16, and alive at 1 year after injury) treated in the Intensive Care Unit (ICU) or High Dependence Unit (HDU) of Tampere University Hospital (TAUH) from 2013 through 2016...
May 15, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38745198/impact-of-hypotension-on-arrival-on-required-surgical-disciplines-and-usage-of-damage-control-protocols-in-severely-injured-patients
#13
JOURNAL ARTICLE
Moritz Witzenhausen, Björn Hossfeld, Martin Kulla, Christian Beltzer
BACKGROUND: For trauma patients with subsequent immediate surgery, it is unclear which surgical disciplines are most commonly required for treatment, and whether and to what extend this might depend on or change with "hypotension on arrival". It is also not known how frequently damage control protocols are used in daily practice and whether this might also be related to "hypotension on arrival". METHODS: A retrospective analysis of trauma patients from a German level 1 trauma centre and subsequent "immediate surgery" between 01/2017 and 09/2022 was performed...
May 14, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38730480/the-prevalence-of-clinically-relevant-delayed-intracranial-hemorrhage-in-head-trauma-patients-treated-with-oral-anticoagulants-is-very-low-a-retrospective-cohort-register-study
#14
JOURNAL ARTICLE
Lars André, Anders Björkelund, Ulf Ekelund, Tomas Vedin, Jonas Björk, Jakob Lundager Forberg
BACKGROUND: Current guidelines from Scandinavian Neuro Committee mandate a 24-hour observation for head trauma patients on anticoagulants, even with normal initial head CT scans, as a means not to miss delayed intracranial hemorrhages. This study aimed to assess the prevalence, and time to diagnosis, of clinically relevant delayed intracranial hemorrhage in head trauma patients treated with oral anticoagulants. METHOD: Utilizing comprehensive two-year data from Region Skåne's emergency departments, which serve a population of 1...
May 10, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38730466/aftermath-t%C3%A3-rkiye-s-double-earthquake-detailed-analysis-of-fracture-characteristics-and-acute-management-from-a-level-i-trauma-center
#15
JOURNAL ARTICLE
Mehmet Yiğit Gökmen, Mesut Uluöz, Özhan Pazarcı, Osman Çiloğlu, Hasan Orkun Varmış
BACKGROUND: This research investigated surgical interventions for the treatment of extremity and pelvic fractures and aimed to provide an analysis of management challenges under crisis conditions in a Level I Trauma Center after Türkiye's February 6, 2023, earthquakes. METHODS: The study was a retrospective examination of the medical records of 243 fracture cases associated with the earthquakes. The age, gender, time of admission, types of extremity and pelvic fractures, anatomical localizations, and surgical treatment methods for fractures were recorded...
May 10, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38730453/effectiveness-and-safety-of-prehospital-analgesia-with-nalbuphine-and-paracetamol-versus-morphine-by-paramedics-an-observational-study
#16
COMPARATIVE STUDY
Marvin Deslandes, Martin Deicke, Julia Johanna Grannemann, Jochen Hinkelbein, Annika Hoyer, Matthias Kalmbach, André Kobiella, Bernd Strickmann, Thomas Plappert, Gerrit Jansen
BACKGROUND: Despite the development of various analgesic concepts, prehospital oligoanalgesia remains very common. The present work examines prehospital analgesia by paramedics using morphine vs. nalbuphine + paracetamol. METHODS: Patients with out-of-hospital-analgesia performed by paramedics from the emergency medical services of the districts of Fulda (morphine) and Gütersloh (nalbuphine + paracetamol) were evaluated with regards to pain intensity at the beginning and the end of prehospital treatment using the Numeric-Rating-Scale for pain (NRS), sex, age, and complications...
May 10, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38730289/efficacy-of-endotracheal-intubation-in-helicopter-cabin-vs-ground-a-systematic-review-and-meta-analysis
#17
JOURNAL ARTICLE
Lydia Johnson Kolaparambil Varghese, Jan-Jakob Völlering, Edoardo De Robertis, Jochen Hinkelbein, Jan Schmitz, Tobias Warnecke
BACKGROUND: Pre-hospital endotracheal intubation (ETI) is a sophisticated procedure with a comparatively high failure rate. Especially, ETI in confined spaces may result in higher difficulty, longer times, and a higher failure rate. This study analyses if Helicopter Emergency Medical Services (HEMS) intubation (time-to) success are influenced by noise, light, and restricted space in comparison to ground intubation. Available literature reporting these parameters was very limited, thus the reported differences between ETI in helicopter vs...
May 10, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38693580/procedural-sedation-by-advanced-practice-providers-in-the-emergency-medical-service-in-the-netherlands-a-retrospective-study
#18
JOURNAL ARTICLE
Risco van Vliet, Lennert Breedveld, Annemieke A J Heutinck, Bram H A Ockeloen, Arnoud W J van ' Hof, Xavier R J Moors
BACKGROUND: Procedural sedation and analgesia (PSA) is a technique of administering sedatives to induce a state that allows the patient to tolerate painful procedures while maintaining cardiorespiratory function, a condition that is frequently desired prehospital. Non-physician prehospital clinicians often have a limited scope of practice when it comes to providing analgesia and sedation; sometimes resulting in a crew request for back-up from physician-staffed prehospital services.". This is also the case if sedation is desirable...
May 1, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38685120/development-of-a-trigger-tool-to-identify-harmful-incidents-no-harm-incidents-and-near-misses-in-prehospital-emergency-care
#19
JOURNAL ARTICLE
Niclas Packendorff, Carl Magnusson, Kristoffer Wibring, Christer Axelsson, Magnus Andersson Hagiwara
BACKGROUND: Emergency Medical Services (EMS) are a unique setting because care for the chief complaint is given across all ages in a complex and high-risk environment that may pose a threat to patient safety. Traditionally, a reporting system is commonly used to raise awareness of adverse events (AEs); however, it could fail to detect an AE. Several methods are needed to evaluate patient safety in EMS. In this light, this study was conducted to (1) develop a national ambulance trigger tool (ATT) with a guide containing descriptions of triggers, examples of use, and categorization of near misses (NMs), no harm incidents (NHIs), and harmful incidents (HIs) and (2) use the ATT on randomly selected ambulance records...
April 29, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38671511/the-sk%C3%A3-ne-emergency-medicine-sem-cohort
#20
JOURNAL ARTICLE
Ulf Ekelund, Bodil Ohlsson, Olle Melander, Jonas Björk, Mattias Ohlsson, Jakob Lundager Forberg, Pontus Olsson de Capretz, Axel Nyström, Anders Björkelund
BACKGROUND: In the European Union alone, more than 100 million people present to the emergency department (ED) each year, and this has increased steadily year-on-year by 2-3%. Better patient management decisions have the potential to reduce ED crowding, the number of diagnostic tests, the use of inpatient beds, and healthcare costs. METHODS: We have established the Skåne Emergency Medicine (SEM) cohort for developing clinical decision support systems (CDSS) based on artificial intelligence or machine learning as well as traditional statistical methods...
April 26, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
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