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Journals Scandinavian Journal of Trauma...

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

https://read.qxmd.com/read/36941710/validation-of-a-modified-south-african-triage-scale-in-a-high-resource-setting-a-retrospective-cohort-study
#1
JOURNAL ARTICLE
Dagfinn Lunde Markussen, Heidi Synnøve Brevik, Rune Oskar Bjørneklett, Mette Engan
BACKGROUND: Triage systems are widely used in emergency departments, but are not always validated. The South African Triage Scale (SATS) has mainly been studied in resource-limited settings. The aim of this study was to determine the validity of a modified version of the SATS for the general population of patients admitted to an ED at a tertiary hospital in a high-income country. The secondary objective was to study the triage performance according to age and patient categories. METHODS: We conducted a retrospective cohort study of patients presenting to the Emergency Department of Haukeland University Hospital in Norway during a four-year period...
March 20, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36895034/epidural-hematoma-a-positive-or-negative-prognostic-factor-letter-to-the-editor-in-response-to-khaki-et-al
#2
LETTER
Mohamed Jalloh, Mahdi Sharif-Alhoseini
No abstract text is available yet for this article.
March 9, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36890554/airway-registries-in-primarily-adult-emergent-endotracheal-intubation-a-scoping-review
#3
REVIEW
Sarah Meulendyks, Daniel Korpal, Helen Jingshu Jin, Sameer Mal, Jacob Pace
BACKGROUND: Emergency Department (ED) airway registries are formalized methods to collect and document airway practices and outcomes. Airway registries have become increasingly common in EDs globally; yet there is no consensus of airway registry methodology or intended utility. This review builds on previous literature and aims to provide a thorough description of international ED airway registries and discuss how airway registry data is utilized. METHODS: A search of Medline, Embase, Scopus, Cochrane Libraries, Web of Science, and Google Scholar was performed with no date limitations applied...
March 8, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36841783/development-of-outcomes-for-evaluating-emergency-care-triage-a-delphi-approach
#4
JOURNAL ARTICLE
André Johansson, Anna Ekwall, Jakob Lundager Forberg, Ulf Ekelund
BACKGROUND: Triage is used as standard of care for prioritization and identification of time-critical patients in the emergency department (ED) globally, but it is unclear what outcomes should be used to evaluate triage. Currently used outcomes do not include important time-critical diagnoses and conditions. METHOD: We used 18 Swedish triage experts to collect and assess outcomes for the evaluation of 5-level triage systems. The experts suggested 68 outcomes which were then tested through a modified Delphi approach in three rounds...
February 25, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36814266/the-effect-of-a-multi-faceted-quality-improvement-program-on-paramedic-intubation-success-in-the-critical-care-transport-environment-a-before-and-after-study
#5
JOURNAL ARTICLE
Johannes von Vopelius-Feldt, Michael Peddle, Joel Lockwood, Sameer Mal, Bruce Sawadsky, Wayde Diamond, Tara Williams, Brad Baumber, Rob Van Houwelingen, Brodie Nolan
INTRODUCTION: Endotracheal intubation (ETI) is an infrequent but key component of prehospital and retrieval medicine. Common measures of quality of ETI are the first pass success rates (FPS) and ETI on the first attempt without occurrence of hypoxia or hypotension (DASH-1A). We present the results of a multi-faceted quality improvement program (QIP) on paramedic FPS and DASH-1A rates in a large regional critical care transport organization. METHODS: We conducted a retrospective database analysis, comparing FPS and DASH-1A rates before and after implementation of the QIP...
February 22, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36797760/differences-between-the-dispatch-priority-assessments-of-emergency-medical-dispatchers-and-emergency-medical-services-a-prospective-register-based-study-in-finland
#6
JOURNAL ARTICLE
Tomi Salminen, Kaius Kaartinen, Mervi Roos, Verna Vaajanen, Ari Ekstrand, Piritta Setälä, Sanna Hoppu
BACKGROUND: Responsive and efficient emergency medical services (EMS) require accurate telephone triage. In Finland, such services are provided by Emergency Response Centre Agency (ERC Agency). In 2018, a new Finnish computer-assisted emergency dispatch system was introduced: the Emergency Response Integrated Common Authorities (ERICA). After the introduction of ERICA, the appropriateness of EMS dispatch has not been investigated yet. The study´s objective is to determine the consistency between the priority triage of the emergency medical dispatcher (EMD) and the on-scene priority assessment of the EMS, and whether the priority assessment consistency varied among the dispatch categories...
February 16, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36782273/-it-s-like-a-swan-all-nice-and-serene-on-top-and-paddling-like-hell-underneath-community-first-responders-practices-in-attending-patients-and-contributions-to-rapid-emergency-response-in-rural-england-united-kingdom-a-qualitative-interview-study
#7
JOURNAL ARTICLE
Gupteswar Patel, Viet-Hai Phung, Ian Trueman, Julie Pattinson, Vanessa Botan, Seyed Mehrshad Parvin Hosseini, Roderick Ørner, Zahid Asghar, Murray D Smith, Elise Rowan, Robert Spaight, Jason Evans, Amanda Brewster, Pauline Mountain, Aloysius Niroshan Siriwardena
BACKGROUND: Community First Responder (CFR) schemes are a long-established service supplementing ambulance trusts in their local community in the United Kingdom. CFRs are community members who volunteer to respond to people with life-threatening conditions. Previous studies highlighted the motivations for becoming CFRs, their training, community (un)awareness and implications of their work on themselves and others. The practices of CFRs in prehospital care remain underexplored. Therefore, we aimed to explore real-world practice of Community First Responders and their contribution to prehospital emergency care...
February 13, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36740691/prehospital-ultrasound-in-undifferentiated-dyspnea-prelude-a-prospective-clinical-observational-study
#8
JOURNAL ARTICLE
Elise Arem Gundersen, Peter Juhl-Olsen, Allan Bach, Martin Rostgaard-Knudsen, Bent Roni Ranghøj Nielsen, Søren Helbo Skaarup, Henrik Ømark Petersen, Jesper Fjølner, Morten Gustav Gerstrøm Poulsen, Morten Thingemann Bøtker
BACKGROUND: Diagnostic uncertainty in patients with dyspnea is associated with worse outcomes. We hypothesized that prehospital point-of-care ultrasound (POCUS) can improve diagnostic accuracy. METHODS: Prospective observational study of adult patients suffering dyspnea. Prehospital critical care physicians registered a suspected diagnosis based on clinical examination alone, performed POCUS of the heart and lungs, and finally registered suspected diagnoses based on their clinical examination supplemented with POCUS...
February 5, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36709289/pre-hospital-analgesia-in-pediatric-trauma-and-critically-ill-patients-an-analysis-of-a-german-air-rescue-service
#9
JOURNAL ARTICLE
Christine Eimer, Florian Reifferscheid, Philipp Jung, Marcus Rudolph, Tom Terboven, Florian Hoffmann, Ulf Lorenzen, Andrea Köser, Stephan Seewald
BACKGROUND: Pain management in the pre-hospital setting remains a particular challenge for paramedics and emergency physicians, especially in children. This study evaluates the pre-hospital use and effect of analgesics in children with trauma or pain due to other reasons. METHODS: This study is a retrospective analysis of the database of a German air rescue service and was conducted over a period of 9 years (2012-2020) to assess pain in general and whether patients with trauma pain due to other reasons received treatment with analgesics...
January 28, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36639802/prehospital-vital-sign-monitoring-in-paediatric-patients-an-interregional-study-of-educational-interventions
#10
JOURNAL ARTICLE
Vibe Maria Laden Nielsen, Morten Breinholt Søvsø, Torben Anders Kløjgård, Regitze Gyldenholm Skals, Alasdair Ross Corfield, Lars Bender, Hans Morten Lossius, Søren Mikkelsen, Erika Frischknecht Christensen
BACKGROUND: Prehospital vital sign documentation in paediatric patients is incomplete, especially in patients ≤ 2 years. The aim of the study was to increase vital sign registration in paediatric patients through specific educational initiatives. METHODS: Prospective quasi-experimental study with interrupted time-series design in the North Denmark and South Denmark regions. The study consecutively included all children aged < 18 years attended by the emergency medical service (EMS) from 1 July 2019 to 31 December 2021...
January 14, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36624501/diagnostic-performance-of-biomarker-s100b-and-guideline-adherence-in-routine-care-of-mild-head-trauma
#11
JOURNAL ARTICLE
Mohammed Faisal, Tomas Vedin, Marcus Edelhamre, Jakob Lundager Forberg
BACKGROUND: The Scandinavian Neurotrauma Committee (SNC) has recommended the use of serum S100B as a biomarker for mild low-risk Traumatic brain injuries (TBI). This study aimed to assess the adherence to the SNC guidelines in clinical practice and the diagnostic performance of S100B in patients with TBI. The aims of this study were to examine adherence to the SNC guideline and the diagnostic accuracy of serum protein S100B. METHODS: Data of consecutive patients of 18 years and above who presented to the emergency department (ED) at Helsingborg Hospital with isolated head injuries, were retrieved from hospital records...
January 10, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36609399/oral-transmucosal-fentanyl-citrate-analgesia-in-prehospital-trauma-care-an-observational-cohort-study
#12
JOURNAL ARTICLE
Urs Pietsch, Henning Fischer, Christoph Alexander Rüst, Björn Hossfeld, Andreas Grünenfelder, Volker Wenzel, Roland Albrecht
BACKGROUND: Pain is one of the major prehospital symptoms in trauma patients and requires prompt management. Recent studies have reported insufficient analgesia after prehospital treatment in up to 43% of trauma patients, leaving significant room for improvement. Good evidence exists for prehospital use of oral transmucosal fentanyl citrate (OTFC) in the military setting. We hypothesized that the use of OTFC for trauma patients in remote and challenging environment is feasible, efficient, safe, and might be an alternative to nasal and intravenous applications...
January 7, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36604741/diagnostic-performance-of-glial-fibrillary-acidic-protein-and-prehospital-stroke-scale-for-identification-of-stroke-and-stroke-subtypes-in-an-unselected-patient-cohort-with-symptom-onset%C3%A2-%C3%A2-4-5%C3%A2-h
#13
JOURNAL ARTICLE
Henriette S Jæger, Ditte Tranberg, Karianne Larsen, Jan B Valentin, Rolf A Blauenfeldt, Sebastian Luger, Kristi G Bache, Martin F Gude
INTRODUCTION: Rapid identification and treatment of stroke is crucial for the outcome of the patient. We aimed to determine the performance of glial fibrillary acidic protein (GFAP) independently and in combination with the Prehospital Stroke Score (PreSS) for identification and differentiation of acute stroke within 4.5 h after symptom onset. PATIENTS AND METHODS: Clinical data and serum samples were collected from the Treat-Norwegian Acute Stroke Prehospital Project (Treat-NASPP)...
January 5, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36566227/preparing-medical-first-responders-for-crises-a-systematic-literature-review-of-disaster-training-programs-and-their-effectiveness
#14
REVIEW
Anke S Baetzner, Rafael Wespi, Yannick Hill, Lina Gyllencreutz, Thomas C Sauter, Britt-Inger Saveman, Stefan Mohr, Georg Regal, Cornelia Wrzus, Marie O Frenkel
BACKGROUND: Adequate training and preparation of medical first responders (MFRs) are essential for an optimal performance in highly demanding situations like disasters (e.g., mass accidents, natural catastrophes). The training needs to be as effective as possible, because precise and effective behavior of MFRs under stress is central for ensuring patients' survival and recovery. This systematic review offers an overview of scientifically evaluated training methods used to prepare MFRs for disasters...
December 24, 2022: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36566221/improving-access-to-extracorporeal-membrane-oxygenation-for-out-of-hospital-cardiac-arrest-pre-hospital-ecpr-and-alternate-delivery-strategies
#15
JOURNAL ARTICLE
Changle Song, Mark Dennis, Brian Burns, Sophie Dyson, Paul Forrest, Mahesh Ramanan, David Levinson, Emily Moylan
BACKGROUND: The use of extracorporeal membrane oxygenation (ECPR) in refractory out-of-hospital cardiac arrest (OHCA) patients is usually implemented in-hospital. As survival in ECPR patients is critically time-dependent, alternative models in ECPR delivery could improve equity of access. OBJECTIVES: To identify the best strategy of ECPR delivery to provide optimal patient access, to examine the time-sensitivity of ECPR on predicted survival and to model potential survival benefits from different delivery strategies of ECPR...
December 24, 2022: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36564814/prehospital-misdiagnosis-of-acute-cerebral-disease-for-acute-coronary-syndrome-a-retrospective-study
#16
JOURNAL ARTICLE
Josefin Grabert, Ulrich Heister, Andreas Mayr, Andrea Kirfel, Christian Staerk, Tobias Fleckenstein, Markus Velten
OBJECTIVE: In cerebrovascular accidents symptoms, laboratory results and electrocardiogram (ECG) changes can mimic acute coronary syndrome (ACS) and is subsumed as neurogenic stunned myocardium. So far, data regarding the frequency of cerebrovascular accidents misdiagnosed for ACS in a prehospital setting are missing. This study aims to quantify misdiagnoses and discover discriminating features. METHODS: In a retrospective cohort study, prehospital and hospital medical records of all patients treated by physician-staffed emergency medical teams in the city of Bonn (Germany) with suspected ACS in 2018 were evaluated regarding medical history, prehospital symptoms and findings as well as hospital diagnoses...
December 23, 2022: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36544205/civilian-vascular-trauma-treatment-and-outcome-at-a-level-1-trauma-centre
#17
JOURNAL ARTICLE
B K Johannesdottir, T Geisner, E T Gubberud, T Gudbjartsson
BACKGROUND: Outcomes after vascular injuries in wartime are well documented, but studies on vascular injuries in a civilian European populations are scarce. METHODS: A retrospective study on all adults admitted to a North-European level 1-trauma centre 2009-2018 with The Abbreviated Injury Scale-codes for non-iatrogenic vascular trauma (VT). Data were extracted from both national and regional trauma-registries, as well as patient charts. Patient demographics, mechanism, and location of vascular injury were registered as well as its treatment...
December 21, 2022: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36522632/pharmacodynamic-properties-for-inhibition-of-camp-and-cgmp-elimination-by-pentoxifylline-remain-unaltered-in-vitro-during-hypothermia
#18
JOURNAL ARTICLE
Anders Lund Selli, Adrina Kalasho Kuzmiszyn, Natalia Smaglyukova, Timofey Kondratiev, Ole-Martin Fuskevåg, Georg Sager, Erik Sveberg Dietrichs
BACKGROUND: Rewarming from hypothermia is associated with severe complications, one of which is hypothermia-induced cardiac dysfunction. This condition is characterized by decreased cardiac output accompanied by increased total peripheral resistance. This contributes to mortality rate approaching 40%. Despite this, no pharmacological interventions are recommended for these patients below 30 °C. Raising the intracellular levels of cAMP and/or cGMP, through PDE3- and PDE5-inhibitors respectively, have showed the ability to alleviate hypothermia-induced cardiac dysfunction in vivo...
December 15, 2022: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36514084/predictive-clinical-utility-of-pre-hospital-point-of-care-lactate-for-transfusion-of-blood-product-in-patients-with-suspected-traumatic-haemorrhage-derivation-of-a-decision-support-tool
#19
JOURNAL ARTICLE
J E Griggs, R M Lyon, M Sherriff, J W Barrett, G Wareham, E Ter Avest
INTRODUCTION: Pre-hospital emergency medical teams can transfuse blood products to patients with suspected major traumatic haemorrhage. Common transfusion triggers based on physiological parameters have several disadvantages and are largely unvalidated in guiding pre-hospital transfusion. The addition of pre-hospital lactate (P-LACT) may overcome these challenges. To date, the clinical utility of P-LACT to guide pre-hospital blood transfusion is unclear. METHODS: A retrospective analysis of patients with suspected major traumatic haemorrhage attended by Air Ambulance Charity Kent Surrey Sussex (KSS) between 8 July 2017 and 31 December 2019...
December 13, 2022: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/36510297/aeromedical-retrieval-services-characteristics-globally-a-scoping-review
#20
REVIEW
Kuda Muyambi, Fergus Gardiner, Stephen Sollid, Per Kristian Hyldmo, Engida Yisma, Breeanna Spring, Per Bredmose, Martin Jones, Sandra Walsh, Zoe Schofield, Marianne Gillam
BACKGROUND: Aeromedical emergency retrieval services play an important role in supporting patients with critical and often life-threatening clinical conditions. Aeromedical retrieval services help to provide fast access to definitive care for critically ill patients in under-served regions. Typically, fixed-wing aeromedical retrieval becomes the most viable transport option compared with rotary-wing aircraft when distances away from centres of definitive care extend beyond 200 kms...
December 12, 2022: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
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