journal
Journals Scandinavian Journal of Trauma...

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

https://read.qxmd.com/read/38017553/the-implication-of-a-translational-triage-tool-in-mass-casualty-incidents-part-three-a-multinational-study-using-validated-patient-cards
#1
JOURNAL ARTICLE
Amir Khorram-Manesh, Eric Carlström, Frederick M Burkle, Krzysztof Goniewicz, Lesley Gray, Amila Ratnayake, Roberto Faccincani, Dinesh Bagaria, Phatthranit Phattharapornjaroen, Mohammed A S Sultan, Carl Montán, Johan Nordling, Shailly Gupta, Carl Magnusson
BACKGROUND: Mass casualty incidents (MCI) pose significant challenges to existing resources, entailing multiagency collaboration. Triage is a critical component in the management of MCIs, but the lack of a universally accepted triage system can hinder collaboration and lead to preventable loss of life. This multinational study uses validated patient cards (cases) based on real MCIs to evaluate the feasibility and effectiveness of a novel Translational Triage Tool (TTT) in primary triage assessment of mass casualty victims...
November 28, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38012791/patient-and-process-factors-associated-with-opportunities-for-improvement-in-trauma-care-a-registry-based-study
#2
JOURNAL ARTICLE
Hussein Albaaj, Jonatan Attergrim, Lovisa Strömmer, Olof Brattström, Martin Jacobsson, Gunilla Wihlke, Liselott Västerbo, Elias Joneborg, Martin Gerdin Wärnberg
BACKGROUND: Trauma is one of the leading causes of morbidity and mortality worldwide. Morbidity and mortality review of selected patient cases is used to improve the quality of trauma care by identifying opportunities for improvement (OFI). The aim of this study was to assess how patient and process factors are associated with OFI in trauma care. METHODS: We conducted a registry-based study using all patients between 2017 and 2021 from the Karolinska University Hospital who had been reviewed regarding the presence of OFI as defined by a morbidity and mortality conference...
November 27, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38012704/psychoactive-substances-and-previous-hospital-admissions-triage-and-length-of-stay-in-rural-injuries-a-prospective-observational-study
#3
JOURNAL ARTICLE
Thomas Wilson, Torben Wisborg, Vigdis Vindenes, Ragnhild Elèn Gjulem Jamt, Stig Tore Bogstrand
BACKGROUND: Patients admitted to hospital after an injury are often found to have used psychoactive substances prior to the injury. The aim of this study was to investigate the associations between psychoactive substances (alcohol, psychoactive medicinal drugs and illicit drugs) and previous hospital admissions, triage and length of stay in the arctic Norwegian county of Finnmark. METHODS: Patients ≥ 18 years admitted due to injury to trauma hospitals in Finnmark from January 2015 to August 2016 were approached...
November 27, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38001541/randomised-controlled-trial-of-analgesia-for-the-management-of-acute-severe-pain-from-traumatic-injury-study-protocol-for-the-paramedic-analgesia-comparing-ketamine-and-morphine-in-trauma-packman
#4
JOURNAL ARTICLE
F Michelet, M Smyth, R Lall, H Noordali, K Starr, L Berridge, J Yeung, G Fuller, S Petrou, A Walker, J Mark, A Canaway, K Khan, G D Perkins
BACKGROUND: Prehospital analgesia is often required after traumatic injury, currently morphine is the strongest parenteral analgesia routinely available for use by paramedics in the United Kingdom (UK) when treating patients with severe pain. This protocol describes a multi-centre, randomised, double blinded trial comparing the clinical and cost-effectiveness of ketamine and morphine for severe pain following acute traumatic injury. METHODS: A two arm pragmatic, phase III trial working with two large NHS ambulance services, with an internal pilot...
November 24, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38001526/prehospital-and-emergency-department-airway-management-of-severe-penetrating-trauma-in-sweden-during-the-past-decade
#5
JOURNAL ARTICLE
Mattias Renberg, Martin Dahlberg, Mikael Gellerfors, Elham Rostami, Mattias Günther
BACKGROUND: Prehospital tracheal intubation (TI) is associated with increased mortality in patients with penetrating trauma, and the utility of prehospital advanced airway management is debated. The increased incidence of deadly violence in Sweden warrants a comprehensive evaluation of current airway management for patients with penetrating trauma in the Swedish prehospital environment and on arrival in the emergency department (ED). METHODS: This was an observational, multicenter study of all patients with penetrating trauma and injury severity scores (ISSs) ≥ 15 included in the Swedish national trauma register (SweTrau) between 2011 and 2019...
November 24, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37990261/electronic-field-protocols-for-prehospital-care-quality-improvement-in-lithuania-a-randomized-simulation-based-study
#6
JOURNAL ARTICLE
Ieva Paliokaite, Zilvinas Dambrauskas, Paulius Dobozinskas, Evelina Pukenyte, Aida Mankute-Use, Dinas Vaitkaitis
BACKGROUND: Prehospital emergency care is complex and influenced by various factors, leading to the need for decision-support tools. Studies suggest that cognitive aids improve provider performance and patient outcomes in clinical emergencies. Electronic cognitive aids have rarely been investigated in prehospital care. Therefore, this study aimed to evaluate the effects of the electronic field protocol (eFP) module on performance, adherence to the standard of care, and satisfaction of prehospital care providers in a simulated environment...
November 21, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37978562/is-dispatcher-assisted-cardiopulmonary-resuscitation-affected-by-a-bystander-s-emotional-stress-state-in-out-of-hospital-cardiac-arrest
#7
JOURNAL ARTICLE
Rebecca Hvidt Tuffley, Fredrik Folke, Annette Kjær Ersbøll, Stig Nikolaj Fasmer Blomberg, Gitte Linderoth
AIM: The study aimed to investigate whether a bystander's emotional stress state affects dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) in out-of-hospital cardiac arrest (OHCA). The primary outcome was initiation of chest compressions (Yes/No). Secondarily we analysed time until chest compressions were initiated and assessed how dispatchers instructed CPR. METHOD: The study was a retrospective, observational study of OHCA emergency calls from the Capital Region of Denmark...
November 17, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37978554/a-simulation-based-randomized-trial-of-abcde-style-cognitive-aid-for-emergency-medical-services-checklist-in-prehospital-settings-the-chips-study
#8
JOURNAL ARTICLE
Helena Droege, Heiko Trentzsch, Alexandra Zech, Stephan Prückner, Sebastian Imach
BACKGROUND: Checklists are a powerful tool for reduction of mortality and morbidity. Checklists structure complex processes in a reproducible manner, optimize team interaction, and prevent errors related to human factors. Despite wide dissemination of the checklist, effects of checklist use in the prehospital emergency medicine are currently unclear. The aim of the study was to demonstrate that participants achieve higher adherence to guideline-recommended actions, manage the scenario more time-efficient, and thirdly demonstrate better adherence to the ABCDE-compliant workflow in a simulated ROSC situation...
November 17, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37964364/professional-prehospital-clinicians-experiences-of-ethical-challenges-associated-with-the-collaboration-with-organised-voluntary-first-responders-a-qualitative-study
#9
JOURNAL ARTICLE
Oliver Beierholm Sørensen, Louise Milling, Eva Laerkner, Søren Mikkelsen, Henriette Bruun
BACKGROUND: Volunteer First Responders are used worldwide. In the Region of Southern Denmark, two types of programs have been established. One of these programs consists of voluntary responders without any requirements of education or training who are summoned to prehospital cardiac arrests. The other type of program is established primarily in the rural areas of the region and consists of volunteers with some mandatory education in first aid. These volunteers are summoned to all urgent cases along with the ambulances...
November 14, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37964361/from-tradition-to-innovation-a-comparison-of-the-traditional-4-step-approach-versus-a-blended-learning-modification-for-technical-skills-teaching
#10
JOURNAL ARTICLE
Elonka Bergmans, Alistair Billington, Karl-Christian Thies
BACKGROUND: This experimental study was performed to evaluate the role of blended learning for technical skill teaching on the European Trauma Course (ETC). While online modules are extensively used for theoretical teaching, their role in skills training remains less well explored. The ETC currently relies on the established 4-step technique for teaching technical skills. However, the required large cohort of skilled instructors and the time intensity prove increasingly challenging in a current climate of staff shortages and funding constraints...
November 14, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37951904/database-quality-assessment-in-research-in-paramedicine-a-scoping-review
#11
REVIEW
Neil McDonald, Nicola Little, Dean Kriellaars, Malcolm B Doupe, Gordon Giesbrecht, Rob T Pryce
BACKGROUND: Research in paramedicine faces challenges in developing research capacity, including access to high-quality data. A variety of unique factors in the paramedic work environment influence data quality. In other fields of healthcare, data quality assessment (DQA) frameworks provide common methods of quality assessment as well as standards of transparent reporting. No similar DQA frameworks exist for paramedicine, and practices related to DQA are sporadically reported. This scoping review aims to describe the range, extent, and nature of DQA practices within research in paramedicine...
November 11, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37946286/practical-psychosocial-care-for-providers-of-pre-hospital-care-a-summary-of-the-report-valuing-staff-valuing-patients
#12
JOURNAL ARTICLE
Richard Williams, Verity Kemp, Jennifer Burgess, Esther Murray, Suzy Stokes, Andrew Wood, Samantha Batt-Rawden, Laura Bland, David Lockey
BACKGROUND: Caring for people who are ill or injured in pre-hospital environments is emotionally draining and physically demanding. This article focuses on the Psychosocial and Mental Health Programme commissioned by the Faculty of Pre-Hospital Care (FPHC) at the Royal College of Surgeons of Edinburgh (RCSEd) in 2018 to investigate the experiences and needs of responders to pre-hospital emergencies and make recommendations. It summarises the report to FPHC published in 2022, and adds material from research published subsequently...
November 10, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37946312/screening-tools-for-sepsis-identification-in-paramedicine-and-other-emergency-contexts-a-rapid-systematic-review
#13
JOURNAL ARTICLE
Megan De Silva, William Chadwick, Navindhra Naidoo
BACKGROUND: Sepsis is a life-threatening condition that contributes significantly to protracted hospitalisations globally. The unique positioning of paramedics and other emergency care cadres in emergency contexts enable the prospect of early identification and management of sepsis, however, a standardised screening tool still does not exist in the emergency setting. The objective of this review was to identify and recommend the most clinically ideal sepsis screening tool for emergency contexts such as emergency departments and out-of-hospital emergency contexts...
November 9, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37946246/a-modified-chain-based-sponge-dressing-controls-junctional-hemorrhage-in-the-tactical-combat-casualty-care-simulation-of-pigs
#14
JOURNAL ARTICLE
Weihang Wu, Wangwu Liu, Nan Lin, Hu Zhao, Jin Yang, Zhi Ye, Weijin Yang, Yu Wang, Yongchao Fang
BACKGROUND: Hemorrhage has always been the focus of battlefield and pre-hospitalization treatment. With the increasing fatality rates associated with junctional bleeding, treatment of bleeding at junctional sites has gradually gained attention in battlefield trauma emergency care. We designed a modified chain-based sponge dressing with a medical polyvinyl alcohol sponge that can be used to treat junctional hemorrhage and tested its hemostatic efficacy and biocompatibility. METHODS: Twenty adult Bama miniature pigs were randomly divided into the modified chain-based sponge dressing (MCSD) and standard gauze (SG) groups...
November 9, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37932855/invited-commentary-on-green-hems-in-mountain-and-remote-areas-reduction-of-carbon-footprint-through-drones
#15
LETTER
E Ter Avest, M Kratz, T Dill, M Palmer
No abstract text is available yet for this article.
November 6, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37924156/fatigue-risk-assessment-of-a-helicopter-emergency-medical-service-crew-working-a-24-7-shift-pattern-results-of-a-prospective-service-evaluation
#16
JOURNAL ARTICLE
C Rose, E Ter Avest, R M Lyon
BACKGROUND: The work of Helicopter Emergency Medical Services (HEMS) teams crosses the boundaries of several high-risk occupations including medicine, aviation, and transport. Working conditions can be challenging and operational demands requires a 24-h rota, resulting in disruption of the normal circadian rhythm. HEMS crews are therefore prone to both mental and physical fatigue. As fatigue in medical providers is linked to poor cognitive performance, degradation of psychomotor skills and error, this study aimed to explore the existence of predictable patterns of crew-fatigue in a HEMS service...
November 3, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37919753/the-field-s-mass-shooting-emergency-medical-services-response
#17
JOURNAL ARTICLE
Peter Martin Hansen, Søren Mikkelsen, Henrik Alstrøm, Anders Damm-Hejmdal, Marius Rehn, Peter Anthony Berlac
BACKGROUND: Major incidents (MI) happen infrequently in Scandinavia and mass shootings are even less frequently occurring. Case reports and research are called for, as literature is scarce. On 3rd July 2022, a mass shooting took place at the shopping mall Field's in Copenhagen, Denmark. Three people were killed and seven injured by a gunman, firing a rifle inside the mall. A further 21 people suffered minor injuries during the evacuation of the mall. In this case report, we describe the emergency medical services (EMS) incident response and evaluate the EMS´ adherence to the MI management guidelines to identify possible areas of improvement...
November 2, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37915061/locating-helicopter-ambulance-bases-in-iceland-efficient-and-fair-solutions
#18
JOURNAL ARTICLE
Björn Gunnarsson, Kristrún María Björnsdóttir, Sveinbjörn Dúason, Ármann Ingólfsson
BACKGROUND: Fixed-wing air ambulances play an important role in healthcare in rural Iceland. More frequent use of helicopter ambulances has been suggested to shorten response times and increase equity in access to advanced emergency care. In finding optimal base locations, the objective is often efficiency-maximizing the number of individuals who can be reached within a given time. This approach benefits people in densely populated areas more than people living in remote areas and the solution is not necessarily fair...
November 1, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37908011/head-injury-in-older-adults-presenting-to-the-ambulance-service-who-do-we-convey-to-the-emergency-department-and-what-clinical-variables-are-associated-with-an-intracranial-bleed-a-retrospective-case-control-study
#19
JOURNAL ARTICLE
J W Barrett, J Williams, S S Skene, J E Griggs, D Bootland, J Leung, A Da Costa, K Ballantyne, R Davies, R M Lyon
OBJECTIVE: Most older adults with traumatic brain injuries (TBI) reach the emergency department via the ambulance service. Older adults, often with mild TBI symptoms, risk being under-triaged and facing poor outcomes. This study aimed to identify whether sufficient information is available on the scene to an ambulance clinician to identify an older adult at risk of an intracranial haemorrhage following a head injury. METHODS: This was a retrospective case-control observational study involving one regional ambulance service in the UK and eight emergency departments...
October 31, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37908007/the-end-of-balloons-our-take-on-the-uk-reboa-trial
#20
RANDOMIZED CONTROLLED TRIAL
Jostein Rødseth Brede, Marius Rehn
BACKGROUND: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is increasingly used. The recently published UK-REBOA trial aimed to investigate patients suffering haemorrhagic shock and randomized to standard care alone or REBOA as adjunct to standard care and concludes that REBOA may increase the mortality. MAIN BODY: In this commentary we try to balance the discussion on use of REBOA and address limitations in the UK-REBOA trial that may have influenced the outcome of the study...
October 31, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
journal
journal
42037
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.