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Journals Scandinavian Journal of Trauma...

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
#21
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
#22
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
#23
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
#24
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
#25
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
#26
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
https://read.qxmd.com/read/38664809/effect-of-a-vapor-barrier-in-combination-with-active-external-rewarming-for-cold-stressed-patients-in-a-prehospital-setting-a-randomized-crossover-field-study
#27
RANDOMIZED CONTROLLED TRIAL
Sigurd Mydske, Guttorm Brattebø, Øyvind Østerås, Øystein Wiggen, Jörg Assmus, Øyvind Thomassen
BACKGROUND: Use of a vapor barrier in the prehospital care of cold-stressed or hypothermic patients aims to reduce evaporative heat loss and accelerate rewarming. The application of a vapor barrier is recommended in various guidelines, along with both insulating and wind/waterproof layers and an active external rewarming device; however, evidence of its effect is limited. This study aimed to investigate the effect of using a vapor barrier as the inner layer in the recommended "burrito" model for wrapping hypothermic patients in the field...
April 25, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38664693/a-retrospective-analysis-of-mission-reports-in-the-national-swedish-police-registry-on-mountain-rescue-2018-2022-here-be-snowmobiles
#28
JOURNAL ARTICLE
Anton Westman, Johanna Björnstig
BACKGROUND: Increasing mountain activity and decreasing participant preparedness, as well as climate change, suggest needs to tailor mountain rescue. In Sweden, previous medical research of these services are lacking. The aim of the study is to describe Swedish mountain rescue missions as a basis for future studies, public education, resource allocation, and rescuer training. METHODS: Retrospective analysis of all mission reports in the national Swedish Police Registry on Mountain Rescue 2018-2022 (n = 1543)...
April 25, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38654361/prevalence-of-airway-patency-and-air-pocket-in-critically-buried-avalanche-victims-a-scoping-review
#29
REVIEW
Frederik Eisendle, Simon Rauch, Bernd Wallner, Hermann Brugger, Giacomo Strapazzon
INTRODUCTION: Survival of critically buried avalanche victims is directly dependent on the patency of the airway and the victims' ability to breathe. While guidelines and avalanche research have consistently emphasized on the importance of airway patency, there is a notable lack of evidence regarding its prevalence. OBJECTIVE: The aim of this review is to provide insight into the prevalence of airway patency and air pocket in critically buried avalanche victims...
April 23, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38654337/development-and-internal-validation-of-an-algorithm-for-estimating-mortality-in-patients-encountered-by-physician-staffed-helicopter-emergency-medical-services
#30
MULTICENTER STUDY
Emil Reitala, Mitja Lääperi, Markus B Skrifvars, Tom Silfvast, Hanna Vihonen, Pamela Toivonen, Miretta Tommila, Lasse Raatiniemi, Jouni Nurmi
BACKGROUND: Severity of illness scoring systems are used in intensive care units to enable the calculation of adjusted outcomes for audit and benchmarking purposes. Similar tools are lacking for pre-hospital emergency medicine. Therefore, using a national helicopter emergency medical services database, we developed and internally validated a mortality prediction algorithm. METHODS: We conducted a multicentre retrospective observational register-based cohort study based on the patients treated by five physician-staffed Finnish helicopter emergency medical service units between 2012 and 2019...
April 23, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38641643/acute-patients-discharged-without-an-established-diagnosis-risk-of-mortality-and-readmission-of-nonspecific-diagnoses-compared-to-disease-specific-diagnoses
#31
JOURNAL ARTICLE
Rasmus Gregersen, Marie Villumsen, Katarina Høgh Mottlau, Cathrine Fox Maule, Hanne Nygaard, Jens Henning Rasmussen, Mikkel Bring Christensen, Janne Petersen
BACKGROUND: Nonspecific discharge diagnoses after acute hospital courses represent patients discharged without an established cause of their complaints. These patients should have a low risk of adverse outcomes as serious conditions should have been ruled out. We aimed to investigate the mortality and readmissions following nonspecific discharge diagnoses compared to disease-specific diagnoses and assessed different nonspecific subgroups. METHODS: Register-based cohort study including hospital courses beginning in emergency departments across 3 regions of Denmark during March 2019-February 2020...
April 19, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38632661/a-national-multi-centre-pre-hospital-ecpr-stepped-wedge-study-design-and-rationale-of-the-on-scene-study
#32
JOURNAL ARTICLE
Samir Ali, Xavier Moors, Hans van Schuppen, Lars Mommers, Ellen Weelink, Christiaan L Meuwese, Merijn Kant, Judith van den Brule, Carlos Elzo Kraemer, Alexander P J Vlaar, Sakir Akin, Annemiek Oude Lansink-Hartgring, Erik Scholten, Luuk Otterspoor, Jesse de Metz, Thijs Delnoij, Esther M M van Lieshout, Robert-Jan Houmes, Dennis den Hartog, Diederik Gommers, Dinis Dos Reis Miranda
BACKGROUND: The likelihood of return of spontaneous circulation with conventional advanced life support is known to have an exponential decline and therefore neurological outcome after 20 min in patients with a cardiac arrest is poor. Initiation of venoarterial ExtraCorporeal Membrane Oxygenation (ECMO) during resuscitation might improve outcomes if used in time and in a selected patient category. However, previous studies have failed to significantly reduce the time from cardiac arrest to ECMO flow to less than 60 min...
April 17, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38627852/optimizing-remote-and-rural-prehospital-resources-using-air-transport-of-thrombectomy-candidates
#33
REVIEW
Pauli Vuorinen, Piritta Setälä, Sanna Hoppu
BACKGROUND: In Finland, the yearly number of mechanical thrombectomies for acute stroke is increasing and more patients are transported over 100 km to the comprehensive stroke centre (CSC) for definitive care. This leaves the rural townships without immediate emergency medical services (EMS) for hours. In this study we compare the EMS' estimated return times to own station after the handover of a thrombectomy candidate between two transport methods: (1) using ground transportation with an ambulance to the CSC or (2) using a hydrid strategy starting the transportation with an ambulance and continuing by air with a helicopter emergency medical services unit (HEMS)...
April 16, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38627817/mortality-rates-in-norwegian-hems-a-retrospective-analysis-from-central-norway
#34
JOURNAL ARTICLE
Stian Lande Wekre, Oddvar Uleberg, Lars Eide Næss, Helge Haugland
BACKGROUND: Helicopter Emergency Medical Services (HEMS) provide rapid and specialized care to critically ill or injured patients. Norwegian HEMS in Central Norway serves an important role in pre-hospital emergency medical care. To grade the severity of patients, HEMS uses the National Advisory Committee for Aeronautics' (NACA) severity score. The objective of this study was to describe the short- and long term mortality overall and in each NACA-group for patients transported by HEMS Trondheim using linkage of HEMS and hospital data...
April 16, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38622658/letter-to-the-editor
#35
LETTER
Dag Ferner Netteland, Pål Aksel Næss, Christine Gaarder, Eirik Helseth
No abstract text is available yet for this article.
April 15, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38609957/impact-of-delayed-mobile-medical-team-dispatch-for-respiratory-distress-calls-a-propensity-score-matched-study-from-a-french-emergency-communication-center
#36
JOURNAL ARTICLE
Léo Charrin, Nicolas Romain-Scelle, Christian Di-Filippo, Eric Mercier, Frederic Balen, Karim Tazarourte, Axel Benhamed
BACKGROUND: Shortness of breath is a common complaint among individuals contacting emergency communication center (EMCCs). In some prehospital system, emergency medical services include an advanced life support (ALS)-capable team. Whether such team should be dispatched during the phone call or delayed until the BLS-capable paramedic team reports from the scene is unclear. We aimed to evaluate the impact of delayed MMT dispatch until receiving the paramedic review compared to immediate dispatch at the time of the call on patient outcomes...
April 12, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38594764/a-wrong-conclusion
#37
LETTER
Hadi Mirfazaelian
No abstract text is available yet for this article.
April 9, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38566146/non-technical-skills-needed-by-medical-disaster-responders-a-scoping-review
#38
REVIEW
Anja Westman, Lisa Kurland, Karin Hugelius
BACKGROUND: There is no universal agreement on what competence in disaster medicine is, nor what competences and personal attributes add value for disaster responders. Some studies suggest that disaster responders need not only technical skills but also non-technical skills. Consensus of which non-technical skills are needed and how training for these can be provided is lacking, and little is known about how to apply knowledge of non-technical skills in the recruitment of disaster responders...
April 2, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38528572/characteristics-of-traumatic-major-haemorrhage-in-a-tertiary-trauma-center
#39
JOURNAL ARTICLE
Pieter van Wyk, Marcus Wannberg, Anna Gustafsson, Jane Yan, Agneta Wikman, Louis Riddez, Carl-Magnus Wahlgren
BACKGROUND: Major traumatic haemorrhage is potentially preventable with rapid haemorrhage control and improved resuscitation techniques. Although advances in prehospital trauma management, haemorrhage is still associated with high mortality. The aim of this study was to use a recent pragmatic transfusion-based definition of major bleeding to characterize patients at risk of major bleeding and associated outcomes in this cohort after trauma. METHODS: This was a retrospective cohort study including all trauma patients (n = 7020) admitted to a tertiary trauma center from January 2015 to June 2020...
March 25, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38515204/prognostic-value-of-arterial-carbon-dioxide-tension-during-cardiopulmonary-resuscitation-in-out-of-hospital-cardiac-arrest-patients-receiving-extracorporeal-resuscitation
#40
JOURNAL ARTICLE
Pei-I Su, Min-Shan Tsai, Wei-Ting Chen, Chih-Hung Wang, Wei-Tien Chang, Matthew Huei-Ming Ma, Wen-Jone Chen, Chien-Hua Huang, Yih-Sharng Chen
BACKGROUND: Current guidelines on extracorporeal cardiopulmonary resuscitation (ECPR) recommend careful patient selection, but precise criteria are lacking. Arterial carbon dioxide tension (PaCO2 ) has prognostic value in out-of-hospital cardiac arrest (OHCA) patients but has been less studied in patients receiving ECPR. We studied the relationship between PaCO2 during cardiopulmonary resuscitation (CPR) and neurological outcomes of OHCA patients receiving ECPR and tested whether PaCO2 could help ECPR selection...
March 21, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
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