Rebecca Greenstein, Philip Nawrocki, Chadd Nesbit
Hemorrhage from arteriovenous fistula sites is a known complication with potentially fatal consequences. The management of AV fistula hemorrhage has historically included direct pressure, tourniquet use, and/or surgical management. We describe a case of a 71-year-old female with hemorrhage from an AV fistula site that was successfully managed in the prehospital setting using a simple bottle cap.
March 8, 2023: American Journal of Emergency Medicine
Gerhard Prause, Philipp Zoidl, Michael Eichinger, Michael Eichlseder, Simon Orlob, Felix Ruhdorfer, Gabriel Honnef, Philipp G H Metnitz, Paul Zajic
AIM: of the Study: This study sought to assess the effects of increasing the ventilatory rate from 10 min-1 to 20 min-1 using a mechanical ventilator during cardio-pulmonary resuscitation (CPR) for out-of-hospital cardiac arrest (OHCA) on ventilation, acid-base-status, and outcomes. METHODS: This was a randomised, controlled, single-centre trial in adult patients receiving CPR including advanced airway management and mechanical ventilation offered by staff of a prehospital physician response unit (PRU)...
March 15, 2023: Resuscitation
Keishi Moriwaki, Tairo Kurita, Yumi Hirota, Hiromasa Ito, Takuo Ishise, Naoki Fujimoto, Jun Masuda, Ken Ishikura, Takashi Tanigawa, Norikazu Yamada, Atsushi Kawasaki, Kaoru Dohi
BACKGROUND: The simple risk index recorded in the emergency room (ER-SRI), which is calculated using the formula (heart rate × [age / 10]2 ) / systolic blood pressure, was shown to be able to stratify the prognosis in ST-elevation myocardial infarction (STEMI) patients. However, the prognostic impact of the prehospital simple risk index (Pre-SRI) remains unknown.Methods and Results: This study enrolled 2,047 STEMI patients from the Mie Acute Coronary Syndrome (ACS) registry...
March 15, 2023: Circulation Journal: Official Journal of the Japanese Circulation Society
Romain Jouffroy, Papa Gueye, Benoît Vivien
No abstract text is available yet for this article.
April 1, 2023: Critical Care Medicine
Axel Benhamed, Eric Mercier, Julie Freyssenge, Mathieu Heidet, Tobias Gauss, Valentine Canon, Clement Claustre, Karim Tazarourte
AIM: To evaluate the impact of the 2015 European Resuscitation Council (ERC) guidelines on patient outcomes following traumatic cardiac arrest (TCA) and on advanced life support interventions carried out by physician-staffed ambulances. METHODS: Data of TCA patients aged ≥18 years were extracted from the French nationwide cardiac arrest registry. A pre- (2011-2015) and a post-publication period (2016-2020) were defined. In the guidelines, a specific TCA management algorithm was introduced to prioritise the treatment of reversible causes...
March 14, 2023: Resuscitation
Yong Hoon Kim, Ae-Young Her, Seung-Woon Rha, Cheol Ung Choi, Byoung Geol Choi, Ji Bak Kim, Dong Oh Kang, Ji Young Park, Sang-Ho Park, Myung Ho Jeong
Clinical outcomes after non-ST-segment-elevation myocardial infarction (NSTEMI) in patients with (symptom-to-door time [SDT] ≥ 24 h) or without (SDT < 24 h) delayed hospitalization among patients with or without diabetes were compared. From the Korea Acute Myocardial Infarction Registry-National Institute of Health, a total of 4517 patients with NSTEMI who underwent new-generation drug-eluting stents implantation were recruited and they were classified into the diabetes mellitus (DM) and non-DM groups...
March 15, 2023: Catheterization and Cardiovascular Interventions
Diana Ygiyeva, Lyudmila Pivina, Assylzhan Messova, Zhanar Urazalina, Yuliya Semenova, Almas Dyussupov, Altay Dyussupov, Tatyana Belikhina, Marat Syzdykbayev, Gulnara Batenova, Ayaulym Akhmetova, Amber Adams
OBJECTIVE: Consultation is an important and necessary aspect of patient care in the emergency department. We prospectively examined difficulties during the consultation process between paramedics and providers in emergency departments in Kazakhstan. METHODS: The paramedics were interviewed using various platforms and face-to-face meetings. Questionnaires were administered to paramedics to gather feedback on the current consultation process. In our survey, 202 paramedics of ambulance from the cities of Semey, Pavlodar, and Ust-Kamenogorsk, located in the North and East of Kazakhstan took part...
2023: Open Access Emergency Medicine: OAEM
(no author information available yet)
No abstract text is available yet for this article.
2023: Prehospital Emergency Care
(no author information available yet)
No abstract text is available yet for this article.
2023: Prehospital Emergency Care
(no author information available yet)
No abstract text is available yet for this article.
2023: Prehospital Emergency Care
(no author information available yet)
No abstract text is available yet for this article.
2023: Prehospital Emergency Care
Mohammed Abdullah Al Jumaan
BACKGROUND: Administration of a single-dose activated charcoal (SDAC) is an effective method used for gastric decontamination and for other types of poisoning and overdose. This is only true when given within the first hour of poison ingestion as the effectivity of SDAC reduces over time. In addition, generally, not all patients are able to avail treatment within the specified period. Hence, multi-dose activated charcoal is regarded as a solution to a delayed process, although, no proof outweighs the use of SDAC...
February 2023: Medical Archives
Dong Wang, Lei Deng, Ruipeng Zhang, Yiyue Zhou, Jun Zeng, Hua Jiang
BACKGROUND: During medical emergencies, intraosseous (IO) access and intravenous (IV) access are methods of administering therapies and medications to patients. Treating patients in emergency medical situations is a highly time sensitive practice; however, research into the optimal access method is limited and existing systematic reviews have only considered out-of-hospital cardiac arrest (OHCA) patients. We focused on severe trauma patients and conducted a systematic review to evaluate the efficacy and efficiency of intraosseous (IO) access compared to intravenous (IV) access for trauma resuscitation in prehospital care...
March 14, 2023: World Journal of Emergency Surgery: WJES
D Bieler, U Schweigkofler, C Waydhas, F Wagner, C Spering, C A Kühne
INTRODUCTION: It is estimated that in total almost 10 million people are injured in accidents in Germany every year, most of which are in the household milieu and leisure sector. It is estimated that of these more than 32,000 seriously injured patients are admitted to the emergency room every year. It is recommended that the decision of the prehospital treatment team or the first examiner in the hospital as to whether a potentially severely injured patient should be admitted via the emergency room of the hospital should be based on a catalogue of criteria...
March 14, 2023: Unfallchirurgie (Heidelb)
Samuel D J Spears, Yusuf F Abdulle, Dionisios Korovilas, Ryo Torii, Deepak M Kalaskar, Nikhil Sharma
A majority of people living with motor neuron disease (MND) experience weakness of the neck and as a result, experience head drop. This exacerbates problems with everyday activities (eating, talking, breathing, etc). Neck collars are often used to support head drop; however, these are typically designed for prehospitalization settings to manage and brace the cervical region of the spine. As a result, it has been recorded that people living with MND often reject these collars for a variety of reasons but most notably because they are too restricting...
March 14, 2023: Interactive Journal of Medical Research
Travis M Sullivan, Genevieve J Sippel, Elizabeth A Matison, Waverly V Gestrich-Thompson, Peter E DeWitt, M Adam Carlisle, David Oluigbo, Chima Oluigbo, Tellen D Bennett, Randall S Burd
BACKGROUND: Timely surgical decompression improves functional outcomes and survival among children with traumatic brain injury (TBI) and increased intracranial pressure. Previous scoring systems for identifying the need for surgical decompression after TBI in children and adults have had several barriers to use. These barriers include the inability to generate a score with missing data, a requirement for radiographic imaging that may not be immediately available, and limited accuracy...
March 7, 2023: Journal of Trauma and Acute Care Surgery
Desmond Kuupiel, Nasreen S Jessani, Jody Boffa, Celeste Naude, Emmy De Buck, Philippe Vandekerckhove, Michael McCaul
BACKGROUND: Globally, millions of people die and many more develop disabilities resulting from injuries each year. Most people who die from injuries do so before they are transported to hospital. Thus, reliable, pragmatic, and evidence-based prehospital guidance for various injuries is essential. We systematically mapped and described prehospital clinical practice guidelines (CPGs) for injuries in the global context, as well as prioritised injury topics for guidance development and adolopment...
March 14, 2023: BMC Emergency Medicine
Kyle R Fischer, Timothy Traynor, Benoit Stryckman, Joseph Richardson, Laura Buchanan, Zachary D W Dezman
INTRODUCTION: Opioid overdoses and violent injury are leading causes of death in the United States, yet testing for novel opioids like fentanyl remains uncommon. The purpose of this investigation is to characterize a population of victims of violence who test positive for illicit fentanyl. METHODS: Retrospective cohort study of patients treated at a level-one trauma center between January 31, 2019 and February 21, 2020. Data were extracted from the electronic medical record...
March 2023: Journal of Surgical Research
Florian Breuer, Stefan K Beckers, Janosch Dahmen, Andre Gnirke, Christopher Pommerenke, Stefan Poloczek
In the Emergency Medical Service Acts of the Federal States, the statements in these Acts have so far essentially been limited to the implementation of measures to maintain the health of emergency patients and to transport them to a suitable hospital. Preventive fire protection, on the other hand, is regulated in the Fire Brigade Acts or by statutory ordinances. Increasing numbers of emergency service missions and a lack of facilities for alternative care justify the need for a preventive emergency service...
March 13, 2023: Anaesthesiologie
Pedro Arcos González, Nel Suárez Ruiz, Rafael Castro Delgado, José Antonio Cernuda Martínez
OBJECTIVE: The aim of this study was to establish the frequency and profile of disasters and to analyze trends in disasters and their impact on Spanish public health. METHODS: Retrospective observational study of disasters that occurred in Spain from 1950 through 2020 was conducted. The variables studied for each episode were number of people affected, number of injured/sick, and number of deaths. Absolute and relative frequencies, population rates, mean, median, standard error of the mean (SEM), and 95% confidence intervals (CI) were used, and trend analysis was performed using exponential smoothing and linear regression...
March 13, 2023: Prehospital and Disaster Medicine
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