Simon Craig, Mya Cubitt, Ashish Jaison, Steven Troupakis, Natalie Hood, Christina Fong, Adnan Bilgrami, Peter Leman, Juan Carlos Ascencio-Lane, Guruprasad Nagaraj, John Bonning, Gabriel Blecher, Rob Mitchell, Ellen Burkett, Sally M McCarthy, Amanda M Rojek, Kim Hansen, Helen Psihogios, Peter Allely, Simon Judkins, Lai Heng Foong, Stephen Bernard, Peter A Cameron
INTRODUCTION: The global pandemic of coronavirus disease 2019 (COVID-19) has caused significant worldwide disruption. Although Australia and New Zealand have not been affected as much as some other countries, resuscitation may still pose a risk to health care workers and necessitates a change to our traditional approach. This consensus statement for adult cardiac arrest in the setting of COVID-19 has been produced by the Australasian College for Emergency Medicine (ACEM) and aligns with national and international recommendations...
July 12, 2020: Medical Journal of Australia
Noelle Ozog, Audrey Steenbeek, Janet Curran, Nikki Kelly, Samuel Campbell
INTRODUCTION: Influenza is a burdensome and vaccine-preventable infectious disease. Lack of time was reported as a common barrier by Canadians who did not receive their influenza vaccine. Increasing convenient access to vaccination increases uptake, and a potential setting for vaccine administration is the emergency department, where long wait times are common. METHODS: A cross-sectional survey to gauge health care provider support and perceived barriers and facilitators to delivering influenza vaccine was conducted at 1 emergency and trauma center in Halifax, Nova Scotia...
July 8, 2020: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Dimitrios Papagiannis, Foteini Malli, Dimitrios G Raptis, Ioanna V Papathanasiou, Evangelos C Fradelos, Zoe Daniil, Georgios Rachiotis, Konstantinos I Gourgoulianis
INTRODUCTION: The ongoing severe acute respiratory syndrome (SARS)-CoV-2 pandemic has expanded globally. The aim of the current study is to investigate the knowledge, attitudes, and practices (KAP) of health care professionals in Greece towards SARS-CoV-2. METHODS: From 10-25 February 2020, 500 health care workers were approached. Knowledge, attitudes, and practices towards SARS-CoV-2 were assessed via a personal interview questionnaire. For knowledge, each correct answer was given 1 point; attitudes, or concerns aimed at prevention of SARS-CoV-2 infection, and practices, or behaviors towards performing preventive practices, were assigned 1 point each...
July 8, 2020: International Journal of Environmental Research and Public Health
Shannon Leduc, Zach Cantor, Peter Kelly, Venkatesh Thiruganasambandamoorthy, George Wells, Christian Vaillancourt
IntroductionPrograms that seek to avoid emergency department (ED) visits from patients residing in long-term care facilities are increasing. We sought to identify existing programs where allied healthcare personnel are the primary providers of the intervention and, to evaluate their effectiveness and safety.MethodsWe systematically searched Medline, CINAHL and EMBASE with terms relating to long-term care, emergency services, hospitalization and allied health personnel. We reviewed 11,176 abstracts and included 22 studies in our narrative synthesis, which we grouped by intervention category...
July 9, 2020: Prehospital Emergency Care
Tomasz Kłosiewicz, Mateusz Puślecki, Radosław Zalewski, Maciej Sip, Bartłomiej Perek
Background: High quality chest compressions (CCs) are of crucial importance during cardio-pulmonary resuscitation (CPR). Currently, there are no clear evidences that the use of automatic chest compression devices (ACCD) are superior to manual CCs during out-of-hospital CPR. This study aimed to estimate if availability of ACCDs for two-man rescue teams had any impact on CPR efficiency and a rate of successful transport of patients after out-of-hospital cardiac arrest (OHCA) to emergency departments...
May 2020: Journal of Thoracic Disease
Radosław Zalewski, Mateusz Puślecki, Tomasz Kłosiewicz, Maciej Sip, Bartłomiej Perek
Background: In some countries, adrenaline is available only in glass ampoules. However, simplification of cardiopulmonary resuscitation (CPR) by introducing prefilled syringes may ensure more efficient CPR. The aim of this study was to investigate the impact of different forms of adrenaline on the CPR quality. Methods: In a randomized cross-examination simulation study, 100 two-person paramedical teams took part in two 10-minute scenarios of sudden cardiac arrest (SCA) in a pulseless electrical activity mechanism (PEA)...
May 2020: Journal of Thoracic Disease
Bing Min Tsai, Jen-Tang Sun, Ming-Ju Hsieh, Yu-You Lin, Tsung-Chi Kao, Lee-Wei Chen, Matthew Huei-Ming Ma, Chiang Wen-Chu
BACKGROUND: The effect of paramedic crew size in the resuscitation of patients with out-of-hospital cardiac arrest (OHCA) remains inconclusive. We hypothesised that teams with a larger crew size have better resuscitation performance including chest compression fraction (CCF), advanced life support (ALS), and teamwork performance than those with a smaller crew size. METHODS: We conducted a randomized controlled study in a simulation setting. A total of 140 paramedics from New Taipei City were obtained by stratified sampling and were randomly allocated to 35 teams with crew sizes of 2, 3, 4, 5, and 6 (i...
2020: PloS One
James Wilson, Tina Lam, Debbie Scott, Rose Crossin, Sharon Matthews, Karen Smith, Dan I Lubman, Suzanne Nielsen
INTRODUCTION AND AIMS: Despite growing concerns over the extramedical use of pharmaceutical opioids, few studies have focused on the contexts that shape this use or how it might lead to harm. There is also limited research examining how contexts might vary across different opioids, such as those with well-established abuse liabilities (e.g. oxycodone) and newer 'atypical' opioids (e.g. tapentadol). We aimed to address these gaps. DESIGN AND METHODS: We analysed Australian paramedic case descriptions for tapentadol cases (n = 82) and a representative sample of oxycodone cases (n = 82) from a 6-year period (2013-2018)...
July 7, 2020: Drug and Alcohol Review
Sheldon Cheskes, Shelley L McLeod, Michael Nolan, Paul Snobelen, Christian Vaillancourt, Steven C Brooks, Katie N Dainty, Timothy C Y Chan, Ian R Drennan
Background Time to treatment is critical for survival from sudden cardiac arrest. Every minute delay in defibrillation results in a 7% to 10% reduction in survival. This is particularly problematic in rural and remote regions, where emergency medical service response is prolonged and automated external defibrillators (AEDs) are often not available. Our primary objective was to examine the feasibility of a novel AED drone delivery method for rural and remote sudden cardiac arrest. A secondary objective was to compare response times between AED drone delivery and ambulance to mock sudden cardiac arrest resuscitations...
July 4, 2020: Journal of the American Heart Association
Sharon Lawn, Louise Roberts, Eileen Willis, Leah Couzner, Leila Mohammadi, Elizabeth Goble
BACKGROUND: High rates of mental distress, mental illness, and the associated physical effects of psychological injury experienced by ambulance personnel has been widely reported in quantitative research. However, there is limited understanding of how the nature of ambulance work contributes to this problem, the significant large toll that emergency medical response takes on the individual, and particularly about late and cumulative development of work-related distress among this first responder workforce...
July 3, 2020: BMC Psychiatry
Lee Birnbaum, David Wampler, Arash Shadman, Mateja de Leonni Stanonik, Michele Patterson, Emily Kidd, Jeanette Tovar, Ashley Garza, Bonnie Blanchard, Lara Slesnick, Adam Blanchette, David Miramontes
BACKGROUND: Numerous stroke severity scales have been published, but few have been studied with emergency medical services (EMS) in the prehospital setting. We studied the Vision, Aphasia, Neglect (VAN) stroke assessment scale in the prehospital setting for its simplicity to both teach and perform. This prospective prehospital cohort study was designed to validate the use and efficacy of VAN within our stroke systems of care, which includes multiple comprehensive stroke centers (CSCs) and EMS agencies...
July 1, 2020: Journal of Neurointerventional Surgery
Benjamin Tsun Kiu Hui, Nicholas Capewell, Yousuf Ansari, Xiaoxuan Liu
A 56-year-old paramedic was admitted to hospital and treated for severe pneumonia. Shortly after initiating antibiotic treatment (including moxifloxacin), he developed bilaterally painful eyes and was diagnosed with bilateral acute anterior uveitis (AAU). Three years later, he was referred to the ophthalmology clinic with bilateral iris transillumination suggesting iris atrophy and limited pupillary dilation, indicating iris sphincter muscle paralysis. AAU typically presents unilaterally. An onset of bilateral AAU is unusual and warrants investigation for underlying systemic cause...
June 30, 2020: BMJ Case Reports
Khalil Kimiafar, Alireza Banaye Yazdipour, Masoumeh Sarbaz
Social networks are new technologies that facilitate the sharing and exchange of information and knowledge as well as the communication between students and professors. The purpose of this study was to investigate views of medical and paramedical sciences students about benefits and barriers of virtual social networks for learning purposes. A cross-sectional study was carried out in 2017 and the research tool was a researcher-made questionnaire based on a literature review. The majority of students (medical= 93% and paramedical sciences= 84...
June 26, 2020: Studies in Health Technology and Informatics
Pakinam I N Mostafa, Amira Ali Hegazy
Background: Coronavirus disease 2019 (COVID-19) has received marked attention globally. A worldwide call for social distancing occurred. Although the reduction of face-to-face consultation is required in order to reduce the risk of infection, dermatological services must be maintained in action and "teledermatology" should be the solution. Materials & Methods: We introduce a cross sectional observational study, demonstrating the patients' behavior regarding dermatological consultations in Cairo, Egypt in both private and Public practice...
June 30, 2020: Journal of Dermatological Treatment
Stefan Heschl, Stephen Bernard, Emily Andrew, Karen Smith
BACKGROUND: Out-of-hospital paediatric emergencies represent are rare and little is known about characteristics of paediatric patients with severe illness. This study seeks to describe the paediatric population with altered conscious state. METHODS: A retrospective electronic data review was conducted of paediatric patients (≤ 4 years) attended by road ambulances between January 2006 and December 2013. Patients with a Glasgow Coma Scale (GCS) score ≤9 were included...
June 25, 2020: Australasian emergency care
C McGinley, Mordi Ir, P Kelly, P Currie, S Hutcheon, S Koch, T Martin, J Irving
OBJECTIVE: Administration of unfractionated heparin to STEMI patients by the ambulance service is established practice in Scotland, but efficacy is unknown. We studied the effects of unfractionated heparin in STEMI patients treated by primary percutaneous coronary intervention (PPCI), on infarct artery patency and mortality. METHODS AND RESULTS: Consecutive patients (n=1,000) admitted to Ninewells Hospital, Dundee, from 2010-2014 for PPCI were allocated to two groups: 437 (44%) pre-hospital heparin (PHH) administered by paramedics, and 563 (56%) in-hospital heparin (IHH)...
June 22, 2020: Journal of Cardiovascular Pharmacology
Manish I Shah, Daniel G Ostermayer, Lorin R Browne, Jonathan R Studnek, John M Carey, Chelsea Stanford, Nicole Fumo, E Brooke Lerner
Background: Seizures are a common reason why emergency medical services (EMS) transports children by ambulance. Timely seizure cessation prevents neurologic morbidity, respiratory compromise, and mortality. Implementing recommendations from an evidence-based pediatric prehospital guideline may enhance timeliness of seizure cessation and optimize medication dosing. Objective: We compared management of pediatric prehospital seizures across several EMS systems after protocol revision consistent with an evidence-based guideline...
June 26, 2020: Prehospital Emergency Care
Ibrahim Almutairi, Meshal Al-Rashdi, Abdulelah Almutairi
Background: Emergency medical professionals often encounter situations when dealing with patients that can affect their mental health. In Saudi Arabia, there is paucity of data regarding the mental health of paramedics involved in prehospital care. Objectives: To determine the prevalence and predictors of stress, anxiety and depression symptoms among paramedics working at Saudi Red Crescent Authority (SRCA) stations in Riyadh, Saudi Arabia. Methods: This cross-sectional, questionnaire study included all paramedics working in the prehospital medical services of 21 SRCA stations in Riyadh ( N = 300) between March and June 2017...
May 2020: Saudi Journal of Medicine & Medical Sciences
Brendan V Schultz, Shonel Hall, Lachlan Parker, Stephen Rashford, Emma Bosley
Aim: Primary postpartum hemorrhage (PPH) is a life-threatening obstetric emergency that can be mitigated through the administration of a uterotonic to actively manage the third stage of labor. This study describes the prehospital administration of oxytocin by paramedics following attendance of out-of-hospital (OOH) births. Methods: A retrospective analysis was undertaken of all OOH births between the 1st January 2018 and 31st December 2018 attended by the Queensland Ambulance Service. The demographic and epidemiological characteristics of patients that were administered oxytocin and the occurrence of adverse side effects were described...
June 25, 2020: Prehospital Emergency Care
Jiayun Yao, Michael Brauer, Julie Wei, Kimberlyn M McGrail, Fay H Johnston, Sarah B Henderson
BACKGROUND: Exposure to fine particulate matter (<mml:math xmlns:mml=""> <mml:mrow> <mml:msub> <mml:mrow> <mml:mi>PM</mml:mi> </mml:mrow> <mml:mrow> <mml:mn>2.5</mml:mn> </mml:mrow> </mml:msub> </mml:mrow> </mml:math>) during wildfire seasons has been associated with adverse health outcomes. Previous studies have focused on daily exposure, but <mml:math xmlns:mml="http://www...
June 2020: Environmental Health Perspectives
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