Recently added articles from Prehospital Emergency Care:
THE EPIDEMIOLOGY OF EMERGENCY MEDICAL SERVICES USE BY CHILDREN: AN ANALYSIS OF THE NATIONAL HOSPITAL AMBULATORY MEDICAL CARE SURVEY
Jul 01, 2008; Shah, Manish N; Cushman, Jeremy T; Davis, Colleen O; Bazarian, Jeffrey J; Auinger, Peggy; Friedman, Bruce ... ABSTRACT Objective. There is an absence of nationally representative data describing pediatric patients who use emergency medical services (EMS) and the factors associated with EMS use by children. This study characterizes pediatric emergency department (ED) visits for which the patient ...
ESTIMATES OF COST-EFFECTIVENESS OF PREHOSPITAL CONTINUOUS POSITIVE AIRWAY PRESSURE IN THE MANAGEMENT OF ACUTE PULMONARY EDEMA
Jul 01, 2008; Hubble, Michael W; Richards, Michael E; Wilfong, Denise A ... ABSTRACT Objective. To estimate the cost-effectiveness of continuous positive airway pressure (CPAP) in managing prehospital acute pulmonary edema in an urban EMS system. Methods. Using estimates from published reports on prehospital and emergency department CPAP, a cost-effectiveness ...
ENVIRONMENTAL FACTORS ENCOUNTERED DURING OUT-OF-HOSPITAL INTUBATION ATTEMPTS
Jul 01, 2008; Garza, Alex G; Gratton, Matthew C; McElroy, James; Lindholm, Daniel; Coontz, Darryl ... ABSTRACT Objectives. Emergency medical services (EMS) literature has studied paramedic performance with endotracheal intubation; however, there are few data describing environmental differences between out-of-hospital and in-hospital providers during intubation attempts. The purpose of ...
ABILITY OF THE MEDICAL PRIORITY DISPATCH SYSTEM PROTOCOL TO PREDICT THE ACUITY OF "UNKNOWN PROBLEM" DISPATCH RESPONSE LEVELS
Jul 01, 2008; Clawson, Jeff; Olola, Christopher; Heward, Andy; Patterson, Brett; Scott, Greg ... ABSTRACT Objective. To determine if Medical Priority Dispatch System's (MPDS's) Protocol 32-Unknown Problem interrogation-based differential dispatch coding distinguishes the acuity of patients as found at the scene by responders, when little (if any) clinical information is known ....
THREATS TO LIFE IN RESIDENTIAL STRUCTURE FIRES
Jul 01, 2008; Cone, David C; MacMillan, Don; Parwani, Vivek; Van Gelder, Carin ... ABSTRACT Introduction. Firefighters are taught that heat, oxygen deprivation, and carbon monoxide (CO) are the primary threats to life in residential structure fires, and they are taught to search for victims on the fire floor first, and then floors above. The objective of this study was ...
DOES THE NUMBER OF SYSTEM PARAMEDICS AFFECT CLINICAL BENCHMARK THRESHOLDS?
Jul 01, 2008; Vrotsos, Kristin M; Pirrallo, Ronald G; Guse, Clare E; Aufderheide, Tom P ... ABSTRACT Objective. Competency is affected by skill exposure, skill complexity, and training program quality. The purpose of this study was to reevaluate the biennial (24-month) critical care skill and experience benchmark thresholds established by the Milwaukee County Emergency Medical ...
ACCURACY OF STROKE RECOGNITION BY EMERGENCY MEDICAL DISPATCHERS AND PARAMEDICS-SAN DIEGO EXPERIENCE
Jul 01, 2008; Ramanujam, Prasanthi; Guluma, Kama Z; Castillo, Edward M; Chacon, Marcus; Jensen, Matt B; Patel, Ekta; Linnick, William; Dunford, James V ... ABSTRACT Background. Prehospital personnel in Emergency Medical Service (EMS) systems have varying levels of accuracy in stroke recognition. Identifying the accuracy of emergency medical dispatcher using Medical Priority Dispatch Systems (MPDS) stroke protocol and paramedics may help ...
DERIVATION AND INTERNAL VALIDATION OF A RULE TO PREDICT HOSPITAL ADMISSION IN PREHOSPITAL PATIENTS
Jul 01, 2008; Meisel, Zachary F; Pollack, Charles V; Mechem, C Crawford; Pines, Jesse M ... ABSTRACT Objective. To derive and internally validate a simple prediction rule, using routinely collected prehospital patient data, that discriminates between hospital admission and emergency department (ED) discharge for adult patients who arrive by ambulance. Methods. We performed a ...
HOSPITAL-BASED EVENT MEDICAL SUPPORT FOR THE BALTIMORE MARATHON, 2002-2005
Jul 01, 2008; Tang, Nelson; Kraus, Chadd K; Brill, Justin D; Shahan, Judy B; Ness, Chyrl; Scheulen, James J ... ABSTRACT Objectives. We present a four-year, cross-sectional epidemiologic description of injuries and illnesses among Baltimore Marathon participants and the evaluation, treatment, and disposition of those conditions by an on-site event medical team led by physicians and staff from an ...
THE TIME COST OF PREHOSPITAL INTUBATION AND INTRAVENOUS ACCESS IN TRAUMA PATIENTS
Jul 01, 2008; Carr, Brendan G; Brachet, Tanguy; David, Guy; Duseja, Reena; Branas, Charles C ... ABSTRACT Objectives. The prehospital management of trauma patients remains controversial. Little is known about the time each procedure contributes to the on-scene duration, and this information would be helpful in prioritizing which procedures to perform in the prehospital setting. We ...
DELAY PRIOR TO CALLING 9-1-1 IS ASSOCIATED WITH INCREASED MORTALITY AFTER OUT-OF-HOSPITAL CARDIAC ARREST
Jul 01, 2008; Swor, Robert A; Compton, Scott; Domeier, Robert; Harmon, Nika; Chu, Kevin ... ABSTRACT Objective. We sought to characterize the collapse-to-9-1-1 call interval, to evaluate the frequency of pre-9-1-1 delay, and to assess whether delay is associated with decreased survival after out-of-hospital cardiac arrest (OHCA). Methods. This was a five-year prospective survey ...
HOSPITAL VARIABILITY OF OUT-OF-HOSPITAL CARDIAC ARREST SURVIVAL
Jul 01, 2008; Liu, J Marc; Yang, Qing; Pirrallo, Ronald G; Klein, John P; Aufderheide, Tom P ... ABSTRACT Background. Previous literature has identified patient and emergency medical services (EMS) system factors that are associated with survival of out-of-hospital cardiac arrest patients. Objective. To determine variability in rates of survival to discharge of resuscitated adult ...
DERIVATION OF CLINICAL PREDICTORS OF FAILED RESCUE SHOCK DURING OUT-OF-HOSPITAL VENTRICULAR FIBRILLATION
Jul 01, 2008; Menegazzi, James J; Hsieh, Margaret; Niemann, James T; Swor, Robert A ... ABSTRACT Background. Failed rescue shocks have been shown to decrease the likelihood of survival in the treatment of out-of-hospital ventricular fibrillation (VF). Avoidance of failed shocks may improve survival. Objective. We sought to derive clinical predictors that could be used by ...
THE EFFECT OF ADENOSINE A^sub 1^ RECEPTOR ANTAGONISM ON RETURN OF SPONTANEOUS CIRCULATION AND SHORT-TERM SURVIVAL IN PROLONGED VENTRICULAR FIBRILLATION
Jul 01, 2008; Mader, Timothy J; Menegazzi, James J; Rittenberger, Jon C; Suffoletto, Brian S; Callaway, Clifton W; Salcido, David D; Logue, Eric S; Sherman, Lawrence D ... ABSTRACT Background. Endogenous adenosine (ADO) is cardioprotective during ischemia and its myocardial concentration increases during untreated ventricular fibrillation (VF). We have previously shown that ADO A^sub 1^ receptor (ADOAi R) antagonism hastens the time-dependent decay in VF ...
AN EXPERIMENTAL PREDEPLOYMENT TRAINING PROGRAM IMPROVES SELF-REPORTED PATIENT TREATMENT CONFIDENCE AND PREPAREDNESS OF ARMY COMBAT MEDICS
Jul 01, 2008; Gerhardt, Robert T; Hermstad, Erik L; Oakes, Michael; Wiegert, Richard S; Oliver, Jeffrey ... ABSTRACT Objective. To develop and assess impact of a focused review of International Trauma Life Support (ITLS) and combat casualty care with hands-on procedure training for U.S. Army medics deploying to Iraq. Methods. The setting was a U.S. Army Medical Department Center and School and ...
EMERGENCY MEDICAL SERVICES EDUCATION, COMMUNITY OUTREACH, AND PROTOCOLS FOR STROKE AND CHEST PAIN IN NORTH CAROLINA
Jul 01, 2008; Brice, Jane H; Evenson, Kelly R; Lellis, Julie C; Rosamond, Wayne D; Aytur, Semra A; Christian, Jennifer B; Morris, Dexter L ... ABSTRACT Objective. Prehospital care of stroke and chest pain patients is dependent on adequate emergency medical services (EMS) education and evidence-based protocols. We sought to describe the amount of education offered, community outreach implemented, and protocols established for ...
THE DEVELOPMENT OF A NATIONAL EMERGENCY MEDICAL SERVICES CURRICULUM FRAMEWORK FOR PHYSICIANS IN CANADA
Jul 01, 2008; MacDonald, Russell D; Ip, Joseph; Wanger, Karen; Rothney, Adrienne; McLelland, Kirstie; Travers, Andrew H; Verbeek, P Richard; Sookram, Sunil; Vu, Erik; Cain, Ed; Feldman, Michael; Schwartz, Brian ... ABSTRACT Background. As the role of emergency medical services (EMS) continues to expand, EMS physicians and medical directors require special skills and training to keep pace with the rapidly evolving subspecialty of EMS. In Canada, subspecialty training in EMS is still relatively new, ...
ESTABLISHING ARIZONA'S STATEWIDE CARDIAC ARREST REPORTING AND EDUCATIONAL NETWORK
Jul 01, 2008; Bobrow, Bentley J; Vadeboncoeur, Tyler F; Clark, Lani; Chikani, Vatsal ... ABSTRACT Background. Only a few large cities have published their out-of-hospital cardiac arrest (OHCA) survival statistics using the Utstein style reporting method. To date, to the best of our knowledge there has been no published OHCA survival data for a state. Objective. To describe ...
IMPACT OF A RESTRAINT TRAINING MODULE ON PARAMEDIC STUDENTS' LIKELIHOOD TO USE RESTRAINT TECHNIQUES
Jul 01, 2008; Campbell, Micha; Weiss, Steven; Froman, Philip; Cheney, Paul; Gadomski, Doug; Alexander-Shook, Melissa; Ernst, Amy ... ABSTRACT Objectives. The purpose of this study was to evaluate a restraint training module for paramedic students. The hypotheses were that the effect of an hour-long restraint training module on paramedic students would (1) improve their understanding of concepts about patient ...
INDUCED THERAPEUTIC HYPOTHERMIA IN RESUSCITATED CARDIAC ARREST PATIENTS
Jul 01, 2008; Anonymous ... APPROVED BY THE NAEMSP BOARD OF DIRECTORS POSITION STATEMENT The National Association of EMS Physicians believes that: 1. Induced hypothermia in the postresuscitative period has been shown to benefit select survivors of cardiac arrest. Whether the benefits of induced ...