Prehospital Emergency Care back issues from October 2001:
Is there gender bias in the prehispital management of patients with acute chest pain?
Oct 01, 2001; ... ABSTRACT Objective. Prior emergency department (ED) and inpatient studies have found that women with coronary artery disease are more frequently misdiagnosed and undertreated compared with men. This study was performed to determine whether there is a gender bias in the prehospital ...
A comparison of emergency medical services times for stroke and myocardial infarction
Oct 01, 2001; ... ABSTRACT Objective. Since stroke symptoms are often vague, and acute therapies for stroke are more recently available, it has been hypothesized that stroke patients may not be treated with the same urgency as myocardial infarction (MI) patients by emergency medical services (EMS). To ...
Sirens: Winter's Depression
Oct 01, 2001; ... SIRENS Winter's Depression Jingle Blues. Jingle Blues, Jingling all the way. Mostly night, sometimes day. No what fun it is to ride Dr. Rosen's one-horse open chaise, jingling jingling all the way. I pay Dr. Rosen all my dough. Let it snow. Let it snow. Let it ...
Intubation success rates by air ambulance personnel during 12- versus 24-hour shifts: Does fatigue make a differnce?
Oct 01, 2001; ... ABSTRACT Objectives. To determine whether the skill performance and psychomotor agility, as measured by the endotracheal intubation success rate, of air ambulance medical personnel would be affected by the potential fatigue incurred when increasing the length of their shifts from 12 to ...
Emergency medical planning for the 2000 Republican National Convention
Oct 01, 2001; ... ABSTRACT Planning for emergency medical services (EMS) coverage for the 2000 Republican National Convention in Philadelphia was a complex process that involved the cooperation of municipal, state, and federal agencies as well as local hospitals. The medical needs of the delegates, ...
Conversion rates for prehospital paroxysmal supraventricular tachycardia (PSVT) with the addition of adenosine: A before-and-after trial
Oct 01, 2001; ... A BEFORE-AND-AFTER TRIAL ABSTRACT Objective. To determine whether the prehospital administration of adenosine to adults with stable and unstable paroxysmal supraventricular tachycardia (PSVT) influences conversion rate (CR) to sinus rhythm, scene time, use of synchronized ...
Can basic life support personnel safely determine that advanced life support is not needed?
Oct 01, 2001; ... Focus ON TRANSPORT ABSTRACT Objective. To determine whether firefighter/emergency medical technicians-basic (FF/EMT-Bs) staffing basic life support (BLS) ambulances in a two-tiered emergency medical services (EMS) system can safely determine when advanced life support (ALS) is ...
Hospital follow-up of patients categorized as not needing an ambulance using a set of emergency medical technician protocols
Oct 01, 2001; ... ABSTRACT Objective. Using hospital outcomes, this study evaluated emergency medical technicians' (EMTs') ability to safely apply protocols to assign transport options. Methods. Protocols were developed that categorized patients as: 1) needs ambulance; 2) may go to emergency department ...
Fasibility of paramedic treatment and referral of minor illnesses and injuries
Oct 01, 2001; ... ABSTRACT Background. Approximately 40% of Hennepin County Medical Center's (HCMC's) ambulance runs are for minor medical conditions as defined by billing criteria ["ALS minor," i.e., no advanced life support (ALS) procedures done in the field]. Current metropolitan guidelines mandate ...
Experience and mentoring requirements for competence in new/inexperienced paramedics
Oct 01, 2001; ... EDUCATION AND PRACTICE ABSTRACT A paramedic may be unprepared to practice alone or with an inexperienced partner immediately following completion of training. Emergency medical services systems have not generally set standards to ensure that a newly-licensed paramedic is ...
Effects of a continuous quality improvement program on helicopter liftoff times
Oct 01, 2001; ... ABSTRACT Background. The continuous quality improvement (CQI) process addresses concerns from a systems approach, employing committees of employees rather than selected management personnel to identify and solve problems, improve patient care and efficiency, and enhance customer ...
Bystander cardiopulmonary resuscitation in prehospital cardiac arrest patients in Singapore
Oct 01, 2001; ... ABSTRACT Introduction. The chain of survival emphasizes the importance of the four links associated with survival after cardiac arrest (CA). The involvement of laypersons has been increasing over the years. They have been contributing toward "early access," "early cardiopulmonary ...
Prehospital sedation with intramuscular droperidol: A one-year pilot
Oct 01, 2001; ... PRELIMINARY REPORTS ABSTRACT Objective. Combative patients pose a threat to themselves and prehospital personnel, and are at risk for sudden death. Droperidol is an antipsychotic and sedative agent that might be effectively utilized by paramedics to assist in the management of ...
Are interfacility ground transports of patients utilizing intra-aortic balloon pumps safe?
Oct 01, 2001; ... ABSTRACT Objective. To determine whether the interfacility ground transport of patients with intra-aortic balloon pumps results in morbidity or mortality during transfer. Methods. Charts of all intra-aortic balloon pump transports by a private ambulance company occurring from January ...
Aeromedical trauma sonography by flight crews with a miniature ultrasound unit
Oct 01, 2001; ... ABSTRACT Backgound. While ultrasound has become an established diagnostic modality in trauma care, no study has evaluated its use in the prehospital setting. Objective. To examine the use of the focused abdominal sonography for trauma (FAST) exam in the prehospital setting. Methods ....
Law enforcement special operations medical support
Oct 01, 2001; ... POSITION PAPER NATIONAL ASSOCIATION OF EMS PHYSICIANS "Tactical EMS" ITEMS) is a term referring to nonmilitary emergency medical services (EMS) that have been modified for the realities of the tactical environment and is emerging as a new subspecialty with nationwide application in ...
Scene diagnosis of carbon monoxide poisoning by emergency medical services personnel
Oct 01, 2001; ... Carbon monoxide (CO), a colorless, odorless, and tasteless gas, is a leading toxic cause of morbidity and mortality in the United States.1 While many cases of CO toxicity are intentional, approximately 500 deaths per year are due to the undetected accumulation of CO due to faulty heating systems ...
Paramedic Care: Principles and Practice, Volume 3: Medical Emergencies, First Edition
Oct 01, 2001; ... PARAMEDIC CARE: PRINCIPLES AND PRACTICE, VOLUME 3: MEDICAL EMERGENCIES, FIRST EDITION BY BRYAN E. BLEDSOE, ROBERT S. PORTER, AND RICHARD A. CHERRY. Upper Saddle River, NJ: Brady/Prentice-Hall, 2001, 737 pages, $50.00 (hardcover) This book is the third in a series of ...
Trauma Management: An Emergency Medicine Approach
Oct 01, 2001; ... TRAUMA MANAGEMENT: AN EMERGENCY MEDICINE APPROACH By PETER C. FERRARA, STEPHEN A. COLUCCIELLO, JOHN MARX, VINCENT VERDILE, MICHAEL GIBBS. St. Louis, MO: Harcourt Health Sciences, 2000, 704+ pages, $95.00 (hardcover) The battle against traumatic injury is fought in the field and in the ...
Understanding 12-Lead EKGs: A Practical Approach
Oct 01, 2001; ... UNDERSTANDING 12-LEAD EKGs: A PRACTICAL APPROACH By BRENDA M. BEASLEY AND MICHAEL C. WEST. Saddle River, NJ: Brady/ Prentice Hall, 2001, 352 pages, $41.00 (softcover) The objective for Beasley and West's Understanding 12-Lead EKGs: A Practical Approach is to ...
Handbook of Medical Photography
Oct 01, 2001; ... HANDBOOK OF MEDICAL PHOTOGRAPHY BY LAWRENCE B. STACK, ALAN B. STORROW, MICHAEL A. MORRIS, AND DAN R. PATTON. Philadelphia: Hanley & Belfus, 2001, 484 pages, $55.00 (softcover) The Handbook of Medical Photography is a reference manual intended to function as a ...
Improved handles for a prehospital amputation saw
Oct 01, 2001; ... To the Editor:-There have been several reports of trapped patients requiring emergent limb amputations to facilitate extrication in the civilian prehospital setting.12 Some authors recommend that large emergency departments capable of sending a physician to the field develop a kit with ...