Prehospital Emergency Care back issues from January 2006:
SAFETY AND EFFECTIVENESS OF FENTANYL ADMINISTRATION FOR PREHOSPITAL PAIN MANAGEMENT
Jan 01, 2006; ... ABSTRACT Objective. To determine the safety and effectiveness of fentanyl administration for prehospital pain management. Methods. This was a retrospective chart review of patients transported by ambulance during 2002-2003 who were administered fentanyl citrate in an out-of-hospital ...
A COMPARISON OF RAPID-SEQUENCE INTUBATION AND ETOMIDATE-ONLY INTUBATION IN THE PREHOSPITAL AIR MEDICAL SETTING
Jan 01, 2006; ... ABSTRACT Objectives. To compare laryngoscopy conditions produced by etomidate-only intubation (EOI) with those produced by rapid-sequence intubation (RSI) in the prehospital air medical setting. Methods. A prospective crossover trial design used two helicopters staffed by the same flight ...
DO EMS PERSONNEL IDENTIFY, REPORT, AND DISCLOSE MEDICAL ERRORS?
Jan 01, 2006; ... ABSTRACT Objective. To evaluate self-reports of prehospital providers' error frequency, disclosure, and reporting in their actual practice and in hypothetical scenarios. Methods. The authors surveyed a convenience sample of prehospital providers attending a statewide emergency medical ...
WHAT ARE THE CHARACTERISTICS AND OUTCOMES OF NONTRANSPORTED PEDIATRIC PATIENTS?
Jan 01, 2006; ... ABSTRACT Background. The authors have demonstrated that 28% of children cared for by paramedics are not transported to hospital by ambulance. Objective. To determine the characteristics, reasons, and outcomes for this nontransported population. Methods. This was a prospective cohort ...
EVALUATING STATE CAPACITY TO COLLECT AND ANALYZE EMERGENCY MEDICAL SERVICES DATA
Jan 01, 2006; ... ABSTRACT Background. Centralized emergency medical services (EMS) data collection is critical to evaluating EMS system effectiveness, yet a general lack of EMS data persists at local, state, and national levels. Objective. To assess state capacity to collect, analyze, and utilize EMS ...
DO MEDICATIONS AFFECT VITAL SIGNS IN THE PREHOSPITAL TREATMENT OF ACUTE DECOMPENSATED HEART FAILURE?
Jan 01, 2006; ... ABSTRACT Introduction. Prehospital treatment of patients with acute decompensated heart failure (ADHF) has been shown to decrease mortality and morbidity. Vital sign changes have been proposed as clinical endpoints in the evaluation of prehospital treatment for this condition. Objective ....
COMPARISON OF THE FERNO SCOOP STRETCHER WITH THE LONG BACKBOARD FOR SPINAL IMMOBILIZATION
Jan 01, 2006; ... ABSTRACT Objectives. Spinal immobilization is essential in reducing risk of further spinal injuries in trauma patients. The authors compared the traditional long backboard (LBB) with the Ferno Scoop Stretcher (FSS) (Model 65-EXL). They hypothesized no difference in movement during ...
SCENE TRANSPORT OF PEDIATRIC PATIENTS INJURED AT WINTER RESORTS
Jan 01, 2006; ... ABSTRACT Objective. To examine the characteristics of pediatric patients (age ≤16 years) injured at winter resort scenes and transported by helicopter emergency medical services (HEMS) or ground EMS (GEMS) ambulance services to regional trauma centers. Methods. Between 1997 and ...
LOCATION OF CARDIAC ARRESTS IN THE PUBLIC ACCESS DEFIBRILLATION TRIAL
Jan 01, 2006; ... ABSTRACT Background. The Public Access Defibrillation (PAD) Trial found an overall doubling in the number of out-of-hospital cardiac arrest (CA) survivors when a lay responder team was equipped with an automated external defibrillator (AED), compared with cardiopulmonary resuscitation ...
A RANDOMIZED, CONTROLLED COMPARISON OF CARDIOPULMONARY RESUSCITATION PERFORMED ON THE FLOOR AND ON A MOVING AMBULANCE STRETCHER
Jan 01, 2006; ... ABSTRACT Background. Recent studies have demonstrated that cardiopulmonary resuscitation (CPR) of poor quality is associated with worsened outcomes. Objective. To compare the quality of CPR delivered on the floor with the quality of CPR delivered on a moving stretcher. The authors ...
DIFFICULTY BREATHING: AGREEMENT OF PARAMEDIC AND EMERGENCY PHYSICIAN DIAGNOSES
Jan 01, 2006; ... ABSTRACT Objective. To determine the diagnostic accuracy of paramedics treating patients who have called an ambulance for "difficulty breathing." Methods. A retrospective study of all ambulance call reports generated by one ambulance over a one-year period with the dispatch complaint of ...
PREDICTING PREHOSPITAL CARE STUDENTS' FIRST-YEAR ACADEMIC PERFORMANCE
Jan 01, 2006; ... ABSTRACT Objectives. To answer two research questions: First, can previously identified factors relating to academic performance be used to predict first-year academic success for students undertaking a newly developed and vocationally oriented prehospital care course delivered in a ...
FAST ULTRASOUND AS AN ADJUNCT TO TRIAGE USING THE START MASS CASUALTY TRIAGE SYSTEM: A PRELIMINARY DESCRIPTIVE STUDY
Jan 01, 2006; ... ABSTRACT Objective. To determine whether the FAST examination might be a useful adjunct to simple triage and rapid treatment (START) in the secondary triage of mass-casualty victims already classified as delayed (YELLOW). Methods. A retrospective chart review was conducted of all adult ...
FIRST RESPONDER IN PERSONAL PROTECTIVE EQUIPMENT WITH UNKNOWN ILLNESS DURING A DISASTER DRILL
Jan 01, 2006; ... CASE REPORT The patient was a 45-year-old man who presented to the emergency department (ED) of a tertiary, level 1 trauma center with the sudden onset of dizziness after working in personal protective equipment (PPE) during a disaster drill held in Western Pennsylvania in September. The ...
THE CHANGING INCIDENCE OF VENTRICULAR FIBRILLATION IN MILWAUKEE, WISCONSIN (1992-2002)
Jan 01, 2006; ... ABSTRACT Objectives. To investigate the changes in annual incidence and survival of out-of-hospital cardiac-etiology arrests of different initial rhythms, particularly ventricular fibrillation (VF) and ventricular tachycardia (VT), among adults (>21 years old) in Milwaukee County ...
EFFECTS OF AN EDUCATIONAL INTERVENTION ON PREHOSPITAL PAIN MANAGEMENT
Jan 01, 2006; ... ABSTRACT Introduction. Pain is a common symptom evaluated by emergency medical services (EMS) providers. Hospital pain management programs began in the early 1990s based on a multidisciplinary approach and principles of total quality improvement. To date, these programs have had limited ...
EMTS' ATTITUDES' TOWARD DEATH BEFORE AND AFTER A DEATH EDUCATION PROGRAM
Jan 01, 2006; ... ABSTRACT Objective. To test the hypothesis that emergency medical technicians' (EMTs') attitudes toward death will change after exposure to a death education program. Methods. A convenience sample of 83 rural EMTs participated in this pretest-posttest study after exposure to an ...