Prehospital Emergency Care back issues from January 2007:
PARAMEDIC RAPID SEQUENCE INTUBATION FOR SEVERE TRAUMATIC BRAIN INJURY: PERSPECTIVES FROM AN EXPERT PANEL
Jan 01, 2007; ... ABSTRACT Although early intubation has become standard practice in the prehospital management of severe traumatic brain injury (TBI), many patients cannot be intubated without neuromuscular blockade. Several emergency medical services (EMS) systems have implemented paramedic rapid ...
THROMBIN-ANTITHROMBIN APPEARANCE IN OUT-OF-HOSPITAL CARDIAC ARREST
Jan 01, 2007; ... Abstract Objective. Intravascular thrombosis induced during out-of-hospital cardiac arrest (OOHCA) may contribute to the pathophysiology of cardiac arrest and complicate resuscitation. We characterized the prevalence of thrombogenesis during OOHCA by measuring plasma levels of ...
IS THERE A ROLE FOR FIRST RESPONDERS IN EMS RESPONSES TO MEDICAL FACILITIES?
Jan 01, 2007; ... ABSTRACT Objective: Emergency medical dispatch (EMD) protocols should match response resources with patient needs. We tested a protocol sending only a commercial ambulance, without fire department first responders (FR), to all non-cardiacarrest EMS calls at a physician-staffed HMO ...
USING GEOGRAPHIC INFORMATION SYSTEMS TO EVALUATE CARDIAC ARREST SURVIVAL
Jan 01, 2007; ... ABSTRACT Objective. To evaluate cardiac arrest survival using geographical information systems (GIS) methodology. Methods. Patient data were obtained from a fire district Utstein-style adult cardiac arrest registry that also included address data. All incident locations were geocoded and ...
ADULT FOREIGN BODY AIRWAY OBSTRUCTION IN THE PREHOSPITAL SETTING
Jan 01, 2007; ... ABSTRACT Background. Although the treatment of foreign body airway obstruction in adults has been well studied, few data exist on the characterization of prehospital experiences. Objectives. To describe the frequency, etiologies, and treatments of foreign body airway obstruction in ...
AN ANALYSIS OF DISASTER MEDICAL ASSISTANCE TEAM (DMAT) DEPLOYMENTS IN THE UNITED STATES
Jan 01, 2007; ... ABSTRACT Objective: To determine the prevalence and types of disasters on which Disaster Medical Assistance Teams (DMAT) teams have been deployed. Methods: This descriptive study used the websites of the 42 DMAT teams in the United States with information confirmed by NDMS websites for a ...
PRALIDOXIME SAFETY AND TOXICITY IN CHILDREN
Jan 01, 2007; ... ABSTRACT Background. Current the safety of pralidoxime administration via adult autoinjectors for pediatric patients has not been established. Up until 2000, the published literature did not recommend its usage for children less than 12 kg or under the age of 10 years old. Since 2000, ...
LOW ACUITY EMS DISPATCH CRITERIA CAN RELIABLY IDENTIFY PATIENTS WITHOUT HIGH-ACUITY ILLNESS OR INJURY
Jan 01, 2007; ... ABSTRACT Objective: This retrospective study evaluated the appropri- ateness of requests assigned the alpha determinant at the time of dispatch by Emergency Medical Dispatchers using the Medical Priority Dispatch System (MPDS). Methods: The primary end point was the proportion of EMS ...
WILL EMERGENCY HEALTH CARE PROVIDERS RESPOND TO MASS CASUALTY INCIDENTS?
Jan 01, 2007; ... Abstract Introduction: Emergency response plans often call on health care providers to respond to the workplace outside of their normal working pattern. Hypothesis. Providers will report to work during a mass casualty emergency regardless of family duties, type of incident, or ...
ALTERNATE AIRWAYS IN THE OUT-OF-HOSPITAL SETTING POSITION STATEMENT OF THE NATIONAL ASSOCIATION OF EMS PHYSICIANS
Jan 01, 2007; ... While endotracheal intubation (ETI) has been central to advanced prehospital airway management for over 30 years, ETI efforts are not always successful or possible. In addition, there may be situations where ETI efforts are anticipated to be difficult or futile. To ensure that every patient has ...
ALTERNATE AIRWAYS IN THE PREHOSPITAL SETTING (RESOURCE DOCUMENT TO NAEMSP POSITION STATEMENT)
Jan 01, 2007; ... INTRODUCTION In the United States, advanced level rescuers often use endotracheal intubation (ETI) to provide oxygenation and ventilation to apneic or hypoventilating patients. Alternate airways are devices that facilitate oxygenation and ventilation without the use of an endotracheal ...
INTRAOSSEOUS VASCULAR ACCESS IN THE OUT-OF-HOSPITAL SETTING POSITION STATEMENT OF THE NATIONAL ASSOCIATION OF EMS PHYSICIANS
Jan 01, 2007; ... The National Association of EMS Physicians (NAEMSP) recognizes that many patients in the prehospital environment require intravascular access by EMS providers for fluid resuscitation or delivery of medications. Establishing intravenous access may be difficult or impossible in some patients ....
THE ROLE OF INTRAOSSEOUS VASCULAR ACCESS IN THE OUT-OF-HOSPITAL ENVIRONMENT (RESOURCE DOCUMENT TO NAEMSP POSITION STATEMENT)
Jan 01, 2007; ... ABSTRACT Thousands of critically ill emergency patients are treated in the out-of-hospital setting in the United States every year. In many patients intravenous (IV) therapy cannot be initiated because of inadequate access to peripheral veins. In some cases, this lack of vascular access ...
A CASE SERIES DESCRIBING THERMAL INJURY RESULTING FROM ZEOLITE USE FOR HEMORRHAGE CONTROL IN COMBAT OPERATIONS
Jan 01, 2007; ... Abstract Four cases are presented to illustrate cutaneous burns sustained with the use of zeolite in the treatment of major hemorrhage secondary to combat wounds. Zeolite, a microporous crystalline aluminosilicate granular hemostatic agent, can cause secondary thermal injuries through an ...
THE EFFECTIVENESS OF A NOVEL, ALGORITHM-BASED DIFFICULT AIRWAY CURRICULUM FOR AIR MEDICAL CREWS USING HUMAN PATIENT SIMULATORS
Jan 01, 2007; ... ABSTRACT Introduction. Airway management is one of the most important skills possessed by flight crews. However, few data exist about the efficacy of various educational approaches. Traditional models for airway training, including cadaver labs, operating room exposure, and clinical ...
PARAMEDIC SELF-REPORTED MEDICATION ERRORS
Jan 01, 2007; ... ABSTRACT Background. Continuing quality improvement (CQI) reviews reflect that medication administration errors occur in the prehospital setting. These include errors involving dose, medication, route, concentration, and treatment. Methods. A survey was given to paramedics in San Diego ...
FLICKER ILLNESS: AN UNDERRECOGNIZED BUT PREVENTABLE COMPLICATION OF HELICOPTER TRANSPORT
Jan 01, 2007; ... ABSTRACT A case report of seizure due to photic stimulation from sunlight shining through spinning helicopter rotor blades is discussed. A review of photosensitive epilepsy is provided with particular emphasis on the effects and frequencies of photic stimulation required to induce ...
12 LEAD ECG FOR ACUTE AND CRITICAL CARE PROVIDERS
Jan 01, 2007; ... 12 LEAD ECG FOR ACUTE AND CRITICAL CARE PROVIDERS BY BOB PAGE Pearson/Prentis Hall, Upper Saddle River, NJ, 2005, 318 pages, $24.60 (softcover) ISBN # 0-13-022460-X With the addition of the 12 lead ECG monitor to the arsenal of acute care adjuncts, Bob Page has again risen to the ...
ANATOMY & PHYSIOLOGY FOR EMERGENCY CARE
Jan 01, 2007; ... ANATOMY & PHYSIOLOGY FOR EMERGENCY CARE BY MARTINI FH, BARTHOLOMEW EF, BLEDSOE BE Pearson Education, 2002, 603 pages, $xxx ISBN0-13-042298-3 As the profession of EMS continues to define itself on equal footing in health care, the development of a specific body of knowledge and an ...
CLAWSON LETTER/WILLIAMS AND BRICE REPLY TO CLAWSON
Jan 01, 2007; ... James Menegazzi, PhD Editor-in-Chief, Prehospital Emergency Care 230 McKee Place, Suite 500 Pittsburgh, PA 15213 Dear Jim, I wish to applaud Williams, Brice, De Maio, and Jalbuena for a well done and useful study comparing dispatch TCPR (ventilations 1st) ...