Oddvar Uleberg

Oddvar Uleberg
St. Olavs Hospital · Department of emergency medicine and pre-hospital services

MD. PhD.

About

57
Publications
9,448
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409
Citations
Additional affiliations
August 2003 - present
St. Olavs Hospital
Position
  • Consultant

Publications

Publications (57)
Article
Full-text available
Objective: Emergency medical personnel are exposed to multiple stressors, including those of psychological etiologies. The aim of this study was to report the prevalence of anxiety, depression, and posttraumatic stress symptoms in Norwegian medical helicopter personnel and to determine to what degree they report personal growth or deprecation due...
Article
Full-text available
Background Posttraumatic stress disorder (PTSD) has been shown to be elevated among first responders (Emergency Medical Services, fire service, police force) compared to the general population. Examining the prevalence of mental health issues in a work force with an elevated occupational risk is fundamental towards ensuring their wellbeing and impl...
Article
Full-text available
Objective To examine the current knowledge and possibly identify gaps in the knowledge base for cost–benefit analysis and safety concerning community paramedicine in rural areas. Design Scoping review. Data sources MEDLINE via PubMed, CINAHL, Cochrane and Embase up to December 2020. Study selection All English studies involving community paramed...
Preprint
Full-text available
Background Posttraumatic Stress Disorder (PTSD) has been shown to be elevated among first responders (Emergency Medical Services, fire service, police force) compared to the general population. Examining the prevalence of mental health issues in a work force with an elevated occupational risk is fundamental towards ensuring their wellbeing and impl...
Article
Full-text available
Background Airway management in patients with out of hospital cardiac arrest (OHCA) is important and several methods are used. The establishment of a supraglottic airway device (SAD) is a common technique used during OHCA. Two types of SAD are routinely used in Norway; the Kings LTS-D™ and the I-gel®. The aim of this study was to compare the clinic...
Article
Full-text available
Background A primary task of the Norwegian helicopter emergency medical services (HEMS) is to provide advanced medical care to the critical ill and injured outside of hospitals. Where HEMS bases are located, directly influences who in the population can be reached within a given response time threshold and who cannot. When studying the locations of...
Article
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Severe traumatic brain injury (TBI), out-of-hospital cardiac arrest (OHCA) and intracerebral- and subarachnoid hemorrhage (ICH/SAH) are conditions associated with high mortality and morbidity. The aim of this study was to investigate the feasibility of obtaining continuous physiologic data and to identify possible harmful physiological deviations i...
Article
Full-text available
Objective Efforts to optimize the use, availability, and safety of helicopter emergency medical services (HEMS) is important. A lack of consistent and comprehensive flight dispatch procedures and a lack of use of safety technology are recurring safety problems. Reports after several major incidents pointed toward a possible gain by coordinating Nor...
Article
Full-text available
Background Early identification of life-threatening injuries is essential to reduce morbidity and mortality in trauma patients. Failure to detect severe injury may cause delayed diagnosis and therapeutic interventions and is associated with increased morbidity. A national trauma system will contribute to ensure the optimal care for seriously injure...
Preprint
Full-text available
Background: Airway management in patients with out of hospital cardiac arrest (OHCA) is important and several methods are used. The establishment of a supraglottic airway device (SAD) is a common technique used during OHCA. Two types of SAD are routinely used in Norway; the Kings LTS-D™ and the I-gel®. The aim of this study was to compare the clini...
Article
Full-text available
Introduction Community paramedicine models have been developed around the world in response to demographic changes, healthcare system needs and reforms. The traditional role of the paramedic has primarily been to provide emergency medical response and transportation of patients to nearby medical facilities. As a response to healthcare service gaps...
Article
Full-text available
Objective Personnel working in helicopter emergency medical services (HEMS) and search and rescue (SAR) are exposed to environmental stressors, which may impair performance. The aim of this survey was to study the extent HEMS and SAR physicians report the influence of specific danger-based and non–danger-based stressors. Methods The study was perf...
Article
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Background There is a need to develop sustainable emergency health care systems in low-resource settings, but data that analyses emergency health care needs in these settings are scarce. We aimed at assessing presenting complaints (PCs) and post-discharge mortality in a large emergency department population in Nepal. Methods Characteristics of adul...
Article
Full-text available
Morbidity and mortality following traumatic injuries constitute a substantial global health challenge. This thesis aimed to describe the current challenges of trauma on a national, regional and individual level. Study 1 was a cross‐sectional study including all forty‐one Norwegian hospitals receiving injured patients in 2011. Over time there was a...
Article
Full-text available
Background Crowding in emergency departments (EDs) is a challenge globally. To counteract crowding in day-to-day operations, better tools to improve monitoring of the patient flow in the ED is needed. The objective of this study was the development of a continuously updated monitoring system to forecast emergency department (ED) arrivals on a short...
Article
Full-text available
Background: Trauma is a major cause of mortality and morbidity in children globally. The burden of injury shows substantial geographical differences, with a significant mortality reduction in children in Norway during the last four decades. The aim was to describe the current epidemiology, resource use and outcome for all potential severely injure...
Article
Full-text available
Objective: To assess whether prolonged length of stay in the emergency department was associated with risk of death. Methods: We analysed data from 165,183 arrivals at St. Olav’s University Hospital’s emergency department from 2011 to 2018, using an instrumental variable method. As instruments for prolonged length of emergency department stay, we u...
Article
INTRODUCTION: Helicopter emergency medical services (HEMS) contribute to and complement other specialized search and rescue (SAR) services. Conversely, traditional SAR services perform medical evacuation (medevac), depending on crew, training, medical equipment, and procedures for interdisciplinary cooperation. We aim to describe and compare SAR an...
Article
Full-text available
OBJECTIVE: In this study we wanted to estimate population-based rates of incidence and mortality of moderate and severe traumatic brain injury (TBI) in children in one specific region in Norway. METHODS: In the region there are seven acute care hospitals (ACHs) in addition to a Level 1 trauma centre. Of 702 869 inhabitants (2014), 145 395 were ch...
Thesis
Full-text available
Morbidity and mortality following traumatic injuries constitute a substantial global health challenge affecting both the society and the individual. Knowledge of the historical background, epidemiological development trends and implantation of trauma care systems is important to provide a basis for continuous improvement in the quality of care for...
Article
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Background Helicopter emergency medical services are important in many health care systems. Norway has a nationwide physician manned air ambulance service servicing a country with large geographical variations in population density and incident frequencies. The aim of the study was to compare optimal air ambulance base locations using both populati...
Article
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Background: Sensitive decision making tools should assist prehospital personnel in the triage of injured patients, identifying those who require immediate lifesaving interventions and safely reducing unnecessary under- and overtriage. In 2014 a new trauma team activation (TTA) tool was implemented in Central Norway. The overall objective of this s...
Article
Background Functional outcome measures are important as most patients survive trauma. The aim of this study was to describe the long‐term impact of trauma within a healthcare region from a social perspective. Methods People active in work or education and admitted to hospitals in Central Norway in the interval 1 June 2007 to 31 May 2010 after sust...
Article
Purpose: Quality measurement of physician-staffed emergency medical services (P-EMS) is necessary to improve service quality. Knowledge and consensus on this topic are scarce, making quality measurement of P-EMS a high-priority research area. The aim of this review was to identify, describe and evaluate studies of quality measurement in P-EMS. Da...
Article
Background On‐scene management of pre‐hospital emergencies is often inter‐disciplinary, involving ground‐emergency medical services (EMS), police‐ and fire services, and in Norway general practitioners on‐call. This can also be supplemented by physician‐staffed EMS (P‐EMS), utilizing helicopters or rapid response vehicles. We hypothesized that P‐EM...
Article
Full-text available
Introduction Natural disasters pose a great challenge to the health systems and individual health facilities. In low-resource settings, disaster preparedness systems are often limited and not been well described. Two devastating earthquakes hit Nepal within a 17-days period in 2015. This study aims to describe the burden and distribution of emergen...
Data
Characteristics of interviewed and non-interviewed patients that had been treated in Dhulikhel Hospital during a 21-day period after an earthquake. RDS, Ramechap, Dolakha and Sindhuli districts. Number and percentages of patients characteristics among interviewed and non-interviewed. *Interviewed. **Not Interviewed. §missing information in the pati...
Data
Characteristics of non-earthquake related health problems for patients presenting to Dhulikhel Hospital, Nepal during a 21 day period after an earthquake on 25th April 2015, including a second earthquake on day 17 (12th May 2015). NCD, Non-communicable disease. RDS, includes three districts (Ramechap, Dolakha and Sindhuli). NEQ, Non-earthquake rela...
Data
Types of fracture in 624 fractures by body region presenting to Dhulikhel Hospital during a 21-day period after an earthquake on 25th April 2015. NOS, Not otherwise specified. Number and percentage of fracture types by body region in 625 fractures. (DOCX)
Article
Background: The prevalence of hypothermia in trauma patients is high and rapid recognition is important to prevent further heat loss. Hypothermia is associated with poor patient outcomes and is an independent predictor of increased mortality. The aim of this study was to analyze the changes in core body temperature of trauma patients during differ...
Article
Objective: The "National Standard Requirements for Helicopter Emergency Medicine Services Physicians" gives recommendations on medical requirements for flight physicians. This study describes the level of formal competence, experience, and guideline compliance of Norwegian helicopter emergency medical service (HEMS) physicians. Methods: In May 2...
Article
Background: The available information on trauma care in mixed rural-urban areas with scattered populations is limited. The aim of this study is to describe epidemiology, resource use, transfers and outcomes for trauma care within such an area, prior to implementation of a formal trauma system. Methods: A multicentre observational study including...
Article
Introduction: Improved physiologic status can be seen as a surrogate measure of improved outcome and a field-friendly prognostic model such as the Mainz Emergency Evaluation Score (MEES) could quantify the effect on physiological response. We aim to examine the dynamic physiological profile as measured by this score on patients managed by physicia...
Article
I1: Trauma, Pre-hospital and Cardiac Arrest Care 2015 Pascale Avery, Leopold Salm, Flora Bird A1: Retrospective evaluation of HEMS ‘Direct to CT’ protocol Anja Hutchinson, Ashley Matthies, Anthony Hudson, Heather Jarman A2 Rush hour – Crush hour: temporal relationship of cyclist vs. HGV trauma admissions. A single site observational study Maria Ber...
Article
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Introduction: It is important to monitor the core temperature in a severely injured patient. The choice of method is controversial, and different thermometers and sites for measurement are used. The aim of this study was to investigate continuous epitympanic temperature measurement using an auditory canal sensor in potentially severely injured pat...
Article
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Mangel på faglige krav i luftambulansetjenesten 1109 – 10 Avansert akuttmedisinsk behandling med rask transport til sykehus bidrar til økt overlevelse og faerre sen-komplikasjoner etter alvorlige skader og ulykker. Det synes naturlig at det stilles tydelige krav til medisinske kunnskaper og ferdigheter hos dem som skal gjøre denne jobben. Prehospit...
Article
Full-text available
Objective The main objective of the Norwegian air ambulance service is to provide advanced emergency medicine to critically ill or severely injured patients. The government has defined a time frame of 45 minutes as the goal within which 90% of the population should be reached. The aims of this study were to document accurate flying times for rotor...
Article
Full-text available
Background Approximately 10% of the Norwegian population is injured every year, with injuries ranging from minor injuries treated by general practitioners to major and complex injuries requiring specialist in-hospital care. There is a lack of knowledge concerning the caseload of potentially severely injured patients in Norwegian hospitals. Aim of t...
Article
Objectives: There is a lack of knowledge of the emergency department (ED) population in Norway; hence, the aim of this study was to describe the ED patient population at a Norwegian University Hospital. Materials and methods: Prospective data of all ED patients admitted to the main ED over a period of 2 months were collected. The patients' prese...
Article
Full-text available
Trauma teams improve the initial management of trauma patients. Optimal timing of trauma alerts could improve team preparedness and performance while also limiting adverse ripple effects throughout the hospital. The purpose of this study was to evaluate how timing of trauma team activation and notification affects initial in-hospital management of...
Article
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Background: The patient visits to Norwegian emergency departments (EDs) have increased significantly over the last few years. A national evaluation revealed a lack of systematic activity control, resource management and quality improvement. This paper describes some variables in patient visits to an urban Norwegian university hospital. Methods:...
Article
Full-text available
To ensure the rapid and correct triage of patients in potential need of specialized treatment, Norwegian hospitals are expected to establish trauma teams with predefined criteria for their activation. The objective of this study was to map and describe the criteria currently in use. We undertook a cross-sectional survey in the summer of 2008, using...
Article
Full-text available
A short-term observation unit (OU) opened in September 2008 designed for decision making and continuously assess patients about their need for stay, and potential for discharge within 24 hours. Patients assessed in the emergency department (ED) and having no/minor signs of injury are therefore a group of patients considered being eligible for care...
Article
Different criteria are employed to activate trauma teams. Because of a growing concern about overtriage, the objective of this study was to investigate the performance of our trauma team's activation protocol. Injured patients with trauma team activation (TTA), admission to an intensive care unit or surgical intermediate care unit with a trauma dia...

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