Pre-Hospital Care - Science topic

Objectives to analyze the occurrence of incidents in the context of mobile terrestrial pre-hospital care. Methods a descriptive research was carried out through the observation of 239 treatments performed by 22 healthcare professionals at the Mobile Emergency Care Service, located in Baixada Fluminense, Rio de Janeiro, Brazil. Fisher’s exact test...

Objectives to analyze the occurrence of incidents in the context of mobile terrestrial pre-hospital care. Methods a descriptive research was carried out through the observation of 239 treatments performed by 22 healthcare professionals at the Mobile Emergency Care Service, located in Baixada Fluminense, Rio de Janeiro, Brazil. Fisher’s exact test...

Purpose In Japan, the vehicle used in pre-hospital trauma care systems with physician-staffed ground emergency medical services (GEMS) is referred to as a “doctor car”. Doctor cars are highly mobile physician-staffed GEMS that can provide complex pre-hospital trauma management using various treatment strategies. The number of doctor car operations...

The overwhelming burden of morbidity and mortality from injury and medical conditions requiring acute care are borne by low- and middle-income countries lacking accessible, quality care systems. Current evidence suggests the lack of prehospital care systems likely contributes to this disproportionate burden. As an initial step in a longitudinal, co...

Background Sub-Saharan African countries, Nigeria inclusive, are constrained by grossly limited access to quality pre-hospital trauma care services (PTCS). Findings from pragmatic approaches that explore spatial and temporal trends of past road crashes can inform novel interventions. To improve access to PTCS and reduce burden of road traffic injur...

Background Injuries are a leading cause of death and disability for Alaska Native (AN) people. Alaska Native Tribal Health Consortium (ANTHC) is supporting the development of a burn care system that includes a partnership between Alaska Native Medical Center (ANMC) in Anchorage, AK and UW Medicine Regional Burn Center at Harborview Medical Center (...

Background In 2019, the emergency medical services (EMS) covering the western Norway Regional Health Authority area implemented its version of the prehospital clinical criteria G-FAST (Gaze deviation, Facial palsy, Arm weakness, Visual loss, Speech disturbance) to detect acute ischaemic stroke (AIS) with large vessel occlusion (LVO). For patients w...

Introduction The unpredictability of prehospital emergencies combined with constantly changing circumstances can lead to increased stress and mental health issues among Emergency Medical Technicians (EMTs). To accurately determine the stress-inducing factors in the prehospital environment, it is important to first identify the stressful events that...

Abstract Background Caring for people who are ill or injured in pre-hospital environments is emotionally draining and physically demanding. This article focuses on the Psychosocial and Mental Health Programme commissioned by the Faculty of Pre-Hospital Care (FPHC) at the Royal College of Surgeons of Edinburgh (RCSEd) in 2018 to investigate the expe...

Objective To analyze nursing professionals’ knowledge about restricting spinal movement in trauma victims and describe their decision-making. Method An exploratory, descriptive, qualitative-quantitative study. A semi-structured interview was conducted with 27 nursing professionals from hospital and pre-hospital emergency services in São Leopoldo,...

Objective To analyze nursing professionals’ knowledge about restricting spinal movement in trauma victims and describe their decision-making. Method An exploratory, descriptive, qualitative-quantitative study. A semi-structured interview was conducted with 27 nursing professionals from hospital and pre-hospital emergency services in São Leopoldo,...

Objective To analyze nursing professionals’ knowledge about restricting spinal movement in trauma victims and describe their decision-making. Method An exploratory, descriptive, qualitative-quantitative study. A semi-structured interview was conducted with 27 nursing professionals from hospital and pre-hospital emergency services in São Leopoldo,...

This study aims to emergency medical services (EMS) and their efficacy within the purview of Local Administrative Organizations (LAOs) in Thailand. As the responsibility for EMS has transitioned from public hospitals to LAOs, it has prompted inquiries into their efficiency. This research endeavors to scrutinize the determinants influencing the perf...

Introduction: The frequency of visits to emergency department for asthma is a significant public health problem in pediatrics. This study aimed to identify the characteristics of children who visited the pediatric emergency department for asthma exacerbation and evaluated their therapeutic management prior to admission. Methods: A prospective study...

Introduction: The frequency of visits to emergency department for asthma is a significant public health problem in pediatrics. This study aimed to identify the characteristics of children who visited the pediatric emergency department for asthma exacerbation and evaluated their therapeutic management prior to admission. Methods: A prospective study...

Spinal cord injury is a devastating event, and patients who have suffered a spinal cord injury may present to trauma emergency services in spinal shock. This subset of patients is likely to have concomitant systemic injuries, which may often require surgical interventions. All trauma patients should get sufficient pre-hospital care, including adequ...

Background Ambulance data is often used to elucidate presentation characteristics, including patient demographics and medical conditions. There is a lack of research utilising geographical methods to understand the drivers of medical emergencies. During the COVID-19 pandemic, our team has produced an evolving research portfolio demonstrating novel...

Objectives: To identify the intergender variation of on-scenetime (OST) for highly urgent emergency cases conveyed by emergency medical services (EMS) in Saudi Arabia and to assess other predictors of OST and hypothesis for possible factors delaying OST. Design: A retrospective population-based registry study. Setting: Riyadh Province is the larges...

Background The regional emergency medical service (EMS) in Lombardy (Italy) developed clinical algorithms based on operator-based interviews to detect patients with COVID-19 and refer them to the most appropriate hospitals. Machine learning (ML)-based models using additional clinical and geospatial epidemiological data may improve the identificatio...

Background Major incidents (MIs) are an important cause of death and disability. Triage tools are crucial to identifying priority 1 (P1) patients—those needing time-critical, life-saving interventions. Existing expert opinion-derived tools have limited evidence supporting their use. This study employs machine learning (ML) to develop and validate m...

Introduction The rate of potentially preventable deaths (PPD) and preventable deaths (PD) can reach more than 20% of overall trauma mortality. Bleeding is the leading cause of preventable mortality. The aim of our study is to define the independent factors of preventable or potentially preventable mortality in our mature trauma system. Materials a...

Abstrac Background Treatment of acute pain is an essential element of pre-hospital care for injured and critically ill patients. Clinical studies indicate the need for improvement in the prehospital analgesia. Objective The aim of this study is to assess the current situation in out of hospital pain management in Germany regarding the substances,...

Introduction: The global outbreak of COVID-19 has presented hospitals worldwide, particularly those in low-resource settings, with unparalleled difficulties. This case study outlines our experiences in the management of a level 1 hospital located in the southeastern part of Iran, characterized by significant poverty rates and low health indices. Ca...

Background: The number of emergency medical service (EMS) calls in Germany is continuously increasing. The initial assessment, the pre-hospital care and the choice of hospital for further care by the EMS influences the patient's outcome and are the basis for further care in hospital. However, the EMS does not receive any official feedback on its d...

Point-of-care ultrasound (POCUS) is increasingly recognized as a valuable tool for emergency airway management outside the operating room (OR). POCUS provides real-time imaging capabilities that aid in the evaluation of anatomical landmarks, identification of difficult airways, and verification of endotracheal tube placement. It allows for immediat...

Keywords: Paramedic Study programs IPR Latin America The International Registry of Paramedics (IPR) is a certification entity that defines and evaluates knowledge and minimum skills required for the practice of pre-hospital medicine at an international level. IPR does not grant permission to provide services but it does create a mechanism for those...

Background Ambulance services need to identify and prioritise patients with sepsis for early hospital assessment. We aimed to determine the accuracy of early warning scores alongside paramedic diagnostic impression to identify sepsis that required urgent treatment. Methods We undertook a retrospective diagnostic cohort study involving adult emerge...

Introduction Simulation-based medical education (SBME) debriefing – a construct distinct from clinical debriefing – is used following simulated scenarios and is central to learning and development in fields ranging from aviation to emergency medicine. However, little research into SBME debriefing in prehospital medicine exists. This qualitative stu...

Introduction and importance Poly-trauma is among the top ten leading causes of mortality and morbidity in developing countries. Road traffic injuries are the major cause of mortality in the overall burden of deaths related to injuries. The aim of this publication is to show how important are the principles of management in saving life even in auste...

Aim: The aim of this professional practice paper is to provide a critical commentary on displaced risk among perinatal and neonatal patients attended to by the ambulance service. Background: NHS services across the United Kingdom are currently facing unprecedented demand and increased scrutiny in their ability to provide safe and personalised ca...

Stroke continues to be a major public health concern, accounting for more than 800,000 strokes per year and remains the leading cause of disability. Stroke systems of care are comprehensive frameworks designed to ensure efficient and effective management of stroke patients. This article provides a brief overview of the coordinated network of health...

Background The Emergency Medical Retrieval Service (EMRS) has provided national pre-hospital critical care and aeromedical retrieval in Scotland since 2010. This study investigates trends in the service and patients attended over the last decade; and factors associated with clinical deterioration and pre-hospital death. Methods A retrospective coh...

IntroductionPain management can be challenging, especially in remote locations where first responders are not certified health care personnel. In these settings, traditional intravenous administration of analgesics is not feasible. In this study, we explore the feasibility of using methoxyflurane as a first-line analgesic in ski-related traumas, ad...

Background Burns continue to be a serious public health problem in India. It persists as an endemic disease in spite of implementing various preventive measures at the individual and community levels. Etiology and factors influencing burns are varied. There is a paucity of data regarding the clinico-demographic profile of burns disease, especially...

Children who sustain major injuries are at risk of receiving insufficient pain relief and sedation, which can have physical and psychological repercussions. Heightened emotional distress can increase the likelihood of developing symptoms of post-traumatic stress. Providing sufficient analgesia and sedation for children with major trauma presents sp...

Background and Objectives: During the COVID-19 pandemic, patient care was mainly organized around the hospital. Pre-hospital care has, to our knowledge, never been evaluated. We aimed to study the impact of pre-hospital pathways on hospitalization during the last part of the pandemic. Materials and Methods: This was a monocentric, retrospective ana...

Introduction Pre-hospital treatments and means of transport to arrive at appropriate health centers are as vital as in-hospital care, especially, in developing countries that severely suffer from mortality burden arising from emergency conditions. Yet, being a recent phenomenon in Ethiopia, empirical studies are inadequate with regard the practice...

Introduction: Around 1.35 million deaths are caused by Road Traffic Injuries (RTIs) each year. This study aimed to explore the perceptions of Vanuatu's Health Care Workers (HCWs) regarding the existing preventative strategies for RTI. Materials and methods: In 2020, this study used qualitative approaches to collect data from HCWs using Focus Gro...

Background & Objectives: The COVID-19 pandemic has presented the world community with its greatest challenges so far. Paramedics play a crucial role in providing pre-hospital care to patients who require urgent medical attention in clinical settings. Therefore, the aim of the study was to evaluate the knowledge on COVID-19 among health assistant (H...

The emergency department structure and treatment services deal with critical, semi-critical, and urgent care cases. Among these cases are medical and surgical cases. The surgical cases can be divided into trauma and non-trauma-based cases. Trauma cases, therefore, are a sub-specialized field and services provided within the emergency department dea...

Aims Self-harm is a common presentation in emergency services, and ambulance clinicians are often the first professionals involved. The aims of this study were to explore the experiences of Yorkshire Ambulance Service (YAS) clinicians of caring for people who self-harm, and to seek their views of the care provided to this group in the pre-hospital...

Background Close to 500 people die annually from Road Traffic Collisions in Botswana. The country's Emergency Medical Service is limited in capacity and coverage and greatest in the region of the capital city, Gaborone. Botswana Police Service officers are often first responders to the incidents and provide first aid, however the extent of their in...

Climate change has increased interest in the effects of the thermal environment on cardiovascular health. Most studies have focused on mortality data. However, pre-hospital care data are better able to evaluate these effects, as they can register the full spectrum of the disease in real time. This scoping review aims to synthesize the epidemiologic...

Objective: to identify adverse situations in the daily work of professionals in a mobile emergency pre-hospital care service. Method: qualitative study, based on Michel de Certeau's daily theoretical framework, carried out between July and October 2020, through interviews with 32 professionals from the Mobile Emergency Care Service (SAMU) in Belo H...

Context. During the COVID-19 pandemic, patient care was mainly organised around the hospital. Pre-hospital care has, to our knowledge, never been evaluated. Objective: To evaluate the impact of pre-hospital pathways on hospitalisation during the last part of the pandemic. Design. This was a monocentric retrospective analysis of prospectively collec...

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) plays an important role in the mostsevere trauma and medical patients with cardiac arrest. Its use in pre-hospital emergency medicine in Germany doesnot yet regularly occur, and the vast majority of rapid response vehicles are not equipped with REBOA devices. In thisartic...

The proportion of older adults is increasing worldwide. Frailty assessment in prehospital care was suggested to improve triage decisions and paramedics' judgment. This study aimed to assess the scope and nature of available evidence around frailty identification in prehospital care. A systematic search of the literature was performed using MEDLINE,...

Introduction: More than 1.3 lacks people died on Indian roads, giving India the dubious honor of topping the list of road deaths across the world. With just 1% of the world’s vehicles, India manages to account for 10% of its road fatalities. Since the thoraco-abdominal cavity contains the vital organs such as heart, lungs, liver, spleen, stomach, k...

Background The Covid-19 pandemic has put patients with rheumatic diseases in front of a number of obstacles that had to be solved together with Bulgarian rheumatologists. The lockdowns and restrictive measures have made it difficult for people with rheumatic diseases to have access to timely hospital and pre-hospital care. A number of digital solut...

Introduction. - The frequency of emergency department visits for asthma is a major public health problem in pediatrics. The aim of this study is to identify the characteristics of children who visit the pediatric emergency department for asthma exacerbation and to evaluate their therapeutic management before admission. Methods. - A prospective stud...

The content structure of volunteering as a value regarding educational work at the institutions of higher medical education in Ukraine has been analysed in the article; the values that should be developed in future medical specialists corresponding to current challenges have been defined. It is found out that organizational centres of public suppor...

Trauma is a hidden disease in Egypt, and its significance on public health has been under- estimated for decades. Road traffic accidents are the leading cause of injuries presented to hospitals in Egypt. Trauma systems in developed countries effectively reduced the morbidity and mortality associated with injuries in crowded cities. Developing a tra...

First responders, when arriving at a disaster, need a rapid analysis of the environment in which they are going to operate, as they have to assess the conditions surrounding potential victims and neutralize any risks that may exist. The EU-funded INTREPID project* develops a platform to support first responders in this area improving the 3D scannin...

Mr. Editor of the Revista de la Facultad de Medicina Humana, Lima, Peru I am writing to you, in relation to the review article "Association between the time of pre-hospital care and hospital mortality in victims of traffic accidents" published in 2020 Volume 20, number 01. In the aforementioned work, by M.J.G. Fernandez Sandoval et al., highlight t...

Out-of-hospital cardiac arrest (OHCA) is a leading cause of global mortality, with numerous factors influencing the patient survival rate and prognosis. This study aimed to evaluate the OHCA epidemiology in China and elaborate on the current Hangzhou emergency system status. This retrospective analysis was based on the medical history system of the...

Background This study aimed to develop a prediction model for transferring patients to an inappropriate hospital for suspected cardiovascular emergency diseases at the pre-hospital stage, using variables obtained from an integrated nationwide dataset, and to assess the performance of this model. Methods We integrated three nationwide datasets and...

Background: Traumatic brain injury is a major list of health and socioeconomic problems especially in low- and middle-income countries which influences productive age groups. Differences in patient characteristics, socioeconomic status, intensive care unit admission thresholds, health-care systems, and the availability of varying numbers of intens...

The burden of traumatic brain injury (TBI) from road traffic collisions (RTCs) is great in low-and middle-income countries (LMICs) due to shortfalls in preventative measures, and the lack of relevant, accurate data collection. To address this gap, we sought to study the epidemiology of TBI from RTCs in two LMIC neurosurgical centres in order to ide...

Back Ground: Pre-hospital care is an emergency medical care which is given to patients before arrival in hospital after activation of emergency medical services which is acknowledged as a crucial period, when irreversible pathology and secondary injury can be prevented. The aim of EMS focuses on providing timely care to victims of sudden and life-t...

When platelet concentrates (PCs) were first introduced in the 1960s as a blood component therapy, they were stored in the cold. As platelet transfusion became more important for the treatment of chemotherapy-induced thrombocytopenia, research into ways to increase supply intensified. During the late 1960s/early 1970s, it was demonstrated through ra...

Background During medical emergencies, intraosseous (IO) access and intravenous (IV) access are methods of administering therapies and medications to patients. Treating patients in emergency medical situations is a highly time sensitive practice; however, research into the optimal access method is limited and existing systematic reviews have only c...

Abstract Background Trauma is the leading cause of morbidity and mortality among adult population in the world. Despite many improvements in technology and care, mortality among trauma patients in the intensive care unit is still high particularly in Ethiopia. However, there is limited evidence on the incidence and predictors of mortality among tra...

Polytrauma, a patient's condition with multiple injuries that involve multiple organs or systems, is the leading cause of mortality in young adults. Trauma-related injuries are a major public health concern due to their associated morbidity, high disability, associated death, and socioeconomic consequences. Management of polytrauma patients has evo...

ABSTRACT Objective This study aims to determine the smoking prevalence and nicotine addiction in pre-hospital emergency care workers. Methods The study, conducted between March-April 2022 with the participation of 318 pre-hospital care workers, is cross-sectional. To determine the participants’ nicotine addiction levels, the participants the Fag...

Stroke accounts for 5.5% of the national Global Burden of Disease (GBD) and ~2,000 deaths per year in Uruguay. To respond to this medical emergency, the Ministry of Public Health (MPH) of Uruguay devised the National Stroke Plan (NSP). Scientific associations, universities, scholars, and patient organizations, both at the national and international...

Training at the level of undergraduate and postgraduate (including fellowship) in neurotrauma and neurointensive care has been gaining more relevance. A key factor for this trend is the fact that traumatic brain injury is a public health problem. 1 One of the new paradigms in education is the incorporation of the concept of medical education based...

In the mobile pre-hospital environment such as the SAMU, the nurse has several functions in the areas of care, administration, operation and supervision, and must participate in the review of protocols and provide training for the other professionals in the team. Despite this, changes have been taking place over the years in relation to the perform...

Background: Prehospital critical care is a rapidly evolving field. There is a paucity of evidence relating to its practice, with limited progress in answering those research questions identified over a decade ago. It is vital that evidence gaps are identified and addressed. This study aimed to define the current research priorities in UK prehospit...

Background: The city of Vienna, Austria, has a gradually aging population. Elderly people, over 65 years old and living at home or in nursing homes, frequently use Emergency Medical Services (EMS). However, there is no previous data comparing the EMS utilization of elderly- and non-elderly patients in Vienna. Methods: We retrospectively analyzed al...

Introduction COVID-19 has initially been studied in terms of an acute-phase disease, although recently more attention has been given to the long-term consequences. In this study, we examined COVID-19 as an independent risk factor for long-term mortality in patients with acute illness treated by EMS (emergency medical services) who have previously h...

Background Prehospital neuroprotective strategies aim to prevent secondary insults (SIs) in traumatic brain injury (TBI). This includes haemodynamic optimisation in addition to oxygenation and ventilation targets achieved through rapid sequence intubation (RSI). The primary aim was to report the incidence and prevalence of SIs (prolonged hypotensio...