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Pre-Hospital Care - Science topic

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Publications related to Pre-Hospital Care (1,771)
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Article
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Background Pre hospital emergency anaesthesia (PHEA) is a complex procedure with significant risks. First-pass intubation success (FPS) is recommended as a quality indicator in pre hospital advanced airway management. Previous data demonstrating significantly lower FPS by non-physicians does not distinguish between non-physicians operating in isola...
Article
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Background and aims We report on a cost analysis study, using population level data to determine the emergency service costs avoided from emergency overdose management at supervised consumption services (SCS). Design We completed a cost analysis from a payer’s perspective. In this setting, there is a single-payer model of service delivery. Settin...
Article
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Aim of Study To prepare for the design of future randomized clinical trials of extracorporeal cardioupulmonary resuscitation (ECPR), we sought to understand physician beliefs regarding the use of ECPR and subsequent management, among physicians who already perform ECPR, as these physicians would be likely to be involved in many planned ECPR trials....
Article
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Background: KwaZulu-Natal, the largest land mass province that is densely populated in SA has vast distances to referral centres and time to definitive treatment is key in trauma care. Helicopter Emergency Medical Service (HEMS) is still an invaluable prehospital asset for the transport of time sensitive trauma. This study reviews the impact of HE...
Article
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Background. Arrival times at the scene and provision of initial emergency treatment have importance in pre-hospital care settings. Donning proper protective equipment by medical personnel, as was needed during the COVID-19 pandemic, prolongs the time between the arrival of medical personnel to a patient and provision of primary medical care. Object...
Article
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Background Road traffic injuries (RTI) are the leading cause of death worldwide in children over 5 and adults aged 18–29. Nonfatal RTIs result in 20–50 million annual injuries. In Bangladesh, a new mechanism of RTI has emerged over the past decade known as a ‘scarf injury.’ Scarf injuries occur when scarves, part of traditional female dress, are ca...
Article
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Introduction: Vascular system injuries (VSIs) are one of the main causes of preventable mortality and morbidity of trauma patients. This study aimed to evaluate baseline characteristics, presenting signs, managements, and outcomes of patients presenting to emergency department (ED) with traumatic VSIs. Methods: This retrospective cross-sectional st...
Article
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Introduction: The first contact with the labor ward is a crucial moment in any birth and can be especially challenging when the woman has a migrant background. The aim of the study was to explore migrant Somali women's experiences with their first contact with the labor ward prior to admission, in Norway. Methods: In this qualitative study, data...
Conference Paper
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L’analyse de l’activité est une pratique relativement « naturelle » chez l’être humain. En effet, de tout temps les individus ou les groupes ont voulu améliorer leurs actions et leurs connaissances. Ceci se traduit aujourd’hui par un développement exponentiel des connaissances et des technologies. Cependant, cette analyse n’est pas toujours conscie...
Article
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Almost a million acute strokes occur in USA alone. The most important factor in the treatment of an acute is the pre-hospital care. We have a thrombolytic called Alteplase (or rt-PA) that if given within 3 hours of acute stroke onset can reduce the disability significantly. However, most of the patients are unable to receive this treatment due to t...
Article
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Background and Objectives: Acute respiratory distress syndrome is a life-threatening lung condition that prevents enough oxygen from getting to the lungs and blood. The causes can be varied, although since the COVID-19 pandemic began there have been many cases related to this virus. The management and evolution of ARDS in emergency situations in th...
Article
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An early identification of prehospital phenotypes may allow health care workers to speed up and improve patients’ treatment. To determine emergency phenotypes by exclusively using prehospital clinical data, a multicenter, prospective, and observational ambulance-based study was conducted with a cohort of 3,853 adult patients treated consecutively a...
Article
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BACKGROUND: Thailand’s emergency medical services (EMSs) are constantly evolving both in terms of personnel and technology in pre-hospital care. While sustainable development goals (SDGs) are used in part as a catalyst for development in all countries, there are currently no studies regarding the relationship between EMS research and SDGs in Thaila...
Article
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Introduction: Anaphylaxis is an acute, potentially life-threatening, systemic hypersensitivity reaction. Its prevalence in pediatric population is constantly increasing. Adrenaline is a first-line treatment in every case of anaphylaxis. Aim: To examine the details of anaphylaxis treatment in the pre-hospital setting in a pediatric population. We wa...
Article
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Background Non-technical skills (NTS) are important for the proper functioning of emergency medical ambulance crews but have hardly been researched in the conditions of clinical pre-hospital care. The primary objective of this study, therefore, is to describe the use of NTS in practice. The secondary objective is to compare if the performance of NT...
Article
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Objectives: We describe new findings from the implementation of an educational school-based stroke awareness programme, FAST (Face, Arm, Speech, Time) 112 Her- oes, that teaches kindergarten children about stroke symptomatology and the appropriate action plan. The goal of our study was to examine whether the popula- tion mostly affected by stroke,...
Article
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Patients with ST-elevation myocardial infarction (STEMI) due to coronary occlusion require immediate restoration of epicardial and microvascular blood flow. A potentially new reperfusion method is the use of ultrasound and microbubbles, also called sonothrombolysis. The oscillation and collapse of intravenously administered microbubbles upon exposu...
Article
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Background: Delivering pre-hospital emergency care has the potential to be hazardous. Despite this, little is known about the factors that precipitate human errors and influence patient safety in the pre-hospital care setting, in contrast to in-hospital care. Similarly, limited report on patient safety and human error issues in the pre-hospital eme...
Chapter
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During the evolution and development of man, trauma has been present, generating socioeconomic impacts and representing one of the leading causes of death in young people worldwide. Indeed, it is the prehospital field that constitutes a fundamental part in the final recovery of patients suffering from some type of trauma. This study sought to...
Article
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Background The use of intravenous opioids in the traumatic pain in pre-hospital care in the Czech Republic is based primarily on the indication of a physician. If the paramedic crew arrives at the site earlier or only on their own, analgesia is given after phone-call consultation with the physician or after his arrival at the site. The objective of...
Article
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The effect of hypothermia on the human body article info A r t i c l e h i s t o r y AbstrAct I n t r o d u c t i o n : Hypothermia may appear to be a benign condition, but it is an insidious and life-threatening dysfunction of the thermoregulatory system that occurs in all regions of the world, regardless of season. Hypothermia is caused by coolin...
Article
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Background Traumatic spinal cord injury (TSCI) accounts for a significant proportion of deaths and disability worldwide and this is largely concentrated in low- and middle-income countries (LMICs). Though rare, a subset of TSCIs occurs in children, which can lead to long-term comorbidities if not managed within the optimal time frame. However, the...
Article
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Purpose Introducing advanced hemodynamic monitoring might be beneficial during Helicopter Emergency Medical Service (HEMS) care. However, it should not increase the on-scene-time, it should be easy to use and should be non-invasive. The goal of this study was to investigate the feasibility of non-invasive cardiac output measurements by electrical c...
Article
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Background: Most of the time primary school children experience minor injuries and they always need first aid care to prevent conditions become worse and school teachers are the nearest ones to manage their minor injuries. Lack of knowledge and skills of their teachers may lead to serious health consequences. Acquiring the basic knowledge and skill...
Article
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Abstract Background: Emergency medical centers are globally one of the most important pillars of pre-hospital care. The most important purpose of this system is to provide satisfactory services in the shortest possible time and in accordance with the modern scientific standards of the world. The present study aimed to compare the effect of virtual...
Article
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Background: Educating the at-risk population about stroke symptoms and requirement of calling an ambulance when stroke strikes is challenging. This exploratory cross-country study provides insights to the FAST Heroes educational campaign and outcomes hitherto achieved. Aims: The primary aim of the study was to measure the transfer of stroke-relate...
Article
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Background There are concerns about high levels of demand for emergency health services. The aim was to identify the characteristics of the British population with a tendency to contact emergency medical services and EDs for minor or non-urgent problems. Methods A survey of the British adult population in 2018. Six vignettes were constructed about...
Article
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Background Geopolitical and climate changes form the background of the current migration crisis. It has many faces. One of them are the tragic cases of poisoning of refugees due to eating wild forest mushrooms for socioeconomic reasons in the Western and Northern European countries. The most serious food poisonings in Europe, but not only, are caus...
Preprint
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Emergency Medical Systems (EMS) provide crucial pre-hospital care and transportation. Faster EMS response time provides quicker pre-hospital care and thus increases survival rate. We reduce response time by providing optimal ambulance stationing and routing decisions by solving two stage stochastic and robust linear programs. Although operational r...
Article
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BACKGROUND The emergence of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) and the sudden inflow of patients with severe COVID-19 (coronavirus disease 2019) symptoms increased demand for hospital and pre-hospital care, the latter being provided by emergency medical teams. The Polish Medical Air Rescue Services include the Helicopter E...
Article
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Evaluation of Emergency Medical Services Management Information System (EMSIS) makes it possible to assess the extent to which the objectives of supporting of healthcare delivery services. This paper presents an overview of the regulatory process in prehospital EMS electronic data registration and provides a minimum data set for the purpose of deve...
Article
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Background An integrated care network between emergency, specialized and primary care services can prevent repeated hospitalizations and the institutionalized death of terminally ill patients in palliative care (PC). To identify the perception of health professionals regarding the concept of PC and their care experiences with this type of patient i...
Article
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Introdução/Objetivo O envenenamento ocasionado por serpentes tem sido subestimado no mundo e atinge na grande maioria, trabalhadores rurais. Na região Norte, o problema é agravado devido a distância entre os locais de ocorrência do acidente e o local de atendimento hospitalar. Tem como objetivo caracterizar o perfil epidemiológico das vítimas de en...
Article
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Objective: To describe the reorganization of Belo Horizonte's Mobile Emergency Care Service during the new coronavirus pandemic using the Plan Do-Check-Act quality tool. Methods: Descriptive study, of the experience report type, on the reorganization of care in a mobile pre-hospital care service during the new coronavirus pandemic, from March to...
Poster
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Background Point of care ultrasound (PoCUS) has become integral in emergency settings over the last two decades. PoCUS is now a mandatory part of the Royal College of Emergency Medicine curriculum and there is now an expectation from Royal College of Radiology that services develop a governance structure to support its use. The use of PoCUS in a p...
Article
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Background Improving telephone triage for patients with chest pain has been identified as a national research priority. However, there is a lack of strong evidence to define the life-threatening conditions (LTCs) that telephone triage ought to identify. Therefore, we aimed to build consensus for the LTCs associated with chest pain that ought to be...
Article
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In 2021 under the leadership of Prof Srinath Chandrasekera, CSSL established a trauma committee with 6 pillars [policy and governance, prevention, pre-hospital care, in hospital care, rehabilitation and training] to facilitate MoH, in congregating all stakeholders together with a shared vision of trauma system development. Trauma committee leaders...
Article
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Trauma is one of the leading causes of uncontrolled haemorrhage, death, and disability. Use of a tourniquet can be considered an optimal anti-haemorrhagic resource, in pre-hospital and emergency settings, and its lifesaving effect is clinically contradictory. This review aims to assess the clinical efficacy of the tourniquet in the emergency pre-ho...
Article
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Background Early pre-hospital identification of critically ill patients reduces morbidity and mortality. To identify critically ill non-traumatic and non-cardiac arrest patients, a pre-hospital risk stratification tool was previously developed in the United States. The aim of this study was to investigate the accuracy of this tool in a Dutch Emerge...
Article
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Background: Telemedicine is a process which involve medical experts to exchange valid information for diagnosis, clinical management, treatment and counseling for both healthcare workers and patients remotely in rural setting from urban healthcare center. Providing quality healthcare services in Nepal is challenging due to many reasons such as dif...
Article
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As emerging countries, China, Russia, and South Africa are establishing and/or improving their trauma systems. China has recently established a trauma system named “the Chinese Regional Trauma Care System” and covered over 200 million populations. It includes paramedic-staffed pre-hospital care, in-hospital care in certified trauma centers, trauma...
Article
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Background Low- and middle-income countries (LMICs) often face significant challenges related to providing effective pre-hospital care services. Barriers to providing care include lack of financial resources, poor road infrastructure, lack of trained first responders and ambulance staff, and issues regarding coordination/communication between diffe...
Article
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Objective Despite critical hypoxemia, Covid-19 patients may present without proportional signs of respiratory distress. We report three patients with critical respiratory failure due to Covid-19, in which all presented with severe hypoxemia refractory to supplemental oxygen therapy. We discuss possible strategies for ventilatory support in the emer...
Article
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Background Management of patients with coma of unknown etiology (CUE) is a major challenge in most emergency departments (EDs). CUE is associated with a high mortality and a wide variety of pathologies that require differential therapies. A suspected diagnosis issued by pre-hospital emergency care providers often drives the first approach to these...
Article
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Background Pre-hospital services are not well developed in Vietnam, especially the lack of a trauma system of care. Thus, the prognosis of traumatic out-of-hospital cardiac arrest (OHCA) might differ from that of other countries. Although the outcome in cardiac arrest following trauma is dismal, pre-hospital resuscitation efforts are not futile and...
Article
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Introduction: Road Traffic Accidents have emerged as the leading cause of mortality and morbidity globally. The burden of road traffic accidents has escalated gradually in Nepal and is a common cause of injury and trauma. The study aims to identify the prevalence of road traffic accidents in the emergency department. Methods: This descriptive cros...
Preprint
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Background Accurate evaluation of mortality risk in polytrauma patients is crucial for guiding the precision treatment strategy. There are few scales designed to provide an early assessment of mortality risk. However, the complexity of available scoring systems limits their application in pre-hospital care. Here, we established a GAS-TRS system to...
Preprint
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Background: Emergency Medical Services (EMS) is a national network of prehospital services coordinated to provide aid and medical assistance to pediatric and adult patients. Studies indicate that a paramedic’s level of confidence in handling an adult patient is higher than that in handling a paediatric patient. The study objective is to explore par...
Article
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Background: Pre-hospital emergency medicine also referred to as pre-hospital care, immediate care, or emergency medical services medicine is a medical subspecialty which focuses on caring for seriously ill or injured patients before they reach hospital, and during emergency transfer to hospital or between hospitals to providing timely care to victi...
Conference Paper
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Background The London Ambulance Service NHS Trust (LAS) performs a vital role in the assessment and management of symptoms in end-of-life care (EoLC) patients during times of crisis. A previous clinical audit identified symptom control as an area requiring improvement. Following funding of a Macmillan EoLC team and release of national guidance, a r...
Article
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Aims: the objective of this study was to evaluate factors that cause psychosomatic impacts on the well-being of rescuers, with a sample of 136 professionals working in a Pre-Hospital Care service. Method: questionnaires were used as instruments: sociodemographic/professional, sleep problems through the Pittsburgh Sleep Quality Index and the Epworth...
Article
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Pre-hospital care is provided by emergency medical services (EMS) staff, the initial health care providers at the scene of disaster. This study aimed to describe the characteristics of EMS callers and space-time distribution of emergency requests in a large urban area. Descriptive thematic maps of EMS requests were created using an empirical Bayesi...
Article
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Death from acute hemorrhage is a major problem in military conflicts, traffic accidents, and surgical procedures, et al. Achieving rapid effective hemostasis for pre-hospital care is essential to save lives in massive bleeding. An ideal hemostasis material should have those features such as safe, efficient, convenient, economical, which remains challe...
Article
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Introduction: Impalement injuries are defined as rare, high-energy lesions caused by foreign bodies, usually steel bars or wooden objects, which pierce body cavities or extremities and remain interposed in the perforated body region. They usually occur with road accident or civil construction falls. Case report: A 24-year-old male patient was ad...
Conference Paper
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Laryngeal Mask Airway (LMA) learning and practice were compulsory before being registered as an Assistant Medical Officer (AMO) in the Board of Medical Assistant. The practice has been comparatively slow and currently, there is no study locally known among AMO to look at the usage of LMA in pre-hospital care (PHC). The purpose of this study is to e...
Preprint
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Background Traumatic brain injury (TBI) is one of the common preventable causes of mortality and disability among road traffic victims worldwide, most especially in low- and middle-income countries, including Ethiopia. Objective to determine risk factors of mortality after traumatic brain injury due to road traffic crash. Methods This study aimed...
Preprint
Full-text available
Background The use of intravenous opioids in the traumatic pain in pre-hospital care in the Czech Republic is based primarily on the indication of a physician. If the paramedic crew arrives at the site earlier or only on their own, analgesia is given after phone-call consultation with the physician or after his arrival at the site. The objective of...
Article
Full-text available
Background Pre-hospital care has been shown to reduce the mortality in trauma patients. The present study is an attempt to identify the status of pre-hospital orthopaedic trauma care in developing countries during COVID-19 pandemic. Methods This was a prospective observational study carried out in a tertiary care setup from March 25th, 2020 to Jan...
Article
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Introduction: circulatory failure is a major childhood emergency. Several disease-related and patient-related factors can predispose children to shock. Early detection of such factors will improve its prevention, management and outcome. This study aimed to evaluate the incidence, socio-demographic characteristics and pre-hospital care of children...
Preprint
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Background In today's world road traffic accident victims is treated as a major epidemic of non-communicable disease. Road traffic accidents caused numerous family tragedies such as serious economic loss to the community and the death of young people. The problem is more severe in low and middle-income countries. In Ethiopia, the largest proportion...
Article
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Introduction: Trauma is the main preventable cause of pediatric mortality. It is up to prehospital health professionals to use various immobilization techniques to improve the clinical outcome of these victims and the resulting comorbidities. The anatomical and physiological specificities found in this age group mean that the evidence found on the...
Article
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Objective to assess job satisfaction among nursing technicians working in a Mobile Emergency Care Service and its relationship with professional and demographic variables. Method in this analytical observational study of 155 nursing technicians from the Mobile Emergency Care Service, the Job Satisfaction Survey and non-parametric statistical tests...
Article
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Importance Severe traumatic brain injury (sTBI) is a critical health problem in regions of limited resources (RLRs). Younger populations are among the most impacted. The objective of this review is to analyze recent consensus-based algorithms, protocols and guidelines proposed for the care of patients with TBI in RLRs. Observations The principal m...