Pre-Hospital Care - Science topic

Introduction Pre-hospital care personnel, including paramedics and emergency medical technicians (EMTs), are crucial frontline responders in emergency medical situations. They are critical in delivering timely medical assistance to individuals in emergencies. However, the demanding nature of their work can subject them to significant job stress, wh...

A few years ago, prehospital emergency care was very important in the management of emergency conditions and in saving lives. Therefore, knowledge of the efficiency and effectiveness of the models in prehospital care is useful in predicting the future healthcare systems. The current paper provides this review of the successes and issues related to...

The COVID-19 pandemic has presented unparalleled challenges to hospitals globally, particularly those in resource-limited settings. This case study elucidates the experiences and lessons from managing a 40-bed public hospital in Rask, Iran, during the pandemic. Data were gathered through focus group discussions with the management team and key info...

Objectives Providing care for injured children is challenging in resource-poor settings. While checklists can assess local capacities and guide the setting of priorities for improvement, key insights can be gained from consultation with locally practising clinicians. This study aimed to highlight barriers to and facilitators of the delivery of paed...

Background: Traumatic Brain Injury (TBI) is a significant public health concern in Africa, with unique pre-hospital care and emergency response systems challenges. This systematic review aims to comprehensively analyse the current state of pre-hospital TBI care and emergency response systems across the African continent. Methods: A comprehensive s...

Objetivo: Validar o aplicativo móvel “PREH System” com profissionais de enfermagem e da tecnologia da informação. Método: Estudo metodológico de validação de natureza quantitativa. Foi aplicado o questionário System Usability Scale (SUS) para 16 profissionais da enfermagem atuantes no serviço de atendimento pré-hospitalar móvel e a escala de usabil...

Background/Objectives: In acute stroke, often-prolonged hospital transport times present an opportunity for early interventions to salvage brain tissue. Remote ischemic conditioning (RIC), where brief cycles of ischemia–reperfusion in a limb are induced to protect the brain, is a promising treatment for this setting. We assessed the usability of a...

Background Pre-hospital incidents involving pediatric and neonatal patients are infrequent, and clinical characteristics and care for these patients differ from the adult population. Lack of knowledge, guidelines, and experience can make pre-hospital pediatric care challenging, and there is limited research on the epidemiology and best practice of...

Background 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 develops a new technology platform to assist first responders when arriving on the s...

Incidents involving pre-hospital clinicians responding, or being caught in, active situations of those armed with knives and guns are rising in Ireland. These high-profile and high-stress situations require prior planning to minimise loss of life and maintain the safety of paramedic staff. Better situational awareness has been identified by veteran...

Background: Patient-centered care is a foundation for high-quality healthcare delivery and is recognized by the Institute of Medicine as one of the six key elements of healthcare quality. It is fundamental to improving health outcomes, patient satisfaction, and overall healthcare system performance. In contemporary healthcare, we are encouraged to...

Background:Snakebite remains a significant public health concern in many regions of Bangladesh, particularly in southern Chattogram. The Non communicable Disease Control (NCDC) program under DGHS has put tremendous efforts and motivation toward the healthcare provider at Upazilla level to treat cases of snakebite successfully. This study provides a...

Background Bulgaria had the highest road mortality rate among European Union members in 2023, having previously ranked second after Romania. Research has consistently demonstrated that prompt pre-hospital care can significantly reduce the adverse effects of road traffic accidents. Thus, we conducted a cross-sectional study to explore the involvemen...

As queimaduras são lesões graves, com alto potencial de morbidade e mortalidade, que afetam a saúde física e mental dos pacientes, tornando-o um problema significativo e de grande importância. Embora o Serviço de Atendimento Móvel de Urgência (SAMU) tenha sido implementado para melhorar a assistência, ainda há deficiências em termos de infraestrutu...

In the current scenario, demand for emergency care is rising due to the shift in disease pattern all around the world, from growing burden of non-communicable diseases to the pre-existing communicable diseases. The principle aim of an emergency medical service (EMS) system is to prevent premature mortality, reduce pain and prevent long term disabil...

Background Helicopter Emergency Medical Services (HEMS) in the United Kingdom (UK) deliver enhanced care to high-acuity, critically ill and injured patients. To enable patients to meet the HEMS team who treated them, many services within the UK have developed or are in the process of developing a Patient and Family Aftercare Service (PFAS). This st...

Background Early assessment of patients with suspected transient ischaemic attack (TIA) is crucial to provision of effective care, including initiation of preventive therapies and identification of stroke mimics. Many patients with TIA present to emergency medical services (EMS) but may not require hospitalisation. Paramedics could identify and ref...

Recent years have witnessed an unprecedented increase in the search for the use of psychedelics in improving physical and mental health. Anaesthesia has evolved since very early times, born from the need to eliminate pain and reduce suffering and there are reports of the use of anaesthetics to achieve mystical states since the nineteenth century. N...

Introduction The subarachnoid space in the brain contains crucial blood vessels and cerebrospinal fluid. Aneurysms in these vessels can lead to subarachnoid hemorrhage (SAH), a serious stroke subtype with high morbidity and mortality rates. SAH treatment includes procedures like coiling and clipping, but these are available only at comprehensive st...

Background The role of video laryngoscopy in critically ill patients requiring emergency tracheal intubation remains controversial. This systematic review and meta-analysis aimed to evaluate whether video laryngoscopy could improve the clinical outcomes of emergency tracheal intubation. Methods We searched the PubMed, Embase, Scopus and Cochrane d...

Introduction: OHCA is among the leading causes of mortality worldwide. India lacks a comprehensive database of cardiac arrests and an efficient emergency medical system. The treatment of cardiac disease has improved, yet the outcomes of OHCA remain poor. Methods: This is an observational 1-year prospective, single center, cohort study conducted on...

Background Multiple trauma injuries are the leading cause of death and disability in people under the age of 45 and require prompt and specialised care. However, medical and nursing education programmes do not always include specific training in emergency pre-hospital care, resulting in a lack of basic practical skills in trauma management. Object...

This review identified the critical gaps in pre-hospital emergency medical services (EMS) in Ethiopia, highlighting their detrimental impact on health outcomes, particularly among vulnerable populations. There are significant barriers to timely access to care, contributing to elevated morbidity and mortality rates from preventable conditions. Estab...

Objective: To assess the clinical presentation and evaluation of acute life-threatening chest pain in Accra, Ghana.Design: This was a cross-sectional study at the emergency departments of two leading tertiary hospitals in Accra.Settings: The study was conducted at the Korle-Bu Teaching Hospital and the 37 Military Hospital in AccraParticipants: The...

Background Physical activity prevents cardiovascular disease, but it may also trigger acute cardiac events like sudden cardiac death in patients with underlying heart disease. The chance of surviving an out-of-hospital cardiac arrest remains low, despite improving medical treatment and rescue chain. Prior studies signaled increased survival in exer...

Background Firearm injuries (FAIs) continue to be a global public health problem possessing substantial emotional, physical and financial burdens on hospital resources. Although FAIs are rare in children, their incidence is gradually increasing. Aim The aim of this study was to evaluate various aspects of FAI in children that were managed at a ter...

Introduction Over the past three decades, more advanced pre-hospital systems have increasingly integrated physicians into targeted roles, forming interprofessional teams. These teams focus on providing early senior decision-making and advanced interventions while also ensuring rapid transport to hospitals based on individual patient needs. This pap...

Introduction Over the past three decades, more advanced pre-hospital systems have increasingly integrated physicians into targeted roles, forming interprofessional teams. These teams focus on providing early senior decision-making and advanced interventions while also ensuring rapid transport to hospitals based on individual patient needs. This pap...

Accidents, injuries, and medical emergencies can occur unpredictably, with a significant proportion of fatalities in pre-hospital situations resulting from car accidents. Shockingly, about 39% of these fatalities could have been prevented with improved pre-hospital care. This study aimed to assess attitudes and knowledge regarding first aid among 4...

Background. Fatality rates in Agriculture, Forestry, and Fishing (AgFF) industries are historically the highest of any US sector, with a combined rate of 18.6 deaths per 100,000 workers. Despite clear trends for fatal AgFF workplace injuries in federal data, challenges remain in capturing nonfatal agricultural injuries. The Northeast Center for Occ...

Background/objectives Gestational Weight Gain (GWG) impacts maternal and fetal health; deviations from optimal ranges pose health risks. Maternal lifestyle before and during pregnancy strongly influences GWG. This study explores factors linked to inadequate GWG, focusing on Mediterranean Diet (MD) adherence and specific food consumption. Subjects/...

Objective To evaluate the leading challenges in developing countries’ traumatic spinal cord injury (TSCI) care. Methods We conducted a systematic search in electronic databases of PubMed, SCOPUS, Web of Science, EMBASE, and Cochrane Library on 16 April 2023. Studies that investigated challenges associated with the management of TSCI in developing...

Background Ambulance clinicians use pre-alerts to inform receiving hospitals of the imminent arrival of a time-critical patient considered to require immediate attention, enabling the receiving emergency department (ED) or other clinical area to prepare. Pre-alerts are key to ensuring immediate access to appropriate care, but unnecessary pre-alerts...

The acronym CALL TO ECLS has been proposed as a potential tool to support decision-making in critical communication moments when qualifying a patient for the ECPR procedure. The aim of this study is to assess the accuracy of the acronym and validate its content. Validation is crucial to ensure that the acronym is theoretically correct and includes...

Ensuring patient safety and enhancing quality of care are paramount objectives in healthcare, pivotal for minimizing errors and optimizing care outcomes. This review synthesizes diverse strategies aimed at improving patient safety and quality across various healthcare sectors. Key initiatives highlighted include specialized training programs for IC...

Background Non-compressible torso hemorrhage (NCTH) presents the ultimate challenge in pre-hospital care. While external hemorrhage control devices (EHCDs) such as the Abdominal Aortic and Junctional Tourniquet (AAJT) and SAM Junctional Tourniquet (SJT) have been invented, the current design and application strategy requires further improvement. Th...

Background The COVID-19 outbreak emerged as a dual threat, effecting both the physical and mental well-being of healthcare staff. This study aimed to evaluate sleep quality using the Pittsburgh Sleep Quality Index (PSQI), levels of anxiety and depression using the Hospital Anxiety Depression Scale (HADS), and the significant influencing factors dur...

A well-functioning chain of survival is crucial for achieving favorable outcomes following out-of-hospital cardiac arrest (OHCA), a significant public health issue. Despite advancements in pre-hospital care, including bystander cardiopulmonary resuscitation (CPR) and increased availability of automated external defibrillators (AEDs), the percentage...

Purpose The use of thermal insulations reduces the risk of hypothermia, therefore decreases the risk of death in trauma victims. The aim of the study was to assess whether thermal insulations cause artifacts, which may hinder the diagnosis of injuries, and how the used thermo-systems alter the radiation dose in polytrauma computed tomography. Meth...

Modern sport is very close to injuries, which can put an athlete out of the state of high sports training for some time. In the event of an injury, the correct provision of pre-hospital care in different sports is of great importance, depending on the injury sustained. The first aid for sports injuries should be aimed primarily at reducing pain and...

INTRODUÇÃO: O processo de transição epidemiológica associado à transição nutricional aumentou de forma significativa a prevalência de Doenças Crônicas Não Transmissíveis. Dentre essas condições crônicas, o infarto agudo do miocárdio destaca-se devido à sua alta taxa de mortalidade. Para reduzir estas taxas torna-se importante minimizar o tempo tota...

Background & objectives Injuries profoundly impact global health, with substantial deaths and disabilities, especially in low- and middle-income countries (LMICs). This paper presents strategic consensus from the Transdisciplinary Research, Advocacy, and Implementation Network for Trauma in India (TRAIN Trauma India) symposium, advocating for enhan...

Background Due to the high burden of mortality from acute communicable and non-communicable diseases, emergency department’s mortality has become one of the major health indices in Ethiopia that should be evaluated regularly in every health institution. However, there are inconsistencies between studies, and there is no systematic review or meta-an...

Background Traumatic spinal injury (TSI) is a disease of significant global health burden, particularly in low and middle-income countries where road traffic-related trauma is increasing. This study compared the demographics, injury patterns, and outcomes of TSI caused by road traffic accidents (RTAs) to non-traffic related TSI. Methods A retrospe...

В настоящия доклад, акцентът е поставен на доболничната помощ и по-конкретно на Вертолетна спешна медицинска помощ (HEMS) или Спешна помощ по въздуха. Системата за HEMS включва редица направления, които са свързани помежду си и водят до реализация на основната функция на този вид спешна помощ – безопасно и ефективно транспортиране на болни, пострад...

Background A challenge to pre-hospital emergency care is any barrier or obstacle that impedes quality pre-hospital care or impacts community pre-hospital utilization. The Addis Ababa Fire and Disaster Risk Management Commission (AAFDRMC) provides pre-hospital emergency services in Addis Ababa, Ethiopia. These services operate under a government-fun...

Purpose The objective of this study was to offer a comprehensive synthesis of the existing Key performance indicators (KPIs) used in the evaluation of the pre-Hospital response to disasters and mass casualty incidents (MCIs). Methods At the end of December 2022 a scoping review has been performed on PubMed, Scopus, Embase, and Medline to identify...

Objectives The purpose of this study was to investigate the preferred modes of transportation to the hospital among patients with acute stroke and acute myocardial infarction (AMI), as well as to identify the factors that influence the utilization of ambulances. Methods We conducted a cross-sectional study, including patients who were diagnosed wi...

The aim of this study was to find out what medical professionals from a pre-hospital care service understand about the end of life and the non-resuscitation of chronic patients at the end of life. This was an exploratory qualitative case study, using semi-structured and open questions interviews. There were 33 doctors who demonstrated a biological...

This study aimed to analyze the emergency medicine research management by the National Institute for Emergency Medicine (NIEM). A retrospective descriptive study design was employed. Data were collected from 57 research reports during fiscal year 2017 to 2023. Data were analyzed by using descriptive statistics, including frequencies and percentag...

Introduction Trauma is a major problem in Saudi Arabia and a leading cause of mortality and morbidity in young age groups. In 2018, road traffic injuries and trauma were the second-leading cause of death after ischaemic heart disease. There is a lack of research that explores the psychological effects on emergency medical service (EMS) professional...

Introduction This study aimed to identify the pathophysiologic causes of death following traumatic injuries in military working dogs (MWDs) and determine the risk factors associated with mortality in MWD following traumatic injuries. The results of this study will allow for better targeting of interventions to ameliorate these pathophysiologic caus...

Introduction: Timely institution of pre-hospital therapies aimed at damage control and the appropriately timed decision of transfer to higher centers for definitive neurosurgical management are crucial in determining the outcome of patients following traumatic brain injury. This study aimed to evaluate the factors determining pre-hospital care and...

The research is relevant due to life, health and safety threats to children and adolescents during the Russian-Ukrainian war. It led an increase in the number of injuries requiring urgent medical care. First aid knowledge in tactical conditions is essential for teachers working in combat zones, occupied territories and territories under fire. Teach...

A well-functioning chain of survival is crucial for achieving favorable outcomes following out-of-hospital cardiac arrest (OHCA), a significant public health issue. Despite advancements in pre-hospital care, including bystander cardiopulmonary resuscitation (CPR) and increased availability of automated external defibrillators (AEDs), the percentage...

Background: Despite organised efforts, the COVID-19 pandemic had a significant impact on the health status of the population and health services including the emergency medical system. The objective of the study was to investigate, based on the Emergency Medical Teams’ (EMT) interventions, the impact of the COVID-19 pandemic on health and life emer...

Aim: Children constitute an important and distinct subgroup of out-of-hospital cardiac arrest (OHCA) patients. This population-based cohort study aims to establish current age-specific population incidence, precipitating causes, circumstances, and outcome of paediatric OHCA, to guide a focused approach to prevention and intervention to improve outc...

Background Pre-hospital incidents involving pediatric and neonatal patients are infrequent, and clinical characteristics and care for these patients differ from the adult population. Lack of knowledge, guidelines, and experience can make pre-hospital pediatric care challenging, and there is limited research on the epidemiology and best practice of...

The article discusses the development and implementation of logistics chains to address the evacuation of casualties from aviation incidents. It considers publications that propose solutions for selecting forced landing sites for civil aviation vehicles and optimizing evacuation routes. Medical helicopter evacuation offers several benefits, includi...

A well-functioning chain of survival is crucial for achieving favorable outcomes following out-of-hospital cardiac arrest (OHCA), a significant public health issue. Despite advancements in pre-hospital care, including bystander cardiopulmonary resuscitation (CPR) and increased availability of automated external defibrillators (AEDs), the percentage...

Descrever uma intervenção pedagógica composta por oficinas teórico-práticas e simulação in situ, desenvolvida com e para a equipe de enfermagem, de acordo com a problematização da realidade e necessidades de aprendizagem. Realizou-se um estudo descritivo e exploratório com 37 profissionais de enfermagem de unidade pré-hospitalar fixa do interior de...

Background: Pre-hospital care in Malaysia mostly consisted of Assistant Medical Officers (AMOs) and nurses played a big role in minimizing the consequences of the injuries by conducting a good assessment and executing the correct clinical treatment on scene before reaching the hospital. However, there is no structured training and competency progra...

Background Trauma is one of the most important issues and problems considered in most countries in today’s modern and industrial society. Since pre-hospital care is the first component of a trauma care system, if done properly, it can reduce the problems associated with long-term disability and death due to trauma. Therefore, the present study was...

Background and objectives: To minimize stroke-related deaths and maximize the likelihood of cerebral reperfusion, medical professionals developed the “code stroke” emergency protocol, which allows for the prompt evaluation of patients with acute ischemic stroke symptoms in pre-hospital care and the emergency department (ED). This research will outl...

Out-of-hospital cardiac arrest (OHCA) is a time-sensitive medical emergency that needs immediate interventions. COVID-19 affected the performance of the emergency medical service (EMS) system in pre-hospital care, including the management of cardiac arrest. This study aimed to identify the impact of the COVID-19 pandemic on pre-hospital management...

A well-functioning chain of survival is crucial for achieving favorable outcomes following out-of-hospital cardiac arrest (OHCA), a significant public health issue. Despite advancements in pre-hospital care, including bystander cardiopulmonary resuscitation (CPR) and increased availability of automated external defibrillators (AEDs), the percentage...

Background The aim of this study was to establish a consensus among experts in prehospital work regarding the management of difficult airways in prehospital care in Sweden. The results were subsequently used to develop an algorithm for handling difficult airway in prehospital care, as there was none available in Sweden prior to this study. Methods...

Background The burden of emergency medical conditions is borne mostly by poorer nations, with a 6 % increase in deaths of adults and children due to emergency conditions between 1990 and 2015. Emergency medical service is crucial to improve outcomes of those injuries and other time-sensitive illnesses. However, access to emergency medical services...