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Prehospital Emergency Care

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https://www.readbyqxmd.com/read/29333893/syringe-administration-of-epinephrine-by-emergency-medical-technicians-for-anaphylaxis
#1
Andrew J Latimer, Sofia Husain, Jonathan Nolan, Vinod Doreswamy, Thomas D Rea, Michael R Sayre, Mickey S Eisenberg
OBJECTIVE: In recent years, the costs of epinephrine autoinjectors (EAIs) in the United States have risen substantially. King County Emergency Medical Services implemented the "Check and Inject" program to replace EAIs by teaching emergency medical technicians (EMTs) to manually aspirate epinephrine from a single-use 1 mg/mL epinephrine vial using a needle and syringe followed by prehospital intramuscular administration of the correct adult or pediatric dose of epinephrine for anaphylaxis or serious allergic reaction...
January 15, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324169/absence-and-need-for-fatigue-risk-management-in-emergency-medical-services
#2
P Daniel Patterson, Christian Martin-Gill
No abstract text is available yet for this article.
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324083/effects-of-napping-during-shift-work-on-sleepiness-and-performance-in-emergency-medical-services-personnel-and-similar-shift-workers-a-systematic-review-and-meta-analysis
#3
Christian Martin-Gill, Laura K Barger, Charity G Moore, J Stephen Higgins, Ellen M Teasley, Patricia M Weiss, Joseph P Condle, Katharyn L Flickinger, Patrick J Coppler, Denisse J Sequeira, Ayushi A Divecha, Margaret E Matthews, Eddy S Lang, P Daniel Patterson
BACKGROUND: Scheduled napping during work shifts may be an effective way to mitigate fatigue-related risk. This study aimed to critically review and synthesize existing literature on the impact of scheduled naps on fatigue-related outcomes for EMS personnel and similar shift worker groups. METHODS: A systematic literature review was performed of the impact of a scheduled nap during shift work on EMS personnel or similar shift workers. The primary (critical) outcome of interest was EMS personnel safety...
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324079/shorter-versus-longer-shift-durations-to-mitigate-fatigue-and-fatigue-related-risks-in-emergency-medical-services-personnel-and-related-shift-workers-a-systematic-review
#4
P Daniel Patterson, Michael S Runyon, J Stephen Higgins, Matthew D Weaver, Ellen M Teasley, Andrew J Kroemer, Margaret E Matthews, Brett R Curtis, Katharyn L Flickinger, Xiaoshuang Xun, Zhadyra Bizhanova, Patricia M Weiss, Joseph P Condle, Megan L Renn, Denisse J Sequeira, Patrick J Coppler, Eddy S Lang, Christian Martin-Gill
BACKGROUND: This study comprehensively reviewed the literature on the impact of shorter versus longer shifts on critical and important outcomes for Emergency Medical Services (EMS) personnel and related shift worker groups. METHODS: Six databases (e.g., PubMed/MEDLINE) were searched, including one website. This search was guided by a research question developed by an expert panel a priori and registered with the PROSPERO database of systematic reviews (2016:CRD42016040099)...
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324078/what-an-evidence-based-guideline-for-fatigue-risk-management-means-for-us-statements-from-stakeholders
#5
J Brent Myers, R Keith Wages, Dennis Rowe, Chris Nollette, Michael Touchstone, John Sinclair, Edward L Mund, Justin M Eberly, John D Montes, Richard J Sherlock, Laura K Barger, Sean P A Drummond, Indira Gurubhagavatula
No abstract text is available yet for this article.
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324071/effect-of-task-load-interventions-on-fatigue-in-emergency-medical-services-personnel-and-other-shift-workers-a-systematic-review
#6
Jonathan R Studnek, Allison E Infinger, Megan L Renn, Patricia M Weiss, Joseph P Condle, Katharyn L Flickinger, Andrew J Kroemer, Brett R Curtis, Xiaoshuang Xun, Ayushi A Divecha, Patrick J Coppler, Zhadyra Bizhanova, Denisse J Sequeira, Eddy Lang, J Stephen Higgins, P Daniel Patterson
BACKGROUND: Modifying the task load of Emergency Medical Services (EMS) personnel may mitigate fatigue, sleep quality and fatigue related risks. A review of the literature addressing task load interventions may benefit EMS administrators as they craft policies related to mitigating fatigue. We conducted a systematic review of the peer-reviewed literature to address the following question: "In EMS personnel, do task load interventions mitigate fatigue, mitigate fatigue-related risks, and/or improve sleep?" (PROSPERO 2016:CRD42016040114)...
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324070/does-implementation-of-biomathematical-models-mitigate-fatigue-and-fatigue-related-risks-in-emergency-medical-services-operations-a-systematic-review
#7
Francine O James, Lauren B Waggoner, Patricia M Weiss, P Daniel Patterson, J Stephen Higgins, Eddy S Lang, Hans P A Van Dongen
BACKGROUND: Work schedules like those of Emergency Medical Services (EMS) personnel have been associated with increased risk of fatigue-related impairment. Biomathematical modeling is a means of objectively estimating the potential impacts of fatigue on performance, which may be used in the mitigation of fatigue-related safety risks. In the context of EMS operations, our objective was to assess the evidence in the literature regarding the effectiveness of using biomathematical models to help mitigate fatigue and fatigue-related risks...
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324069/evidence-based-guidelines-for-fatigue-risk-management-in-emergency-medical-services
#8
P Daniel Patterson, J Stephen Higgins, Hans P A Van Dongen, Daniel J Buysse, Ronald W Thackery, Douglas F Kupas, David S Becker, Bradley E Dean, George H Lindbeck, Francis X Guyette, Josef H Penner, John M Violanti, Eddy S Lang, Christian Martin-Gill
BACKGROUND: Administrators of Emergency Medical Services (EMS) operations lack guidance on how to mitigate workplace fatigue, which affects greater than half of all EMS personnel. The primary objective of the Fatigue in EMS Project was to create an evidence-based guideline for fatigue risk management tailored to EMS operations. METHODS: Systematic searches were conducted from 1980 to September 2016 and guided by seven research questions framed in the Population, Intervention, Comparison, Outcome (PICO) framework...
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324068/reliability-and-validity-of-survey-instruments-to-measure-work-related-fatigue-in-the-emergency-medical-services-setting-a-systematic-review
#9
P Daniel Patterson, Matthew D Weaver, Anthony Fabio, Ellen M Teasley, Megan L Renn, Brett R Curtis, Margaret E Matthews, Andrew J Kroemer, Xiaoshuang Xun, Zhadyra Bizhanova, Patricia M Weiss, Denisse J Sequeira, Patrick J Coppler, Eddy S Lang, J Stephen Higgins
BACKGROUND: This study sought to systematically search the literature to identify reliable and valid survey instruments for fatigue measurement in the Emergency Medical Services (EMS) occupational setting. METHODS: A systematic review study design was used and searched six databases, including one website. The research question guiding the search was developed a priori and registered with the PROSPERO database of systematic reviews: "Are there reliable and valid instruments for measuring fatigue among EMS personnel?" (2016:CRD42016040097)...
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324066/systematic-review-and-meta-analysis-of-the-effects-of-caffeine-in-fatigued-shift-workers-implications-for-emergency-medical-services-personnel
#10
Jennifer L Temple, David Hostler, Christian Martin-Gill, Charity G Moore, Patricia M Weiss, Denisse J Sequeira, Joseph P Condle, Eddy S Lang, J Stephen Higgins, P Daniel Patterson
BACKGROUND: Emergency Medical Services (EMS) workers may experience fatigue as a consequence of shift work. We reviewed the literature to determine the impact of caffeine as a countermeasure to fatigue in EMS personnel and related shift workers. METHODS: We employed the GRADE methodology to perform a systematic literature review and search multiple databases for research that examined the impact of caffeine on outcomes of interest, such as patient and EMS personnel safety...
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324065/fatigue-risk-management-in-high-risk-environments-a-call-to-action
#11
Deborah A P Hersman, Emily A Whitcomb
No abstract text is available yet for this article.
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324060/proposed-performance-measures-and-strategies-for-implementation-of-the-fatigue-risk-management-guidelines-for-emergency-medical-services
#12
Christian Martin-Gill, J Stephen Higgins, Hans P A Van Dongen, Daniel J Buysse, Ronald W Thackery, Douglas F Kupas, David S Becker, Bradley E Dean, George H Lindbeck, Francis X Guyette, Josef H Penner, John M Violanti, Eddy S Lang, P Daniel Patterson
BACKGROUND: Performance measures are a key component of implementation, dissemination, and evaluation of evidence-based guidelines (EBGs). We developed performance measures for Emergency Medical Services (EMS) stakeholders to enable the implementation of guidelines for fatigue risk management in the EMS setting. METHODS: Panelists associated with the Fatigue in EMS Project, which was supported by the National Highway Traffic Safety Administration (NHTSA), used an iterative process to develop a draft set of performance measures linked to 5 recommendations for fatigue risk management in EMS...
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324059/effect-of-fatigue-training-on-safety-fatigue-and-sleep-in-emergency-medical-services-personnel-and-other-shift-workers-a-systematic-review-and-meta-analysis
#13
Laura K Barger, Michael S Runyon, Megan L Renn, Charity G Moore, Patricia M Weiss, Joseph P Condle, Katharyn L Flickinger, Ayushi A Divecha, Patrick J Coppler, Denisse J Sequeira, Eddy S Lang, J Stephen Higgins, P Daniel Patterson
BACKGROUND: Fatigue training may be an effective way to mitigate fatigue-related risk. We aimed to critically review and synthesize existing literature on the impact of fatigue training on fatigue-related outcomes for Emergency Medical Services (EMS) personnel and similar shift worker groups. METHODS: We performed a systematic literature review for studies that tested the impact of fatigue training of EMS personnel or similar shift workers. Outcomes of interest included personnel safety, patient safety, personnel performance, acute fatigue, indicators of sleep duration and quality, indicators of long-term health (e...
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324058/evidence-based-guidelines-for-fatigue-risk-management-in-emergency-medical-services-a-step-in-the-right-direction-toward-better-sleep-health
#14
Daniel J Buysse
No abstract text is available yet for this article.
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324057/evidence-based-guidelines-for-fatigue-risk-management-in-emergency-medical-services-a-significant-step-forward-and-a-model-for-other-high-risk-industries
#15
Hans P A Van Dongen
No abstract text is available yet for this article.
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29324053/systematic-review-methodology-for-the-fatigue-in-emergency-medical-services-project
#16
P Daniel Patterson, J Stephen Higgins, Patricia M Weiss, Eddy Lang, Christian Martin-Gill
BACKGROUND: Guidance for managing fatigue in the Emergency Medical Services (EMS) setting is limited. The Fatigue in EMS Project sought to complete multiple systematic reviews guided by seven explicit research questions, assemble the best available evidence, and rate the quality of that evidence for purposes of producing an Evidence Based Guideline (EBG) for fatigue risk management in EMS operations. METHODS: We completed seven systematic reviews that involved searches of six databases for literature relevant to seven research questions...
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29297740/impact-of-a-mass-gathering-alcohol-sobering-facility-on-emergency-resources
#17
Franco Castro-Marin, Steven A Maher, Tomas Navarro, Tomas Nuño, John Whitney, Andrew McDonald, Albert Razo, Christopher Marcuzzo, Russell Chick, Joshua B Gaither
OBJECTIVE: Alcohol consumption has been implicated as an important factor driving the demand for medical care at mass gatherings. Patients exhibiting signs of possible alcohol intoxication are frequently diverted from traditional medical support facilities located within mass gathering events due to their disruptive behavior or need for prolonged observation. This conventional strategy can place additional stress on Emergency Medical Services (EMS) and Emergency Department (ED) resources...
January 3, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29297739/measuring-a-crisis-questioning-the-use-of-naloxone-administrations-as-a-marker-for-opioid-overdoses-in-a-large-u-s-ems-system
#18
Joseph M Grover, Taibah Alabdrabalnabi, Mehul D Patel, Michael W Bachman, Timothy F Platts-Mills, Jose G Cabanas, Jefferson G Williams
OBJECTIVE: The United States is currently experiencing a public health crisis of opioid overdoses. To determine where resources may be most needed, many public health officials utilize naloxone administration by EMS as an easily-measured surrogate marker for opioid overdoses in a community. Our objective was to evaluate whether naloxone administration by EMS accurately represents EMS calls for opioid overdose. We hypothesize that naloxone administration underestimates opioid overdose...
January 3, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29297735/national-assessment-of-quality-programs-in-emergency-medical-services
#19
Michael Redlener, Patrick Olivieri, George T Loo, Kevin Munjal, Michael T Hilton, Katya Trudeau Potkin, Michael Levy, Jeffrey Rabrich, Michael R Gunderson, Sabina A Braithwaite
OBJECTIVE: This study aims to understand the adoption of clinical quality measurement throughout the United States on an EMS agency level, the features of agencies that do participate in quality measurement, and the level of physician involvement. It also aims to barriers to implementing quality improvement initiatives in EMS. METHODS: A 46-question survey was developed to gather agency level data on current quality improvement practices and measurement. The survey was distributed nationally via State EMS Offices to EMS agencies nation-wide using Surveymonkey©...
January 3, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29297718/evaluation-of-physiologic-alterations-during-prehospital-paramedic-performed-rapid-sequence-intubation
#20
Robert G Walker, Lynn J White, Geneva N Whitmore, Alexander Esibov, Michael K Levy, Gregory C Cover, Joel D Edminster, James M Nania
OBJECTIVE: Physiologic alterations during rapid sequence intubation (RSI) have been studied in several emergency airway management settings, but few data exist to describe physiologic alterations during prehospital RSI performed by ground-based paramedics. To address this evidence gap and provide guidance for future quality improvement initiatives in our EMS system, we collected electronic monitoring data to evaluate peri-intubation vital signs changes occurring during prehospital RSI...
January 3, 2018: Prehospital Emergency Care
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