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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

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https://www.readbyqxmd.com/read/30642369/patient-and-rescuer-safety-recommendations-for-dispatch-and-prioritization-of-rescue-resources-based-on-a-retrospective-study-of-norwegian-avalanche-incidents-1996-2017
#1
Albert Lunde, Christen Tellefsen
BACKGROUND: Avalanche emergency response should address current accident scenarios to optimize survival chances of victims and to keep rescuers safe. The purpose of this article is to present a basis for evaluation and necessary adjustments in dispatch, prioritization, and management of Norwegian avalanche rescue operations. METHODS: This is the first peer-reviewed retrospective study of all Norwegian avalanche incidents registered by the two Joint Rescue Co-ordination Centers (JRCCs) in the period 1996-2017 that describes the characteristics and trends of rescue missions and victims...
January 14, 2019: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30635015/hospital-level-variations-in-the-trends-and-outcomes-of-the-nonoperative-management-of-splenic-injuries-a-nationwide-cohort-study
#2
Chien-An Liao, Yu-Tung Wu, Chien-Hung Liao, Shang-Yu Wang, Chih-Yuan Fu, Chi-Hsun Hsieh, Shao-Wei Chen, Ching-Chang Chen, An-Hsun Chou, Chi-Tung Cheng
BACKGROUND: The long-term treatment trends of splenic injuries can provide guidance when treating trauma patients. The nonoperative management (NOM) of splenic injuries was introduced in early 1989. After decades of development, it has proven to be safe and is now the primary treatment choice worldwide. However, there remains a lack of nationwide registry data to support the feasibility and efficiency of NOM. METHODS: We used the Taiwan National Health Insurance Research Database to conduct a whole population-based cohort study...
January 11, 2019: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30626404/pre-hospital-management-of-acute-stroke-patients-eligible-for-thrombolysis-an-evaluation-of-ambulance-on-scene-time
#3
Nicolas Drenck, Søren Viereck, Josefine Stokholm Bækgaard, Karl Bang Christensen, Freddy Lippert, Fredrik Folke
BACKGROUND: Stroke is a leading cause of death and disability with effective treatment, including thrombolysis or thrombectomy, being time-critical for favourable outcomes. While door-to-needle time in hospital has been optimized for many years, little is known about the ambulance on-scene time (OST). OST has been reported to account for 44% of total alarm-to-door time, thereby being a major time component. We aimed to analyse ambulance OST in stroke patients eligible for thrombolysis and identify potential areas of time optimization...
January 9, 2019: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30621752/actual-clinical-leadership-a-shadowing-study-of-charge-nurses-and-doctors-on-call-in-the-emergency-department
#4
Sissel Eikeland Husebø, Øystein Evjen Olsen
BACKGROUND: The provision of safe, high quality healthcare in the Emergency Department (ED) requires frontline healthcare personnel with sufficient competence in clinical leadership. However, healthcare education curriculum infrequently features learning about clinical leadership, and there is an absence of experienced doctors and nurses as role models in EDs for younger and less experienced doctors and nurses. The purpose of this study was to explore the activities performed by clinical leaders and to identify similarities and differences between the activities performed by charge nurses and those performed by doctors on-call in the Emergency Department after completion of a Clinical Leadership course...
January 8, 2019: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30616604/training-and-assessment-of-non-technical-skills-in-norwegian-helicopter-emergency-services-a-cross-sectional-and-longitudinal-study
#5
Kristen Rasmussen, Henrik Langdalen, Stephen J M Sollid, Eirik Bjorheim Abrahamsen, Leif Inge K Sørskår, Gunnar Tschudi Bondevik, Håkon B Abrahamsen
BACKGROUND: Deficient non-technical skills (NTS) among providers of critical care in helicopter emergency medical services (HEMS) is a threat to patient and operational safety. Skills can be improved through simulation-based training and assessment. A previous study indicated that physicians underwent less frequent training compared to pilots and HEMS crew members (HCM) and that all professional groups in Norwegian HEMS received limited training in how to cope with fatigue. Since then, training initiatives and a fatigue risk management project has been initiated...
January 7, 2019: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30587216/comparison-of-a-novel-endoscopic-chest-tube-insertion-technique-versus-the-standard-open-technique-performed-by-novice-users-in-a-human-cadaver-model-a-randomized-crossover-assessor-blinded-study
#6
Byron C Drumheller, Anthony Basel, Sakib Adnan, Joseph Rabin, Jason D Pasley, Jason Brocker, Samuel M Galvagno
BACKGROUND: The technique of tube thoracostomy has been standardized for years without significant updates. Alternative procedural methods may be beneficial in certain prehospital and inpatient environments with limited resources. We sought to compare the efficacy of chest tube insertion using a novel, endoscopic device (The Reactor™) to standard, open tube thoracostomy. METHODS: Novice users were randomly assigned to pre-specified sequences of six chest tube insertions performed on a human cadaver model in a crossover design, alternating between the Reactor™ and standard technique...
December 27, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30587210/the-final-assessment-and-its-association-with-field-assessment-in-patients-who-were-transported-by-the-emergency-medical-service
#7
Carl Magnusson, Christer Axelsson, Lena Nilsson, Anneli Strömsöe, Monica Munters, Johan Herlitz, Magnus Andersson Hagiwara
BACKGROUND: In patients who call for the emergency medical service (EMS), there is a knowledge gap with regard to the final assessment after arriving at hospital and its association with field assessment. AIM: In a representative population of patients who call for the EMS, to describe a) the final assessment at hospital discharge and b) the association between the assessment in the field and the assessment at hospital discharge. METHODS: Thirty randomly selected patients reached by a dispatched ambulance each month between 1 Jan and 31 Dec 2016 in one urban, one rural and one mixed ambulance organisation in Sweden took part in the study...
December 27, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30577733/effects-of-nahs-and-hydroxylamine-on-the-expressions-of-brain-derived-neurotrophic-factor-and-its-receptors-in-rats-after-cardiac-arrest-and-cardiopulmonary-resuscitation
#8
Jiyan Lin, Weicheng Wu, Zhihong Xu, Siyao Liu, Wang Lu, Mandong Pan
BACKGROUND: H2 S can also protect nerve cells. The objective of the study is to investigate the effects of hydrogen sulfide (H2 S) on the expressions of brain-derived neurotrophic factor (BDNF) and its receptors, tyrosine protein kinase B (TrkB) and p75 neurotrophin receptor (p75NTR), in brain tissues of rats with cardiac arrest and cardiopulmonary resuscitation (CA/CPR) following the restoration of spontaneous circulation (ROSC). METHODS: Rats (n = 240) with CA/CPR were divided into three groups: Intervention (n = 80) that received sodium hydrosulfide (NaHS, 14 μmoL/kg·d) intervention after ROSC; Inhibition (n = 80) that received hydroxylamine (40 μmoL/kg·d) intervention after ROSC; and Control (n = 80) that received saline after ROSC...
December 22, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30567581/survival-of-in-hospital-cardiac-arrest-in-men-and-women-in-a-large-swedish-cohort
#9
Angelika Qvick, Manar Radif, Caroline Brever, Jenny Olsson Myrvik, Karin Schenk Gustafsson, Therese Djärv
BACKGROUND: Cardiac arrest is more common in men than women and a few studies have shown inferior 30-day survival for men than for women. The difference might relate to patient characteristics, intra arrest factors or post arrest care. AIM: To assess differences in 30-day survival between men and women after an in-hospital cardiac arrest (IHCA). MATERIAL AND METHODS: All patients ≥18 years suffering an IHCA at Karolinska University Hospital between 2007 and 2017 were included...
December 19, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30558650/risks-and-benefits-of-hypotensive-resuscitation-in-patients-with-traumatic-hemorrhagic-shock-a-meta-analysis
#10
Natthida Owattanapanich, Kaweesak Chittawatanarat, Thoetphum Benyakorn, Jatuporn Sirikun
BACKGROUND: Damage control strategies play an important role in trauma patient management. One such strategy, hypotensive resuscitation, is being increasingly employed. Although several randomized controlled trials have reported its benefits, the mortality benefit of hypotensive resuscitation has not yet been systematically reviewed. OBJECTIVES: To conduct a meta-analysis of the efficacy of hypotensive resuscitation in traumatic hemorrhagic shock patients relative to mortality as the primary outcome, with acute respiratory distress syndrome (ARDS), acute kidney injury (AKI), and multiple organ dysfunction as the secondary outcomes...
December 17, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30547829/prognostic-value-of-gasping-for-short-and-long-outcomes-during-out-of-hospital-cardiac-arrest-an-updated-systematic-review-and-meta-analysis
#11
REVIEW
Qiang Zhang, Bo Liu, Zhijiang Qi, Chunsheng Li
OBJECTIVE: We systematically reviewed the literature to investigate whether gasping could predict short and long outcomes in patients with out of hospital cardiac arrest (OHCA). METHODS: PubMed, Embase, and Cochrane Library were searched for observational studies regarding the prognostic effect of gasping on short and long outcomes in adults with OHCA. The primary outcome was return of spontaneous circulation (ROSC). The secondary outcomes were favorable neurological outcome at discharge or at 30 days after cardiac arrest;long term (≥6 months) survival; initial shockable rhythm...
December 14, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30545389/factors-associated-with-acute-kidney-injury-in-the-helsinki-burn-centre-in-2006-2015
#12
I Rakkolainen, J V Lindbohm, J Vuola
BACKGROUND: Acute kidney injury (AKI) is a common complication in severe burns and can lead to significantly poorer outcomes. Although the prognosis has improved in recent decades, the mortality of AKI remains considerable. We investigated the factors that increase the risk of AKI and death after severe burn injury. METHODS: Intensive care patients with ≥20% burned total body surface area (TBSA%) between January 2006 and December 2015 treated in Helsinki Burn Centre were enrolled retrospectively...
December 13, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30514343/investigating-the-ability-of-non-invasive-measures-of-cardiac-output-to-detect-a-reduction-in-blood-volume-resulting-from-venesection-in-spontaneously-breathing-subjects
#13
Benjamin Mothibe Bussmann, William Hulme, Andrew Tang, Tim Harris
BACKGROUND: Monitoring cardiac output (CO) in shocked patients provides key etiological information and can be used to guide fluid resuscitation to improve patient outcomes. Previously this relied on invasive monitoring, restricting its use in the Emergency Department (ED) setting. The development of non-invasive devices (such as LiDCOrapidv2 with CNAP™ and USCOM 1A), and ultrasound based measurements (Transthoracic echocardiography, inferior vena cava collapsibility index (IVCCI), carotid artery blood flow (CABF) and carotid artery corrected flow time (FTc)) enables stroke volume (SV) and CO to be measured non-invasively in the ED...
December 4, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30466470/ecmo-improves-survival-following-cardiogenic-shock-due-to-carbon-monoxide-poisoning-an-experimental-porcine-model
#14
Carsten Simonsen, Sigridur O Magnusdottir, Jan J Andreasen, Marianne Cathrine Rohde, Benedict Kjærgaard
BACKGROUND: Severe intoxication with carbon monoxide (CO) is extremely lethal and causes numerous deaths due to cardiac or respiratory failure. Conventional intensive treatment may not be sufficient. The aim of this study was to investigate the treatment effect of extracorporeal veno-arterial extracorporeal membrane oxygenation (ECMO) following severe CO poisoning in an experimental porcine model. METHODS: A total of twelve pigs were anaesthetized, routinely monitored and intoxicated by inhalation of CO until the beginning of cardiac failure and randomized to a treatment (ventilator using an FiO2 of 100% or ECMO)...
November 22, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30463625/traumatic-brain-injury-is-associated-with-increased-syndecan-1-shedding-in-severely-injured-patients
#15
Erika Gonzalez Rodriguez, Jessica C Cardenas, Charles S Cox, Ryan S Kitagawa, Jakob Stensballe, John B Holcomb, Pär I Johansson, Charles E Wade
INTRODUCTION: Head injury and exsanguination are the leading causes of death in trauma patients. Hemorrhagic shock triggers systemic endothelial glycocalyx breakdown, potentially leading to traumatic endotheliopathy (EoT). Levels of syndecan-1, a main glycocalyx component, have been used to assess the integrity of the glycocalyx. In TBI patients, it remains unclear whether syndecan-1 shedding occurs and its correlation with outcomes. We aimed to determine the frequency of EoT+, defined as a syndecan-1 level of 40 ng/ml or higher, after TBI in isolated and polytraumatic injury...
November 21, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30458843/seven-years-since-defining-the-top-five-research-priorities-in-physician-provided-pre-hospital-critical-care-what-did-it-lead-to-and-where-are-we-now
#16
EDITORIAL
Kristi G Bache, Marius Rehn, Julian Thompson
No abstract text is available yet for this article.
November 20, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30454067/mortality-of-civilian-patients-with-suspected-traumatic-haemorrhage-receiving-pre-hospital-transfusion-of-packed-red-blood-cells-compared-to-pre-hospital-crystalloid
#17
J E Griggs, J Jeyanathan, M Joy, M Q Russell, N Durge, D Bootland, S Dunn, E D Sausmarez, G Wareham, A Weaver, R M Lyon
BACKGROUND: Major haemorrhage is a leading cause of mortality following major trauma. Increasingly, Helicopter Emergency Medical Services (HEMS) in the United Kingdom provide pre-hospital transfusion with blood products, although the evidence to support this is equivocal. This study compares mortality for patients with suspected traumatic haemorrhage transfused with pre-hospital packed red blood cells (PRBC) compared to crystalloid. METHODS: A single centre retrospective observational cohort study between 1 January 2010 and 1 February 2015...
November 20, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30454016/comment-to-non-specific-complaints-at-emergencydepartment-presentation-result-in-uncleardiagnoses-and-lengthened-hospitalization-a-prospective-observational-study
#18
LETTER
Roland Bingisser, Christian H Nickel
No abstract text is available yet for this article.
November 19, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30454005/factors-determining-level-of-hospital-care-and-its-association-with-outcome-after-resuscitation-from-pre-hospital-pulseless-electrical-activity
#19
Sini Saarinen, Ari Salo, James Boyd, Päivi Laukkanen-Nevala, Catharina Silfvast, Ilkka Virkkunen, Tom Silfvast
BACKGROUND: Patients resuscitated from out-of-hospital cardiac arrest (OHCA) with pulseless electrical activity (PEA) as initial cardiac rhythm are not always treated in intensive care units (ICUs): some are admitted to high dependency units with various level of care, others to ordinary wards. Aim of this study was to describe the factors determining level of hospital care after OHCA with PEA, post-resuscitation care and survival. METHODS: Adult OHCA patients with PEA (n = 221), who were resuscitated in southern Finland between 2010 and 2013 were included, provided patient survived to hospital admission...
November 19, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30445986/the-role-of-a-checklist-for-assessing-the-quality-of-basic-life-support-performance-an-observational-cohort-study
#20
Johanna van Dawen, Lina Vogt, Hanna Schröder, Rolf Rossaint, Lina Henze, Stefan K Beckers, Saša Sopka
BACKGROUND: Training lay rescuers in Basic Life Support (BLS) is essential to improve bystander cardiopulmonary resuscitation (CPR) rates; in addition, simple methods are needed to provide feedback on CPR performance. This study evaluated whether a simple observational checklist can be used by BLS instructors to adequately measure the quality of BLS performance as an alternative to other feedback devices. METHODS: The BLS performances of 152 first-year medical students (aged 21...
November 16, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
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