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https://www.readbyqxmd.com/read/27918864/comparison-of-emergency-medical-services-and-trauma-care-systems-among-pan-asian-countries-an-international-multicenter-population-based-survey
#1
Kyong Min Sun, Kyoung Jun Song, Sang Do Shin, Hideharu Tanaka, Goh E Shaun, Wen-Chu Chiang, Kentaro Kajino, Sabariah Faizah Jamaluddin, Akio Kimura, Young Sun Ro, Dae Han Wi, Ju Ok Park, Sung Woo Moon, Young Hee Jung, Min Jung Kim, James F Holmes
OBJECTIVE: Knowledge on the current trauma systems in Asian countries is limited. The objective of this study was to describe the emergency medical services (EMS) and trauma care systems among countries participating in the Pan-Asian Trauma Outcomes Study (PATOS) Clinical Research Network. METHODS: The PATOS network consists of 33 participating sites from 14 countries. Standardized data was collected from each site using an EMS survey form and included general information (population, population density, urbanization, EMS service fee, etc...
December 5, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27912778/medical-priority-dispatch-codes-comparison-with-national-early-warning-score
#2
Marko Hoikka, Sami Länkimäki, Tom Silfvast, Tero I Ala-Kokko
BACKGROUND: In Finland, calls for emergency medical services are prioritized by educated non-medical personnel into four categories-from A (highest risk) to D (lowest risk)-following a criteria-based national dispatch protocol. Discrepancies in triage may result in risk overestimation, leading to inappropriate use of emergency medical services units and to risk underestimation that can negatively impact patient outcome. To evaluate dispatch protocol accuracy, we assessed association between priority assigned at dispatch and the patient's condition assessed by emergency medical services on the scene using an early warning risk assessment tool...
December 3, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27856240/time-delays-to-reach-dispatch-centres-in-different-regions-in-europe-are-we-losing-the-window-of-opportunity-the-eurocall-study
#3
Nikolaos Nikolaou, Maaret Castren, Koenraad G Monsieurs, Diana Cimpoesu, Marios Georgiou, Violetta Raffay, Rudolph Koster, Silvija Hunyadi-Antičević, Anatolij Truhlar, Leo Bossaert
AIM: In out of hospital cardiac arrest (OHCA) a single rescuer should start with Cardiopulmonary Resuscitation (CPR) immediately after calling the Emergency Medical Communication Centre (EMCC). The start of CPR may be delayed considerably if the total time to connect to the dispatcher at the EMCC (TT-EMCC) is prolonged. EUROCALL aimed to investigate the TT-EMCC and its components in several European regions using different calling procedures. METHODS: EUROCALL is a prospective, multicentre randomised study that was performed in April 2013...
November 14, 2016: Resuscitation
https://www.readbyqxmd.com/read/27843347/the-danish-quality-database-for-prehospital-emergency-medical-services
#4
REVIEW
Erika Frischknecht Christensen, Peter Anthony Berlac, Henrik Nielsen, Christian Fynbo Christiansen
AIM OF DATABASE: The aim of the Danish quality database for prehospital emergency medical services (QEMS) is to assess, monitor, and improve the quality of prehospital emergency medical service care in the entire prehospital patient pathway. The aim of this review is to describe the design and the implementation of QEMS. STUDY POPULATION: The study population consists of all "112 patient contacts" defined as emergency patients, where the entrance to health care is a 112 call forwarded to one of the five regional emergency medical coordination centers in Denmark since January 1, 2014...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27806518/a-comprehensive-analysis-of-dispatching-of-traumatic-brain-injuries-in-the-fifth-period-at-the-rajaie-hospital-in-ghachsaran
#5
Abouzar Alidadi, Rooholah Zaboli, Razzagh Abedi, Mohammad Reza Soltanizarandi
INTRODUCTION: Increasing car accidents in young group and head-stroke mechanisms in developing countryis are the main cause of brain lesions and injuries related to trauma, so that traumatic severe brain lesions and injuries and uncontrollable hemorrhage are the major cause of mortality and morbidity due to trauma. Statistical analysis and factors along with main injuries can give us useful information in the field of injury management, patient dispatching management, proper scheduling, and patients dispatching to appropriate centers...
July 25, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27793995/identifying-patients-at-risk-for-pre-hospital-sudden-cardiac-arrest-at-the-early-phase-of-myocardial-infarction-the-e-must-study
#6
Nicole Karam, Sophie Bataille, Eloi Marijon, Olivier Giovanetti, Muriel Tafflet, Dominique Savary, Hakim Benamer, Christophe Caussin, Philippe Garot, Jean-Michel Juliard, Virginie Pires, Thévy Boche, François Dupas, Gaelle Lebail, Lionel Lamhaut, François-Xavier Laborne, Hugues Lefort, Mireille B Mapouata, Frédéric Lapostolle, Christian Spaulding, Jean-Philippe Empana, Xavier Jouven, Yves Lambert
BACKGROUND: -In-hospital mortality of ST-Segment Elevation Myocardial Infarction (STEMI) has decreased drastically. In contrast pre-hospital mortality by Sudden Cardiac Arrest (SCA) remains high and difficult to reduce. Identification of the STEMI patients at higher risk for pre-hospital SCA could facilitate rapid triage and intervention in the field. METHODS: - Using a prospective population-based study evaluating all STEMI patients managed by Emergency Medical Services (EMS) in the Greater Paris Area (11...
October 28, 2016: Circulation
https://www.readbyqxmd.com/read/27785135/determinants-of-unfavorable-prognosis-for-out-of-hospital-sudden-cardiac-arrest-in-bielsko-biala-district
#7
Dariusz Gach, Jolanta U Nowak, Łukasz J Krzych
INTRODUCTION: The prognosis in out-of-hospital sudden cardiac arrest (OHCA) remains unfavorable and depends on a number of demographic and clinical variables, the reversibility of its causes and its mechanisms. AIM: To investigate the risk factors of prehospital death in patients with OHCA in Bielsko County. MATERIAL AND METHODS: The study analyzed all dispatch cards of the National Emergency Medical Services (EMS) teams in Bielsko-Biala for the year 2013 (n = 23 400)...
September 2016: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
https://www.readbyqxmd.com/read/27770712/effects-of-noise-on-telephone-calls-to-the-madrid-regional-medical-emergency-service-summa-112
#8
Rocío Carmona, Cristina Linares, Cristina Ortiz, Blanca Vázquez, Julio Díaz
BACKGROUND: Although the effects of noise on population morbidity and mortality have been observed both in the short and long term, the morbidity and mortality indicators used to date have not enabled information on such health effects to be accessed in real time. At an international level, there are relatively few studies, mostly recent, which have considered an alternative indicator, such as the demand for medical attention provided by emergency services, taking into account environmental factors other than noise...
January 2017: Environmental Research
https://www.readbyqxmd.com/read/27768861/factors-impacting-upon-timely-and-adequate-allocation-of-prehospital-medical-assistance-and-resources-to-cardiac-arrest-patients
#9
Camilla Hardeland, Kjetil Sunde, Helge Ramsdal, Susan R Hebbert, Linda Soilammi, Fredrik Westmark, Fredrik Nordum, Andreas E Hansen, Jon E Steen-Hansen, Theresa M Olasveengen
AIM: Explore, understand and address issues that impact upon timely and adequate allocation of prehospital medical assistance and resources to out-of-hospital cardiac arrest (OHCA) patients. METHODS: Mixed-methods design obtaining data for one year in three emergency medical communication centres (EMCC); Oslo-Akershus (OA), Vestfold-Telemark (VT) and Østfold (Ø). Data collection included quantitative data from analysis of dispatch logs, ambulance records and audio files...
December 2016: Resuscitation
https://www.readbyqxmd.com/read/27755329/descriptive-correlates-of-urban-pediatric-violent-injury-using-emergency-medical-service-patient-level-data
#10
Jennifer D H Walthall, Aaron Burgess, Elizabeth Weinstein, Charles Miramonti, Thomas Arkins, Sarah Wiehe
OBJECTIVE: This study aimed to describe spatiotemporal correlates of pediatric violent injury in an urban community. METHODS: We performed a retrospective cohort study using patient-level data (2009-2011) from a novel emergency medical service computerized entry system for violent injury resulting in an ambulance dispatch among children aged 0 to 16 years. Assault location and patient residence location were cleaned and geocoded at a success rate of 98%. Distances from the assault location to both home and nearest school were calculated...
October 17, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27752635/a-study-on-the-disaster-medical-response-during-the-mauna-ocean-resort-gymnasium-collapse
#11
Myeong-Il Cha, Gi Woon Kim, Chu Hyun Kim, Minhong Choa, Dai Hai Choi, Inbyung Kim, Soon Joo Wang, In Sool Yoo, Han Deok Yoon, Kang Hyun Lee, Suck Ju Cho, Tag Heo, Eun Seog Hong
OBJECTIVE: To investigate and document the disaster medical response during the Gyeongju Mauna Ocean Resort gymnasium collapse on February 17, 2014. METHODS: Official records of each institution were verified to select the study population. All the medical records and emergency medical service run sheets were reviewed by an emergency physician. Personal or telephonic interviews were conducted, without a separate questionnaire, if the institutions or agencies crucial to disaster response did not have official records or if information from different institutions was inconsistent...
September 2016: Clin Exp Emerg Med
https://www.readbyqxmd.com/read/27748215/do-neighbourhoods-in-vancouver-and-surrounding-areas-demonstrate-different-rates-of-bystander-cpr-and-survival-for-out-of-hospital-cardiac-arrest
#12
David Barbic, Brian Klinkenberg, Brian Grunau, Jim Christenson
OBJECTIVE: No prior work exists examining the relation between the geographic distribution of out-of-hospital cardiac arrest (OHCA) in the city of Vancouver and surrounding areas that may exhibit a clustering of cases. The primary objective of this study was to describe the distribution of OHCA within the Vancouver Coastal Health region using a geographic information system (GIS) analysis and appropriate statistical analyses. METHODS: This study was a post-hoc GIS-based analysis of OHCA patients in the city of Vancouver and surrounding areas, using data collected by the Resuscitation Outcomes Consortium between September 2007 and December 2011...
October 17, 2016: CJEM
https://www.readbyqxmd.com/read/27740863/prevalence-of-driver-physical-factors-leading-to-unintentional-lane-departure-crashes
#13
Jessica B Cicchino, David S Zuby
OBJECTIVE: Some lane-keeping assist systems in development and production provide autonomous braking and steering to correct unintentional lane drift but otherwise require drivers to fully control their vehicles. The goal of this study was to quantify the proportion of drivers involved in unintentional lane drift crashes who would be unable to regain control of their vehicles to inform the design of such systems. METHODS: The National Highway Traffic Safety Administration's National Motor Vehicle Crash Causation Survey collected in-depth, on-scene data for a nationally representative sample of 5,470 U...
October 14, 2016: Traffic Injury Prevention
https://www.readbyqxmd.com/read/27737641/dispatch-guideline-adherence-and-response-interval-a-study-of-emergency-medical-calls-in-norway
#14
Eirin N Ellensen, Torben Wisborg, Steinar Hunskaar, Erik Zakariassen
BACKGROUND: The Emergency Medical Communication Centre (EMCC) operators in Norway report using the Norwegian Index for Medical Emergency Assistance (Index), a criteria-based dispatch guideline, in about 75 % of medical emergency calls. The main purpose of a dispatch guideline is to assist the operator in securing a correct response as quickly as possible. The effect of using the guideline on EMCC response interval is as yet unknown. We wanted to ascertain an objective measure of guideline adherence, and explore a possible effect on emergency medical dispatch (EMD) response interval...
October 13, 2016: BMC Emergency Medicine
https://www.readbyqxmd.com/read/27718162/impact-of-the-use-of-regional-poison-control-centers-in-an-urban-ems-dispatch-system
#15
Michael Levine, John Flores, Seth A Seabury, Stephen Sanko, Marc Eckstein
BACKGROUND: The public commonly calls 911 for unintentional ingestions, rather than calling the local poison center. By utilizing a series of scripted questions, 911 dispatchers in Los Angeles determine if an ingestion meets "omega-1" classification. Under such circumstances, the regional poison center is contacted prior to dispatch of paramedics. If the poison center advises that the patient can remain at home, EMS is not dispatched and the patient is followed at home by the poison center...
October 7, 2016: Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology
https://www.readbyqxmd.com/read/27690289/emergency-medical-dispatchers-can-obtain-accurate-pediatric-weights-from-9-1-1-callers
#16
Todd Chassee, Diann Reischmann, Michael Mancera, John D Hoyle
BACKGROUND: Prehospital pediatric drug dosing errors affect 56,000 U.S. children annually. An accurate weight is the first step in accurate dosing. To date, the accuracy of Emergency Medical Dispatcher (EMD) obtained weights has not been evaluated. We hypothesized that EMD could obtain accurate pediatric weights. METHODS: We used a convenience sample of patients 12 years and younger that were transported by EMS to one children's hospital. EMD obtained patient weight (DW) from the 9-1-1 caller...
September 30, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27689248/trends-and-predictors-of-limb-tourniquet-use-by-civilian-emergency-medical-services-in-the-united-states
#17
Mazen J El Sayed, Hani Tamim, Aurelie Mailhac, N Clay Mann
BACKGROUND: Tourniquet use by Emergency Medical Services (EMS) can be life saving for severely injured patients. The adoption of this intervention is not well described in civilian settings. This study describes patterns and trends of tourniquet use by civilian EMS and identifies predictors of such use. METHODS: A retrospective study of four consecutive releases of the U.S. National Emergency Medical Services Information System (NEMSIS) public research dataset (2011-14) was conducted...
September 30, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27665488/effect-of-dispatcher-assisted-cardiopulmonary-resuscitation-program-and-location-of-out-of-hospital-cardiac-arrest-on-survival-and-neurologic-outcome
#18
Young Sun Ro, Sang Do Shin, Yu Jin Lee, Seung Chul Lee, Kyoung Jun Song, Hyun Wook Ryoo, Marcus Eng Hock Ong, Bryan McNally, Bentley Bobrow, Hideharu Tanaka, Helge Myklebust, Tonje Søraas Birkenes
STUDY OBJECTIVE: We study the effect of a nationwide dispatcher-assisted cardiopulmonary resuscitation (CPR) program on out-of-hospital cardiac arrest outcomes by arrest location (public and private settings). METHODS: All emergency medical services (EMS)-treated adults in Korea with out-of-hospital cardiac arrests of cardiac cause were enrolled between 2012 and 2013, excluding cases witnessed by EMS providers and those with unknown outcomes. Exposure was bystander CPR categorized into 3 groups: bystander CPR with dispatcher assistance, bystander CPR without dispatcher assistance, and no bystander CPR...
September 18, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27660757/dare-train-the-trainer-pedagogy-development-using-2-round-delphi-methodology
#19
Wei Wei Dayna Yong, Phek Hui Jade Kua, Swee Sung Soon, Pin Pin Maeve Pek, Marcus Eng Hock Ong
The Dispatcher-Assisted first REsponder programme aims to equip the public with skills to perform hands-only cardiopulmonary resuscitation (CPR) and to use an automated external defibrillator (AED). By familiarising them with instructions given by a medical dispatcher during an out-of-hospital cardiac arrest call, they will be prepared and empowered to react in an emergency. We aim to formalise curriculum and standardise the way information is conveyed to the participants. A panel of 20 experts were chosen...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27659897/effectiveness-and-cost-effectiveness-of-telephone-consultations-for-fever-or-gastroenteritis-using-a-formalised-procedure-in-general-practice-study-protocol-of-a-cluster-randomised-controlled-trial
#20
Paul-Georges Reuter, Thibaut Desmettre, Sabine Guinemer, Olivier Ducros, Stéphane Begey, Agnès Ricard-Hibon, Laurianne Billier, Océane Grignon, Isabelle Megy-Michoux, Jean-Noël Latouff, Adeline Sourbes, Julien Latier, Isabelle Durand-Zaleski, Frédéric Lapostolle, Eric Vicaut, Frédéric Adnet
BACKGROUND: Telephone consultations in general practice are on the increase. However, data on their efficiency in terms of out-of-hours general practitioner (GP) workload, visits to hospital emergency departments (ED), cost, patient safety and satisfaction are relatively scant. The aim of this trial is to assess the effectiveness of telephone consultations provided by French emergency call centres in patients presenting with isolated fever or symptoms of gastroenteritis, mainly encountered diseases...
2016: Trials
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