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https://www.readbyqxmd.com/read/27142996/pediatric-use-of-emergency-medical-services-the-role-of-chronic-illnesses-and-behavioral-health-problems
#1
Amy R Knowlton, Brian Weir, Julie Fields, Gerald Cochran, Junette McWilliams, Lawrence Wissow, Benjamin J Lawner
OBJECTIVE: The increasing use of prehospital emergency medical services (EMS) and its contribution to rising emergency department use and healthcare costs point to the need for better understanding factors associated with EMS use to inform preventive interventions. Understanding patient factors associated with pediatric use of EMS will inform pediatric-specific intervention. We examined pediatric patient demographic and health factors associated with one-time and repeat use of EMS. METHODS: We reviewed data from Baltimore City Fire Department EMS patient records over a 23-month period (2008-10) for patients under 21 years of age (n = 24,760)...
May 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/26808233/2015-pediatric-research-priorities-in-prehospital-care
#2
Lorin R Browne, Manish I Shah, Jonathan R Studnek, Brittany M Farrell, Linda M Mattrisch, Stacy Reynolds, Daniel G Ostermayer, David C Brousseau, E Brooke Lerner
BACKGROUND: Pediatric prehospital research has been limited, but work in this area is starting to increase particularly with the growth of pediatric-specific research endeavors. Given the increased interest in pediatric prehospital research, there is a need to identify specific research priorities that incorporate the perspective of prehospital providers and other emergency medical services (EMS) stakeholders. OBJECTIVES: To develop a list of specific research priorities that is relevant, specific, and important to the practice of pediatric prehospital care...
May 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/26058121/accidental-methadone-intoxication-masquerading-as-asthma-exacerbation-with-respiratory-arrest-in-a-six-year-old-boy
#3
Orel Swenson
A 6-year-old boy is brought to the emergency department of a level 1 trauma center by emergency medical services (EMS) for presumed asthma exacerbation with subsequent unresponsiveness and transient bradycardia. The initial physician exam was remarkable for an unresponsive child, with diffusely diminished breath sounds bilaterally, accompanied by diffuse wheezing, as well as pinpoint pupils. This last observation led to the recommendation to attempt a dose of naloxone for a possible overdose prior to proceeding with intubation for the altered mental status...
May 2015: Delaware Medical Journal
https://www.readbyqxmd.com/read/25844821/lansoprazole-is-associated-with-worsening-asthma-control-in-children-with-the-cyp2c19-poor-metabolizer-phenotype
#4
RANDOMIZED CONTROLLED TRIAL
Jason E Lang, Janet T Holbrook, Edward B Mougey, Christine Y Wei, Robert A Wise, W Gerald Teague, John J Lima
RATIONALE: Gastric acid blockade in children with asymptomatic acid reflux has not improved asthma control in published studies. There is substantial population variability regarding metabolism of and response to proton pump inhibitors based on metabolizer phenotype. How metabolizer phenotype affects asthma responses to acid blockage is not known. OBJECTIVES: To determine how metabolizer phenotype based on genetic analysis of CYP2C19 affects asthma control among children treated with a proton pump inhibitor...
June 2015: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/25753282/factors-affecting-ambulance-utilization-for-asthma-attack-treatment-understanding-where-to-target-interventions
#5
L H Raun, K B Ensor, L A Campos, D Persse
OBJECTIVES: Asthma is a serious, sometimes fatal condition, in which attacks vary in severity, potentially requiring emergency medical services (EMS) ambulance treatment. A portion of asthma attacks requiring EMS ambulance treatment may be prevented with improved education and access to care. The aim of this study was to identify areas of the city with high rates of utilization of EMS ambulance for treatment, and the demographics, socio-economic status, and time of day associated with these rates, to better target future interventions to prevent emergencies and reduce cost...
May 2015: Public Health
https://www.readbyqxmd.com/read/25658967/prehospital-pediatric-care-opportunities-for-training-treatment-and-research
#6
Patrick C Drayna, Lorin R Browne, Clare E Guse, David C Brousseau, E Brooke Lerner
OBJECTIVE: Pediatric transports comprise approximately 10% of emergency medical services (EMS) requests for aid, but little is known about the clinical characteristics of pediatric EMS patients and the interventions they receive. Our objective was to describe the pediatric prehospital patient cohort in a large metropolitan EMS system. METHODS: This retrospective analysis of all pediatric (age <19 years) EMS patients transported from October 2011 to September 2013 was conducted by reviewing a system-wide National EMS Information System (NEMSIS)-compliant database of all EMS patient encounters...
July 2015: Prehospital Emergency Care
https://www.readbyqxmd.com/read/24638779/evaluation-of-human-lungs-from-category-1-non-heart-beating-donors-nhbds-with-ex-vivo-lung-perfusion-evlp-in-the-u-s
#7
Thomas Egan, John Blackwell, Lolita Forrest, William Simmons, Katherine Birchard, William Funkhouser, Boming Dong, Staci Beamer, Sheakar Reddy, J Brent Meyers, Michael Bachman, Nissa Casey, Ginger Delario, Danielle Niedfeldt
SESSION TITLE: Transplantation PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: We developed a protocol to procure human lungs from victims of cardiac arrest in an urban county in North Carolina by co-operation with Emergency Medical Services (EMS), our organ procurement organization (OPO), and our hospital, and evaluate them for transplant suitability with EVLP (XVIVO™). METHODS: Over 2 months, EMS identified 4 potential NHBDs for lung retrieval...
March 1, 2014: Chest
https://www.readbyqxmd.com/read/24496341/asthma-control-in-obesity-associated-asthma-phenotype-in-east-croatia
#8
Marina Labor, Sanja Popović-Grle, Slavica Labor, Iva Jurić
AIM: To determine if obese asthmatics represent a distinct clinical phenotype than non-obese and the level of asthma control in obese asthmatics. METHODS: The study was conducted in the pulmonary clinic of the Department of Pulmonary Diseases, Osijek University Hospital Centre during 201, on 201 outpatients with asthma, who came to a regular examination. Each patient underwent a clinical examination with an extensive anamnesis and lung auscultation. During the examinationIanninternally made questionnaire, spirometry, fractional exhaled nitric oxide (FeNO), Asthma Control Test and Asthma Control Questionnaire were used to estimate the level of asthma control, wheread the Hospital Anxiety and Depression scale was used to estimate the presence of mood disorderd...
February 2014: Medicinski Glasnik
https://www.readbyqxmd.com/read/24308071/new-program-set-to-intervene-to-prevent-readmissions-repeat-ed-visits-due-to-acute-exacerbations-of-asthma
#9
(no author information available yet)
Faculty at Indiana University School of Medicine are set to launch a community paramedicine program aimed at preventing repeat hospital and ED visits for acute exacerbations of asthma in children. Under the program, all children who are treated in the hospital or ED for asthma will receive home visits by specially trained paramedics within a few days of discharge. Paramedics will conduct a comprehensive assessment and make referrals as necessary for followup care. Nearly 30% of children who have been hospitalized for asthma require readmission to the hospital not long after discharge, and as many as 25% of children who have been treated in the ED for asthma will return to the ED within 30 days for another asthma-related visit...
December 2013: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/24238312/patient-demographic-and-health-factors-associated-with-frequent-use-of-emergency-medical-services-in-a-midsized-city
#10
Amy Knowlton, Brian W Weir, Brenna S Hughes, R J Hunter Southerland, Cody W Schultz, Ravi Sarpatwari, Lawrence Wissow, Jonathan Links, Julie Fields, Junette McWilliams, Wade Gaasch
OBJECTIVES: To optimize health care utilization, health outcomes, and costs, research is needed to improve an understanding of frequent users of emergency health services. Frequent use of emergency services is associated with high costs of health care and may be indicative of challenges accessing, or poor outcomes of, health care. Patient demographics and health factors related to frequent use of the emergency medical services (EMS) system of a midsized city were identified. Study findings will aid in the development of targeted interventions to improve population health...
November 2013: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/24134593/characteristics-of-the-pediatric-patients-treated-by-the-pediatric-emergency-care-applied-research-network-s-affiliated-ems-agencies
#11
MULTICENTER STUDY
E Brooke Lerner, Peter S Dayan, Kathleen Brown, Susan Fuchs, Julie Leonard, Dominic Borgialli, Lynn Babcock, John D Hoyle, Maria Kwok, Kathleen Lillis, Lise E Nigrovic, Prashant Mahajan, Alexander Rogers, Hamilton Schwartz, Joyce Soprano, Nicholas Tsarouhas, Samuel Turnipseed, Tomohiko Funai, George Foltin
OBJECTIVE: To describe pediatric patients transported by the Pediatric Emergency Care Applied Research Network's (PECARN's) affiliated emergency medical service (EMS) agencies and the process of submitting and aggregating data from diverse agencies. METHODS: We conducted a retrospective analysis of electronic patient care data from PECARN's partner EMS agencies. Data were collected on all EMS runs for patients less than 19 years old treated between 2004 and 2006...
January 2014: Prehospital Emergency Care
https://www.readbyqxmd.com/read/24028748/pediatric-anaphylaxis-management-in-the-prehospital-setting
#12
Gunjan Kamdar Tiyyagura, Linda Arnold, David C Cone, Melissa Langhan
PURPOSE: Anaphylaxis is a life-threatening systemic allergic reaction that occurs after contact with an allergy-causing substance. Timely administration of intramuscular epinephrine is the treatment of choice for controlling symptoms and decreasing fatalities. Our purpose was to investigate the prehospital management of anaphylaxis among patients receiving care in an urban tertiary care pediatric emergency department (PED). METHODS: We performed a retrospective chart review from May 2008 to January 2010 of patients 18 years or younger who received care in the PED for anaphylaxis...
January 2014: Prehospital Emergency Care
https://www.readbyqxmd.com/read/23623526/association-of-cyp2c19-polymorphisms-and-lansoprazole-associated-respiratory-adverse-effects-in-children
#13
RANDOMIZED CONTROLLED TRIAL
John J Lima, Jason E Lang, Edward B Mougey, Kathryn B Blake, Yan Gong, Janet T Holbrook, Robert A Wise, W G Teague
OBJECTIVE: To determine whether cytochrome P450 (CYP)2C19 haplotype associates with lansoprazole-associated adverse event frequency. STUDY DESIGN: Respiratory adverse events from a clinical trial of lansoprazole in children with asthma were analyzed for associations with extensive or poor metabolizer (PM) phenotype based on CYP2C19 haplotypes. Carriers of CYP2C19*2, *3, *8, or *9 alleles were PMs; carriers of 2 wild-type alleles were extensive metabolizers (EMs)...
September 2013: Journal of Pediatrics
https://www.readbyqxmd.com/read/23393774/the-dark-side-of-airway-management-forensic-cases-in-ems-advanced-airway-management
#14
Paul A Werfel
No abstract text is available yet for this article.
January 2013: EMS World
https://www.readbyqxmd.com/read/22856233/the-prevalence-and-pulmonary-consequences-of-anxiety-and-depressive-disorders-in-patients-with-asthma
#15
Slavica Labor, Marina Labor, Iva Jurić, Zeljka Vuksić
The aim of this study was to determine the prevalence of anxiety and depression symptoms in outpatients with treated asthma and to determine the influence of anxiety and depression symptoms on lung function and asthma symptoms. The study was conducted in the pulmonary clinic of the Department of Pulmonary Diseases, Osijek University Hospital Centre, on 200 outpatients with asthma, aged 18-50 years, of which there were 65.5% women and 35.5% men. Each patient underwent a clinical examination with an extensive anamnesis and lung auscultation...
June 2012: Collegium Antropologicum
https://www.readbyqxmd.com/read/22191942/low-fractional-oxygen-concentration-continuous-positive-airway-pressure-is-effective-in-the-prehospital-setting
#16
COMPARATIVE STUDY
Bryan E Bledsoe, Eric Anderson, Ryan Hodnick, Larry Johnson, Steven Johnson, Eric Dievendorf
OBJECTIVE: The objective of this study was to determine the effects of low-fractional concentration of inspired oxygen (FiO(2)) continuous positive airway pressure (CPAP) in prehospital noninvasive ventilation (NIV). With increasing concerns about the detrimental effects of hyperoxia, we sought to determine whether CPAP using a low FiO(2) (28%-30%) was effective in the prehospital setting. METHODS: The study was a six-month prospective, nonblinded observational study conducted in a large, busy urban emergency medical services (EMS) system (Las Vegas, NV)...
April 2012: Prehospital Emergency Care
https://www.readbyqxmd.com/read/22191727/can-nebulized-naloxone-be-used-safely-and-effectively-by-emergency-medical-services-for-suspected-opioid-overdose
#17
Joseph M Weber, Katie L Tataris, Joyce D Hoffman, Steven E Aks, Mark B Mycyk
BACKGROUND: Emergency medical services (EMS) traditionally administer naloxone using a needle. Needleless naloxone may be easier when intravenous (IV) access is difficult and may decrease occupational blood-borne exposure in this high-risk population. Several studies have examined intranasal naloxone, but nebulized naloxone as an alternative needleless route has not been examined in the prehospital setting. OBJECTIVE: We sought to determine whether nebulized naloxone can be used safely and effectively by prehospital providers for patients with suspected opioid overdose...
April 2012: Prehospital Emergency Care
https://www.readbyqxmd.com/read/21918826/-acupuncture-in-emergency-medicine-results-of-a-case-series
#18
J Fleckenstein, J Schottdorf, U Kreimeier, D Irnich
BACKGROUND: Acupuncture (AP) might be indicated in emergency medicine. This case series was performed to demonstrate the practicability and possible effects of AP in emergency medical services (EMS) as a basis for randomized controlled trials (RCT). SUBJECTS AND METHODS: A total of 60 patients (average age 55.4±23.0 years, 57% female) treated by the EMS received AP if applicable. Main outcome parameter was to rate the symptom alleviating effect of acupuncture treatment on a 4-point scale or by VAS...
September 2011: Der Anaesthesist
https://www.readbyqxmd.com/read/21783315/out-of-hospital-cardiac-arrests-in-young-adults-in-melbourne-australia-adding-coronial-data-to-a-cardiac-arrest-registry
#19
C Deasy, J E Bray, K Smith, L R Harriss, S A Bernard, P Cameron
AIM: We aim to describe the coronial findings of young adults where the out-of-hospital cardiac arrest (OHCA) aetiology was 'presumed cardiac'. METHODS: Presumed cardiac aetiology OHCAs occurring in young adults aged 16-39 years were identified using the Victorian Ambulance Cardiac Arrest Registry (VACAR) and available coronial findings reviewed. RESULTS: We identified 841 young adult OHCAs where the Utstein aetiology was 'presumed cardiac'...
October 2011: Resuscitation
https://www.readbyqxmd.com/read/21521036/utilization-of-emergency-medical-services-in-a-large-urban-area-description-of-call-types-and-temporal-trends
#20
Kevin G Munjal, Robert A Silverman, John Freese, James D Braun, Bradley J Kaufman, Douglas Isaacs, Andrew Werner, Mayris Webber, Charles B Hall, David J Prezant
BACKGROUND: Emergency medical services (EMS) systems are used by the public for a range of medically related problems. OBJECTIVE: To understand and analyze the patterns of EMS utilization and trends over time in a large urban EMS system so that we may better direct efforts toward improving those services. METHODS: The 63 call type designations from all New York City (NYC) 9-1-1 EMS calls between 1999 and 2007 were obtained and grouped into 10 broad and 30 specific medical categories...
July 2011: Prehospital Emergency Care
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