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Keywords Ambulance need for transport c...

Ambulance need for transport criteria

https://read.qxmd.com/read/38381432/site-of-ambulance-origination-and-billing-for-out-of-network-services
#1
JOURNAL ARTICLE
Jung Ho Gong, Chao Long Azad, Gongliang Zhang, Kenneth R Means, Oluseyi Aliu, Aviram M Giladi
IMPORTANCE: The No Surprises Act implemented in 2022 aims to protect patients from surprise out-of-network (OON) bills, but it does not include ground ambulance services. Understanding ground ambulance OON and balance billing patterns from previous years could guide legislation aimed to protect patients following ground ambulance use. OBJECTIVE: To characterize OON billing from ground ambulance services by evaluating whether OON billing risk differs by the site of ambulance origination (home, hospital, nonhospital medical facility, or scene of incident)...
February 5, 2024: JAMA Network Open
https://read.qxmd.com/read/38006762/context-independent-identification-of-myocardial-ischemia-in-the-prehospital-ecg-of-chest-pain-patients
#2
REVIEW
Cees A Swenne, C Cato Ter Haar
Non-traumatic chest pain is a frequent reason for an urgent ambulance visit of a patient by the emergency medical services (EMS). Chest pain (or chest pain-equivalent symptoms) can be innocent, but it can also signal an acute form of severe pathology that may require prompt intervention. One of these pathologies is cardiac ischemia, resulting from a disbalance between blood supply and demand. One cause of a diminished blood supply to the heart is acute coronary syndrome (ACS, i.e., cardiac ischemia caused by a reduced blood supply to myocardial tissue due to plaque instability and thrombus formation in a coronary artery)...
2024: Journal of Electrocardiology
https://read.qxmd.com/read/37996186/the-value-of-physicians-as-part-of-a-helicopter-emergency-medical-services-crew-a-review
#3
REVIEW
Maria Kaisler, Calloway Pichette, Patrick Popieluszko, Frank Tift, Kaori Tanaka
OBJECTIVE: The benefit and utility of a physician on a US-based air ambulance is an often-debated topic in the prehospital setting. There remains the question of what, if any, effect a physician crewmember has on patient outcome. Our goal was to assess the literature to date and determine if there exists a benefit to staffing air ambulances with physicians. METHODS: PubMed and Cochrane databases were searched for English language studies from 1980 to 2020 using the terms "flight physician" and "physician-staffed helicopter...
2023: Air Medical Journal
https://read.qxmd.com/read/37643171/non-1st-seizure-was-less-severe-than-1st-seizure-with-non-urgent-level-among-suspected-seizures-transferred-by-ambulance
#4
JOURNAL ARTICLE
Yotaro Asano, Ayataka Fujimoto, Keisuke Hatano, Keishiro Sato, Takahiro Atsumi, Hideo Enoki, Tohru Okanishi
BACKGROUND: To prioritize emergency medical calls for ambulance transport for patients with suspected seizures, information about whether the event is their 1st or non-1st seizure is important. However, little is known about the difference between 1st and non-1st seizures in terms of severity. We hypothesized that patients transferred multiple times (≥2 times) would represent a milder scenario than patients on their first transfer. The purpose of this study was to compare patients with suspected seizures on 1st transfer by ambulance and patients who had been transferred ≥2 times...
2023: PloS One
https://read.qxmd.com/read/37572693/which-method-of-transportation-is-associated-with-better-outcomes-for-patients-with-firearm-injuries-to-the-head-and-neck
#5
JOURNAL ARTICLE
Dina Amin, Andrew J Manhan, Ezra Pak-Harvey, Steven M Roser, Randi N Smith, Shelly Abramowicz
BACKGROUND: In firearm injuries (FI), rapid transportation is important for survival. Information regarding different methods of transportation for head and neck FI is limited. PURPOSE: The purpose of the study was to measure the association between method of transportation and the need for tracheostomy and/or intensive care unit (ICU). STUDY DESIGN, SETTING, SAMPLE: This retrospective cross-sectional study reviewed patients in Trauma Registry at Grady Memorial Hospital (GMH) in Atlanta, Georgia, from January 2016 to June 2021...
July 24, 2023: Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/37406174/survival-benefit-of-helicopter-scene-response-for-patients-with-an-injury-severity-score-of-at-least-nine-a-systematic-review-and-meta-analysis
#6
JOURNAL ARTICLE
Christie L Fritz, Sarah Alice Thomas, Samuel M Galvagno, Stephen H Thomas
BACKGROUND AND AIM: Helicopter EMS (HEMS) is a well-established mode of rapid transportation for patients with need for time-sensitive interventions, especially in patients with significant traumatic injuries. Traditionally in the setting of trauma, HEMS is often considered appropriate when used for patients with "severe" injury as defined by Injury Severity Score (ISS) >15. This may be overly conservative, and patients with a lower ISS may benefit from HEMS-associated speed or care quality...
July 18, 2023: Prehospital Emergency Care
https://read.qxmd.com/read/37362545/clinical-roles-in-the-medical-communications-centre-a-rapid-scoping-review
#7
REVIEW
Jennifer A Greene, Judah Goldstein, Jeffrey Stirling, Janel M Swain, Ryan Brown, Jennifer McVey, Alix Carter
In recent years, 911 call volumes have increased, and emergency medical services (EMS) are routinely stretched beyond capacity. To better match resources with patient needs, some EMS systems have integrated clinician roles into the emergency medical communications centre (MCC). Our objective was to explore the nature and scope of clinical roles in emergency MCCs. Using a rapid scoping review methodology, we searched PubMed for studies related to any clinical role employed within an emergency MCC. We accepted reviews, experimental and observational designs, as well as expert opinions...
May 2023: Curēus
https://read.qxmd.com/read/36692384/teleems-an-ems-telemedicine-pilot-program-barriers-to-implementation
#8
JOURNAL ARTICLE
Lindsay R Jaeger, Michael P McCartin, Ameera Haamid, Joseph M Weber, Katie L Tataris
INTRODUCTION: In response to the COVID-19 pandemic, emergency medical services (EMS) and hospitals recognized the need for innovative programs addressing 9-1-1 utilization and ambulance transport to provide patient-centered, safe, cost-effective care. The ET3 (Emergency Triage, Treatment, and Transport) model provides flexibility and new payments to ambulance care teams for Medicare beneficiaries for alternate strategies of care. This includes providing treatment in place through telehealth after a 9-1-1 call and ambulance response...
February 3, 2023: Prehospital Emergency Care
https://read.qxmd.com/read/36625692/sociodemographic-characteristics-comorbidity-and-baseline-functional-status-of-older-patients-treated-in-emergency-departments-during-the-covid-19-pandemic-and-associations-with-mortality-an-analysis-based-on-the-edencovid-cohort
#9
JOURNAL ARTICLE
Juan González Del Castillo, Javier Jacob, Eric Jorge García-Lamberechts, Pascual Piñera Salmerón, Aitor Alquézar-Arbé, Pere Llorens, Sònia Jiménez, Francisco de Borja Quero Espinosa, Sira Aguiló, Adriana Gil-Rodrigo, Cesáreo Fernández Alonso, Guillermo Burillo-Putze, Begoña Espinosa Fernández, Coral Suero Méndez, Marta Iglesias Vela, Eva Quero Motto, Jeong-Uh Hong Cho, Ferran Llopis, Rafael Marrón, Sara Gayoso Martín, Carmen Lucena Aguilera, Xavier Alemany González, Miguel A Rizzi, Lluís Llauger, Ana Murcia Olagüenaga, Aarati Vaswani-Bulchand, Patricia Parra Esquivel, José Andrés Sánchez Nicolás, Elena Carrasco Fernández, Esther Ruescas Escolano, Ana Chacón García, Fátima Fernández Salgado, Òscar Miró
OBJECTIVES: To describe the sociodemographic characteristics, comorbidity, and baseline functional status of patients aged 65 or older who came to hospital emergency departments (EDs) during the first wave of the COVID-19 pandemic, and to compare them with the findings for an earlier period to analyze factors of the index episode that were related to mortality. MATERIAL AND METHODS: We studied data from the EDEN-COVID cohort (Emergency Department and Elder Needs During COVID-19) of patients aged 65 years or older treated in 40 Spanish EDs on 7 consecutive days...
December 2022: Emergencias: Revista de la Sociedad Española de Medicina de Emergencias
https://read.qxmd.com/read/36592878/pre-hospital-treatment-with-zalunfiban-ruc-4-in-patients-with-st-elevation-myocardial-infarction-undergoing-primary-percutaneous-coronary-intervention-rationale-and-design-of-the-celebrate-trial
#10
JOURNAL ARTICLE
Sem A O F Rikken, Abi Selvarajah, Renicus S Hermanides, Barry S Coller, C Michael Gibson, Christopher B Granger, Frédéric Lapostolle, Sonja Postma, Henri van de Wetering, Risco C W van Vliet, Gilles Montalescot, Jurriën M Ten Berg, Arnoud W J van 't Hof
BACKGROUND: Early and complete restoration of target vessel patency in ST-elevation myocardial infarction (STEMI) is associated with improved outcomes. Oral P2Y12 inhibitors have failed to demonstrate either improved patency or reduced mortality when administered in the pre-hospital setting. Thus, there is a need for antiplatelet agents that achieve prompt and potent platelet inhibition, and that restore patency in the pre-hospital setting. Zalunfiban, a novel subcutaneously administered glycoprotein IIb/IIIa inhibitor designed for pre-hospital administration, has shown to achieve rapid, high-grade platelet inhibition that exceeds that of P2Y12 inhibitors...
December 30, 2022: American Heart Journal
https://read.qxmd.com/read/36346397/provision-of-immobilization-or-ice-by-paramedics-in-southwestern-ontario
#11
JOURNAL ARTICLE
Naveen Poonai, John Teefy, Kristine Van Aarsen, Branka Vujcic, Charlotte Mace, Karina Burke, John Hamilton, Priti Gupta, Adam Dukelow, Matthew Davis, Jay Loosley, Samina Ali
OBJECTIVES: Pain is the most common reason for prehospital transport. As emergency wait times increase, timely pain management is essential. In children, there is abundant evidence that prehospital pharmacologic analgesia is suboptimal, but little is known about non-pharmacologic therapies. We sought to characterize documentation by paramedics of non-pharmacologic (immobilization and ice) and pharmacologic analgesia in children with musculoskeletal injuries. METHODS: We reviewed all ambulance call reports for children 0-17 years transported to Southwestern Ontario regional hospitals from January 1, 2017, to December 31, 2019, with a musculoskeletal injury (Ontario Ministry of Health and Long-Term Care problem codes 66 and 67)...
November 8, 2022: CJEM
https://read.qxmd.com/read/36154386/neurophysiology-tools-to-lower-the-stroke-onset-to-treatment-time-during-the-golden-hour-microwaves-bioelectrical-impedance-and-near-infrared-spectroscopy
#12
REVIEW
Lazzaro di Biase, Adriano Bonura, Maria Letizia Caminiti, Pasquale Maria Pecoraro, Vincenzo Di Lazzaro
Reperfusion therapy administration timing in acute ischaemic stroke is the main determinant of patients' mortality and long-term disability. Indeed, the first hour from the stroke onset is defined the "golden hour", in which the treatment has the highest efficacy and lowest side effects. Delayed ambulance transport, inappropriate triage and difficulty in accessing CT scans lead to delayed onset to treatment time (OTT) in clinical practice. To date brain CT scan is needed to rule out intracranial haemorrhage, which is a major contraindication to thrombolytic therapy...
December 2022: Annals of Medicine
https://read.qxmd.com/read/36153139/canceled-air-ambulance-trauma-scene-calls-a-prospective-observational-study-of-causes-and-outcomes-of-trauma-auto-launch-cancellations
#13
JOURNAL ARTICLE
Timothy Zhang, Bradley Baumber, Justin A Smith, Michael Longeway, Michael Lewell, Bruce Sawadsky, Brodie Nolan
OBJECTIVE: Direct transport, occasionally by helicopter, to a trauma hospital for severely injured patients is associated with decreased mortality. This study sought to determine causes for air ambulance trauma response cancellations and secondarily to identify patients who underwent secondary transfer to a trauma center after a canceled air ambulance dispatch. METHODS: This prospective cohort study used administrative databases from August 2020 to August 2021 to collect data related to canceled trauma calls...
2022: Air Medical Journal
https://read.qxmd.com/read/35485574/emergency-department-management-after-the-2020-aegean-sea-izmir-earthquake
#14
JOURNAL ARTICLE
İlhan Uz, Murat Çetin, Meltem Songur Kodik, Erkan Güvenç, Funda Karbek Akarca, Murat Ersel
BACKGROUND: This article aims to provide an up-to-date resource on disaster management by reporting about the destructive fea-tures of the earthquake that occurred on October 30, 2020, and about the hospital and emergency service organization during a pandemic. METHODS: This study was carried out with a multicentered, cross-sectional retrospective design on the victims of the 2020 Aegean Sea - Izmir earthquake. Local ethics committee approval was obtained. The data obtained by obtaining permission from two hospitals and ambulance services (transport data) located in the region where earthquake-related destruction was most prominent were evalu-ated...
March 2022: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/35400581/adequacy-of-care-during-interfacility-transfer-in-taiwan-a-pilot-study
#15
JOURNAL ARTICLE
Shao-Peng Huang, Yu-Yuan Lin, Yuh-Shin Kuo, Yu-Fen Huang, Shu-Chun Wu, Kuo-Tien Huang, Chien-Hsin Lu, Po-Wei Chiu, I-Chen Lin, Ying-Hsin Chang, Chao-Wei Chin, Hung-Chieh Chang, Chih-Hao Lin
BACKGROUND/PURPOSE: Interfacility transfer (IFT) in Asian communities is seldom discussed. We aimed to describe the characteristics of IFT in Taiwan and to explore the adequacy of care during transfer. METHODS: A retrospective, cross-sectional, descriptive study was conducted using standardized, paper-based interfacility ambulance transfer records between 1 January 2018 and 31 January 2018 from Tainan City, Taiwan. The mode of patient care needed was classified as advanced life support (ALS) or basic life support (BLS) cares based on clinical conditions...
April 7, 2022: Journal of the Formosan Medical Association
https://read.qxmd.com/read/35317915/evaluating-pre-hospital-triage-and-decision-making-in-patients-who-died-within-30-days-post-trauma-a-multi-site-multi-center-cohort-study
#16
JOURNAL ARTICLE
Robin D Lokerman, Job F Waalwijk, Rogier van der Sluijs, Roderick M Houwert, Luke P H Leenen, Mark van Heijl
INTRODUCTION: Evaluating pre-hospital triage and decision-making in patients who died post-trauma is crucial to decrease undertriage and improve future patients' chances of survival. A study that has adequately investigated this is currently lacking. The aim of this study was therefore to evaluate pre-hospital triage and decision-making in patients who died within 30 days post-trauma. MATERIALS AND METHODS: A multi-site, multi-center, cohort study was conducted...
May 2022: Injury
https://read.qxmd.com/read/34663396/helicopter-emergency-medical-services-missions-to-islands-and-the-mainland-during-a-3-year-period-in-denmark-a-population-based-study-on-patient-and-sociodemographic-characteristics-comorbidity-and-use-of-healthcare-services
#17
JOURNAL ARTICLE
Thea Palsgaard Møller, Annette Kjær Ersbøll, Thora Majlund Kjærulff, Kristine Bihrmann, Karen Alstrup, Lars Knudsen, Troels Martin Hansen, Peter Anthony Berlac, Freddy Lippert, Charlotte Barfod
BACKGROUND: The Danish Helicopter Emergency Medical Services (HEMS) is part of the Danish Emergency Medical Services System serving 5.7 million citizens with 1% living on islands not connected to the mainland by road. HEMS is dispatched based on pre-defined criteria including severity and urgency, and moreover to islands for less urgent cases, when rapid transport to further care is needed. The study aim was to characterize patient and sociodemographic factors, comorbidity and use of healthcare services for patients with HEMS missions to islands versus mainland...
October 18, 2021: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/34591876/cross-sectional-study-of-the-ambulance-transport-between-healthcare-facilities-with-medical-support-via-telemedicine-easy-effective-and-safe-tool
#18
JOURNAL ARTICLE
Carlos H S Pedrotti, Tarso A D Accorsi, Karine De Amicis Lima, Jose R de O Silva Filho, Renata A Morbeck, Eduardo Cordioli
BACKGROUND: Feasibility and safety of ambulance transport between healthcare facilities with medical support exclusively via telemedicine are unknown. METHODS: This was a retrospective study with a single telemedicine center reference for satellite emergency departments of the same hospital. The study population was all critically ill patients admitted to one of the peripheral units from November 2016 to May 2020 and who needed to be transferred to the main building...
2021: PloS One
https://read.qxmd.com/read/34348780/the-contribution-of-helicopter-emergency-medical-services-in-the-pre-hospital-care-of-penetrating-torso-injuries-in-a-semi-rural-setting
#19
JOURNAL ARTICLE
M Gavrilovski, J E Griggs, E Ter Avest, R M Lyon
BACKGROUND: Although the merit of pre-hospital critical care teams such as Helicopter Emergency Medical Services (HEMS) has been universally recognized for patients with penetrating torso injuries who present with unstable physiology, the potential merit in patients initially presenting with stable physiology is largely undetermined. The ability to predict the required pre-hospital interventions patients may have important implications for HEMS tasking, especially when transport times to definitive care are prolonged...
August 4, 2021: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/34172237/pretransport-risk-assessment-of-agitated-patients-in-air-medical-transport
#20
JOURNAL ARTICLE
Russell D MacDonald, Yuen Chin Leong
OBJECTIVE: To determine the ability for a simple pretransport mental health risk assessment tool for patients who are agitated or experiencing an acute psychiatric illness to predict in-transit disruptive behavior necessitating additional intervention(s) while being transported via air ambulance. METHODS: We conducted this retrospective cohort study using existing data from the provincial air and land critical care transport system (Ornge) in Ontario, Canada, from April 2019 until March 2020...
July 2021: Air Medical Journal
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