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"Trauma" AND ("Pre-Hospital" OR "Pre Hospital")

Mohammed-Najeeb Mahama, Ernest Kenu, Delia Akosua Bandoh, Ahmed Nuhu Zakariah
BACKGROUND: Every year, about 1.2 million people die through road traffic crashes worldwide. Majority of these deaths occur in Africa where most of their emergency medical services are underdeveloped. In 2004, Ghana established the National Ambulance Council to provide timely and efficient pre-hospital emergency medical care to the sick and injured. Pre-hospital emergency medical service is essential for accident victims since it has the potential of saving lives. The study sought to determine the relationship between pre-hospital trauma survival rate and response time to emergencies and factors associated to pre-hospital trauma survival  in Accra, Ghana...
October 3, 2018: BMC Emergency Medicine
James Vassallo, Melanie Webster, Edward B G Barnard, Mark D Lyttle, Jason E Smith
OBJECTIVE: To describe the epidemiology and aetiology of paediatric traumatic cardiac arrest (TCA) in England and Wales. DESIGN: Population-based analysis of the UK Trauma Audit and Research Network (TARN) database. PATIENTS AND SETTING: All paediatric and adolescent patients with TCA recorded on the TARN database for a 10-year period (2006-2015). MEASURES: Patient demographics, Injury Severity Score (ISS), location of TCA ('prehospital only', 'in-hospital only' or 'both'), interventions performed and outcome...
September 27, 2018: Archives of Disease in Childhood
Mikko Heinänen, Tuomas Brinck, Rolf Lefering, Lauri Handolin, Tim Söderlund
PURPOSE: Serious thoracic injuries are associated with high mortality, morbidity, and costs. We compared patient populations, treatment, and survival of serious thoracic injuries in southern Finland and Germany. METHODS: Mortality, patient characteristics and treatment modalities were compared over time (2006-2015) in all patients with Abbreviated Injury Scale (AIS) thorax ≥ 3, Injury Severity Score (ISS) > 15, age > 15 years, blunt trauma mechanism, and treatment in Intensive Care Unit (ICU) in Level 1 hospitals included in the Helsinki Trauma Registry (HTR) and the TraumaRegister DGU® (TR-DGU)...
September 17, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Mohammad Reza Khajehaminian, Ali Ardalan, Abbasali Keshtkar, Sayed Mohsen Hosseini Boroujeni, Amir Nejati, Omid Mahdi Ebadati Ebadati E, Abbas Rahimi Foroushani
INTRODUCTION: Mass casualty incidents impose a large burden on the emergency medical systems, hospitals and community infrastructures. The pre-hospital and hospital capacities are usually bear the burden of casualties large numbers. One of the challenging issues in mass casualty incidents is the distribution of casualties among the suitable health care facilities. OBJECTIVE: To review models and criteria affecting the distribution of casualties during the trauma-related mass causality incidents...
September 6, 2018: Injury
Pei-Yang Hu, Xin-Yi Chen, Xiong-Huan Chen, Yi-Min Chen
Severe trauma has the characteristics of complicated condition, multiple organs involved, limited auxiliary examinations, and difficulty in treatment. Most of the trauma patients were sent to primary hospitals to receive treatments. But the traditional mode of separate discipline management can easily lead to delayed treatment, missed or wrong diagnosis and high disability, which causes a high mortality in severe trauma patients. Therefore, if the primary hospitals, especially county-level hospitals (usually the top general hospital within the administrative region of a county), can establish a scientific and comprehensive trauma care system, the success rate of trauma rescue in this region can be greatly improved...
April 25, 2018: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
Meng-Yu Wu, Yu-Long Chen, Giou-Teng Yiang, Chia-Jung Li, Amy Shu-Chuan Lin
Geriatric traumatic injuries in emergency departments are frequent and associated with higher mortality rates and catastrophic functional outcomes. Several prediction scores have been established to manage traumatic patients, including the shock index (SI), revised trauma score (RTS), injury severity score (ISS), trauma injury severity score (TRISS), and new injury severity score (NISS). However, it was necessary to investigate the effectiveness and efficiency of care for the geriatric traumatic population...
September 4, 2018: Journal of Clinical Medicine
Anna Jarosz, Paweł Podsiadło, Tomasz Darocha, Tomasz Sanak, Sylweriusz Kosiński, Robert Gałązkowski, Rafał Drwiła
OBJECTIVE: Introduction: The paper covers the problem of pre-hospital hypothermia recognition and management among lifeguards, board guards and policemen, who took part in e-learning course Academy of Hypothermia. PATIENTS AND METHODS: Materials and methods: The subject of analysis were the results of pre-test, post-test and lesson revision tests of Academy of Hypothermia e-learning course, taken by lifeguards (WOPR), board guards (SG) and policemen (POL). RESULTS: Results: 221 participants were enrolled in a study...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
David Häske, Stefan K Beckers, Marzellus Hofmann, Rolf Lefering, Christine Preiser, Bernhard Gliwitzky, Paul Alfred Grützner, Ulrich Stöckle, Matthias Münzberg
BACKGROUND: Trainings in emergency medicine are well structured, but examinations are rarely validated. We are evaluating the impact of pre-hospital emergency trainings on participants and patient care and developed and validated a checklist to assess emergency trainings. METHODS: We used videos recorded at the time points directly before (t0), directly after (t1), and one year after (t2) training to develop the PERFECT checklist (Performance Assessment of Emergency Teams and Communication in Trauma Care)...
2018: PloS One
William Lack, Rachel Seymour, Anna Bickers, Jonathan Studnek, Madhav Karunakar
OBJECTIVE: Early antibiotic administration has been associated with a significant decrease in infection following open fractures. However, antibiotics are most effective at a time when many patients are still being transported for care. There is limited evidence that antibiotics may be safely administered for open fractures when being transported by life-flight personnel. No such data exists for ground ambulance transport of patients with open fractures. The purpose of the study was to assess the safety and feasibility of prophylactic antibiotic delivery in the prehospital setting...
September 14, 2018: Prehospital Emergency Care
Sophie Jefferys, A J Martin-Bates, A Harold, R Withnall
OBJECTIVES: To record the activation and use of the Eastern Sovereign Base Area (ESBA) emergency ambulance service of British Forces Cyprus between 1 September 2013 and 31 August 2016. To reflect on these findings in light of data from 1995 to 1998 to identify current treads and areas of development. METHOD: Retrospective epidemiological study of all activations of the ESBA emergency ambulance service within the study period. RESULTS: 812 patients were treated over 3 years, an 80% increase in workload, of which 41% were entitled personnel...
August 23, 2018: Journal of the Royal Army Medical Corps
Michael S Clemens, Mamie C Stull, Jason M Rall, Ian J Stewart, Jonathan A Sosnov, Kevin K Chung, James D Ross
Introduction: Options for the treatment of hyperkalemia in the pre-hospital setting are limited, particularly in the context of natural disaster or during combat operations. Contemporary interventions require extensive resources and technical expertise. Here we examined the potential for a simple, field deployable bridge-dialysis as a countermeasure for acute hyperkalemia induced by prolonged ischemia-reperfusion. Methods: Twenty female swine were randomized into two experimental groups undergoing a 2-hour bilateral hindlimb ischemia-reperfusion injury...
August 20, 2018: Military Medicine
Shelley Cox, Renee Roggenkamp, Stephen Bernard, Karen Smith
BACKGROUND: With an increase in the proportion of older people in the community comes an increase in the demand on emergency medical services (EMS) by elderly patients who have fallen. OBJECTIVE: To describe the epidemiology of elderly falls patients attended by EMS in Victoria, Australia and identify predictors of transport and repeat falls. METHODS: A retrospective review included all elderly (age ≥ 65 years) falls patients attended by EMS between 2010 and 2017...
September 2018: Injury
Brian D Sumner, Emily A Grimsley, Niall H Cochrane, Ryan R Keane, Alexis B Sandler, Paul C Mullan, Karen J O'Connell
BACKGROUND: The National Association of Emergency Medical Services (EMS) Physicians emphasizes the importance of high quality communication between EMS providers and emergency department (ED) staff for providing safe, effective care. The Joint Commission has identified ineffective handoff communication as a contributing factor in 80% of serious medical errors. The quality of handoff communication from EMS to ED teams for critically ill pediatric patients needs further exploration. OBJECTIVE: This study assessed the quality of handoff communication between EMS and ED staff during pediatric medical resuscitations...
August 30, 2018: Prehospital Emergency Care
Charles-Henri Houzé-Cerfon, Vincent Bounes, Johanna Guemon, Thibault Le Gourrierec, Thomas Geeraerts
OBJECTIVE: In patients with traumatic brain injury (TBI), early detection and subsequent prompt treatment of elevated intracranial pressure (ICP) is a challenge in the prehospital setting, because physical examination is limited in comatose patients and invasive device placement is not possible. The aim of this study was to evaluate the quality and feasibility of optic nerve sheath diameter (ONSD) measurements obtained during the prehospital management of patients with TBI. METHODS: This study was a prospective, observational study of 23 patients with moderate and severe TBI during prehospital medical care...
August 27, 2018: Prehospital Emergency Care
Joséphine Escutnaire, Michael Genin, Evgéniya Babykina, Cyrielle Dumont, François Javaudin, Valentine Baert, Pierre Mols, Jan-Thorsten Gräsner, Eric Wiel, Pierre-Yves Gueugniaud, Karim Tazarourte, Hervé Hubert
INTRODUCTION: The survival from traumatic vs. medical out-of-hospital cardiac arrest (OHCA) are not yet well described. The objective of this study was to compare survival to hospital discharge and 30-day survival of non-matched and matched traumatic and medical OHCA cohorts. MATERIAL & METHODS: National case-control, multicentre study based on the French national cardiac arrest registry. Following descriptive analysis, we compared survival rates of traumatic and medical cardiac arrest patients after propensity score matching...
October 2018: Resuscitation
Melissa K James, Lavonne A Clarke, Rose M Simpson, Anthony J Noto, Joshua R Sclair, Geoffrey K Doughlin, Shi-Wen Lee
STUDY OBJECTIVE: The aim of this study is to determine the accuracy of pre-hospital trauma notifications and the effects of inaccurate information on trauma triage. METHODS: This study was conducted at a level-1 trauma center over a two-year period. Data was collected from pre-notification forms on trauma activations that arrived to the emergency department via ambulance. Trauma activations with pre-notification were compared to those without notification and pre-notification forms were assessed for accuracy and completeness...
June 27, 2018: American Journal of Emergency Medicine
Alexander Timm, Marc Maegele, Klaus Wendt, Rolf Lefering, Hendrik Wyen
PURPOSE: The aim of this study was to compare the pre-hospital treatment of major trauma patients with similar injury patterns in Germany and the Netherlands. PATIENTS AND METHODS: This matched-pairs analysis is based on the TraumaRegister DGU®. The authors compared major trauma patients (ISS ≥ 16) from 2009 to 2015 treated in Dutch and German Level 1 trauma centers (TC). Endpoints were the pre-hospital times and interventions performed until hospital admission...
July 16, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Edward John Nevins, Nicholas Thomas Edward Bird, Hassan Zakria Malik, Simon Jude Mercer, Khalid Shahzad, Raimundas Lunevicius, John Vincent Taylor, Nikhil Misra
PURPOSE: Emergency department thoracotomy (EDT) is a potentially life-saving procedure, performed on patients suffering traumatic cardiac arrest. Multiple indications have been reported, but overall survival remains unclear for each indication. The objective of this systematic review is to determine overall survival, survival stratified by indication, and survival stratified by geographical location for patients undergoing EDT across the world. METHODS: Articles published between 2000 and 2016 were identified which detailed outcomes from EDT...
July 14, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Janett Kreutziger, Stefan Schmid, Nikolaus Umlauf, Hanno Ulmer, Maarten W Nijsten, Daniel Werner, Thomas Schlechtriemen, Wolfgang Lederer
BACKGROUND: Deranged glucose metabolism is frequently observed in trauma patients after moderate to severe traumatic injury, but little data is available about pre-hospital blood glucose and its association with various cardiac rhythms and cardiac arrest following trauma. METHODS: We retrospectively investigated adult trauma patients treated by a nationwide helicopter emergency medical service (34 bases) between 2005 and 2013. All patients with recorded initial cardiac rhythms and blood glucose levels were enrolled...
July 13, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
M Einberg, S Saar, A Seljanko, A Lomp, U Lepner, P Talving
BACKGROUND AND AIMS: Cardiac injuries are highly lethal lesions following trauma and most of the patients decease in pre-hospital settings. However, studies on cardiac trauma in Estonia are scarce. Thus, we set out to study cardiac injuries admitted to Estonian major trauma facilities during 23 years of Estonian independence. MATERIALS AND METHODS: After the ethics review board approval, all consecutive patients with cardiac injuries per ICD-9 (861.0 and 861.1) and ICD-10 codes (S...
July 1, 2018: Scandinavian Journal of Surgery: SJS
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