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Paramedic Emergency Medicine Critical Care Prehospital care

S Wilk, L Siegl, K Siegl, C Hohenstein
BACKGROUND: In an analysis of a critical incident reporting system (CIRS) in out-of-hospital emergency medicine, it was demonstrated that in 30% of cases deficient communication led to a threat to patients; however, the analysis did not show what exactly the most dangerous work processes are. Current research shows the impact of poor communication on patient safety. OBJECTIVES: An out-of-hospital workflow analysis collects data about key work processes and risk areas...
April 2018: Der Anaesthesist
Donald Byars, Bruce Lo, Jeff Yates
INTRODUCTION: Successful oxygenation and ventilation can mean the difference between life and death in the prehospital setting. While airway challenges can be numerous within the confines of the emergency department, there are many additional confounding difficulties in the prehospital setting, which include limited access to equipment, poor lighting, extreme environments, limited personnel to assist, no immediate backup, and limited rescue airway options. The concept of an easy, reliable, and rapidly deployable alternative rescue airway device is critical, especially when considering the addition of rapid sequence intubation protocols in the prehospital setting...
December 2013: Prehospital and Disaster Medicine
Christian Hohenstein, Dorothea Hempel, Kerstin Schultheis, Oliver Lotter, Thomas Fleischmann
BACKGROUND: Medical errors frequently contribute to morbidity and mortality. Prehospital emergency medicine is prone to incidents that can lead to immediate deadly consequences. Critical incident reporting can identify typical problems and be the basis for structured risk management in order to reduce and mitigate these incidents. METHODS: We set up a free access internet website for German-speaking countries, with an anonymous reporting system for emergency medical services personnel...
May 2014: Emergency Medicine Journal: EMJ
Charles D Deakin, Tom Clarke, Jerry Nolan, David A Zideman, Carl Gwinnutt, Fionna Moore, Michael Ward, Carl Keeble, Wim Blancke
Paramedic tracheal intubation has been practised in the UK for more than 20 years and is currently a core skill for paramedics. Growing evidence suggests that tracheal intubation is not the optimal method of airway management by paramedics and may be detrimental to patient outcomes. There is also evidence that the current initial training of 25 intubations performed in-hospital is inadequate, and that the lack of ongoing intubation practice may compound this further. Supraglottic airway devices (eg, laryngeal mask airway), which were not available when extended training and paramedic intubation was first introduced, are now in use in many ambulance services and are a suitable alternative prehospital airway device for paramedics...
March 2010: Emergency Medicine Journal: EMJ
Amado Alejandro Báez, Ediza M Giráldez, Julio M De Peña
INTRODUCTION: The Glasgow Coma Scale (GCS) is the standard measure used to quantify the level of consciousness in patients with head injuries. Rapid and accurate GCS scoring is essential for adequate assessment and treatment of critically sick and injured patients. This study sought out to determine the precision and reliability of the GCS among a cohort of Latin American Critical Care Transport Providers. METHODS: The study consisted of a cross-sectional design using an Internet-based examination...
May 2007: Prehospital and Disaster Medicine
K Bielecki
Trauma is a third killer of modern european and world societies. Everywhere in Europe there is the great necessity of having an efficient emergency prehospital and hospital trauma care organization which will reduce mortality and invalidity of the trauma critical patients. Three objectives are the most important: 1) defining of the lines guide (e.g. ALTS) 2) continuous education and training of education the medical and paramedical operators (doctors, nurses, technicians, paramedics) 3) applying the method on organization and structural base...
2000: Przegla̧d Lekarski
J S Vayer, J H Hagmann, C H Llewellyn
Physical assessment is a critically important skill in the prehospital setting, the performance of which is complicated by adverse environmental conditions. Emergency medical technicians (EMTs), paramedics, and others providing out-of-hospital emergency health care frequently receive training that does not adequately prepare them to perform an appropriate physical assessment. This is particularly true for such providers who support special operations as combat medics, wilderness EMTs, winter emergency care technicians, or EMT-tacticals...
April 1994: Annals of Emergency Medicine
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