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https://www.readbyqxmd.com/read/27893526/effect-of-oxygen-therapy-on-myocardial-salvage-in-st-elevation-myocardial-infarction-the-randomized-soccer-trial
#1
Ardavan Khoshnood, Marcus Carlsson, Mahin Akbarzadeh, Pallonji Bhiladvala, Anders Roijer, David Nordlund, Peter Höglund, David Zughaft, Lizbet Todorova, Arash Mokhtari, Håkan Arheden, David Erlinge, Ulf Ekelund
OBJECTIVE: Recent studies suggest that administration of O2 in patients with acute myocardial infarction may have negative effects. With the use of cardiac MRI (CMR), we evaluated the effects of supplemental O2 in patients with ST elevation myocardial infarction (STEMI) accepted for acute percutaneous coronary intervention (PCI). MATERIALS AND METHODS: This study was a randomized-controlled trial conducted at two university hospitals in Sweden. Normoxic STEMI patients were randomized in the ambulance to either supplemental O2 (10 l/min) or room air until the conclusion of the PCI...
November 23, 2016: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/27887782/ambient-particulate-matter-landscape-fire-smoke-and-emergency-ambulance-dispatches-in-sydney-australia
#2
Farhad Salimi, Sarah B Henderson, Geoffrey G Morgan, Bin Jalaludin, Fay H Johnston
BACKGROUND: Emergency ambulance dispatches (EAD) are a novel outcome for evaluating the public health impacts of air pollution. We assessed the relationships between ambient particulate matter (PM) from all sources, PM from landscape fire smoke (LFS), and EADs likely to be associated with cardiorespiratory problems in the Sydney greater metropolitan region for an 11-year period from 2004 to 2015. METHODS: EAD codes are assigned at the time of the call to emergency services using standard computer assisted algorithms...
November 22, 2016: Environment International
https://www.readbyqxmd.com/read/27825842/hourly-associations-between-heat-and-ambulance-calls
#3
Yuming Guo
BACKGROUND: The response speed of ambulance calls is very crucial to rescue patients suffering immediately life threatening conditions. The serious health outcomes might be caused by exposing to extreme heat only several hours before. However, limited evidence is available on this topic. This study aims to examine the hourly association between heat and ambulance calls, to improve the ambulance services and to better protect health. METHODS: Hourly data on ambulance calls for non-accidental causes, temperature and air pollutants (PM10, NO2, and O3) were collected from Brisbane, Australia, during 2001 and 2007...
January 2017: Environmental Pollution
https://www.readbyqxmd.com/read/27817232/-examination-of-work-related-stress-and-coping-strategies-among-ambulance-and-air-ambulance-workers
#4
Bence Schiszler, Annamária Karamánné Pakai, Zoltán Szabó, László Bence Raposa, Róbert Pónusz, Balázs Radnai, Dóra Endrei
INTRODUCTION: Among Hungary's health sector workers the presence of a high level of stress is known, which can affect the individual. AIM: The aim of the authors was to uncover major risk factors causing work-related stress, as well as its extent, and positive and negative coping strategies among ground and aerial rescue workers. METHOD: From June until October 2015, a national survey was conducted among Hungarian rescue workers. An own questionnaire and Rahe Stress and coping validated short questionnaire online form were used...
November 2016: Orvosi Hetilap
https://www.readbyqxmd.com/read/27770712/effects-of-noise-on-telephone-calls-to-the-madrid-regional-medical-emergency-service-summa-112
#5
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/27634608/army-air-ambulance-blood-product-program-in-the-combat-zone-and-challenges-to-best-practices
#6
Nicole Powell-Dunford, Jose F Quesada, Kirby R Gross, Stacy A Shackelford
BACKGROUND: Identify challenges and best practices in the development of an austere air ambulance transfusion program. METHODS: A search of PubMed using combinations of the key terms 'prehospital,' 'blood product,' 'red blood cells,' 'damage control resuscitation,' 'transfusion,' 'air ambulance,' 'medical evacuation,' and 'medevac' yielded 196 articles for further analysis, with 14 articles suitable for addressing the background of prehospital transfusion within a helicopter...
August 2016: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/27614747/an-association-between-fine-particulate-matter-pm2-5-levels-and-emergency-ambulance-dispatches-for-cardiovascular-diseases-in-japan
#7
Toshihiro Ichiki, Daisuke Onozuka, Masahiro Kamouchi, Akihito Hagihara
PURPOSE: The aim of this study is to determine whether short-term exposure to fine particulate matter (PM2.5) is associated with emergency ambulance dispatches for cardiovascular diseases in Japan. METHODS: The nationwide data on emergency dispatches of ambulance for cardiovascular diseases classified as I00-I99 by International Classification of Diseases-10th revision in 30 Japanese prefectures between April 1 and December 31, in 2010 were analyzed. Data on weather variability including PM2...
November 2016: International Archives of Occupational and Environmental Health
https://www.readbyqxmd.com/read/27586097/prehospital-transportation-decisions-for-patients-sustaining-major-trauma-in-road-traffic-crashes-in-sweden
#8
Stefan Candefjord, Ruben Buendia, Eva-Corina Caragounis, Bengt Arne Sjöqvist, Helen Fagerlind
OBJECTIVE: The objective of this study was to evaluate the proportion and characteristics of patients sustaining major trauma in road traffic crashes (RTCs) who could benefit from direct transportation to a trauma center (TC). METHODS: Currently, there is no national classification of TC in Sweden. In this study, 7 university hospitals (UHs) in Sweden were selected to represent a TC level I or level II. These UHs have similar capabilities as the definition for level I and level II TC in the United States...
September 2016: Traffic Injury Prevention
https://www.readbyqxmd.com/read/27516194/chest-compression-rate-measurement-from-smartphone-video
#9
Kjersti Engan, Thomas Hinna, Tom Ryen, Tonje S Birkenes, Helge Myklebust
BACKGROUND: Out-of-hospital cardiac arrest is a life threatening situation where the first person performing cardiopulmonary resuscitation (CPR) most often is a bystander without medical training. Some existing smartphone apps can call the emergency number and provide for example global positioning system (GPS) location like Hjelp 113-GPS App by the Norwegian air ambulance. We propose to extend functionality of such apps by using the built in camera in a smartphone to capture video of the CPR performed, primarily to estimate the duration and rate of the chest compression executed, if any...
2016: Biomedical Engineering Online
https://www.readbyqxmd.com/read/27497032/the-association-between-ambient-temperature-and-out-of-hospital-cardiac-arrest-in-guangzhou-china
#10
Yue Niu, Renjie Chen, Cong Liu, Pixin Ran, Ailan Chen, Xinyu Chen, Haidong Kan
Out-of-hospital cardiac arrest (OHCA) is becoming a considerable public health burden worldwide. The seasonal variation of OHCA has been observed, but the potential effects of ambient temperature on OHCA were rarely investigated. We, therefore, aimed to evaluate the association between ambient temperature and OHCA in Guangzhou, China. We collected daily emergency ambulance dispatches for OHCA from the Guangzhou Emergency Center from January 1, 2008 to December 31, 2012. We analyzed the associations using the time-series method...
August 3, 2016: Science of the Total Environment
https://www.readbyqxmd.com/read/27452940/isolated-ileum-perforation-following-veal-attack-in-a-pacient-with-an-undiagnosed-inguinal-hernia-case-report-and-review-of-the-literature
#11
REVIEW
G N Andrei, B I Diaconescu, B V Martian, M Beuran
We present a rare case of a 74 year old man admitted by ambulance to our department following a blunt minor abdominal trauma (veal attack). He complained of pain in the left abdominal flank and in the lower abdomen. The lower abdomen was tender, moderate distended but not rigid. He also had a left inguinal uncomplicated hernia. Because he was hemodynamic stable we performed a CT - scan who revealed several pockets of free air anteriorly in the midline. One hour and a half after admission the pacient underwent exploratory laparotomy, revealing a antimesostenic perforation of the ileum about 120 cm from the ileo-cecal valve...
May 2016: Chirurgia
https://www.readbyqxmd.com/read/27436374/five-year-retrospective-review-of-physician-and-non-physician-performed-ultrasound-in-a-canadian-critical-care-helicopter-emergency-medical-service
#12
Domhnall O'Dochartaigh, Matthew Douma, Mark MacKenzie
OBJECTIVE: To describe the use of prehospital ultrasonography (PHUS) to support interventions, when used by physician and non-physician air medical crew (AMC), in a Canadian helicopter emergency medical service (HEMS). METHODS: A retrospective review was conducted of consecutive patients who underwent ultrasound examination during HEMS care from January 1, 2009 through March 10, 2014. An a priori created data form was used to record patient demographics, type of ultrasound scan performed, ultrasound findings, location of scan, type of interventions supported by PHUS, factors that affected PHUS completion, and quality indicator(s)...
July 19, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27377669/resuscitative-endovascular-balloon-occlusion-of-the-aorta-reboa-in-the-pre-hospital-setting-an-additional-resuscitation-option-for-uncontrolled-catastrophic-haemorrhage
#13
Samy Sadek, David J Lockey, Robbie A Lendrum, Zane Perkins, Jonathan Price, Gareth Edward Davies
This report describes the first use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the pre-hospital setting to control catastrophic haemorrhage. The patient, who had fallen 15 meters, suffered catastrophic internal haemorrhage associated with a pelvic fracture. He was treated by London's Air Ambulance's Physician-Paramedic team. This included insertion of a REBOA balloon catheter at the scene to control likely fatal exsanguination. The patient survived transfer to hospital, emergency angio-embolization and subsequent surgery...
October 2016: Resuscitation
https://www.readbyqxmd.com/read/27342877/planhab-hypoxia-exaggerates-the-bed-rest-induced-reduction-in-peak-oxygen-uptake-during-upright-cycle-ergometry
#14
Michail E Keramidas, Roger Kölegård, Igor B Mekjavic, Ola Eiken
The study examined the effects of hypoxia and horizontal bed rest, separately and in combination, on peak oxygen uptake (V̇o2 peak) during upright cycle ergometry. Ten male lowlanders underwent three 21-day confinement periods in a counterbalanced order: 1) normoxic bed rest [NBR; partial pressure of inspired O2 (PiO2 ) = 133.1 ± 0.3 mmHg]; 2) hypoxic bed rest (HBR; PiO2 = 90.0 ± 0.4 mmHg), and 3) hypoxic ambulation (HAMB; PiO2 = 90.0 ± 0.4 mmHg). Before and after each confinement, subjects performed two incremental-load trials to exhaustion, while inspiring either room air (AIR), or a hypoxic gas (HYPO; PiO2 = 90...
August 1, 2016: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/27330953/bubbles-in-the-heart-a-case-of-venous-air-thromboembolism
#15
B Balakrishnan, Z Noor, C L Curran
INTRODUCTION: Venous air embolism (VAE) due to central venous catheter (CVC) placement is a rare but preventable complication which is potentially fatal. We describe a case highlighting unique patient characteristics which increase the risk of developing VAE. CASE DESCRIPTION: A sixty-year-old gentleman was admitted to the hospital with dyspnea and altered mental status. His comorbidities include cancer of the neck and tongue, currently in remission, and schizophrenia...
2016: Respiratory Medicine Case Reports
https://www.readbyqxmd.com/read/27325670/exploring-optimal-air-ambulance-base-locations-in-norway-using-advanced-mathematical-modelling
#16
Jo Røislien, Pieter L van den Berg, Thomas Lindner, Erik Zakariassen, Karen Aardal, J Theresia van Essen
BACKGROUND: Helicopter emergency medical services are an important part of many healthcare systems. Norway has a nationwide physician staffed air ambulance service with 12 bases servicing a country with large geographical variations in population density. The aim of the study was to estimate optimal air ambulance base locations. METHODS: We used high resolution population data for Norway from 2015, dividing Norway into >300 000 1 km×1 km cells. Inhabited cells had a median (5-95 percentile) of 13 (1-391) inhabitants...
June 20, 2016: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/27255876/structure-of-rapid-response-car-operations-in-an-urban-trauma-service
#17
Marius Rehn, Gareth Davies, Paul Smith, David J Lockey
OBJECTIVE: Emergency medical vehicle collisions are an inherent risk for health care providers, patients, and other road users. Air ambulance services often use rapid response cars (RRCs) to maintain operational resilience. We aim to describe the operational concept of London's Air Ambulance (LAA) RRCs and activity over a 1-year period. METHODS: This was a retrospective dispatch database study. The RRC operational concept, car configuration, and training are also described...
May 2016: Air Medical Journal
https://www.readbyqxmd.com/read/27235903/short-term-exposure-to-ambient-particulate-matter-and-emergency-ambulance-dispatch-for-acute-illness-in-japan
#18
Saira Tasmin, Kayo Ueda, Andrew Stickley, Shinya Yasumoto, Vera Ling Hui Phung, Mizuki Oishi, Shusuke Yasukouchi, Yamato Uehara, Takehiro Michikawa, Hiroshi Nitta
Short-term exposure to air pollution may be linked to negative health outcomes that require an emergency medical response. However, few studies have been undertaken on this phenomenon to date. The aim of this study therefore was to examine the association between short-term exposure to ambient suspended particulate matter (SPM) and emergency ambulance dispatches (EADs) for acute illness in Japan. Daily EAD data, daily mean SPM and meteorological data were obtained for four prefectures in the Kanto region of Japan for the period from 2007 to 2011...
October 1, 2016: Science of the Total Environment
https://www.readbyqxmd.com/read/27179935/monitoring-the-effect-of-air-pollution-episodes-on-health-care-consultations-and-ambulance-call-outs-in-england-during-march-april-2014-a-retrospective-observational-analysis
#19
Alex J Elliot, Sue Smith, Alec Dobney, John Thornes, Gillian E Smith, Sotiris Vardoulakis
There is an increasing body of evidence illustrating the negative health effects of air pollution including increased risk of respiratory, cardiac and other morbid conditions. During March and April 2014 there were two air pollution episodes in England that occurred in close succession. We used national real-time syndromic surveillance systems, including general practitioner (GP) consultations, emergency department attendances, telehealth calls and ambulance dispatch calls to further understand the impact of these short term acute air pollution periods on the health seeking behaviour of the general public...
July 2016: Environmental Pollution
https://www.readbyqxmd.com/read/27043801/survival-of-trauma-victims-transported-by-helicopter-who-required-cardiopulmonary-resuscitation-within-the-first-hour-of-hospital-arrival
#20
COMPARATIVE STUDY
Nasim Ahmed
OBJECTIVES: The purpose of the study was to review the impact on survival of trauma victims who were transported via helicopter ambulance versus ground transportation and who received cardiopulmonary resuscitation (CPR) within 1 hour of hospital arrival. METHODS: A retrospective analysis of the trauma patients who underwent CPR within 1 hour of arrival to the trauma centers and transported either via air or ground ambulances was performed. Data were extracted from the Research Data Set 2007-2010 from the American College of Surgeons National Trauma Data Bank...
April 2016: Southern Medical Journal
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