keyword
MENU ▼
Read by QxMD icon Read
search

Prehospital doctor

keyword
https://www.readbyqxmd.com/read/27930573/management-of-st-segment-elevation-myocardial-infarction-in-predominantly-rural-central-china-a-retrospective-observational-study
#1
You Zhang, Shuyan Yang, Xinyun Liu, Muwei Li, Weidong Zhang, Haiyan Yang, Dayi Hu, Chuanyu Gao, Guangcai Duan
The degree of adherence to current guidelines for clinical management of ST-segment elevation myocardial infarction (STEMI) is known in developed countries and large Chinese cities, but in predominantly rural areas information is lacking. We assessed the application of early reperfusion therapy for STEMI in secondary and tertiary hospitals in Henan province in central China.Data were retrospectively collected from 5 secondary and 4 tertiary hospitals in Henan concerning STEMI patients treated from January 2011 to January 2012, including management strategy, delay time, and inhospital mortality...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27884337/using-community-outreach-to-explore-health-related-beliefs-and-improve-surgeon-patient-engagement
#2
Rebecca L Hoffman, Brenda Bryant, Steve R Allen, Major K Lee, Cary B Aarons, Rachel R Kelz
BACKGROUND: Fostering surgeon engagement in community outreach was recently identified as a major priority toward reducing health care disparities in surgery. We aimed to increase surgeon engagement in the local community, understand prevalent beliefs, and identify educational opportunities in the local community regarding cancer screening and treatment using community outreach. MATERIALS AND METHODS: In collaboration with the university's cancer center, the medical student surgical interest group, surgical faculty, and residents developed a community outreach program...
December 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27411494/pre-hospital-delay-and-its-associated-factors-in-first-ever-stroke-registered-in-communities-from-three-cities-in-china
#3
Bin Jiang, Xiaojuan Ru, Haixin Sun, Hongmei Liu, Dongling Sun, Yunhai Liu, Jiuyi Huang, Li He, Wenzhi Wang
This study aimed to explore pre-hospital delay and its associated factors in first-ever stroke registered in communities from three cities in China. The rates of delay greater than or equal to 2 hours were calculated and factors associated with delays were determined by non-conditional binary logistic regression, after adjusting for different explanatory factors. Among the 403 cases of stroke with an accurate documented time of prehospital delay, the median time (interquartile range) was 4.00 (1.50-14.00) hours...
2016: Scientific Reports
https://www.readbyqxmd.com/read/27280425/man-or-machine-an-experimental-study-of-prehospital-emergency-amputation
#4
Caroline Leech, Keith Porter
OBJECTIVE: Prehospital emergency amputation is a rare procedure, which may be necessary to free a time-critical patient from entrapment. This study aimed to evaluate four techniques of cadaveric lower limb prehospital emergency amputation. METHOD: A guillotine amputation of the distal femur was undertaken in fresh frozen self-donated cadavers. A prehospital doctor conducted a surgical amputation with Gigli saw or hacksaw for bone cuts and firefighters carried out the procedure using the reciprocating saw and Holmatro device...
September 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27092724/potential-cardiac-arrest-an-observational-study-of-pre-hospital-medical-response
#5
Erik Zakariassen, Steinar Hunskaar
OBJECTIVES: A previous study showed that Norwegian GPs on call attended around 40% of out-of-hospital medical emergencies. We wanted to investigate the alarms of prehospital medical resources and the doctors' responses in situations of potential cardiac arrests. DESIGN AND SETTING: A three-month prospective data collection was undertaken from three emergency medical communication centres, covering a population of 816,000 residents. From all emergency medical events, a sub-group of patients who received resuscitation, or who were later pronounced dead at site, was selected for further analysis...
June 2016: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/27074549/termination-of-resuscitation-rules-to-predict-neurological-outcomes-in-out-of-hospital-cardiac-arrest-for-an-intermediate-life-support-prehospital-system
#6
Randy Wang Long Cheong, Huihua Li, Nausheen Edwin Doctor, Yih Yng Ng, E Shaun Goh, Benjamin Sieu-Hon Leong, Han Nee Gan, David Foo, Lai Peng Tham, Rabind Charles, Marcus Eng Hock Ong
AIM: Futile resuscitation can lead to unnecessary transports for out-of-hospital cardiac arrest (OHCA). The Basic Life Support (BLS) and Advanced Life Support (ALS) termination of resuscitation (TOR) guidelines have been validated with good results in North America. This study aims to evaluate the performance of these two rules in predicting neurological outcomes of OHCA patients in Singapore, which has an intermediate life support Emergency Medical Services (EMS) system. METHODS: A retrospective cohort study was carried out on Singapore OHCA data collected from April 2010 to May 2012 for the Pan-Asian Resuscitation Outcomes Study (PAROS)...
September 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/26918255/-prehospital-treatment-by-the-doctor-delivery-system-using-helicopter
#7
Makoto Kobayashi
No abstract text is available yet for this article.
February 2016: Nihon Rinsho. Japanese Journal of Clinical Medicine
https://www.readbyqxmd.com/read/26807394/the-2015-academic-college-of-emergency-experts-in-india-s-indo-us-joint-working-group-white-paper-on-establishing-an-academic-department-and-training-pediatric-emergency-medicine-specialists-in-india
#8
Prashant Mahajan, Prerna Batra, Binita R Shah, Abhijeet Saha, Sagar Galwankar, Praveen Aggrawal, Ameer Hassoun, Bipin Batra, Sanjeev Bhoi, Om Prakash Kalra, Dheeraj Shah
The concept of pediatric emergency medicine (PEM) is virtually nonexistent in India. Suboptimally, organized prehospital services substantially hinder the evaluation, management, and subsequent transport of the acutely ill and/or injured child to an appropriate facility. Furthermore, the management of the ill child at the hospital level is often provided by overburdened providers who, by virtue of their training, lack experience in the skills required to effectively manage pediatric emergencies. Finally, the care of the traumatized child often requires the involvement of providers trained in different specialities, which further impedes timely access to appropriate care...
October 2015: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/26713991/the-2015-academic-college-of-emergency-experts-in-indias-indo-us-joint-working-group-white-paper-on-establishing-an-academic-department-and-training-pediatric-emergency-medicine-specialists-in-india
#9
Prashant Mahajan, Prerna Batra, Binita R Shah, Abhijeet Saha, Sagar Galwankar, Praveen Aggrawal, Ameer Hassoun, Bipin Batra, Sanjeev Bhoi, Om Prakash Kalra, Dheeraj Shah
The concept of pediatric emergency medicine (PEM) is virtually nonexistent in India. Suboptimally organized prehospital services substantially hinder the evaluation, management, and subsequent transport of the acutely ill and/or injured child to an appropriate facility. Furthermore, the management of the ill child at the hospital level is often provided by overburdened providers who, by virtue of their training, lack experience in the skills required to effectively manage pediatric emergencies. Finally, the care of the traumatized child often requires the involvement of providers trained in different specialities, which further impedes timely access to appropriate care...
December 2015: Indian Pediatrics
https://www.readbyqxmd.com/read/26629337/faculty-of-prehospital-care-royal-college-of-surgeons-edinburgh-guidance-for-medical-provision-for-wilderness-medicine
#10
Adrian Mellor, Naomi Dodds, Raj Joshi, John Hall, Sundeep Dhillon, Sarah Hollis, Pete Davis, David Hillebrandt, Eva Howard, Matthew Wilkes, Burjor Langdana, David Lee, Nigel Hinson, Thomas Harcourt Williams, Joe Rowles, Harvey Pynn
To support leaders and those involved in providing medical care on expeditions in wilderness environments, the Faculty of Pre-Hospital Care (FPHC) of The Royal College of Surgeons of Edinburgh convened an expert panel of leading healthcare professionals and expedition providers. The aims of this panel were to: (1) provide guidance to ensure the best possible medical care for patients within the geographical, logistical and human factor constraints of an expedition environment. (2) Give aspiring and established expedition medics a 'benchmark' of skills they should meet...
2015: Extreme Physiology & Medicine
https://www.readbyqxmd.com/read/26561430/prehospital-airway-management-in-emergency-and-trauma-patients-a-cross-sectional-study-of-ambulance-service-providers-and-staff-in-a-low-and-middle-income-country
#11
Samina Ismail, Nukhba Zia, Khalid Samad, Rubaba Naeem, Haris Ahmad, Amir Raza, Muhammad Baqir, Uzma Rahim Khan
BACKGROUND: Prehospital airway management (AM) is the first priority in the care of emergency and trauma victims as it has shown to improve survival in these patients. OBJECTIVE: The aim of this study was to assess training and knowledge of ambulance staff and availability of AM equipment in ambulances of Karachi, Pakistan. METHODS: This cross-sectional study was conducted from June through September 2014. Interviews were conducted with management of six ambulance service providers and 165 ambulance staff...
December 2015: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/26490293/doctor-s-knowledge-and-practices-of-traumatic-brain-injury-management-in-chinese-prehospital-settings
#12
Kou Kou, Xiang-Yu Hou, Jian-Dong Sun, Kevin Chu
OBJECTIVES: The incidence and mortality of traumatic brain injury (TBI) has increased rapidly in the last decade in China. Appropriate ambulance service can reduce case-fatality rates of TBI significantly. This study aimed to explore the factors (age, gender, education level, clinical experience, professional title, organization, specialty before prehospital care, and training frequency) that could influence prehospital doctors' knowledge level and practices in TBI management in China, Hubei Province...
December 2015: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/26253147/initial-experience-in-setting-up-a-medical-student-first-responder-scheme-in-south-central-england
#13
William H Seligman, Sameer Ganatra, David England, John J M Black
Prehospital emergency medicine (PHEM) is a recently recognised subspecialty of emergency medicine, and anaesthetics, intensive care and acute medicine, in the UK, and yet it receives little to no mention in many undergraduate medical curricula. However, there is growing interest in PHEM among medical students and junior doctors. Several programmes are in existence across the UK that serve to provide teaching and exposure of prehospital care to medical students and junior doctors. However, relatively few students are able to gain significant first-hand experience of treating patients in the prehospital phase...
February 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/26168871/survival-to-discharge-after-cardiac-arrest-attended-by-a-doctor-paramedic-helicopter-emergency-medical-service-an-utstein-style-multiservice-review-of-1085-activations
#14
Adam Chesters, Tim Harris, Timothy J Hodgetts, Nadine Keefe
BACKGROUND: The presentation of outcomes after cardiac arrest presented by emergency medical service and in-hospital teams in the Utstein style allows for comparative analysis of populations and systems. Essex and Herts Air Ambulance Trust (EHAAT) and the East Anglian Air Ambulance (EAAA) are doctor-plus-paramedic prehospital care teams that respond to a large number of medical cardiac arrests. OBJECTIVE: To report the outcomes of medical cardiac arrests according to the Utstein style...
October 2015: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26105215/tyranny-of-distance-and-rural-prehospital-care-is-there-potential-for-a-national-rural-responder-network
#15
Tim Leeuwenburg, John Hall
Critical illness intersects with the workload of rural doctors in Australia, mostly via their on-call responsibilities to rural hospitals. A significant proportion of these are prehospital incidents - vehicle crashes, farming injuries, bushfire etc. Effective care for such patients requires an integration of prehospital ambulance services, retrieval services and tertiary level trauma services all the way through to rehabilitation. Ambulance services in rural areas are often volunteer based, and with increasing remoteness via the 'tyranny of distance' comes the likelihood of increased delay in arrival of specialist retrieval services...
October 2015: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/25991784/development-of-a-patient-reported-experience-measure-prem-for-use-in-the-ambulance-service
#16
Fiona Togher, Aloysius Niroshan Siriwardena, Karen Windle
BACKGROUND: NHS health policy emphasises the crucial role of patient experience as a core component of high quality care, alongside effectiveness and safety. Patient Reported Experience Measures (PREMs) measure patients' experiences with their healthcare. They are increasingly being seen as valuable for assessing patient outcomes and differences in quality between health care providers. Previous patient surveys to assess ambulance service care have not been implemented routinely or in a standardised way...
June 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/25927280/-significance-of-helicopter-emergency-medical-service-in-prehospital-trauma-care
#17
U Schweigkofler, J Braun, T Schlechtriemen, R Hoffmann, R Lefering, C Reimertz
BACKGROUND: In the late 1960s, the helicopter emergency medical service (HEMS) was established in Germany because of an increasing number of severe injuries in traffic accidents. To get a doctor quickly on scene was the initial intention, rather than transporting the patient. Today, rescue helicopters cover the entire field of emergency medicine and are an important transportation device for polytrauma patients. MATERIAL AND METHODS: The importance of the HEMS for the treatment of severely injured patients was examined by an analysis of the databases of the leading air rescue organisations ADAC and DRF Luftrettung (2005-2011)...
August 2015: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/25804008/is-it-time-to-stop-chilling-induced-therapeutic-hypothermia-doesn-t-appear-to-have-the-prehospital-effect-we-thought-it-did
#18
Bryan E Bledsoe
The evidence is quite clear that ITH in the prehospital setting is of dubious benefit. But what is the harm in continuing the practice? Well, prehospital ITH most likely takes away from more beneficial therapies such as high-quality CPR, rapid defibrillation, recognition of ST-segment elevation myocardial infarction (STEMI), and similar essential treatments. Several studies have shown prehospital ITH, in many cases, delays hospital transport. When the initial studies of ITH were released, I was immediately on the ITH bandwagon...
February 2015: EMS World
https://www.readbyqxmd.com/read/25714106/perimortem-caesarean-section
#19
REVIEW
Richard Parry, Tilo Asmussen, Jason E Smith
This review describes a simple approach to perimortem caesarean section (PMCS) that can be used by a doctor in the resuscitation room or prehospital environment when faced with a mother of more than 20 weeks gestation in cardiac arrest. It explores the indications for and contraindications to the procedure, the physiological rationale behind it, equipment needed, technical aspects of the procedure and reviews recent literature on maternal and fetal outcomes. Like other uncommon procedures such as emergency department thoracotomy, rehearsal and preparation for a PMCS is essential to give both mother and baby the best chance of survival...
March 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/25622184/ketamine-for-procedural-sedation-by-a-doctor-paramedic-prehospital-care-team-a-4-year-description-of-practice
#20
Adam Chesters, Timothy Webb
BACKGROUND: Ketamine is a widely used drug that, depending on the dose administered, may be used as an analgesic or as a sedative or anaesthetic agent. A number of features make it attractive for prehospital use. At Essex and Herts Air Ambulance Trust, as with other services and under the guidance of a standard operating procedure, ketamine is used for both procedural sedation and as an anaesthetic agent for rapid sequence intubation. Guidelines exist that define levels of sedation and detail minimum standards of monitoring and personnel required for each level...
December 2015: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
keyword
keyword
39123
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"