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https://www.readbyqxmd.com/read/28292545/adding-fuel-to-the-fire-coronary-artery-dissection-complicating-blunt-chest-trauma
#1
Ankit Maheshwari, Thenappan Thenappan, Gladwin Das
A 21year-old male presented to the emergency department with 6 h of atypical chest pain after suffering blunt chest trauma. His electrocardiogram revealed 1-1.5mm ST segment elevation in leads V1-V3 with reciprocal depressions in II, III, and aVF. Mid-anterior wall akinesis was observed on echocardiography associated with an estimated left ventricular ejection fraction of 40%. A left main coronary artery dissection was diagnosed and treated surgically with a bypass graft. Although rare, coronary dissections can be a catastrophic complication of chest trauma...
March 7, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28269994/holmium-yag-laser-and-guidewires-is-there-a-durability-difference-among-guidewires-against-laser-energy-an-in-vitro-experimental-study
#2
Sahin Bagbanci
Purpose To evaluate the durability differences between five different type of guidewire against laser energy in an in-vitro experimental ureteral model. Methods The study was performed at the Department of Urology, Medicine Faculty of Ahi Evran University. An in-vitro experimental ureteral model was created for the work; a silicon ureteral model in a saline filled container. Experiments were performed on five different type of guidewire; ZIPwire, Sensor PTFE Nitinol guidewire, Roadrunner® PC wire guide, Amplatz Super Stiff and Zebra Urologic Guidewire...
March 7, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28254062/influence-of-agricultural-activities-forest-fires-and-agro-industries-on-air-quality-in-thailand
#3
Worradorn Phairuang, Mitsuhiko Hata, Masami Furuuchi
Annual and monthly-based emission inventories in northern, central and north-eastern provinces in Thailand, where agriculture and related agro-industries are very intensive, were estimated to evaluate the contribution of agricultural activity, including crop residue burning, forest fires and related agro-industries on air quality monitored in corresponding provinces. The monthly-based emission inventories of air pollutants, or, particulate matter (PM), NOx and SO2, for various agricultural crops were estimated based on information on the level of production of typical crops: rice, corn, sugarcane, cassava, soybeans and potatoes using emission factors and other parameters related to country-specific values taking into account crop type and the local residue burning period...
February 2017: Journal of Environmental Sciences (China)
https://www.readbyqxmd.com/read/28248122/-double-homicide-with-a%C3%A2-damning-bite-mark-on-the-offender%C3%A2-s%C3%A2-body-case-report
#4
Markéta Kulvajtová, Jiří Hladík, Lucie Zemančíková
The authors deal with a case of a double homicide, the parental murder made by their older son, which was committed by a combination of stabbing and cutting wounds. The perpetra-tor tried to hide the bodies, so he doused them with gasoline and set fire to them on a lonely forest road. Then he ran over the remains by his car. The cause of death was in both cases open wound of the neck - autopsy findings of the woman´s body testified for a blood aspi-ration, on the man´s body it was not clear for a partial charring, so the possibilities were blood aspiration, air embolism or external bleeding with haemorrhagic shock...
2017: Soudní Lékarství
https://www.readbyqxmd.com/read/28229067/the-effect-of-world-trade-center-exposure-on-the-timing-of-diagnoses-of-obstructive-airway-disease-chronic-rhinosinusitis-and-gastroesophageal-reflux-disease
#5
Xiaoxue Liu, Jennifer Yip, Rachel Zeig-Owens, Jessica Weakley, Mayris P Webber, Theresa M Schwartz, David J Prezant, Michael D Weiden, Charles B Hall
OBJECTIVES: In a cohort of rescue/recovery workers exposed to the dust that resulted from the collapse of the World Trade Center (WTC), we assessed how a diagnosis of obstructive airways disease (OAD) affected the likelihood of a subsequent diagnosis of chronic rhinosinusitis (CRS) or gastroesophageal reflux disease (GERD). We also assessed whether OAD acted as a mediator of the association between exposure to the WTC rescue/recovery effort and CRS and GERD diagnoses. METHODS: In this prospective cohort study, we analyzed Fire Department of the City of New York physician diagnoses of OAD, CRS, and GERD that were first documented between September 11, 2001, and September 10, 2011, among 8,968 WTC-exposed firefighters...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28196830/the-benefits-of-data-linkage-for-firefighter-injury-surveillance
#6
Shannon A Widman, Michael T LeVasseur, Loni P Tabb, Jennifer A Taylor
BACKGROUND: While survey data are available for national estimates of fire events and firefighter fatalities, data on firefighter injury at the national and local levels remain incomplete and unreliable. Data linkage provides a vehicle to maximise case detection and deepen injury description for the US fire service. METHODS: By linking departmental Human Resources records, despatch data, workers' compensation and first reports of injury, researchers were able to describe reported non-fatal injuries to 3063 uniformed members of the Philadelphia Fire Department (PFD), for the period of 2005 through 2013...
February 14, 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/28163233/the-impact-of-first-responder-turnout-and-curb-to-care-intervals-on-survival-from-out-of-hospital-cardiac-arrest
#7
Nicolaas P DeRuyter, Sofia Husain, Lihua Yin, Michele Olsufka, Andrew M McCoy, Charles Maynard, Leonard A Cobb, Thomas D Rea, Michael R Sayre
PURPOSE: Patients with out-of-hospital cardiac arrest (OHCA) more likely survive when emergency medical services (EMS) arrive quickly. We studied time response elements in OHCA with attention to EMS intervals before wheels roll and after wheels stop to understand their contribution to total time response and clinical outcome. METHODS: We analyzed EMS responses to OHCA from 2009-2014 in an urban, fire department based system. The Call-to-Care Interval, from call receipt to hands-on EMS care, was comprised of four time intervals: 1) call received to EMS notification (Activation), 2) EMS notification to vehicle wheels rolling (Turnout), 3) wheels rolling to arrival at scene (Travel), and 4) arrival at scene to hands-on EMS care (Curb-to-Care)...
April 2017: Resuscitation
https://www.readbyqxmd.com/read/28160809/implementing-risk-management-to-reduce-injuries-in-the-u-s-fire-service
#8
Keshia M Pollack, Gerald S Poplin, Stephanie Griffin, Wayne Peate, Virginia Nash, Ed Nied, John Gulotta, Jefferey L Burgess
INTRODUCTION: Risk management, a proactive process to identify and mitigate potential injury risks and implement control strategies, was used to reduce the risk of occupational injury in a fire department. The objective of this research was to study the implementation of the risk management process for future replication. A second objective was to document changes in fire personnel's knowledge, attitudes, and behaviors related to the selected control strategies that were implemented as part of the risk management process...
February 2017: Journal of Safety Research
https://www.readbyqxmd.com/read/28159465/a-comparison-of-sentinel-lymph-node-biopsy-to-lymphadenectomy-for-endometrial-cancer-staging-fires-trial-a-multicentre-prospective-cohort-study
#9
Emma C Rossi, Lynn D Kowalski, Jennifer Scalici, Leigh Cantrell, Kevin Schuler, Rabbie K Hanna, Michael Method, Melissa Ade, Anastasia Ivanova, John F Boggess
BACKGROUND: Sentinel-lymph-node mapping has been advocated as an alternative staging technique for endometrial cancer. The aim of this study was to measure the sensitivity and negative predictive value of sentinel-lymph-node mapping compared with the gold standard of complete lymphadenectomy in detecting metastatic disease for endometrial cancer. METHODS: In the FIRES multicentre, prospective, cohort study patients with clinical stage 1 endometrial cancer of all histologies and grades undergoing robotic staging were eligible for study inclusion...
March 2017: Lancet Oncology
https://www.readbyqxmd.com/read/28153591/the-present-and-future-challenges-facing-urology-departments-at-academic-health-centers
#10
REVIEW
Benjamin J McCormick, Raj S Pruthi
Academic health centers (ACHs) represent the pinnacle of health care by providing innovative clinical care, cutting-edge research, and premier education. However, recent changes in health care put their tripartite mission at risk. The coming years will bring immense change to AHCs as they adjust to new market conditions impacting the 3 distinct elements of their mission. Fundamental adaptations are required for AHCs to survive, let alone thrive and continue to represent the best of medical research, education, and health...
January 30, 2017: Urology
https://www.readbyqxmd.com/read/28122657/challenges-and-opportunities-to-engaging-emergency-medical-service-providers-in-substance-use-research-a-qualitative-study
#11
Allysha C Maragh-Bass, Julie C Fields, Junette McWilliams, Amy R Knowlton
Introduction Research suggests Emergency Medical Services (EMS) over-use in urban cities is partly due to substance users with limited access to medical/social services. Recent efforts to deliver brief, motivational messages to encourage these individuals to enter treatment have not considered EMS providers. Problem Little research has been done with EMS providers who serve substance-using patients. The EMS providers were interviewed about participating in a pilot program where they would be trained to screen their patients for substance abuse and encourage them to enter drug treatment...
January 26, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28121225/prospective-prehospital-evaluation-of-the-cincinnati-stroke-triage-assessment-tool
#12
Jason T McMullan, Brian Katz, Joseph Broderick, Pamela Schmit, Heidi Sucharew, Opeolu Adeoye
BACKGROUND AND PURPOSE: A simple, easily adoptable scale with good performance characteristics is needed for EMS providers to appropriately triage suspected stroke patients to comprehensive stroke centers (CSC). Many existing tools are complex, require substantial training, or have not been prospectively validated in the prehospital setting. We describe the feasibility and effectiveness of prehospital implementation of our previously retrospectively derived and validated Cincinnati Stroke Triage Assessment Tool (C-STAT) to identify subjects with severe stroke (NIHSS ≥15) among all prehospital patients with clinical suspicion of stroke/TIA...
January 25, 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/28063282/hypothetical-scenario-exercises-to-improve-planning-and-readiness-for-drinking-water-quality-management-during-extreme-weather-events
#13
Daniel Deere, Frederic D L Leusch, Andrew Humpage, David Cunliffe, Stuart J Khan
Two hypothetical scenario exercises were designed and conducted to reflect the increasingly extreme weather-related challenges faced by water utilities as the global climate changes. The first event was based on an extreme flood scenario. The second scenario involved a combination of weather events, including a wild forest fire ('bushfire') followed by runoff due to significant rainfall. For each scenario, a panel of diverse personnel from water utilities and relevant agencies (e.g. health departments) formed a hypothetical water utility and associated regulatory body to manage water quality following the simulated extreme weather event...
December 19, 2016: Water Research
https://www.readbyqxmd.com/read/28056893/demographic-profile-and-pattern-of-fatal-injuries-in-nairobi-kenya-january-june-2014
#14
Gladwell Koku Gathecha, Wilfred Mwai Githinji, Alfred Karagu Maina
BACKGROUND: Violence and Injuries are a significant global public health concern characterized by marked regional variation in incidence. Approximately five million people die from injuries each year, accounting 9% of all deaths worldwide. In Kenya, injuries are increasingly becoming a cause of hospital admissions and mortality where they account for 10% of all the deaths. The objective of this study was to determine the magnitude, demographic profile and pattern of fatal injuries in Nairobi...
January 6, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28045779/predictors-of-participation-in-a-fire-department-community-canvassing-program
#15
Beata Debinski, Eileen McDonald, Shannon Frattaroli, Wendy Shields, Elise Omaki, Andrea C Gielen
An urban fire department has been distributing free smoke alarms for more than 30 years. A community-academic partnership was developed to conduct a community intervention trial as part of the fire department's home visiting program. The trial comprised 170 canvassing events held across 12 census tracts; half of the census tracts were assigned to the treatment condition and received prepromotion of the home visit events. The objectives of this analysis were to identify environmental and programmatic predictors of 1) whether someone would be at home at the time of a visit, and 2) if at home, whether the resident would participate...
December 30, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/28035614/health-safety-and-environmental-unit-performance-assessment-model-under-uncertainty-case-study-steel-industry
#16
Azin Shamaii, Manouchehr Omidvari, Farhad Hosseinzadeh Lotfi
Performance assessment is a critical objective of management systems. As a result of the non-deterministic and qualitative nature of performance indicators, assessments are likely to be influenced by evaluators' personal judgments. Furthermore, in developing countries, performance assessments by the Health, Safety and Environment (HSE) department are based solely on the number of accidents. A questionnaire is used to conduct the study in one of the largest steel production companies in Iran. With respect to health, safety, and environment, the results revealed that control of disease, fire hazards, and air pollution are of paramount importance, with coefficients of 0...
January 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/28009592/assessment-of-acute-trauma-exposure-response-for-fire-ems-personnel
#17
Melissa C Hoffmann
PURPOSE: The purpose of this study was to develop an instrument that measures response to acute trauma exposure for firefighter and emergency medical service (EMS) personnel. The Acute Trauma Exposure Response Scale (ATERS) was intended to assess firefighter and EMS personnel response to acute trauma exposure from analytical, emotional, and physical perspectives. METHODS: Data were analyzed on 97 firefighter and EMS personnel employed by a fire department in a mid-sized city in a western state...
2016: Journal of Applied Measurement
https://www.readbyqxmd.com/read/28007971/paediatric-emergency-department-based-carbon-monoxide-detector-intervention-a-randomised-trial
#18
Lara B McKenzie, Kristin J Roberts, Roxanne M Kaercher, Christy L Collins, R Dawn Comstock, Soledad Fernandez, Mahmoud Abdel-Rasoul, Marcel J Casavant, Leslie Mihalov
BACKGROUND: Although non-fire-related carbon monoxide (CO) poisoning is almost entirely preventable, over 400 people die and 20 000 people are injured each year in the USA from unintentional CO poisoning. Thus, there is a critical need for evidence-based interventions for preventing CO poisoning and increasing the proper use and installation of CO detectors. METHODS: A randomised, controlled trial (Project CODE, a Carbon Monoxide Detector Education intervention) with 2-week and 6-month follow-up home observations was conducted in 299 parents of children aged ≤18 years recruited in the emergency department of a level 1 paediatric trauma centre...
December 22, 2016: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/27990416/coordinating-care-for-falls-via-emergency-responders-a-feasibility-study-of-a-brief-at-scene-intervention
#19
REVIEW
Elizabeth A Phelan, Julia Herbert, Carol Fahrenbruch, Benjamin A Stubbs, Hendrika Meischke
Falls account for a substantial portion of 9-1-1 calls, but few studies have examined the potential for an emergency medical system role in fall prevention. We tested the feasibility and effectiveness of an emergency medical technician (EMT)-delivered, at-scene intervention to link elders calling 9-1-1 for a fall with a multifactorial fall prevention program in their community. The intervention was conducted in a single fire department in King County, Washington and consisted of a brief public health message about the preventability of falls and written fall prevention program information left at scene...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27939058/a-cleaner-burning-biomass-fuelled-cookstove-intervention-to-prevent-pneumonia-in-children-under-5-years-old-in-rural-malawi-the-cooking-and-pneumonia-study-a-cluster-randomised-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
Kevin Mortimer, Chifundo B Ndamala, Andrew W Naunje, Jullita Malava, Cynthia Katundu, William Weston, Deborah Havens, Daniel Pope, Nigel G Bruce, Moffat Nyirenda, Duolao Wang, Amelia Crampin, Jonathan Grigg, John Balmes, Stephen B Gordon
BACKGROUND: WHO estimates exposure to air pollution from cooking with solid fuels is associated with over 4 million premature deaths worldwide every year including half a million children under the age of 5 years from pneumonia. We hypothesised that replacing open fires with cleaner burning biomass-fuelled cookstoves would reduce pneumonia incidence in young children. METHODS: We did a community-level open cluster randomised controlled trial to compare the effects of a cleaner burning biomass-fuelled cookstove intervention to continuation of open fire cooking on pneumonia in children living in two rural districts, Chikhwawa and Karonga, of Malawi...
January 14, 2017: Lancet
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