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JOURNAL ARTICLE
Julia H Wnorowska, Vishal Naik, Sriram Ramgopal, Kenshata Watkins, Jennifer A Hoffmann
OBJECTIVE: Approximately 10% of emergency medical services (EMS) encounters in the United States are behavioral health related, but pediatric behavioral health EMS encounters have not been well characterized. We sought to describe demographic, clinical, and EMS system characteristics of pediatric behavioral health EMS encounters across the United States and to evaluate factors associated with sedative medication administration and physical restraint use during these encounters. METHODS: We conducted a retrospective cross-sectional study of pediatric (<18 years old) behavioral health EMS encounters from 2019 to 2020 using the National Emergency Medical Services Information System...
November 10, 2023: Academic Emergency Medicine
#22
JOURNAL ARTICLE
Brooke T Cheng, R Ayesha Ali, Jun Chen Collet, Tara Donovan Towell, Guanghong Han, Dave Keen, Ka Wai Leung, Julie Mori, Jocelyn A Srigley
OBJECTIVE: The coronavirus disease 2019 (COVID-19) pandemic highlighted the importance of robust infection prevention and control (IPAC) practices to maintain patient and staff safety. However, healthcare workers (HCWs) face many barriers that affect their ability to follow these practices. We identified barriers affecting HCW adherence to IPAC practices during the pandemic in British Columbia, Canada. DESIGN: Cross-sectional web-based survey. SETTING: Acute care, long-term care or assisted living, outpatient, mental health, prehospital care, and home care...
November 9, 2023: Infection Control and Hospital Epidemiology
#23
REVIEW
Robert Llewellyn Thomas, R Howes, L McMenemy, P Hindle, M Wordsworth, R Staruch
Upper limb prosthetics have a challenging task. A natural upper limb combines strength, coordination and dexterity to accomplish daily activities such as eating, writing, working and social interaction. Artificially replicating these functions requires a prosthetic with composite, synchronous motor function while maintaining sensory feedback and skeletal stability. Achieving these functions requires interfaces between biology and machine across nerve, muscle, bone and skin. This leads to issues related to infection, foreign material encapsulation and implant stability, and electrical signal transduction and interpretation...
October 24, 2023: BMJ military health
#24
JOURNAL ARTICLE
Carmen M Martínez-Caballero, M Paz Matellán-Hernández, Carlos Eduardo Polo-Portes, Ana María Reques-Marugán, Raúl Soto-Cámara, Rosa María Cardaba-García, Israel John Thuissard, Susana Navalpotro-Pascual
OBJECTIVE: This study aimed to analyze stress, anxiety, depression, and self-efficacy levels among Spanish out-of-hospital emergency medical professionals from February 1, 2021, to April 30, 2021. METHODS: A nationwide survey was completed by 1666 Emergency Medical Services (EMS) workers. The Depression, Anxiety, and Stress Scale (DASS-21) and the General Self-Efficacy Scale (GSE) were used. Data analysis used chi-squared, análisis of variance (ANOVA), and logistic regressions...
October 24, 2023: Disaster Medicine and Public Health Preparedness
#25
JOURNAL ARTICLE
Braden J Hexom, Nana Serwaa A Quao, N Shakira Bandolin, Joseph Bonney, Amanda Collier, Jonathan Dyal, J Austin Lee, Benjamin D Nicholson, Megan M Rybarczyk, Chris A Rees, Charlotte M Roy, Nidhi Bhaskar, Sean M Kivlehan
OBJECTIVE: The objective was to identify the highest quality global emergency medicine (GEM) research published in 2022. The top articles are compiled in a comprehensive list of all the year's GEM articles and narrative summaries are performed on those included. METHODS: A systematic PubMed search was conducted to identify all GEM articles published in 2022 and included a manual supplemental screen of 11 organizational websites for gray literature (GRAY). A team of trained reviewers and editors screened all identified titles and abstracts, based on three case definition categories: disaster and humanitarian response (DHR), emergency care in resource-limited settings (ECRLS), and emergency medicine development (EMD)...
October 9, 2023: Academic Emergency Medicine
#26
JOURNAL ARTICLE
Nikolaos Kintrilis, Natasza Blek, Sergiusz Blek, Aleksandra Olkiewicz, Jerzy Robert Ladny, Lukasz Szarpak
The novel severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection and the accompanying coronavirus disease (Covid-19) have shifted the priority of human and technical resources toward their handling, thus affecting the usual standards of care for populations diagnosed with other clinical entities. The phenomenon becomes even more apparent in patients with presenting symptoms of mental and behavioral disorders, a category already vulnerable and underrepresented in regard to its prehospital approach and management...
2023: Frontiers in Public Health
#27
MULTICENTER STUDY
Benedikt Schick, Benjamin Mayer, Constanze Hensel, Sebastian Schmid, Bettina Jungwirth, Eberhard Barth, Claus-Martin Muth, Stephan Katzenschlager, Carlos Schönfeldt-Lecuona
BACKGROUND: Prehospital care of psychiatric patients often relies on the medical experience of prehospital emergency physicians (PHEPs). The psychiatrists (PSs) involved in the further treatment of psychiatric patients also often rely on their experience. Furthermore, the interaction between PHEPs and PSs is characterized by interaction problems and different approaches in the prehospital care of the psychiatric emergency. OBJECTIVES: To analyze the phenomenon of "medical experience" as a cause of possible interaction-related problems and assess its impact on the prehospital decision-making process between prehospital emergency physicians and psychiatrists...
September 23, 2023: BMC Emergency Medicine
#28
REVIEW
Nathan W Koranda, Brandon A Knettel, Peter Mabula, Rupa Joshi, Godfrey Kisigo, Christine Klein, Alec Bunting, Matthew Lauritsen, Joshua O'Tool, Stephen J Dunlop
BACKGROUND: Tanzania does not have a formalized prehospital Emergency Medical Services (EMS) response. As a result, traffic police play an integral role in the emergency response system. This study examines the potential impact of a brief training program in prehospital trauma care and mental health to improve knowledge, self-efficacy, and practice intentions related to trauma care among police officers. METHOD: A cohort of 45 police officers were enrolled to participate in the training and accompanying evaluation...
September 12, 2023: International Emergency Nursing
#29
JOURNAL ARTICLE
Ashley A Foster, Kenshata Watkins, Tarak K Trivedi, Marisol Cruz-Romero, Sara A Leibovich, Rajesh K Daftary, Aaron E Kornblith, Jacqueline Grupp-Phelan, Karl A Sporer, Colleen Kellison, Nicolaus W Glomb
OBJECTIVE: Emergency medical services (EMS) transport for mental and behavioral health (MBH) emergencies occurs frequently in children, yet little is understood regarding prehospital physical restraint use despite the potential for serious adverse events. We aim to describe restraint use prevalence and primary impressions among children with MBH emergencies. METHODS: This is a retrospective cross-sectional study of children with MBH emergencies evaluated by Alameda County (ALCO), California EMS from January 1, 2012 to December 31, 2018...
August 2023: Journal of the American College of Emergency Physicians open
#30
EDITORIAL
Mohsen Saidinejad, Susan Duffy, Dina Wallin, Jennifer A Hoffmann, Madeline Joseph, Jennifer Schieferle Uhlenbrock, Kathleen Brown, Muhammad Waseem, Sally K Snow, Madeline Andrew, Alice A Kuo, Carmen Sulton, Thomas Chun, Lois K Lee, Gregory P Conners, James Callahan, Toni Gross, Madeline Joseph, Lois Lee, Elizabeth Mack, Jennifer Marin, Suzan Mazor, Ronald Paul, Nathan Timm, Ann M Dietrich, Kiyetta H Alade, Christopher S Amato, Zaza Atanelov, Marc Auerbach, Isabel A Barata, Lee S Benjamin, Kathleen T Berg, Kathleen Brown, Cindy Chang, Jessica Chow, Corrie E Chumpitazi, Ilene A Claudius, Joshua Easter, Ashley Foster, Sean M Fox, Marianne Gausche-Hill, Michael J Gerardi, Jeffrey M Goodloe, Melanie Heniff, James Jim L Homme, Paul T Ishimine, Susan D John, Madeline M Joseph, Samuel Hiu-Fung Lam, Simone L Lawson, Moon O Lee, Joyce Li, Sophia D Lin, Dyllon Ivy Martini, Larry Bruce Mellick, Donna Mendez, Emory M Petrack, Lauren Rice, Emily A Rose, Timothy Ruttan, Mohsen Saidinejad, Genevieve Santillanes, Joelle N Simpson, Shyam M Sivasankar, Daniel Slubowski, Annalise Sorrentino, Michael J Stoner, Carmen D Sulton, Jonathan H Valente, Samreen Vora, Jessica J Wall, Dina Wallin, Theresa A Walls, Muhammad Waseem, Dale P Woolridge, Cam Brandt, Krisi M Kult, Justin J Milici, Nicholas A Nelson, Michele A Redlo, Maureen R Curtis Cooper, Michele Redlo, Krisi Kult, Katherine Logee, Dixie Elizabeth Bryant, Maureen Curtis Cooper, Kristen Cline
Mental and behavioral health (MBH) emergencies in children and youth continue to increasingly affect not only the emergency department (ED), but the entire spectrum of emergency medical services for children, from prehospital services to the community. Inadequate community and institutional infrastructure to care for children and youth with MBH conditions makes the ED an essential part of the health care safety net for these patients. As a result, an increasing number of children and youth are referred to the ED for evaluation of a broad spectrum of MBH emergencies, from depression and suicidality to disruptive and aggressive behavior...
September 2023: Annals of Emergency Medicine
#31
JOURNAL ARTICLE
Mohsen Saidinejad, Susan Duffy, Dina Wallin, Jennifer A Hoffmann, Madeline M Joseph, Jennifer Schieferle Uhlenbrock, Kathleen Brown, Muhammad Waseem, Sally Snow, Madeline Andrew, Alice A Kuo, Carmen Sulton, Thomas Chun, Lois K Lee
Mental and behavioral health (MBH) emergencies in children and youth continue to increasingly affect not only the emergency department (ED), but the entire spectrum of emergency medical services for children, from prehospital services to the community. Inadequate community and institutional infrastructure to care for children and youth with MBH conditions makes the ED an essential part of the health care safety net for these patients. As a result, an increasing number of children and youth are referred to the ED for evaluation of a broad spectrum of MBH emergencies, from depression and suicidality to disruptive and aggressive behavior...
August 16, 2023: Pediatrics
#32
JOURNAL ARTICLE
Mohsen Saidinejad, Susan Duffy, Dina Wallin, Jennifer A Hoffmann, Madeline M Joseph, Jennifer Schieferle Uhlenbrock, Kathleen Brown, Muhammad Waseem, Sally Snow, Madeline Andrew, Alice A Kuo, Carmen Sulton, Thomas Chun, Lois K Lee
Mental and behavioral health (MBH) visits of children and youth to emergency departments are increasing in the United States. Reasons for these visits range from suicidal ideation, self-harm, and eating and substance use disorders to behavioral outbursts, aggression, and psychosis. Despite the increase in prevalence of these conditions, the capacity of the health care system to screen, diagnose, and manage these patients continues to decline. Several social determinants also contribute to great disparities in child and adolescent (youth) health, which affect MBH outcomes...
August 16, 2023: Pediatrics
#33
JOURNAL ARTICLE
Mohsen Saidinejad, Susan Duffy, Dina Wallin, Jennifer A Hoffmann, Madeline Joseph, Jennifer Schieferle Uhlenbrock, Kathleen Brown, Muhammad Waseem, Sally K Snow, Madeline Andrew, Alice A Kuo, Carmen Sulton, Thomas Chun, Lois K Lee
Mental and behavioral health (MBH) emergencies in children and youth continue to increasingly affect not only the emergency department (ED), but the entire spectrum of emergency medical services for children, from prehospital services to the community. Inadequate community and institutional infrastructure to care for children and youth with MBH conditions makes the ED an essential part of the health care safety net for these patients. As a result, an increasing number of children and youth are referred to the ED for evaluation of a broad spectrum of MBH emergencies, from depression and suicidality to disruptive and aggressive behavior...
August 10, 2023: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
#34
REVIEW
M D Kamrujjaman, Christiana Demetriou, Tatiana Cuartas Álvarez, Rafael Castro Delgado
INTRODUCTION: Emergency Medical Services (EMS) are integrated services involving doctors, paramedics, nurses, and social workers. This research was carried out to synthesize the evidence concerning social work roles for EMS. The aim of this study was to synthesize literature on the social worker's role in EMS settings. METHODS: The study was a systematic review. Data were collected through selected databases. The researcher used Scopus, Sociology Database, Social Science Database, and Public Health Database related to EMS and social work settings...
October 2023: Prehospital and Disaster Medicine
#35
JOURNAL ARTICLE
Bela Janare Putra, Rikas Saputra, Dominikus David Biondi Situmorang
Here discussed is the relevance of non-pharmacological therapy, especially cooking therapy, in supporting the mental health recovery of adolescent disaster victims, especially those affected by the natural eruption of Mount Merapi in Yogyakarta, Indonesia.
July 5, 2023: Prehospital and Disaster Medicine
#36
JOURNAL ARTICLE
Dwi Sri Rahayu, Adi Atmoko, M Muslihati, Arbin Janu Setyowati, Fransisca Mudjijanti
Compassion fatigue is a condition that occurs in individuals who are continuously involved in providing care or emotional support to others who are experiencing suffering or difficulties. This condition can affect the physical, emotional, and psychological well-being of health professionals. The results of a literature review show that music therapy can effectively reduce stress levels, emotional exhaustion, and burnout symptoms associated with compassion fatigue. This article proposes the use of music therapy as an effective alternative to reduce compassion fatigue...
July 5, 2023: Prehospital and Disaster Medicine
#37
JOURNAL ARTICLE
Hamidreza Miri, Elham Boushehri, Maryam Hoseini-Abardeh, Shahram Yazdani
BACKGROUND: Emergency medical technicians (EMTs) play a pivotal role in the management and treatment chain of emergency patients and their health outcomes. Knowing the clinical reasoning pattern in prehospital procedures is of particular importance that can help to develop a correct clinical decision-making process in this group. Therefore, this study aimed to clarify the clinical reasoning in EMTs and evaluate its compliance with the "illness script" theory. MATERIALS AND METHODS: This descriptive-analytical study was conducted in 2021 at Hormozgan University of Medical Sciences (HUMS) by involving EMTs in two groups of experts and novices...
2023: Journal of Education and Health Promotion
#38
JOURNAL ARTICLE
Justin Mausz, Sarah Salvis, Dominique Arseneau-Bruneau, Elizabeth Donnelly
IntroductionLike other public safety professions, paramedicine has historically been a male-dominated occupation. Although women are increasingly choosing paramedicine as a career, participation in leadership roles remains limited. Drawing on data from a comprehensive mental health survey, we describe the proportion of women in leadership in a single, large, urban paramedic service in Ontario, Canada.MethodsWe distributed an in-person, paper-based survey during the fall 2019 - winter 2020 continuing medical education sessions...
June 30, 2023: Prehospital Emergency Care
#39
JOURNAL ARTICLE
A Arizona, Fattah Hanurawan, Nur Hidayah, M Muslihati, M Ramli
Music Therapy (MT) is a growing field that has shown promise in promoting social and emotional well-being. Use of music therapy is a means of dealing with social anxiety, which is a common mental health problem. Potential benefits of using and bridging ethnic music in therapy and public health exist. Strategies to promote the use of music therapy in public health programs are necessary, specifically to address social anxiety.
June 20, 2023: Prehospital and Disaster Medicine
#40
JOURNAL ARTICLE
Nick Kruijt, L R van den Bersselaar, M T E Hopman, M M J Snoeck, M van Rijswick, T G H Wiggers, H Jungbluth, C C W G Bongers, N C Voermans
INTRODUCTION: Exertional heat stroke (EHS) is a medical emergency, occurring when the body generates more heat than it can dissipate, and frequently associated with exertional rhabdomyolysis (ERM). In the present study we aimed to (I) identify clinical features and risk factors, (II) describe current prehospital management, (III) investigate long-term outcomes including the impact on mental health, and review the guidance received during restarting activities. We hope that our approach will improve individual and organizational heat illness preparedness, and improve follow-up care...
May 19, 2023: Sports Medicine—Open
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