keyword
MENU ▼
Read by QxMD icon Read
search

Pre-hospital

keyword
https://www.readbyqxmd.com/read/29928660/rho-kinase-inhibitors-do-not-expand-hematoma-volume-in-acute-experimental-intracerebral-hemorrhage
#1
Murtaza Akhter, Tom Qin, Paul Fischer, Homa Sadeghian, Hyung Hwan Kim, Michael J Whalen, Joshua N Goldstein, Cenk Ayata
Rho-associated kinase (ROCK) is an emerging target in acute ischemic stroke. Early pre-hospital treatment with ROCK inhibitors may improve their efficacy, but their antithrombotic effects raise safety concerns in hemorrhagic stroke, precluding use prior to neuroimaging. Therefore, we tested whether ROCK inhibition affects the bleeding times, and worsens hematoma volume in a model of intracerebral hemorrhage (ICH) induced by intrastriatal collagenase injection in mice. Tail bleeding time was measured 1 h after treatment with isoform-nonselective inhibitor fasudil, or ROCK2-selective inhibitor KD025, or their vehicles...
June 2018: Annals of Clinical and Translational Neurology
https://www.readbyqxmd.com/read/29922097/acute-myocardial-infarction-in-young-women-current-perspectives
#2
REVIEW
Jaya Chandrasekhar, Amrita Gill, Roxana Mehran
Acute myocardial infarction (AMI) is the leading cause of death in women worldwide. Every year, in the USA alone, more than 30,000 young women <55 years of age are hospitalized with AMI. In recent decades, the incidence of AMI is increasing in younger women in the context of increasing metabolic syndrome, diabetes mellitus, and non-traditional risk factors such as stress, anxiety, and depression. Although women are classically considered to present with atypical chest pain, several observational data confirm that men and women experience similar rates of chest pain, with some differences in intensity, duration, radiation, and the choice of descriptors...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29913751/parenteral-opioids-in-emergency-medicine-a-systematic-review-of-efficacy-and-safety
#3
Leila Niemi-Murola, Jani Unkuri, Katri Hamunen
Introduction and aim Pain is a frequent symptom in emergency patients and opioids are commonly used to treat it at emergency departments and at pre-hospital settings. The aim of this systematic review is to examine the efficacy and safety of parenteral opioids used for acute pain in emergency medicine. Method Qualitative review of randomized controlled trials (RCTs) on parenteral opioids for acute pain in adult emergency patients. Main outcome measures were: type and dose of the opioid, analgesic efficacy as compared to either placebo or another opioid and adverse effects...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29911613/pain-outside-of-the-hospital-what-is-the-situation-in-pre-hospital-care-and-how-could-it-be-improved
#4
Vesa Kontinen
No abstract text is available yet for this article.
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29910083/a-new-protocol-reduces-median-door-to-needle-time-to-the-benchmark-of-30-minutes-in-acute-stroke-treatment
#5
A M Iglesias Mohedano, A García Pastor, F Díaz Otero, P Vázquez Alen, M A Martín Gómez, P Simón Campo, P Salgado Cámara, E Esteban de Antonio, E Lázaro García, C Funes Molina, M Del Valle Diéguez, J Saura Lorente, Y Fernández Bullido, A Gil Nuñez
INTRODUCTION: Recent analyses emphasize that The Benchmark Stroke Door-to-Needle Time (DNT) should be 30 min. This study aimed to determine if a new in-hospital IVT protocol is effective in reducing door-to-needle time and correcting previously identified factors associated with delays. MATERIAL AND METHODS: In 2014, we gradually introduced a series of measures aimed to reduce door-to-needle time for patients receiving IVT, and compared it before (2009-2012) and after (2014-2017) the new protocol was introduced...
June 14, 2018: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/29907171/-carbon-monoxide-poisoning-treatment-and-orientation
#6
Thibaut Le Corfec, Olga Maurin, Stéphane Foucher, Kilian Bertho, Hugues Lefort
Colourless and odourless, each year carbon monoxide is responsible for several thousand cases of poisoning. Often collective, their symptoms are non specific and can result in serious neurological sequelae or even death, if they are not detected in time. The (pre-) hospital emergency nurse plays an important role in the management of these patients, in terms of assessment, treatment and monitoring as well as the organisation of the admittance of victims, categorisation and medical triage. As part of a team, the nurse ensures that the patient enters an adapted, regulated pathway, with the most serious cases being directed towards a hospital equipped with a hyperbaric medicine facility...
June 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29903672/evaluation-of-tranexamic-acid-in-trauma-patients-a-retrospective-quantitative-analysis
#7
Michelle Ng, Jerrold Perrott, Sarah Burgess
INTRODUCTION: Tranexamic acid (TXA) has been shown to decrease mortality in adult trauma patients with or at significant risk of hemorrhage when administered within 3 h of injury. The use and appropriateness of TXA in adult trauma patients presenting to Royal Columbian Hospital (RCH) was investigated. METHODS: This retrospective chart review utilized the British Columbia Trauma Registry to identify 100 consecutive trauma patients that presented to the emergency department at RCH between April 2012 to June 2015 and met the following indications for TXA: systolic blood pressure <90 mm Hg and/or heart rate >110 bpm and presentation within 8 h of injury...
June 5, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29898854/coronary-angiography-in-out-of-hospital-cardiac-arrest-without-st-elevation-on-ecg-short-and-long-term-survival
#8
Ludvig Elfwén, Rickard Lagedal, Stefan James, Martin Jonsson, Ulf Jensen, Mattias Ringh, Andreas Claesson, Jonas Oldgren, Johan Herlitz, Sten Rubertsson, Per Nordberg
BACKGROUND: The potential benefit of early coronary angiography in out-of-hospital cardiac arrest (OHCA) patients without ST elevation on ECG is unclear. The aim of this study was to evaluate the association between early coronary angiography and survival in these patients. METHODS: Nationwide observational study between 2008 and 2013. Included were patients admitted to hospital after witnessed OHCA, with shockable rhythm, age 18 to 80 years and unconscious. Patients with ST-elevation on ECG were excluded...
June 2018: American Heart Journal
https://www.readbyqxmd.com/read/29893435/dyspnea-and-self-management-strategies-in-patients-admitted-to-the-emergency-department-a-study-of-patients-experiences
#9
Karoline Stentoft Rybjerg Larsen, Annemette Krintel Petersen, Marianne Lisby, Marie Veje Knudsen
AIMS AND OBJECTIVE: To explore patients' experiences of acute dyspnea, physical functioning, and perspectives on course of illness prior to admission to the emergency department. BACKGROUND: Many emergency admissions are considered unnecessary and avoidable. In this perspective, it seems relevant to gain insight into the patients' perspective on acute dyspnea and the need for emergency admission. However, only few studies have investigated reasons for emergency admission from a patient perspective...
June 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29890836/high-acuity-rural-transport-findings-from-a-qualitative-investigation
#10
Jude Kornelsen, Brent Hobbs, Holly Buhler, Rebecca Kaus, Kari Grant, Scott C Lamont, Stefan Grzybowski
INTRODUCTION: The High Acuity Response Team (HART) was introduced in British Columbia (BC), Canada, to fill a gap in transport for rural patients that was previously being met by nurses and physicians leaving their communities to escort patients in need of critical care. The HART team consists of a critical care registered nurse (CCRN) and registered respiratory therapist (RRT) and attends acute care patients in rural sites by either stabilizing them in their community or transporting them...
June 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29873588/catch-and-release-evaluating-the-safety-of-non-fatal-heroin-overdose-management-in-the-out-of-hospital-environment
#11
Nathan C Stam, Jennifer L Pilgrim, Olaf H Drummer, Karen Smith, Dimitri Gerostamoulos
BACKGROUND: The aim of this study was to investigate the safety of the management of non-fatal heroin overdose in the out-of-hospital environment; irrespective of whether or not naloxone had been administered. Heroin toxicity-related deaths as well as heroin intoxication-related traumatic deaths following patient-initiated refusal of transport were investigated. METHODS: Heroin-related deaths in the state of Victoria, Australia between 1 January 2012 and 31 December 2013 were investigated and data linkage to pre-hospital Emergency Medical Services performed, in order to identify whether the death was related to the last episode of care by paramedics...
June 6, 2018: Clinical Toxicology
https://www.readbyqxmd.com/read/29869590/encountering-existential-loneliness-among-older-people-perspectives-of-health-care-professionals
#12
Malin Sundström, Anna-Karin Edberg, Margareta Rämgård, Kerstin Blomqvist
PURPOSE: Existential loneliness is part of being human that is little understood in health care, but, to provide good care to their older patients, professionals need to be able to meet their existential concerns. The aim of this study was to explore health care professionals' experiences of their encounters with older people they perceive to experience existential loneliness. METHOD: We conducted 11 focus groups with 61 health professionals working in home care, nursing home care, palliative care, primary care, hospital care, or pre-hospital care...
December 2018: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/29866144/standardised-data-reporting-from-pre-hospital-advanced-airway-management-a-nominal-group-technique-update-of-the-utstein-style-airway-template
#13
G A Sunde, A Kottmann, J K Heltne, M Sandberg, M Gellerfors, A Krüger, D Lockey, S J M Sollid
BACKGROUND: Pre-hospital advanced airway management with oxygenation and ventilation may be vital for managing critically ill or injured patients. To improve pre-hospital critical care and develop evidence-based guidelines, research on standardised high-quality data is important. We aimed to identify which airway data were most important to report today and to revise and update a previously reported Utstein-style airway management dataset. METHODS: We recruited sixteen international experts in pre-hospital airway management from Australia, United States of America, and Europe...
June 4, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/29862723/-concept-and-implementation-of-ecg-monitoring-for-whole-course-of-pre-hospital-emergency
#14
Bo Shi, Li Zhang, Young Tsau, Guiquan Zou, Huayong Liu, Lei Li, Yan Zhang
In pre-hospital emergency, it's essential to immediate recognize cardiac arrest, and use real-time ECG monitoring for patients. We propose a concept of whole-course ECG monitoring and implementation in pre-hospital emergency, and design a portable pre-hospital ECG monitor (Pre-ECG). There are two working modes in Pre-ECG, i.e., rapid detection and continuous monitoring modes. In rapid detection mode, ECG waves and heart rate of patients can be displayed in a few seconds by using metal electrodes, which helps to understand the status of patients' cardiac electrical activity...
September 30, 2017: Zhongguo Yi Liao Qi Xie za Zhi, Chinese Journal of Medical Instrumentation
https://www.readbyqxmd.com/read/29860585/a-review-of-the-burden-of-trauma-pain-in-emergency-settings-in-europe
#15
REVIEW
Patrick D Dißmann, Maxime Maignan, Paul D Cloves, Blanca Gutierrez Parres, Sara Dickerson, Alice Eberhardt
Trauma pain represents a large proportion of admissions to emergency departments across Europe. There is currently an unmet need in the treatment of trauma pain extending throughout the patient journey in emergency settings. This review aims to explore these unmet needs and describe barriers to the delivery of effective analgesia for trauma pain in emergency settings. A comprehensive, qualitative review of the literature was conducted using a structured search strategy (Medline, Embase and Evidence Based Medicine Reviews) along with additional Internet-based sources to identify relevant human studies published in the prior 11 years (January 2006-December 2017)...
June 2, 2018: Pain and Therapy
https://www.readbyqxmd.com/read/29859121/critcomms-a-national-cross-sectional-questionnaire-based-study-to-investigate-prehospital-handover-practices-between-ambulance-clinicians-and-specialist-prehospital-teams-in-scotland
#16
David Fitzpatrick, Michael McKenna, Edward A S Duncan, Colville Laird, Richard Lyon, Alasdair Corfield
BACKGROUND: Poor communication during patient handover is recognised internationally as a root cause of a significant proportion of preventable deaths. Improving the accuracy and quality of handover may reduce associated mortality and morbidity. Although the practice of handover between Ambulance and Emergency Department clinicians has received some attention over recent years there is little evidence to support handover best practice within the prehospital domain. Further research is therefore urgently required to understand the most appropriate way to deliver clinical information exchange in the pre-hospital environment...
June 1, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/29853325/trauma-system-in-greece-quo-vadis
#17
REVIEW
Evangelos Anagnostou, Andreas Larentzakis, Pantelis Vassiliu
INTRODUCTION: Implementation of trauma systems has markedly assisted in improving outcomes of the injured patient. However, differences exist internationally as diverse social factors, economic conditions and national particularities are placing obstacles. The purpose of this paper is to critically evaluate the current Greek trauma system, provide a comprehensive review and suggest key actions. METHODS: An exhaustive search of the - scarce on this subject - English and Greek literature was carried out to analyze all the main components of the Greek trauma system, according to American College of Surgeons' criteria, as well as the WHO Trauma Systems Maturity Index...
May 23, 2018: Injury
https://www.readbyqxmd.com/read/29847260/use-of-continuous-end-tidal-carbon-dioxide-tracing-to-establish-pre-hospital-esophageal-intubation-as-the-cause-of-death-in-a-young-asthmatic-woman
#18
Danial Laird
No abstract text is available yet for this article.
December 15, 2017: Journal of Legal Medicine
https://www.readbyqxmd.com/read/29846471/pre-hospitalization-hospitalization-and-post-hospitalization-costs-of-patients-with-neurocysticercosis-treated-at-the-instituto-nacional-de-neurologia-y-neurocirugia-innn-in-mexico-city-mexico
#19
Rachana Bhattarai, Hélène Carabin, Jose Flores-Rivera, Teresa Corona, Jefferson V Proaño, Ana Flisser, Christine M Budke
The objective of this study was to estimate the direct costs associated with the diagnosis and treatment of neurocysticercosis (NCC) during pre-hospitalization, hospitalization, and post-hospitalization periods for 108 NCC patients treated at the Instituto Nacional de Neurologia y Neurocirugia (INNN) in Mexico City, Mexico. Information on clinical manifestations, diagnostic tests, hospitalizations, surgical procedures, prescription medication, and other treatments was collected via medical chart reviews. Uncertain values for costs and frequency of treatments were imputed using bootstrap techniques...
2018: Revista do Instituto de Medicina Tropical de São Paulo
https://www.readbyqxmd.com/read/29806595/bringing-prbc-to-the-point-of-combat-injury-are-we-there-yet
#20
Aytekin Ünlü, Soner Yılmaz, Özlem Yalçın, Metin Uyanık, Patrizio Petrone, Rıza Aytaç Çetinkaya, İbrahim Eker, Murat Urkan, Taner Özgürtaş, İsmail Yaşar Avcı, Nazif Zeybek
INTRODUCTION: Hemorrhage is the leading cause of injury related pre-hospital mortality. We investigated worst case scenarios and possible requirements of Turkish Military. As we plan to use blood resources during casualty transport, the impact of transport related mechanical stress on PRBC (packed red blood cell) were analyzed. MATERIAL AND METHODS: The in vitro experiment was performed in the environmental test laboratories of ASELSAN®. Operational vibrations of potential casualty transport mediums such as Sikorsky Helicopters, Kirpi® Armoured Vehicle and NATO vibration standardsoftware MIL-STD-810G were recorded...
May 28, 2018: Turkish Journal of Haematology: Official Journal of Turkish Society of Haematology
keyword
keyword
74
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"