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https://www.readbyqxmd.com/read/27918104/quality-of-life-following-trauma-before-and-after-implementation-of-a-physician-staffed-helicopter
#1
K S Funder, L S Rasmussen, R Hesselfeldt, V Siersma, N Lohse, A Sonne, S Wulffeld, J Steinmetz
BACKGROUND: Implementation of a physician-staffed helicopter emergency medical service (PS-HEMS) in Denmark was associated with lower 30-day mortality in severely injured trauma patients and less time on social subsidy. However, the reduced 30-day mortality in severely injured patients might be at the expense of a worse functional outcome and quality of life (QoL) in those who survive. The aim of this study was to investigate the effect of a physician-staffed helicopter on long-term QoL in trauma patients...
January 2017: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/27908843/treatment-of-acute-coronary-syndrome-by-telemedically-supported-paramedics-compared-with-physician-based-treatment-a-prospective-interventional-multicenter-trial
#2
Jörg C Brokmann, Clemens Conrad, Rolf Rossaint, Sebastian Bergrath, Stefan K Beckers, Miriam Tamm, Michael Czaplik, Frederik Hirsch
BACKGROUND: Prehospital treatment of acute coronary syndrome (ACS) in German emergency medical services (EMSs) is reserved for EMS physicians due to legal issues. OBJECTIVE: The objective of this prospective, interventional, multicenter trial was to evaluate the quality of telemedically-delegated therapy and the possible complications in patients with ACS. METHODS: After approval by the ethics committee and trial registration, a one-year study phase was started in August 2012 with 5 ambulances, telemedically equipped and staffed with paramedics, in 4 German EMS districts...
December 1, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27818120/efficacy-and-safety-of-prehospital-administration-of-unfractionated-heparin-enoxaparin-or-bivalirudin-in-patients-undergoing-primary-percutaneous-coronary-intervention-for-st-segment-elevation-myocardial-infarction-insights-from-the-orbi-registry
#3
Vincent Auffret, Guillaume Leurent, Dominique Boulmier, Marc Bedossa, Amer Zabalawi, Jean-Philippe Hacot, Isabelle Coudert, Emmanuelle Filippi, Philippe Castellant, Antoine Rialan, Gilles Rouault, Philippe Druelles, Bertrand Boulanger, Josiane Treuil, Bertrand Avez, Marielle Le Guellec, Martine Gilard, Hervé Le Breton
BACKGROUND: Despite numerous studies in recent years, the best anticoagulant option for primary percutaneous coronary intervention (PCI) remains a matter of debate. AIMS: To compare in-hospital outcomes after prehospital administration of low-dose unfractionated heparin (UFH)±glycoprotein IIb/IIIa inhibitors (GPIs), enoxaparin±GPIs, or bivalirudin in patients undergoing primary PCI for ST-segment elevation myocardial infarction (STEMI). METHODS: A total of 1720 patients (median age 62...
November 3, 2016: Archives of Cardiovascular Diseases
https://www.readbyqxmd.com/read/27797869/long-term-prognosis-after-out-of-hospital-resuscitation-of-cardiac-arrest-in-trauma-patients-prehospital-trauma-associated-cardiac-arrest
#4
François-Xavier Duchateau, Sophie Hamada, Mathieu Raux, Matthieu Gay, Jean Mantz, Catherine Paugam Burtz, Tobias Gauss
BACKGROUND: Although prehospital cardiac arrest (CA) remains associated with poor long-term outcome, recent studies show an improvement in the survival rate after prehospital trauma associated CA (TCA). However, data on the long-term neurological outcome of TCA, particularly from physician-staffed Emergency Medical Service (EMS), are scarce, and results reported have been inconsistent. The objective of this pilot study was to evaluate the long-term outcome of patients admitted to several trauma centres after a TCA...
October 26, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27650943/physician-staffed-helicopter-emergency-medical-systems-can-provide-advanced-trauma-life-support-in-mountainous-and-remote-areas
#5
Julia Ausserer, Elizabeth Moritz, Matthias Stroehle, Hermann Brugger, Giacomo Strapazzon, Simon Rauch, Peter Mair
INTRODUCTION: In remote and mountainous areas, helicopter emergency medical systems (HEMS) are used to expedite evacuation and provide pre-hospital advanced trauma life support (ATLS) in major trauma victims. Aim of the study was to investigate feasibility of ATLS in HEMS mountain rescue missions and its influence on patient condition at hospital admission. PATIENTS: 58 major trauma victims (Injury Severity Score ≥16), evacuated by physician staffed HEMS from remote and mountainous areas in the State of Tyrol, Austria between 1...
September 8, 2016: Injury
https://www.readbyqxmd.com/read/27629235/ten-year-maturation-period-in-a-level-i-trauma-center-a-cohort-comparison-study
#6
A M K Harmsen, G F Giannakopoulos, M Terra, E S M de Lange de Klerk, F W Bloemers
PURPOSE: Many changes have been made to improve trauma care. Improved trauma team response and usage of a hybrid resuscitation room are examples of how this trauma center has developed. The aim was to assess how the outcome of the trauma population was influenced by the maturation. METHODS: A cohort comparison, between June 2004-July 2005 and 2014, was performed. All adult trauma patients with an Injury Severity Score (ISS) >15 were included. Variables collected were: patient demographics, mechanism of trauma, total prehospital time, pre- and inhospital trauma scores, vital signs, blood values and interventions, and physician staffed helicopter emergency medical services (P-HEMS) involvement and outcome...
September 15, 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27554262/the-probability-of-having-advanced-medical-interventions-is-associated-with-age-in-out-of-hospital-life-threatening-situations
#7
Vania Tavares, Pierre-Nicolas Carron, Bertrand Yersin, Patrick Taffé, Bernard Burnand, Valérie Pittet
BACKGROUND: The use of out-of-hospital emergency medical services by old and very old individuals is increasing. These patients frequently require complex evaluation and decision-making processes to determine a strategy of care, therapeutic choices or withdrawal of care in life-threatening situations. During out-of-hospital missions, thorough decision-making is difficult because of the limited amount of time and lack of direct access to medical charts or to pre-existing advance directives...
2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27550497/reduced-mortality-by-physician-staffed-hems-dispatch-for-adult-blunt-trauma-patients-in-korea
#8
Kyoungwon Jung, Yo Huh, John Cj Lee, Younghwan Kim, Jonghwan Moon, Seok Hwa Youn, Jiyoung Kim, Tea Youn Kim, Juryang Kim, Hyoju Kim
The aim of this study was to investigate the efficiency of domestic physician-staffed helicopter emergency medical service (HEMS) for the transport of patients with severe trauma to a hospital. The study included patients with blunt trauma who were transported to our hospital by physician-staffed HEMS (Group P; n = 100) or nonphysician-staffed HEMS (Group NP; n = 80). Basic patient characteristics, transport time, treatment procedures, and medical treatment outcomes assessed using the Trauma and Injury Severity Score (TRISS) were compared between groups...
October 2016: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/27536530/alcohol-use-in-the-prehospital-setting-a-diagnostic-challenge-in-patients-treated-by-a-physician-staffed-mobile-intensive-care-unit
#9
Terhi Kauppila, Janne Virta, Leena Lindgren, Ilkka Virkkunen, Antti Kämäräinen
BACKGROUND: Alcohol use among emergency patients has been studied earlier, but the data regarding alcohol use especially among critically ill and injured patients treated in the prehospital setting is scarce. The aim of this study was to evaluate the incidence of alcohol use and the characteristics of cases attended by a physician staffed mobile intensive care unit (MICU). FINDINGS: During a 2 month period, exhaled air alcohol concentration-measured as a part of routine patient examination in all adolescent and adult patients treated by the MICU-was recorded...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27405354/physician-staffed-helicopter-emergency-medical-service-case-identification-a-before-and-after-study-in-children
#10
Alan A Garner, Anna Lee, Andrew Weatherall, Mary Langcake, Zsolt J Balogh
BACKGROUND: Severely injured children may have better outcomes when transported directly to a Paediatric Trauma Centre (PTC). A case identification system using the crew of a physician staffed helicopter emergency medical service (P-HEMS) that identified severely injured children for P-HEMS dispatch was previously associated with high rates of direct transfer. It was theorised that discontinuation of this system may have resulted in deterioration of system performance. METHODS: Severe paediatric trauma cases were identified from a state based trauma registry over two time periods...
2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27373529/staffing-for-infectious-diseases-clinical-microbiology-and-infection-control-in-hospitals-in-2015-results-of-an-escmid-member-survey
#11
Yaakov Dickstein, Ran Nir-Paz, Celine Pulcini, Barry Cookson, Bojana Beović, Evelina Tacconelli, Dilip Nathwani, Rossitza Vatcheva-Dobrevska, Jesus Rodríguez-Baño, Markus Hell, Henri Saenz, Leonard Leibovici, Mical Paul
OBJECTIVES: We aimed to assess the current status of infectious diseases (ID), clinical microbiology (CM) and infection control (IC) staffing in hospitals and to analyze modifiers of staffing levels. METHODS: We conducted an internet-based survey of European Society of Clinical Microbiology and Infectious Diseases members and affiliates, collecting data on hospital characteristics, ID management infrastructure, ID/IC-related activities and the ratio of physicians/100 hospital beds...
June 29, 2016: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/27373218/staffing-and-the-incidence-of-pressure-ulcers-in-german-hospitals-a-multicenter-cross-sectional-study
#12
Paul Peter Schneider, Max Geraedts
In this study, we investigated the association between nurse and physician staffing and the incidence of hospital-acquired pressure ulcers in acute care hospitals in Germany. The study population, derived from the Quality Reports of German Hospitals and the Hospital Directory, consisted of 710 hospitals covering 716,281 cases in the first quarter of 2010, and 672 hospitals covering 757,665 cases in the first quarter of 2012. The relationship between staffing variables and the standardized incidence ratios of pressure ulcers was examined using bivariate and multivariable linear regression models...
December 2016: Nursing & Health Sciences
https://www.readbyqxmd.com/read/27349241/nighttime-physician-staffing-improves-patient-outcomes-we-are-not-sure
#13
EDITORIAL
Bertrand Guidet, Marcio Soares, Kathryn Rowan
No abstract text is available yet for this article.
September 2016: Intensive Care Medicine
https://www.readbyqxmd.com/read/27349238/nighttime-physician-staffing-improves-patient-outcomes-no
#14
EDITORIAL
Meeta Prasad Kerlin, Scott D Halpern
No abstract text is available yet for this article.
September 2016: Intensive Care Medicine
https://www.readbyqxmd.com/read/27349237/nighttime-physician-staffing-improves-patient-outcomes-yes
#15
EDITORIAL
David J Wallace
No abstract text is available yet for this article.
September 2016: Intensive Care Medicine
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/27181221/the-critical-care-nurse-work-environment-physician-staffing-and-risk-for-ventilator-associated-pneumonia
#17
Deena Kelly Costa, James J Yang, Milisa Manojlovich
We examined the relationship between intensivist physician staffing, nurse work environment, and ventilator-associated pneumonia (VAP) in 25 intensive care units. We found a significant interaction between the nurse work environment, intensivist physician staffing, and VAP. Future work may need to focus on fostering organizational collaboration between nursing and medicine to leverage skills of both clinician groups to reduce risk for VAP in critically ill patients.
May 12, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27130216/pre-hospital-severe-traumatic-brain-injury-comparison-of-outcome-in-paramedic-versus-physician-staffed-emergency-medical-services
#18
Toni Pakkanen, Ilkka Virkkunen, Antti Kämäräinen, Heini Huhtala, Tom Silfvast, Janne Virta, Tarja Randell, Arvi Yli-Hankala
BACKGROUND: Traumatic brain injury (TBI) is one of the leading causes of death and permanent disability. Emergency Medical Services (EMS) personnel are often the first healthcare providers attending patients with TBI. The level of available care varies, which may have an impact on the patient's outcome. The aim of this study was to evaluate mortality and neurological outcome of TBI patients in two regions with differently structured EMS systems. METHODS: A 6-year period (2005 - 2010) observational data on pre-hospital TBI management in paramedic-staffed EMS and physician-staffed EMS systems were retrospectively analysed...
April 29, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27086465/largest-physician-staffing-firms-ranked-by-number-of-physician-recruiters-as-of-march-2015
#19
(no author information available yet)
No abstract text is available yet for this article.
December 21, 2015: Modern Healthcare
https://www.readbyqxmd.com/read/27083042/daytime-intensivist-physician-staffing-and-mortality
#20
LETTER
Stephen M Pastores, John M Oropello, Neil A Halpern, Vladimir Kvetan
No abstract text is available yet for this article.
May 2016: Critical Care Medicine
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