Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest.

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There is wide variability among emergency medical systems (EMS) with respect to transport to hospital during out-of-hospital cardiac arrest (OHCA) resuscitative efforts. The benefit of intra-arrest transport during resuscitation compared […]

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Comparing GIS-based estimates with trauma center registry data to assess the effects of additional trauma centers on system access.

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Geographic information systems (GIS) are often used to analyze trauma systems. GIS-based approaches can model access to a trauma center (TC), including estimates of transport time and population coverage, when […]

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Comparing GIS-based estimates with trauma center registry data to assess the effects of additional trauma centers on system access.

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Geographic information systems (GIS) are often used to analyze trauma systems. GIS-based approaches can model access to a trauma center (TC), including estimates of transport time and population coverage, when […]

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The Community-Level Interventions for Pre-eclampsia (CLIP) cluster randomised trials in Mozambique, Pakistan, and India: an individual participant-level meta-analysis.

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To overcome the three delays in triage, transport and treatment that underlie adverse pregnancy outcomes, we aimed to reduce all-cause adverse outcomes with community-level interventions targeting women with pregnancy hypertension […]

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Social determinants and emergency department utilization: Findings from the Veterans Health Administration.

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Social determinants of health (SDH) are strong predictors of morbidity and mortality but health care systems struggle to integrate documentation of SDH into health records in ways that can be […]

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Biologic mesh implantation is associated with serious abdominal wall complications in patients undergoing emergency abdominal surgery – a randomized-controlled clinical trial.

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Open, emergency abdominal surgery is associated with a high incidence of fascial dehiscence and incisional hernia. Implantation of biologic meshes potentially reinforce the abdominal wall and therefore decrease such complications. […]

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Prehospital End Tidal Carbon Dioxide Predicts Massive Transfusion and Death Following Trauma.

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The lack of an accurate marker of prehospital hemorrhagic shock limits our ability to triage patients to the correct level of care, delays treatment in the emergency department, and inhibits […]

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Integrating and maintaining automated external defibrillators and emergency planning in community sport settings: a qualitative case study.

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A voluntary State Government-led programme in Victoria, Australia ‘Defibrillators for Sporting Clubs and Facilities Program’ ran from 2015 to 2019, broadly aimed at increasing access to automated external defibrillators (AEDs), […]

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Video or Telephone? A Natural Experiment on the Added Value of Video Communication in Community Paramedic Responses.

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The objective of this study was to determine the effect of video versus telephonic communication between community paramedics and online medical control physicians on odds of patient transport to a […]

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CHARACTERIZATION OF UNEXPECTED SURVIVORS FOLLOWING A PREHOSPITAL PLASMA RANDOMIZED TRIAL.

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Prehospital plasma improves survival for severely injured trauma patients transported by air ambulance. We sought to characterize the unexpected survivors, patients who survived despite having high predicted mortality following traumatic […]

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Maintaining a high inspired Oxygen Fraction with the Elisée® 350 turbine transport ventilator connected to two portable oxygen concentrators in an austere environment.

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Management of critically ill patients requiring mechanical ventilation in austere environments or during disaster response is a logistic challenge. Availability of oxygen cylinders for mechanically ventilated patient may be difficult […]

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The Effect of EMS Transport Time on In Route Clinical Decline in a Rural System.

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The Emergency Medical System (EMS) Field Triage Decision Scheme (FTDS) exists to direct certain injured patients to high-level care facilities. In rural states, this may require long transport durations – […]

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An analysis of overtriage and undertriage by advanced life support transport in a mature trauma system.

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While issues regarding triage of severely injured trauma patients are well publicized, little information exists concerning the difference between triage rates for patients transported by advanced life support (ALS) and […]

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Into the Wild and On to the Table: A Western Trauma Association Multicenter Analysis and Comparison of Wilderness Falls in Rock Climbers and Non-Climbers.

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Wilderness activities expose outdoor enthusiasts to austere environments with injury potential, including falls from height. The majority of published data on falls while climbing or hiking are from emergency departments. […]

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Timing and Volume of Crystalloid and Blood Products in Pediatric Trauma – An EAST Multicenter Prospective Observational Study.

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The purpose of this study was to determine the relationship between timing and volume of crystalloid prior to blood products and mortality, hypothesizing that earlier transfusion and decreased crystalloid prior […]

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The impact of helicopter emergency medical service on acute ischemic stroke patients: A systematic review.

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Helicopter emergency medical services (HEMS) is commonly elected transport for acute ischemic stroke (AIS) known as a time-critical illness.To conduct a systematic review in order to explore the HEMS impact […]

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Prehospital time intervals and management of ischemic stroke patients.

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Quantify prehospital time intervals, describe prehospital stroke management, and estimate potential time saved if certain procedures were performed en route to the emergency department (ED).Acute ischemic stroke patients who arrived […]

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Coagulopathy and Transfusion Ratios in Pediatric Trauma.

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Coagulopathy has been associated with poor outcomes in adult and pediatric trauma. Previous clinical trials have shown benefits with balanced transfusion ratios in trauma resuscitation in adults, but smaller retrospective […]

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FORGOT CALCIUM? ADMISSION IONIZED-CALCIUM IN TWO CIVILIAN RANDOMIZED CONTROLLED TRIALS OF PRE-HOSPITAL PLASMA FOR TRAUMATIC HEMORRHAGIC SHOCK.

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Randomized clinical trials(RCTs) support the use of pre-hospital plasma in traumatic hemorrhagic shock, especially in long transports. The citrate added to plasma binds with calcium, yet most pre-hospital trauma protocols […]

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Prehospital critical care is associated with increased survival in adult trauma patients in Scotland.

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Scotland has three prehospital critical care teams (PHCCTs) providing enhanced care support to a usually paramedic-delivered ambulance service. The effect of the PHCCTs on patient survival following trauma in Scotland […]

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Oxidative storm in a patient with acute rotenone-containing plant poisoning.

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A 64-year-old woman presented with coma, seizure, and lactic acidosis after ingesting 80 yam bean seeds. This rotenone-containing seeds cause cellular asphyxia via blockage of the mitochondrial electron transport. Subsequent […]

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The NACA score as a predictor of ventricular cardiac arrhythmias – A retrospective six-year study.

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Helicopter Emergency Medical Service (HEMS) conducts the evaluation of a patient’s condition using NACA score before transporting the patient to hospital. The conditions inside the rescue helicopter limit or even […]

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Predictors of effective management of acute pain in children within a UK ambulance service: A cross-sectional study.

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We aimed to identify predictors of effective management of acute pain in children in the pre-hospital setting.A retrospective cross-sectional study using electronic clinical records from one large UK ambulance service […]

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