Effect of Implementing the Out-of-Hospital Traumatic Brain Injury Treatment Guidelines: The Excellence in Prehospital Injury Care for Children Study (EPIC4Kids).

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We evaluate the effect of implementing the out-of-hospital pediatric traumatic brain injury guidelines on outcomes in children with major traumatic brain injury.The Excellence in Prehospital Injury Care for Children study […]

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Secondary transfer of emergency stroke patients eligible for mechanical thrombectomy by air in rural England: economic evaluation and considerations.

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Mechanical thrombectomy (MT) is a time-sensitive emergency procedure for patients who had ischaemic stroke leading to improved health outcomes. Health systems need to ensure that MT is delivered to as […]

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Injury rates per mile of travel for electric scooters versus motor vehicles.

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This study determined the vehicle-miles-traveled (VMT)-based injury rate for stand-up, dockless electric rental scooters (e-scooters), and compare it with the VMT-based injury rate for motor vehicle travel.In this secondary analysis […]

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Correlation of history and physical examination with imaging in traumatic near-shore aquatic head and spinal injury.

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It remains unclear whether clinicians can rely on specific symptoms and signs to detect or exclude serious head and spinal injury sustained during near-shore aquatic activities. Our study investigated patients’ […]

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Exploring the factors motivating continued Lay First Responder participation in Uganda: a mixed-methods, 3-year follow-up.

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The WHO recommends training lay first responders (LFRs) as the first step towards establishing emergency medical services (EMS) in low-income and middle-income countries. Understanding social and financial benefits associated with […]

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Novel biomarkers of oxidative stress as predictive indicators of neurological outcome after out-of-hospital cardiopulmonary arrest.

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Among patients of out-of-hospital cardiopulmonary arrest (OHCPA), only 6% resume their pre-OHCPA social life. The prediction of neurological outcome immediately after the return of spontaneous circulation (ROSC) is urgently needed […]

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Exploration on the safe management of multi-hospital transportation in a large public hospital during the pandemic of 2019-nCoV.

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During the pandemic of 2019-nCoV, large public hospitals are facing great challenges. Multi-hospital development will be the main mode of hospital administrative management in China in the future. West China […]

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Prehospital end-tidal CO2 as an early marker for transfusion requirement in trauma patients.

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Below normal end-tidal carbon dioxide measurement (ETCO2) is associated with worse outcomes in sepsis and trauma patients as compared to patients with normal ETCO2. We sought to determine if ETCO2 […]

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Severe sepsis and septic shock in patients transported by prehospital services versus walk in patients to the emergency department.

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Sepsis is a leading cause of death in the hospital for which aggressive treatment is recommended to improve patient outcomes. It is possible that sepsis patients brought in by emergency […]

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A comparison of physician-staffed helicopters and ground ambulances transport for the outcome of severe thoracic trauma patients.

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We retrospectively investigated prognostic factors for severe thoracic trauma patients evacuated by a physician-staffed helicopter emergency medical service (HEMS) and ground ambulance using the Japan Trauma Data Bank (JTDB).This study […]

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Severe pediatric war trauma: a military-civilian collaboration from retrieval to repatriation.

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Modern conflicts take a disproportionate and increasing toll on civilians and children. Since 2013, hundreds of Syrian children have fled to the Israeli border. Severely injured children were triaged for […]

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Drone Versus Ground Delivery of Simulated Blood Products to an Urban Trauma Centre: The Montreal Medi-Drone Pilot Study.

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Timely and safe distribution of quality blood products is a major challenge faced by blood banks around the world. Our primary objective was to determine if simulated blood product delivery […]

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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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