Need for Emergent Intervention Within 6 Hours: A Novel Prediction Model for Hospital Trauma Triage
Conclusions: The NEI-6 trauma triage prediction model used prehospital metrics to predict need for highest level of trauma activation. Prehospital prediction of major trauma may reduce undertriage mortality and improve resource utilization.PMID:34313534 | DOI:10.1080/10903127.2021.1958961 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - July 27, 2021 Category: Endocrinology Authors: Rachel Morris Basil S Karam Emily J Zolfaghari Benjamin Chen Thomas Kirsh Roshan Tourani David J Milia Lena Napolitano Marc de Moya Marc Conterato Constantin Aliferis Sisi Ma Christopher Tignanelli Source Type: research

The Critical Intervention Screen: A Novel Tool to Determine the use of Lights and Sirens During the Transport of Trauma Patients
Prehosp Emerg Care. 2021 Jul 27:1-9. doi: 10.1080/10903127.2021.1961040. Online ahead of print.ABSTRACTObjective: EMS use of lights and sirens has long been employed in EMS systems, despite an increased risk of motor vehicle collisions associated with their use. The specific aims of this study were to assess the current use of lights and sirens during the transport of trauma patients in a busy metropolitan area and to subsequently develop a novel tool, the Critical Intervention Screen, to aid EMS professionals tasked with making transport decisions in the presence of acute injury.Methods: This single-center, retrospective ...
Source: Prehospital Emergency Care - July 27, 2021 Category: Endocrinology Authors: Shane Urban Heather Carmichael Martin Moe Andrea Kramer Omar Al-Azzawi Robbie Dumond Angela Wright Robert McIntyre Catherine Velopulos Source Type: research

Need for Emergent Intervention Within 6 Hours: A Novel Prediction Model for Hospital Trauma Triage
Conclusions: The NEI-6 trauma triage prediction model used prehospital metrics to predict need for highest level of trauma activation. Prehospital prediction of major trauma may reduce undertriage mortality and improve resource utilization.PMID:34313534 | DOI:10.1080/10903127.2021.1958961 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - July 27, 2021 Category: Endocrinology Authors: Rachel Morris Basil S Karam Emily J Zolfaghari Benjamin Chen Thomas Kirsh Roshan Tourani David J Milia Lena Napolitano Marc de Moya Marc Conterato Constantin Aliferis Sisi Ma Christopher Tignanelli Source Type: research

The Critical Intervention Screen: A Novel Tool to Determine the use of Lights and Sirens During the Transport of Trauma Patients
Prehosp Emerg Care. 2021 Jul 27:1-9. doi: 10.1080/10903127.2021.1961040. Online ahead of print.ABSTRACTObjective: EMS use of lights and sirens has long been employed in EMS systems, despite an increased risk of motor vehicle collisions associated with their use. The specific aims of this study were to assess the current use of lights and sirens during the transport of trauma patients in a busy metropolitan area and to subsequently develop a novel tool, the Critical Intervention Screen, to aid EMS professionals tasked with making transport decisions in the presence of acute injury.Methods: This single-center, retrospective ...
Source: Prehospital Emergency Care - July 27, 2021 Category: Endocrinology Authors: Shane Urban Heather Carmichael Martin Moe Andrea Kramer Omar Al-Azzawi Robbie Dumond Angela Wright Robert McIntyre Catherine Velopulos Source Type: research

Need for Emergent Intervention Within 6 Hours: A Novel Prediction Model for Hospital Trauma Triage
Conclusions: The NEI-6 trauma triage prediction model used prehospital metrics to predict need for highest level of trauma activation. Prehospital prediction of major trauma may reduce undertriage mortality and improve resource utilization.PMID:34313534 | DOI:10.1080/10903127.2021.1958961 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - July 27, 2021 Category: Endocrinology Authors: Rachel Morris Basil S Karam Emily J Zolfaghari Benjamin Chen Thomas Kirsh Roshan Tourani David J Milia Lena Napolitano Marc de Moya Marc Conterato Constantin Aliferis Sisi Ma Christopher Tignanelli Source Type: research

The Critical Intervention Screen: A Novel Tool to Determine the use of Lights and Sirens During the Transport of Trauma Patients
Prehosp Emerg Care. 2021 Jul 27:1-9. doi: 10.1080/10903127.2021.1961040. Online ahead of print.ABSTRACTObjective: EMS use of lights and sirens has long been employed in EMS systems, despite an increased risk of motor vehicle collisions associated with their use. The specific aims of this study were to assess the current use of lights and sirens during the transport of trauma patients in a busy metropolitan area and to subsequently develop a novel tool, the Critical Intervention Screen, to aid EMS professionals tasked with making transport decisions in the presence of acute injury.Methods: This single-center, retrospective ...
Source: Prehospital Emergency Care - July 27, 2021 Category: Endocrinology Authors: Shane Urban Heather Carmichael Martin Moe Andrea Kramer Omar Al-Azzawi Robbie Dumond Angela Wright Robert McIntyre Catherine Velopulos Source Type: research

Need for Emergent Intervention Within 6 Hours: A Novel Prediction Model for Hospital Trauma Triage
Conclusions: The NEI-6 trauma triage prediction model used prehospital metrics to predict need for highest level of trauma activation. Prehospital prediction of major trauma may reduce undertriage mortality and improve resource utilization.PMID:34313534 | DOI:10.1080/10903127.2021.1958961 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - July 27, 2021 Category: Endocrinology Authors: Rachel Morris Basil S Karam Emily J Zolfaghari Benjamin Chen Thomas Kirsh Roshan Tourani David J Milia Lena Napolitano Marc de Moya Marc Conterato Constantin Aliferis Sisi Ma Christopher Tignanelli Source Type: research

The Critical Intervention Screen: A Novel Tool to Determine the use of Lights and Sirens During the Transport of Trauma Patients
Prehosp Emerg Care. 2021 Jul 27:1-9. doi: 10.1080/10903127.2021.1961040. Online ahead of print.ABSTRACTObjective: EMS use of lights and sirens has long been employed in EMS systems, despite an increased risk of motor vehicle collisions associated with their use. The specific aims of this study were to assess the current use of lights and sirens during the transport of trauma patients in a busy metropolitan area and to subsequently develop a novel tool, the Critical Intervention Screen, to aid EMS professionals tasked with making transport decisions in the presence of acute injury.Methods: This single-center, retrospective ...
Source: Prehospital Emergency Care - July 27, 2021 Category: Endocrinology Authors: Shane Urban Heather Carmichael Martin Moe Andrea Kramer Omar Al-Azzawi Robbie Dumond Angela Wright Robert McIntyre Catherine Velopulos Source Type: research

Need for Emergent Intervention Within 6 Hours: A Novel Prediction Model for Hospital Trauma Triage
Conclusions: The NEI-6 trauma triage prediction model used prehospital metrics to predict need for highest level of trauma activation. Prehospital prediction of major trauma may reduce undertriage mortality and improve resource utilization.PMID:34313534 | DOI:10.1080/10903127.2021.1958961 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - July 27, 2021 Category: Endocrinology Authors: Rachel Morris Basil S Karam Emily J Zolfaghari Benjamin Chen Thomas Kirsh Roshan Tourani David J Milia Lena Napolitano Marc de Moya Marc Conterato Constantin Aliferis Sisi Ma Christopher Tignanelli Source Type: research

The Critical Intervention Screen: A Novel Tool to Determine the use of Lights and Sirens During the Transport of Trauma Patients
Prehosp Emerg Care. 2021 Jul 27:1-9. doi: 10.1080/10903127.2021.1961040. Online ahead of print.ABSTRACTObjective: EMS use of lights and sirens has long been employed in EMS systems, despite an increased risk of motor vehicle collisions associated with their use. The specific aims of this study were to assess the current use of lights and sirens during the transport of trauma patients in a busy metropolitan area and to subsequently develop a novel tool, the Critical Intervention Screen, to aid EMS professionals tasked with making transport decisions in the presence of acute injury.Methods: This single-center, retrospective ...
Source: Prehospital Emergency Care - July 27, 2021 Category: Endocrinology Authors: Shane Urban Heather Carmichael Martin Moe Andrea Kramer Omar Al-Azzawi Robbie Dumond Angela Wright Robert McIntyre Catherine Velopulos Source Type: research

A Standardized Formulary to Reduce Pediatric Medication Dosing Errors: A Mixed Methods Study
The objective of this study was to compare: 1) frequency of midazolam dosing errors during the field treatment of pediatric seizures and 2) paramedic anxiety and confidence in dosing midazolam for pediatric seizures, before and after implementation of the MCG.METHODS: In this mixed-methods study, we utilized the Los Angeles County EMS data registry to identify pediatric patients ≤14 years-old treated with midazolam for seizure. We defined a dosing error as outside the dose directed by the color code on the length-based resuscitation tape, or ±20% the weight-based midazolam dose when color code was absent. We comp...
Source: Prehospital Emergency Care - July 13, 2021 Category: Endocrinology Authors: Nichole Bosson Amy H Kaji Marianne Gausche-Hill Source Type: research

Reduction in Interfacility Transfer Response Time After Implementation of an AutoLaunch Protocol
Prehosp Emerg Care. 2021 Jul 12:1-10. doi: 10.1080/10903127.2021.1954271. Online ahead of print.ABSTRACTBackgroundInterfacility transfers (IFTs) are an essential component of healthcare systems to allow movement of patients between facilities. It is essential to limit any delays in patients receiving the care they require at the receiving facility. The primary objective of this study was to assess whether IFT response time was reduced after implementation of an AutoLaunch protocol, in which an ambulance is dispatched to the sending facility prior to acceptance of the patient by the receiving facility. The secondary objecti...
Source: Prehospital Emergency Care - July 12, 2021 Category: Endocrinology Authors: Devin Howell Timmy Li James De Bono Jonathan Berkowitz Source Type: research

Cardiometabolic, dietary and physical health in graduate paramedics during the first 12-months of practice - a longitudinal study
Conclusions: Dietary patterns, HRQoL, cardiometabolic health, aerobic capacity and physical activity levels did not change meaningfully in the first year of practice. Some dietary behaviors and physical activity levels could be improved and may mitigate health effects of exposure to shift work. Long-term follow-up of this group may aid in developing programs to enhance health for paramedics and other health workers.PMID:34232788 | DOI:10.1080/10903127.2021.1949081 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - July 7, 2021 Category: Endocrinology Authors: Ben Meadley Alexander P Wolkow Karen Smith Luke Perraton Kelly-Ann Bowles Maxine P Bonham Source Type: research

A Novel Use of NEMSIS to Create a PECARN-Specific EMS Patient Registry
Conclusion: We demonstrated that NEMSIS can be leveraged to create network specific data sets. The PECARN's EMS data were similar to the national data, though racial/ethnic minorities and some primary impressions may be under-represented. Additionally, more EMS activations in PECARN study areas originated through 9-1-1 and were treated and transported by the documenting agency. This is likely related to the type of participating agencies, their ALS response level, and the diversity of the communities they serve.PMID:34232828 | DOI:10.1080/10903127.2021.1951407 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - July 7, 2021 Category: Endocrinology Authors: E Brooke Lerner Lorin R Browne Jonathan R Studnek N Clay Mann Mengtao Dai Christopher K Hoffman Diane Pilkey Kathleen M Adelgais Kathleen M Brown Joshua B Gaither Julie C Leonard Christian Martin-Gill Daniel K Nishijima Sylvia Owusu Ansah Zaeem S Shah Man Source Type: research

Cardiometabolic, dietary and physical health in graduate paramedics during the first 12-months of practice - a longitudinal study
Conclusions: Dietary patterns, HRQoL, cardiometabolic health, aerobic capacity and physical activity levels did not change meaningfully in the first year of practice. Some dietary behaviors and physical activity levels could be improved and may mitigate health effects of exposure to shift work. Long-term follow-up of this group may aid in developing programs to enhance health for paramedics and other health workers.PMID:34232788 | DOI:10.1080/10903127.2021.1949081 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - July 7, 2021 Category: Endocrinology Authors: Ben Meadley Alexander P Wolkow Karen Smith Luke Perraton Kelly-Ann Bowles Maxine P Bonham Source Type: research

A Novel Use of NEMSIS to Create a PECARN-Specific EMS Patient Registry
Conclusion: We demonstrated that NEMSIS can be leveraged to create network specific data sets. The PECARN's EMS data were similar to the national data, though racial/ethnic minorities and some primary impressions may be under-represented. Additionally, more EMS activations in PECARN study areas originated through 9-1-1 and were treated and transported by the documenting agency. This is likely related to the type of participating agencies, their ALS response level, and the diversity of the communities they serve.PMID:34232828 | DOI:10.1080/10903127.2021.1951407 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - July 7, 2021 Category: Endocrinology Authors: E Brooke Lerner Lorin R Browne Jonathan R Studnek N Clay Mann Mengtao Dai Christopher K Hoffman Diane Pilkey Kathleen M Adelgais Kathleen M Brown Joshua B Gaither Julie C Leonard Christian Martin-Gill Daniel K Nishijima Sylvia Owusu Ansah Zaeem S Shah Man Source Type: research

Cardiometabolic, dietary and physical health in graduate paramedics during the first 12-months of practice - a longitudinal study
Conclusions: Dietary patterns, HRQoL, cardiometabolic health, aerobic capacity and physical activity levels did not change meaningfully in the first year of practice. Some dietary behaviors and physical activity levels could be improved and may mitigate health effects of exposure to shift work. Long-term follow-up of this group may aid in developing programs to enhance health for paramedics and other health workers.PMID:34232788 | DOI:10.1080/10903127.2021.1949081 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - July 7, 2021 Category: Endocrinology Authors: Ben Meadley Alexander P Wolkow Karen Smith Luke Perraton Kelly-Ann Bowles Maxine P Bonham Source Type: research

A Novel Use of NEMSIS to Create a PECARN-Specific EMS Patient Registry
Conclusion: We demonstrated that NEMSIS can be leveraged to create network specific data sets. The PECARN's EMS data were similar to the national data, though racial/ethnic minorities and some primary impressions may be under-represented. Additionally, more EMS activations in PECARN study areas originated through 9-1-1 and were treated and transported by the documenting agency. This is likely related to the type of participating agencies, their ALS response level, and the diversity of the communities they serve.PMID:34232828 | DOI:10.1080/10903127.2021.1951407 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - July 7, 2021 Category: Endocrinology Authors: E Brooke Lerner Lorin R Browne Jonathan R Studnek N Clay Mann Mengtao Dai Christopher K Hoffman Diane Pilkey Kathleen M Adelgais Kathleen M Brown Joshua B Gaither Julie C Leonard Christian Martin-Gill Daniel K Nishijima Sylvia Owusu Ansah Zaeem S Shah Man Source Type: research

Cardiometabolic, dietary and physical health in graduate paramedics during the first 12-months of practice - a longitudinal study
Conclusions: Dietary patterns, HRQoL, cardiometabolic health, aerobic capacity and physical activity levels did not change meaningfully in the first year of practice. Some dietary behaviors and physical activity levels could be improved and may mitigate health effects of exposure to shift work. Long-term follow-up of this group may aid in developing programs to enhance health for paramedics and other health workers.PMID:34232788 | DOI:10.1080/10903127.2021.1949081 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - July 7, 2021 Category: Endocrinology Authors: Ben Meadley Alexander P Wolkow Karen Smith Luke Perraton Kelly-Ann Bowles Maxine P Bonham Source Type: research

A Novel Use of NEMSIS to Create a PECARN-Specific EMS Patient Registry
Conclusion: We demonstrated that NEMSIS can be leveraged to create network specific data sets. The PECARN's EMS data were similar to the national data, though racial/ethnic minorities and some primary impressions may be under-represented. Additionally, more EMS activations in PECARN study areas originated through 9-1-1 and were treated and transported by the documenting agency. This is likely related to the type of participating agencies, their ALS response level, and the diversity of the communities they serve.PMID:34232828 | DOI:10.1080/10903127.2021.1951407 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - July 7, 2021 Category: Endocrinology Authors: E Brooke Lerner Lorin R Browne Jonathan R Studnek N Clay Mann Mengtao Dai Christopher K Hoffman Diane Pilkey Kathleen M Adelgais Kathleen M Brown Joshua B Gaither Julie C Leonard Christian Martin-Gill Daniel K Nishijima Sylvia Owusu Ansah Zaeem S Shah Man Source Type: research

Cerebral oximetry during out-of-hospital resuscitation: Pilot Study of First Responder Implementation
Conclusion: In this observational study, where first responders applied cerebral oximetry, higher rSO2 during the course of care predicted ROSC among all patients and predicted favorable survival among those who achieved ROSC. Future investigation should evaluate whether and how treatments might modify rSO2 and in turn may influence prognosis.PMID:34191686 | DOI:10.1080/10903127.2021.1948647 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - June 30, 2021 Category: Endocrinology Authors: Jenny Shin Robert Walker Jennifer Blackwood Fred Chapman Joseph Crackel Peter Kudenchuk Thomas Rea Source Type: research

The impact of the COVID-19 pandemic on demand for emergency ambulances in Victoria, Australia
Conclusion: The COVID-19 pandemic had a dramatic impact on the emergency ambulance system. Despite lower call volumes post-lockdown than predicted, we observed deteriorating ambulance response times, extended case times and hospital delays. The pattern of attendance to patients with suspected ACS potentially highlights the collateral burden of delaying treatment for urgent conditions.PMID:34152925 | DOI:10.1080/10903127.2021.1944409 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - June 21, 2021 Category: Endocrinology Authors: Emily Andrew Ziad Nehme Michael Stephenson Tony Walker Karen Smith Source Type: research

Evaluation of pelvic circular compression devices in severely injured trauma patients with pelvic fractures
Prehosp Emerg Care. 2021 Jun 21:1-12. doi: 10.1080/10903127.2021.1945717. Online ahead of print.ABSTRACTBackground: The role of pelvic circumferential compression devices (PCCD) is to temporarily stabilize the pelvic ring, reduce its volume and to tamponade bleeding. The purpose of this study was to evaluate the effect of PCCDs on mortality and bleeding in severely injured trauma patients, using a large registry database.Methods: We performed a retrospective analysis of all patients registered in the Trauma Register DGU® between 2015 and 2016. The study was limited to directly admitted patients who were alive on admiss...
Source: Prehospital Emergency Care - June 21, 2021 Category: Endocrinology Authors: Josephine Berger-Groch Johannes Maria Rueger Patrick Czorlich Karl-Heinz Frosch Rolf Lefering Michael Hoffmann Trauma Register DGU Source Type: research

Methods Used to Obtain Pediatric Patient Weights, Their Accuracy and Associated Drug Dosing Errors in 142 Simulated Prehospital Pediatric Patient Encounters
CONCLUSIONS: BLT is the most frequently used method to obtain a patient weight. Drug dosing errors were most frequent with patient age, followed by BLT and asking the parent. System-based solutions-weight determination hierarchy, not using the BLT on seated patients, and more frequent training and practice with the BLT-are needed to improve drug-dosing accuracy.PMID:34152929 | DOI:10.1080/10903127.2021.1944407 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - June 21, 2021 Category: Endocrinology Authors: John D Hoyle Glenn Ekblad Alyssa Woodwyk Richard Brandt Bill Fales Richard L Lammers Source Type: research

The impact of the COVID-19 pandemic on demand for emergency ambulances in Victoria, Australia
Conclusion: The COVID-19 pandemic had a dramatic impact on the emergency ambulance system. Despite lower call volumes post-lockdown than predicted, we observed deteriorating ambulance response times, extended case times and hospital delays. The pattern of attendance to patients with suspected ACS potentially highlights the collateral burden of delaying treatment for urgent conditions.PMID:34152925 | DOI:10.1080/10903127.2021.1944409 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - June 21, 2021 Category: Endocrinology Authors: Emily Andrew Ziad Nehme Michael Stephenson Tony Walker Karen Smith Source Type: research

Evaluation of pelvic circular compression devices in severely injured trauma patients with pelvic fractures
Prehosp Emerg Care. 2021 Jun 21:1-12. doi: 10.1080/10903127.2021.1945717. Online ahead of print.ABSTRACTBackground: The role of pelvic circumferential compression devices (PCCD) is to temporarily stabilize the pelvic ring, reduce its volume and to tamponade bleeding. The purpose of this study was to evaluate the effect of PCCDs on mortality and bleeding in severely injured trauma patients, using a large registry database.Methods: We performed a retrospective analysis of all patients registered in the Trauma Register DGU® between 2015 and 2016. The study was limited to directly admitted patients who were alive on admiss...
Source: Prehospital Emergency Care - June 21, 2021 Category: Endocrinology Authors: Josephine Berger-Groch Johannes Maria Rueger Patrick Czorlich Karl-Heinz Frosch Rolf Lefering Michael Hoffmann Trauma Register DGU Source Type: research

Methods Used to Obtain Pediatric Patient Weights, Their Accuracy and Associated Drug Dosing Errors in 142 Simulated Prehospital Pediatric Patient Encounters
CONCLUSIONS: BLT is the most frequently used method to obtain a patient weight. Drug dosing errors were most frequent with patient age, followed by BLT and asking the parent. System-based solutions-weight determination hierarchy, not using the BLT on seated patients, and more frequent training and practice with the BLT-are needed to improve drug-dosing accuracy.PMID:34152929 | DOI:10.1080/10903127.2021.1944407 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - June 21, 2021 Category: Endocrinology Authors: John D Hoyle Glenn Ekblad Alyssa Woodwyk Richard Brandt Bill Fales Richard L Lammers Source Type: research

The impact of the COVID-19 pandemic on demand for emergency ambulances in Victoria, Australia
Conclusion: The COVID-19 pandemic had a dramatic impact on the emergency ambulance system. Despite lower call volumes post-lockdown than predicted, we observed deteriorating ambulance response times, extended case times and hospital delays. The pattern of attendance to patients with suspected ACS potentially highlights the collateral burden of delaying treatment for urgent conditions.PMID:34152925 | DOI:10.1080/10903127.2021.1944409 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - June 21, 2021 Category: Endocrinology Authors: Emily Andrew Ziad Nehme Michael Stephenson Tony Walker Karen Smith Source Type: research

Evaluation of pelvic circular compression devices in severely injured trauma patients with pelvic fractures
Prehosp Emerg Care. 2021 Jun 21:1-12. doi: 10.1080/10903127.2021.1945717. Online ahead of print.ABSTRACTBackground: The role of pelvic circumferential compression devices (PCCD) is to temporarily stabilize the pelvic ring, reduce its volume and to tamponade bleeding. The purpose of this study was to evaluate the effect of PCCDs on mortality and bleeding in severely injured trauma patients, using a large registry database.Methods: We performed a retrospective analysis of all patients registered in the Trauma Register DGU® between 2015 and 2016. The study was limited to directly admitted patients who were alive on admiss...
Source: Prehospital Emergency Care - June 21, 2021 Category: Endocrinology Authors: Josephine Berger-Groch Johannes Maria Rueger Patrick Czorlich Karl-Heinz Frosch Rolf Lefering Michael Hoffmann Trauma Register DGU Source Type: research

Methods Used to Obtain Pediatric Patient Weights, Their Accuracy and Associated Drug Dosing Errors in 142 Simulated Prehospital Pediatric Patient Encounters
CONCLUSIONS: BLT is the most frequently used method to obtain a patient weight. Drug dosing errors were most frequent with patient age, followed by BLT and asking the parent. System-based solutions-weight determination hierarchy, not using the BLT on seated patients, and more frequent training and practice with the BLT-are needed to improve drug-dosing accuracy.PMID:34152929 | DOI:10.1080/10903127.2021.1944407 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - June 21, 2021 Category: Endocrinology Authors: John D Hoyle Glenn Ekblad Alyssa Woodwyk Richard Brandt Bill Fales Richard L Lammers Source Type: research

The impact of the COVID-19 pandemic on demand for emergency ambulances in Victoria, Australia
Conclusion: The COVID-19 pandemic had a dramatic impact on the emergency ambulance system. Despite lower call volumes post-lockdown than predicted, we observed deteriorating ambulance response times, extended case times and hospital delays. The pattern of attendance to patients with suspected ACS potentially highlights the collateral burden of delaying treatment for urgent conditions.PMID:34152925 | DOI:10.1080/10903127.2021.1944409 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - June 21, 2021 Category: Endocrinology Authors: Emily Andrew Ziad Nehme Michael Stephenson Tony Walker Karen Smith Source Type: research

Evaluation of pelvic circular compression devices in severely injured trauma patients with pelvic fractures
Prehosp Emerg Care. 2021 Jun 21:1-12. doi: 10.1080/10903127.2021.1945717. Online ahead of print.ABSTRACTBackground: The role of pelvic circumferential compression devices (PCCD) is to temporarily stabilize the pelvic ring, reduce its volume and to tamponade bleeding. The purpose of this study was to evaluate the effect of PCCDs on mortality and bleeding in severely injured trauma patients, using a large registry database.Methods: We performed a retrospective analysis of all patients registered in the Trauma Register DGU® between 2015 and 2016. The study was limited to directly admitted patients who were alive on admiss...
Source: Prehospital Emergency Care - June 21, 2021 Category: Endocrinology Authors: Josephine Berger-Groch Johannes Maria Rueger Patrick Czorlich Karl-Heinz Frosch Rolf Lefering Michael Hoffmann Trauma Register DGU Source Type: research

Methods Used to Obtain Pediatric Patient Weights, Their Accuracy and Associated Drug Dosing Errors in 142 Simulated Prehospital Pediatric Patient Encounters
CONCLUSIONS: BLT is the most frequently used method to obtain a patient weight. Drug dosing errors were most frequent with patient age, followed by BLT and asking the parent. System-based solutions-weight determination hierarchy, not using the BLT on seated patients, and more frequent training and practice with the BLT-are needed to improve drug-dosing accuracy.PMID:34152929 | DOI:10.1080/10903127.2021.1944407 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - June 21, 2021 Category: Endocrinology Authors: John D Hoyle Glenn Ekblad Alyssa Woodwyk Richard Brandt Bill Fales Richard L Lammers Source Type: research

The impact of the COVID-19 pandemic on demand for emergency ambulances in Victoria, Australia
Conclusion: The COVID-19 pandemic had a dramatic impact on the emergency ambulance system. Despite lower call volumes post-lockdown than predicted, we observed deteriorating ambulance response times, extended case times and hospital delays. The pattern of attendance to patients with suspected ACS potentially highlights the collateral burden of delaying treatment for urgent conditions.PMID:34152925 | DOI:10.1080/10903127.2021.1944409 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - June 21, 2021 Category: Endocrinology Authors: Emily Andrew Ziad Nehme Michael Stephenson Tony Walker Karen Smith Source Type: research