Efficacy and Safety of Prehospital Diltiazem
Conclusions: Prehospital diltiazem is effective and safe for most patients. Adverse events are more likely in patients with baseline SBP less than 140 mmHg, HR less than 120 beats per minute, and concurrent nitroglycerin administration. Future opportunities for research include examining the relationship between adverse events and underlying etiology as well as investigating downstream outcomes.PMID:38436598 | DOI:10.1080/10903127.2024.2326598 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - March 4, 2024 Category: Endocrinology Authors: Ellen Pil Matthew Levy Timothy Chizmar Ruben Troncoso Eric Garfinkel Asa Margolis Source Type: research

Crystalloid Fluid Management of Non-Traumatic Hypotension by New South Wales Ambulance
ConclusionThis study found that three percent of non-traumatic attendances have at least one episode of hypotension, and that more than half of these have persistent hypotension. Only 44% of persistently hypotensive received fluids, and half of persistently hypotensive patients stayed hypotensive despite a reasonable volume of prehospital crystalloids.PMID:38436287 | DOI:10.1080/10903127.2024.2306247 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - March 4, 2024 Category: Endocrinology Authors: Pieter Francsois Fouche Martin Nichols Justin Scott Jack Richardson Jason Bendall Source Type: research

Efficacy and Safety of Prehospital Diltiazem
Conclusions: Prehospital diltiazem is effective and safe for most patients. Adverse events are more likely in patients with baseline SBP less than 140 mmHg, HR less than 120 beats per minute, and concurrent nitroglycerin administration. Future opportunities for research include examining the relationship between adverse events and underlying etiology as well as investigating downstream outcomes.PMID:38436598 | DOI:10.1080/10903127.2024.2326598 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - March 4, 2024 Category: Endocrinology Authors: Ellen Pil Matthew Levy Timothy Chizmar Ruben Troncoso Eric Garfinkel Asa Margolis Source Type: research

A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation
CONCLUSION: In this large prehospital dataset, upper extremity IO access was associated with a small increase in the odds of ROSC in comparison to lower extremity IO access. These data support the need for prospective investigation of the ideal IO access site during OHCA resuscitation.PMID:38416867 | DOI:10.1080/10903127.2024.2321285 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 28, 2024 Category: Endocrinology Authors: Tanner Smida Remle Crowe Jeffrey Jarvis Taylor Ratcliff Mat Goebel Source Type: research

Hemorrhagic Shock in Isolated and Non-isolated Pelvic Fractures: A Registries-Based Study
Conclusion: In young patients with pelvic fractures, severe associated injuries were common, but isolated pelvic fractures rarely presented with profound shock upon arrival. Prehospital management protocols for pelvic fractures should prioritize prompt evacuation and resuscitative measures aimed at addressing associated injuries.PMID:38416869 | DOI:10.1080/10903127.2024.2322014 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 28, 2024 Category: Endocrinology Authors: Amir Gottfried Sami Gendler David Chayen Irina Radomislensky Ilan Y Mitchnik Israel Trauma Group Elad Epshtein Avishai M Tsur Ofer Almog Tomer Talmy Source Type: research

Rural Emergency Medical Services Clinicians' Perceptions and Preferences in Receiving Clinical Feedback from Hospitals: A Qualitative Needs Assessment
Conclusion: Our results suggest that consistent clinical feedback provided by hospitals was valued. Establishing a culture of providing organized feedback to practicing rural EMS clinicians is important for professional development and can strengthen the relationships between EMS clinicians and hospitals. These study findings can assist in the development and implementation of a standardized feedback instrument to benefit rural EMS clinicians, patients, and the health care system as a whole.PMID:38416871 | DOI:10.1080/10903127.2024.2324970 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 28, 2024 Category: Endocrinology Authors: Katherine Schneider Mimi Williams Nicholas M Mohr Azeemuddin Ahmed Source Type: research

Exploring the Potential of CarbonCool ® in Rapid Prehospital Cooling for Severe Heat Stroke
CONCLUSION: We present an innovative approach to prehospital care for patients with heat stroke through the use of CarbonCool®, highlighting its efficacy for rapid cooling and its potential impact on patient outcomes. However, further studies are warranted to fully confirm the efficacy of the system.PMID:38416877 | DOI:10.1080/10903127.2024.2323575 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 28, 2024 Category: Endocrinology Authors: Norihiro Kido Takashi Tagami Kosuke Otake Akihiro Watanabe Yudai Yoshino Masaki Ishimuro Kazuya Miyakami Junichi Inoue Source Type: research

A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation
CONCLUSION: In this large prehospital dataset, upper extremity IO access was associated with a small increase in the odds of ROSC in comparison to lower extremity IO access. These data support the need for prospective investigation of the ideal IO access site during OHCA resuscitation.PMID:38416867 | DOI:10.1080/10903127.2024.2321285 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 28, 2024 Category: Endocrinology Authors: Tanner Smida Remle Crowe Jeffrey Jarvis Taylor Ratcliff Mat Goebel Source Type: research

Hemorrhagic Shock in Isolated and Non-isolated Pelvic Fractures: A Registries-Based Study
Conclusion: In young patients with pelvic fractures, severe associated injuries were common, but isolated pelvic fractures rarely presented with profound shock upon arrival. Prehospital management protocols for pelvic fractures should prioritize prompt evacuation and resuscitative measures aimed at addressing associated injuries.PMID:38416869 | DOI:10.1080/10903127.2024.2322014 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 28, 2024 Category: Endocrinology Authors: Amir Gottfried Sami Gendler David Chayen Irina Radomislensky Ilan Y Mitchnik Israel Trauma Group Elad Epshtein Avishai M Tsur Ofer Almog Tomer Talmy Source Type: research

Rural Emergency Medical Services Clinicians' Perceptions and Preferences in Receiving Clinical Feedback from Hospitals: A Qualitative Needs Assessment
Conclusion: Our results suggest that consistent clinical feedback provided by hospitals was valued. Establishing a culture of providing organized feedback to practicing rural EMS clinicians is important for professional development and can strengthen the relationships between EMS clinicians and hospitals. These study findings can assist in the development and implementation of a standardized feedback instrument to benefit rural EMS clinicians, patients, and the health care system as a whole.PMID:38416871 | DOI:10.1080/10903127.2024.2324970 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 28, 2024 Category: Endocrinology Authors: Katherine Schneider Mimi Williams Nicholas M Mohr Azeemuddin Ahmed Source Type: research

Exploring the Potential of CarbonCool ® in Rapid Prehospital Cooling for Severe Heat Stroke
CONCLUSION: We present an innovative approach to prehospital care for patients with heat stroke through the use of CarbonCool®, highlighting its efficacy for rapid cooling and its potential impact on patient outcomes. However, further studies are warranted to fully confirm the efficacy of the system.PMID:38416877 | DOI:10.1080/10903127.2024.2323575 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 28, 2024 Category: Endocrinology Authors: Norihiro Kido Takashi Tagami Kosuke Otake Akihiro Watanabe Yudai Yoshino Masaki Ishimuro Kazuya Miyakami Junichi Inoue Source Type: research

A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation
CONCLUSION: In this large prehospital dataset, upper extremity IO access was associated with a small increase in the odds of ROSC in comparison to lower extremity IO access. These data support the need for prospective investigation of the ideal IO access site during OHCA resuscitation.PMID:38416867 | DOI:10.1080/10903127.2024.2321285 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 28, 2024 Category: Endocrinology Authors: Tanner Smida Remle Crowe Jeffrey Jarvis Taylor Ratcliff Mat Goebel Source Type: research

Hemorrhagic Shock in Isolated and Non-isolated Pelvic Fractures: A Registries-Based Study
Conclusion: In young patients with pelvic fractures, severe associated injuries were common, but isolated pelvic fractures rarely presented with profound shock upon arrival. Prehospital management protocols for pelvic fractures should prioritize prompt evacuation and resuscitative measures aimed at addressing associated injuries.PMID:38416869 | DOI:10.1080/10903127.2024.2322014 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 28, 2024 Category: Endocrinology Authors: Amir Gottfried Sami Gendler David Chayen Irina Radomislensky Ilan Y Mitchnik Israel Trauma Group Elad Epshtein Avishai M Tsur Ofer Almog Tomer Talmy Source Type: research

Rural Emergency Medical Services Clinicians' Perceptions and Preferences in Receiving Clinical Feedback from Hospitals: A Qualitative Needs Assessment
Conclusion: Our results suggest that consistent clinical feedback provided by hospitals was valued. Establishing a culture of providing organized feedback to practicing rural EMS clinicians is important for professional development and can strengthen the relationships between EMS clinicians and hospitals. These study findings can assist in the development and implementation of a standardized feedback instrument to benefit rural EMS clinicians, patients, and the health care system as a whole.PMID:38416871 | DOI:10.1080/10903127.2024.2324970 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 28, 2024 Category: Endocrinology Authors: Katherine Schneider Mimi Williams Nicholas M Mohr Azeemuddin Ahmed Source Type: research

Exploring the Potential of CarbonCool ® in Rapid Prehospital Cooling for Severe Heat Stroke
CONCLUSION: We present an innovative approach to prehospital care for patients with heat stroke through the use of CarbonCool®, highlighting its efficacy for rapid cooling and its potential impact on patient outcomes. However, further studies are warranted to fully confirm the efficacy of the system.PMID:38416877 | DOI:10.1080/10903127.2024.2323575 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 28, 2024 Category: Endocrinology Authors: Norihiro Kido Takashi Tagami Kosuke Otake Akihiro Watanabe Yudai Yoshino Masaki Ishimuro Kazuya Miyakami Junichi Inoue Source Type: research