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

False Electrical Capture in Prehospital Transcutaneous Pacing by Paramedics: A Case Series
CONCLUSIONS: These findings suggest a high proportion of patients undergoing TCP are at risk of false electrical capture despite a recorded palpable pulse. While our analysis is limited to a single EMS network, these data raise concerns regarding the incidence of prehospital false electrical capture. Further research is warranted to calculate the incidence of false electrical capture and evaluate mitigation strategies.PMID:38407212 | DOI:10.1080/10903127.2024.2321287 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 26, 2024 Category: Endocrinology Authors: Joshua Kimbrell Judah Kreinbrook Dana Poke Brittany Kalosza Jacob Geldner Aditya C Shekhar Andrew Miele Tom Bouthillet John Vega Source Type: research

Performance of the Medical Priority Dispatch System ® in identifying patients requiring chest compressions at overdose prevention services: a retrospective cohort study
CONCLUSIONS: The ability of MPDS ® to correctly identify patients needing telecommunicator cardiopulmonary resuscitation instructions differed between OPS settings and other locations, frequently recommending T-CPR for patients not suffering OHCA at an OPS. Different strategies developed in collaboration with people who use substances are required to better tailor dispatch instructions prior to EMS arrival to avoid delays in life-saving interventions.PMID:38407219 | DOI:10.1080/10903127.2024.2319150 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 26, 2024 Category: Endocrinology Authors: Richard Armour Brian Grunau Sammy Iammarino Jane Buxton Brooke Kinniburgh Heather Burgess Kali-Olt Sedgemore Paul Choisil Suzanne Nielsen Linda Ross Source Type: research

False Electrical Capture in Prehospital Transcutaneous Pacing by Paramedics: A Case Series
CONCLUSIONS: These findings suggest a high proportion of patients undergoing TCP are at risk of false electrical capture despite a recorded palpable pulse. While our analysis is limited to a single EMS network, these data raise concerns regarding the incidence of prehospital false electrical capture. Further research is warranted to calculate the incidence of false electrical capture and evaluate mitigation strategies.PMID:38407212 | DOI:10.1080/10903127.2024.2321287 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 26, 2024 Category: Endocrinology Authors: Joshua Kimbrell Judah Kreinbrook Dana Poke Brittany Kalosza Jacob Geldner Aditya C Shekhar Andrew Miele Tom Bouthillet John Vega Source Type: research

Performance of the Medical Priority Dispatch System ® in identifying patients requiring chest compressions at overdose prevention services: a retrospective cohort study
CONCLUSIONS: The ability of MPDS ® to correctly identify patients needing telecommunicator cardiopulmonary resuscitation instructions differed between OPS settings and other locations, frequently recommending T-CPR for patients not suffering OHCA at an OPS. Different strategies developed in collaboration with people who use substances are required to better tailor dispatch instructions prior to EMS arrival to avoid delays in life-saving interventions.PMID:38407219 | DOI:10.1080/10903127.2024.2319150 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 26, 2024 Category: Endocrinology Authors: Richard Armour Brian Grunau Sammy Iammarino Jane Buxton Brooke Kinniburgh Heather Burgess Kali-Olt Sedgemore Paul Choisil Suzanne Nielsen Linda Ross Source Type: research

Prehospital Extended FAST Exams Improve Clinical Decision Making by Helicopter EMS Crews: A Retrospective Case Series
This study highlights the improvements in clinical care that may result from the introduction of eFAST exams in the prehospital environment.PMID:38363335 | DOI:10.1080/10903127.2024.2320746 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - February 16, 2024 Category: Endocrinology Authors: Benjamin Smith Daniel Willner William Roper Christopher McGrath Source Type: research