Time Savings and Safety of EMS Administration of Antibiotics for Open Fractures
CONCLUSIONS: EMS clinicians were able to safely administer antibiotics to patients with open fractures a median of 15 minutes before arrival at the hospital, and 99 percent of the patients receiving antibiotics had them administered within one hour of EMS dispatch. EMS administration of antibiotics may be a safe way to increase compliance with recommendations for early antibiotic administration for open fractures.PMID:38661320 | DOI:10.1080/10903127.2024.2347291 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 25, 2024 Category: Endocrinology Authors: Alexander D Muniz Dominic J Gregorio Scott A Studebaker Aaron M Peth Cole G Camacho Bilie Williams Douglas F Kupas Lawrence H Brown Source Type: research

Pharmacokinetics of tranexamic acid (TXA) delivered by expeditious routes in a swine model of polytrauma and hemorrhagic shock
CONCLUSIONS: In austere prehospital environments, an alternative to intravenous infusion of a life-saving medication is desired. Administration of TXA via all three methods reached the level needed to cause substantial inhibition of fibrinolysis within 10 minutes. The IV push method showed similar pharmacokinetics to IV infusion of TXA but can be delivered quickly without sacrificing an access site for 10 minutes.PMID:38634701 | DOI:10.1080/10903127.2024.2342025 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 18, 2024 Category: Endocrinology Authors: Mallori Wilson Sean Stuart Brittany Lassiter Timothy Parker Clyde Martin Robert Healy Christopher Treager Eric Sulava Lorie Gower Pravina Fernandez Emily Friedrich Source Type: research

In Response to Dr. Golcuk RE: Delta Shock Index: Enhancing Prehospital Assessment of GI Bleeding
Prehosp Emerg Care. 2024 Apr 16:1-2. doi: 10.1080/10903127.2024.2343396. Online ahead of print.NO ABSTRACTPMID:38626165 | DOI:10.1080/10903127.2024.2343396 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 16, 2024 Category: Endocrinology Authors: Joshua Lowe Source Type: research

Dispatch Categories as Indicators of Out-of-Hospital Time Critical Interventions and Associated Emergency Department Outcomes
CONCLUSIONS: In general, Determinant levels aligned with time-critical responses; however, a notable minority of lower acuity Determinant level Protocols met criteria for unsafe to hold. This suggests a more nuanced approach to dispatch prioritization, considering both Protocol and Determinant level factors.PMID:38626286 | DOI:10.1080/10903127.2024.2342015 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 16, 2024 Category: Endocrinology Authors: Matthew J Levy Remle P Crowe Heidi Abraham Anna Bailey Matt Blue Reinhard Ekl Eric Garfinkel Joshua B Holloman Jeff Hutchens Ryan Jacobsen Colin Johnson Asa Margolis Ruben Troncoso Jefferson G Williams J Brent Myers Source Type: research

In Response to Dr. Golcuk RE: Delta Shock Index: Enhancing Prehospital Assessment of GI Bleeding
Prehosp Emerg Care. 2024 Apr 16:1-2. doi: 10.1080/10903127.2024.2343396. Online ahead of print.NO ABSTRACTPMID:38626165 | DOI:10.1080/10903127.2024.2343396 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 16, 2024 Category: Endocrinology Authors: Joshua Lowe Source Type: research

Dispatch Categories as Indicators of Out-of-Hospital Time Critical Interventions and Associated Emergency Department Outcomes
CONCLUSIONS: In general, Determinant levels aligned with time-critical responses; however, a notable minority of lower acuity Determinant level Protocols met criteria for unsafe to hold. This suggests a more nuanced approach to dispatch prioritization, considering both Protocol and Determinant level factors.PMID:38626286 | DOI:10.1080/10903127.2024.2342015 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 16, 2024 Category: Endocrinology Authors: Matthew J Levy Remle P Crowe Heidi Abraham Anna Bailey Matt Blue Reinhard Ekl Eric Garfinkel Joshua B Holloman Jeff Hutchens Ryan Jacobsen Colin Johnson Asa Margolis Ruben Troncoso Jefferson G Williams J Brent Myers Source Type: research

Safety and adverse events during primary care paramedic interfacility transfer of stable STEMI patients
CONCLUSIONS: We found PCP-interfacility transport of initially stable STEMI patients was safe and associated with a moderate proportion of adverse events, the majority of which did not require an advanced care intervention. These findings may help decision-making to avoid delays transferring stable patients to PCI-capable centers.PMID:38619868 | DOI:10.1080/10903127.2024.2342569 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 15, 2024 Category: Endocrinology Authors: Michael Feldman Fahad Bahaidarah Mahbod Rahimi Sara Howaidi Linda Turner P Richard Verbeek Warren Cantor Sheldon Cheskes Ian Drennan Kristen Gilmartin Source Type: research

Emergency Medical Service Attendances for Adults with Repeat Falls in Western Australia: A State-Wide Retrospective Cohort Study
CONCLUSION: Nearly 30% of all patients attended by EMS for a fall, sustained repeat falls, which collectively accounted for nearly 60% of all EMS-attendances to fall-related incidents. Further exploration of the role EMS clinicians play in identifying and referring patients who sustain repeat falls into alternative pathways is needed.PMID:38588441 | DOI:10.1080/10903127.2024.2338915 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 8, 2024 Category: Endocrinology Authors: Paige M Watkins Peter Buzzacott Hideo Tohira David Majewski Anne-Marie Hill Deon Brink Rudi Brits Judith Finn Source Type: research

Delta Shock Index: Enhancing Prehospital Assessment of GI Bleeding
Prehosp Emerg Care. 2024 Apr 8:1-2. doi: 10.1080/10903127.2024.2341413. Online ahead of print.NO ABSTRACTPMID:38588601 | DOI:10.1080/10903127.2024.2341413 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 8, 2024 Category: Endocrinology Authors: Yalcin Golcuk Source Type: research

Emergency Medical Service attendances for adults with repeat falls in Western Australia: A state-wide retrospective cohort study
Conclusion: Nearly 30% of all patients attended by EMS for a fall, sustained repeat falls, which collectively accounted for nearly 60% of all EMS-attendances to fall-related incidents. Further exploration of the role EMS clinicians play in identifying and referring patients who sustain repeat falls into alternative pathways is needed.PMID:38588441 | DOI:10.1080/10903127.2024.2338915 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 8, 2024 Category: Endocrinology Authors: Paige M Watkins Peter Buzzacott Hideo Tohira David Majewski Anne-Marie Hill Deon Brink Rudi Brits Judith Finn Source Type: research

Delta Shock Index: Enhancing Prehospital Assessment of GI Bleeding
Prehosp Emerg Care. 2024 Apr 8:1-2. doi: 10.1080/10903127.2024.2341413. Online ahead of print.NO ABSTRACTPMID:38588601 | DOI:10.1080/10903127.2024.2341413 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 8, 2024 Category: Endocrinology Authors: Yalcin Golcuk Source Type: research

Emergency Medical Service attendances for adults with repeat falls in Western Australia: A state-wide retrospective cohort study
Conclusion: Nearly 30% of all patients attended by EMS for a fall, sustained repeat falls, which collectively accounted for nearly 60% of all EMS-attendances to fall-related incidents. Further exploration of the role EMS clinicians play in identifying and referring patients who sustain repeat falls into alternative pathways is needed.PMID:38588441 | DOI:10.1080/10903127.2024.2338915 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 8, 2024 Category: Endocrinology Authors: Paige M Watkins Peter Buzzacott Hideo Tohira David Majewski Anne-Marie Hill Deon Brink Rudi Brits Judith Finn Source Type: research