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Blind spots: Biases in prehospital race and ethnicity recording
CONCLUSIONS: When compared to data after the implementation of mandated race and ethnicity fields, missing race and ethnicity data were found to be more common in patients of color, younger patients, males, and those transported non-emergently. Inconsistent completion of race and ethnicity documentation may lead to a poor understanding of equity issues within a system, suggesting a need for mandatory race and ethnicity fields.PMID:36735657 | DOI:10.1080/10903127.2023.2175089
Source: Prehospital Emergency Care - February 3, 2023 Category: Endocrinology Authors: Benjamin W Weston Source Type: research

Disparities in Emergency Medical Services Care Delivery in the United States: A Scoping Review
CONCLUSIONS: Existing research highlights health disparities in EMS care delivery throughout multiple health outcomes and phases of EMS care. Future research is needed to identify structured mechanisms to eliminate disparities, address clinician bias, and provide high-quality equitable care for all patient populations.PMID:36369725 | DOI:10.1080/10903127.2022.2142344
Source: Prehospital Emergency Care - November 12, 2022 Category: Endocrinology Authors: Andra M Farcas Anjni P Joiner Jordan S Rudman Karthik Ramesh Gilberto Torres Remle P Crowe Travis Curtis Rickquel Tripp Karen Bowers Megan von Isenburg Robert Logan Lauren Coaxum Gilberto Salazar Michael Lozano David Page Ameera Haamid Source Type: research

Neuropsychological Outcomes in Individuals With Type 1 and Type 2 Diabetes
ConclusionMicrovascular/macrovascular complications are associated with a high risk of neuropsychological outcomes regardless of diabetes status. Therefore, preventing microvascular and macrovascular complications will likely help reduce the likelihood of neuropsychological outcomes either as the result of similar pathophysiologic processes or by preventing the direct and indirect consequences of these complications. For individuals with type 2 diabetes, risk factors beyond complications (such as obesity) likely contribute to neuropsychological outcomes.
Source: Frontiers in Endocrinology - March 4, 2022 Category: Endocrinology Source Type: research

Prevalence of Complications Associated with Diabetes among Pakistani Patients: A Questionnaire-Based Survey
CONCLUSION: All age groups showed diabetes-associated complications and different abnormal body conditions. However, the age groups ranging from thirty to eighty years showed more complications. The most prevalent complications reported were retinopathy, nephropathy, diabetic wounds on the foot, slow wound healing, seizures, hypertension, neuropathy, skin infections, cardiovascular disorders, liver damage and stroke in both types of diabetic patients. Our survey may aid in pointing out the most prevalent diabetic complications prevailing in our population so that effective treatment options could be developed to reduce the...
Source: Current Diabetes Reviews - January 19, 2022 Category: Endocrinology Authors: Sana Eijaz Sarah Lalpuria Mahrukh Afzal Ariba Yasmeen Sadia Saleem Asma Begum Source Type: research

Methods and Implementation of the 2019 EMS Practice Analysis.
CONCLUSION: The 2019 ALS Practice Analysis describes prehospital practice at the AEMT and paramedic levels. This approach allows for a detailed and robust evaluation of EMS care while focusing on each task conducted at each level of certification in EMS. The data can be leveraged to inform the scope of practice, educational standards, and assist in validating the ALS levels of the certification examination. PMID: 33301370 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - December 12, 2020 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

An Urban 911 System's Experience with Left Ventricular Assist Device Patients.
CONCLUSIONS: EMS interactions with LVAD patients are infrequent but have high rates of admission and incidence of life-threatening diagnoses. The most common prehospital presenting symptoms were weakness and chest pain, and most prehospital interactions did not require LVAD-specific interventions. In addition to acquiring technical knowledge regarding LVADs, EMS providers should be aware of non-device-related complications including intracranial and GI bleeding and take this into account during their assessment. PMID: 30285520 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - October 6, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

National Assessment of Quality Programs in Emergency Medical Services.
CONCLUSIONS: EMS agencies in the United States have significant practice variability with regard to quality improvement resources, medical direction and specific clinical quality measures. More research is needed to understand the impact of this variation on patient care outcomes. PMID: 29297735 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - January 5, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

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