The association between burnout and patient safety has been analyzed in many studies for nurses, physicians, and residents. However, studies concerning prehospital emergency medical services (EMS) workers are ...
Authors: Natalie Baier, Karsten Roth, Susanne Felgner and Cornelia Henschke
Multiresistant bacteria (MRB) is an increasing problem. Early identification of patients with MRB is mandatory to avoid transmission and to target the antibiotic treatment. The emergency department (ED) is a k...
Authors: Christian B. Mogensen, Helene Skjøt-Arkil, Annmarie T. Lassen, Isik S. Johansen, Ming Chen, Poul Petersen, Karen V. Andersen, Svend Ellermann-Eriksen, Jørn M. Møller, Marc Ludwig, David Fuglsang-Damgaard, Finn Nielsen, Dan B. Petersen, Ulrich S. Jensen and Flemming S. Rosenvinge
Medical professionals together with other first responder teams are the first to attend an emergency or disaster. Knowledge and training in emergency and disaster preparedness are important in responding effec...
There is little data describing pediatric emergencies in resource-poor countries, such as Pakistan. We studied the demographics, management, and outcomes of patients presenting to the highest-volume, public, p...
Authors: Nadir Ijaz, Matthew Strehlow, N. Ewen Wang, Elizabeth Pirrotta, Areeba Tariq, Naseeruddin Mahmood and Swaminatha Mahadevan
Although this has not been fully studied, videos and pictorial brochures might be equivalent methods of delivering HIV/AIDS and HIV testing information to emergency departments (ED) patients. It also is not kn...
Authors: Roland C. Merchant, Tao Liu, Melissa A. Clark and Michael P. Carey
Extracorporeal membrane oxygenation (ECMO) is increasingly used in resuscitation of critically ill patients with documented improved survival. Few studies describe ECMO use in cardiogenic shock. This study exa...
Authors: Rayan El Sibai, Rana Bachir and Mazen El Sayed
The use of big data and machine learning within clinical decision support systems (CDSSs) has the potential to transform medicine through better prognosis, diagnosis and automation of tasks. Real-time applicat...
Authors: Warren M. Perry, Rubayet Hossain and Richard A. Taylor
Management of stable patients with abdominal stab wound remains controversial, particularly for those with no clear indications for explorative laparotomy. We evaluated the risk of intra-abdominal injury in st...
Authors: Igor Jeroukhimov, Itay Wiser, Yehuda Hershkovitz, Zahar Shapira, Kobi Peleg, Ricardo Alfici, Adi Givon and Boris Kessel
Liberal use of oxygen in an emergency situation is common. Today, most health care professionals do not adjust the amount of oxygen given when a saturation of 100% or a PaO2 which exceeds the normal range is r...
Authors: Anna S. M. Dobbe, Renate Stolmeijer, Jan C. ter Maaten and Jack J. M. Ligtenberg
Poor communication during patient handover is recognised internationally as a root cause of a significant proportion of preventable deaths. Data used in handover is not always easily recorded using ambulance b...
Authors: David Fitzpatrick, Douglas Maxwell and Alan Craigie
The aim of this study is to test the diagnostic value of baseline and early change of C-reactive protein (CRP) concentrations, evaluated separately or in combination with the modified Alvarado score (MAS), in ...
Traumatic injuries continue to be an important cause of morbidity and mortality in the developing world. Despite the high burden of injury in Ethiopia, the occurrence and health impact have not received due at...
Authors: Abel Negussie, Andarge Getie, Elias Manaye and Tamrat Tekle
Helicopter emergency medical services (HEMS) are popular rescue systems despite inconsistent evidence in the scientific literature to support their use for primary interventions, as well as for inter-facility ...
Authors: Damien Di Rocco, Mathieu Pasquier, Eric Albrecht, Pierre-Nicolas Carron and Fabrice Dami
Since the 1990s, community-associated methicillin resistant staphylococcus aureus (CA-MRSA) has emerged as an important global cause of skin and soft tissue infections. Little is known about the epidemiology of t...
Authors: Muna Al Jalaf, Hanan Fadali, Rasha Alanee, Firas Najjar, Zulfa Al Deesi, Rania M. Seliem and Eric J. Nilles
In Mozambique, and other low-income countries (LICs), there is little information on the burden of child maltreatment (CM). Emergency care services (ECS) play an important role in recognizing, treating, and in...
Authors: Liliana Pinto, Adriana Lein, Raquel Mahoque, David W. Wright, Scott M. Sasser and Catherine A. Staton
Approximately 80% of patients presenting to emergency departments (ED) with chest pain do not have any true cardiopulmonary emergency such as acute coronary syndrome (ACS). However, psychological contributors ...
Authors: Paul I. Musey Jr, John A. Lee, Cassandra A. Hall and Jeffrey A. Kline
Studies investigating different medical conditions and settings have demonstrated mixed results regarding the weekend effect. However, data on the outcome of elderly patients hospitalised on weekends is scarce...
Authors: Steffie H. A. Brouns, Joyce J. Wachelder, Femke S. Jonkers, Suze L. Lambooij, Jeanne P. Dieleman and Harm R. Haak
Triage is used to prioritize the patients in the emergency department. The majority of the triage systems include the patients’ pain score to assess their level of acuity by using a combination of patient repo...
Authors: Martin Høhrmann Hangaard, Brian Malling and Christian Backer Mogensen
Africa accounts for one sixth of global road traffic deaths—most in the pre-hospital setting. Ambulance transport is expensive relative to other modes of pre-hospital transport, but has advantages in time-sens...
Authors: Yonas Abebe, Tolesa Dida, Engida Yisma and David M. Silvestri
The original article [1] contains an error whereby all authors’ names were mistakenly interchanged. The original article has now been corrected to present the authors’ names correctly.
Authors: Sophie Hardy, Sabina Fattah, Torben Wisborg, Lasse Raatiniemi, Trine Staff and Marius Rehn
Citation:BMC Emergency Medicine
2018
18:6
Published on: 9 February 2018
The
original article was published in BMC Emergency Medicine
2018
18:4
Surgical cricothyroidotomy is considered to be the last resort for management of the difficult airway. A major point for a successful surgical cricothyroidotomy is to identify the location of the cricothyroid ...
Authors: Hiromu Okano, Kohji Uzawa, Kunitaro Watanabe, Akira Motoyasu, Joho Tokumine, Alan Kawarai Lefor and Tomoko Yorozu
Major incidents affect us globally, and are occurring with increasing frequency. There is still no evidence-based standard regarding the best medical emergency response to major incidents. Currently, reports o...
Authors: Sophie Hardy, Sabina Fattah, Torben Wisborg, Lasse Raatiniemi, Trine Staff and Marius Rehn
Clinical handover is an important process for the transition of patient-care responsibility to the next healthcare provider, but it may divert the attention of the team away from active patients. This is chall...
Authors: Sami Alsolamy, Atheer Al-Sabhan, Najla Alassim, Musharaf Sadat, Eman Al Qasim, Hani Tamim and Yaseen M Arabi
Pneumocephalus, illustrated by air in the cranial vault is relatively infrequent and generally associated with neurosurgery, trauma, meningitis and barotrauma. However cases of spontaneous non-traumatic pneumo...
Authors: Abdus Samad Ansari, Brittany B. Dennis, Dilip Shah and Winfred Baah
While emergency airway management training is conventionally conducted via face-to-face learning (F2FL) workshops, there are inherent cost, time, place and manpower limitations in running such workshops. Blend...
Authors: Madeleine Huei Tze Kho, Keng Sheng Chew, Muhaimin Noor Azhar, Mohd Lotfi Hamzah, Kee Man Chuah, Aida Bustam and Hiang Chuan Chan
Fracture and dislocation of the shoulder are usually identifiable through the use of plain radiographs in an emergency department. However, other significant soft tissue injuries can be missed at initial prese...
Authors: Michael J. Callaghan, Janos P. Baombe, Dan Horner, Charles E. Hutchinson, Dilraj Sandher and Simon Carley
Remote assistance for burns by medical experts can support nurses and general physicians in emergency care with diagnostic and management advice. Previous studies indicate a high diagnostic accuracy based on i...
Authors: Lisa Blom, Constance Boissin, Nikki Allorto, Lee Wallis, Marie Hasselberg and Lucie Laflamme
Changes to physiological parameters precede deterioration of ill patients. Early warning and track and trigger systems (TTS) use routine physiological measurements with pre-specified thresholds to identify det...
Authors: Francesca Wuytack, Pauline Meskell, Aislinn Conway, Fiona McDaid, Nancy Santesso, Fergal G. Hickey, Paddy Gillespie, Adam J. N. Raymakers, Valerie Smith and Declan Devane
Contemporary resuscitation guidelines for basic life support recommend an immediate onset of cardiac compressions in case of cardiac arrest followed by rescue breaths. Effective ventilation is often omitted du...
Authors: Patricia Fuchs, Juliane Obermeier, Svend Kamysek, Martin Degner, Hannes Nierath, Henning Jürß, Hartmut Ewald, Jens Schwarz, Martin Becker and Jochen K. Schubert
The early warning score (EWS) was developed to identify deteriorating patients early. It is a track-and-trigger system based on vital signs designed to direct appropriate clinical responses based on the seriou...
Authors: John Asger Petersen, Lars S. Rasmussen and Susan Rydahl-Hansen
The optimal prehospital fluid for the treatment of hypotension is unknown. Hypertonic fluids may increase circulatory volume and mute the pro-inflammatory response of the body to injury and illness. The purpos...
Authors: I. E. Blanchard, A. Ahmad, K. L. Tang, P. E. Ronksley, D. Lorenzetti, G. Lazarenko, E. S. Lang, C. J. Doig and H. T. Stelfox
The demand for critical care beds is increasing out of proportion to bed availability. As a result, some critically ill patients are kept in the Emergency Department (ED boarding) awaiting bed availability. Th...
Authors: Saad Al-Qahtani, Abdullah Alsultan, Samir Haddad, Abdulmohsen Alsaawi, Moeed Alshehri, Sami Alsolamy, Afef Felebaman, Hani M. Tamim, Nawfal Aljerian, Abdulaziz Al-Dawood and Yaseen Arabi
As many as 12% of acute coronary syndrome (ACS) patients screen positive for post-traumatic stress disorder (PTSD) symptoms due to their cardiac event, and emergency department (ED) factors such as overcrowdin...
Authors: Beatrice Konrad, David Hiti, Bernard P. Chang, Jessica Retuerto, Jacob Julian and Donald Edmondson
The four-hour target is a key hospital emergency department performance indicator in England and one that drives the physical and organisational design of the ED. Some studies have identified time of presentat...
Authors: Niklas Bobrovitz, Daniel S. Lasserson and Adam D. M. Briggs
New South Wales (NSW), Australia has a network of multirole retrieval physician staffed helicopter emergency medical services (HEMS) with seven bases servicing a jurisdiction with population concentrated along...
Authors: Alan A. Garner and Pieter L. van den Berg
Trauma contributes significantly to the burden of disease and mortality throughout the world, but particularly in developing countries. In Tanzania, there is an enormous research gap on trauma; the limited dat...
Authors: Hendry R. Sawe, Juma A. Mfinanga, Khalid R. Mbaya, Phillip M. Koka, Said S. Kilindimo, Michael S. Runyon, Victor G. Mwafongo, Lee A. Wallis and Teri A. Reynolds
Pre-hospital emergency care is a vital and integral component of health systems particularly in the resource constrained countries like Uganda. It can help to minimize deaths, injuries, morbidities, disabiliti...
Authors: Joseph Kimuli Balikuddembe, Ali Ardalan, Davoud Khorasani-Zavareh, Amir Nejati and Owais Raza
Sepsis management in the Emergency Department remains a daily challenge. The Surviving Sepsis Campaign (SSC) has released three-hour bundle. The implementation of these bundles in European Emergency Department...
Authors: Philippe Le Conte, Séverin Thibergien, Jean Batiste Obellianne, Emmanuel Montassier, Gilles Potel, Pierre Marie Roy and Eric Batard
Healthcare quality improvement (QI) is a global priority, and understanding the perspectives of frontline healthcare workers can help guide sustainable and meaningful change. We report a qualitative investigat...
Authors: Annelies DeWulf, Elom H. Otchi and Sari Soghoian
Overuse of antibiotics is a major public health problem, contributing to growing antibiotic resistance. Procalcitonin has been reported to be commonly elevated in bacterial, but not viral infection. Multiple E...
Authors: David T. Huang, Derek C. Angus, Chung-Chou H. Chang, Yohei Doi, Michael J. Fine, John A. Kellum, Octavia M. Peck-Palmer, Francis Pike, Lisa A. Weissfeld, Jonathan Yabes and Donald M. Yealy
Emergency medical service (EMS) personnel who work to provide emergency medical care at the scene and during transportation are exposed to various kinds of stressors and are particularly susceptible to develop...
Authors: Salima Mansoor Kerai, Uzma Rahim Khan, Muhammad Islam, Nargis Asad, Junaid Razzak and Omrana Pasha
There are approximately 60,000 out-of-hospital cardiac arrests (OHCA) in the United Kingdom (UK) each year. Within the UK there are well-established clinical practice guidelines that define when resuscitation ...
Authors: J. Brandling, K. Kirby, S. Black, S. Voss and J. Benger
Medical care is obviously an important public service to ensure the health of a nation; however, medical resources are not always used appropriately. ‘Convenience-store consultations’ and inappropriate ambulan...
Authors: Yasuhiro Kadooka, Atsushi Asai, Aya Enzo and Taketoshi Okita
The effective treatment of airway compromise in trauma and non-trauma patients is important. Hypoxia and hypotension are predictors of negative patient outcomes and increased mortality, and may be important qu...
Authors: Geir Arne Sunde, Mårten Sandberg, Richard Lyon, Knut Fredriksen, Brian Burns, Karl Ove Hufthammer, Jo Røislien, Akos Soti, Helena Jäntti, David Lockey, Jon-Kenneth Heltne and Stephen J. M. Sollid
Satisfaction refers to a state of pleasure or contentment with an action, event or service, especially one that was previously desired. Regarding to client, satisfaction is the level of happiness that clients ...
Frequencies of reasons for encounter (RFEs) in emergency primary care out-of-hours (OOH) services are relevant for planning of capacities as well as to target the training of staff at casualty clinics. We aime...
Systematic reviews call for well-designed trials with clearly described intervention components to support the effectiveness of educational campaigns to reduce patient delay in stroke presentation. We herein d...
Authors: Caterina Caminiti, Peter Schulz, Barbara Marcomini, Elisa Iezzi, Silvia Riva, Umberto Scoditti, Andrea Zini, Giovanni Malferrari, Maria Luisa Zedde, Donata Guidetti, Enrico Montanari, Mario Baratti and Licia Denti
Paramedic-performed out-of-hospital ultrasound is a novel skill that has gained popularity in some services in recent years. In this setting point-of care ultrasound (POCUS) can provide additional information ...
Authors: Ben Meadley, Alexander Olaussen, Ashleigh Delorenzo, Nick Roder, Caroline Martin, Toby St. Clair, Andrew Burns, Emma Stam and Brett Williams
Hemorrhage is the main cause of maternal death during pregnancy. This study aims to evaluate incidence and outcomes of Severe Ante Partum Hemorrhage (SAPH) during the third trimester of pregnancy prior to deli...
Authors: Martin Lankoande, Papougnezambo Bonkoungou, Sosthène Ouandaogo, Marcelin Dayamba, Ali Ouedraogo, Francis Veyckmans and Nazinigouba Ouédraogo
There is no common understanding of how needs of emergency department (ED) frequent users differ from other patients. This study sought to examine how to best serve this population. Examinations of why ED freq...
Authors: Lauren E. Birmingham, Thaddeus Cochran, Jennifer A. Frey, Kirk A. Stiffler and Scott T. Wilber
