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Emergency medical services

This section considers articles on out-of-hospital acute care, ground first responder and paramedic systems, ambulance service and other critical care transports, EMS regulations, policies and guidelines.

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  1. Sudden loss of consciousness (LOC) in the prehospital setting in the absence of cardiac arrest and seizure activity may be a challenge from a dispatcher’s perspective: The aetiology is varied, with many causes...

    Authors: J. Mohindru, J. E. Griggs, R. de Coverly, R. M. Lyon and E. ter Avest

    Citation: BMC Emergency Medicine 2020 20:92

    Content type: Research article

    Published on:

  2. Dyspnoea is one of the most common reasons for patients contacting emergency medical services (EMS). Pre-hospital Emergency Nurses (PENs) are independently responsible for advanced care and to meet these patie...

    Authors: Wivica Kauppi, Johan Herlitz, Thomas Karlsson, Carl Magnusson, Lina Palmér and Christer Axelsson

    Citation: BMC Emergency Medicine 2020 20:89

    Content type: Research article

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  3. Organizational changes in out-of-hour (OOH) services may have unintended consequences for other prehospital services. Reports indicate an increased use of helicopter emergency medical services (HEMS) after cha...

    Authors: Dag Ståle Nystøyl, Jo Røislien, Øyvind Østerås, Steinar Hunskaar, Hans Johan Breidablik and Erik Zakariassen

    Citation: BMC Emergency Medicine 2020 20:88

    Content type: Research article

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  4. A decision system in the ambulance allowing alternative pathways to alternate healthcare providers has been developed for older patients in Stockholm, Sweden. However, subsequent healthcare resource use result...

    Authors: Sofi Varg, Veronica Vicente, Maaret Castren, Peter Lindgren and Clas Rehnberg

    Citation: BMC Emergency Medicine 2020 20:85

    Content type: Research article

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  5. Obstetric triage is a new idea, so the design and implementation of it requires identification of its concept and structure. The aim of this qualitative study was to explore the concept and structure of the ob...

    Authors: Asieh Moudi, Mina Iravani, Mahin Najafian, Armin Zareiyan, Arash Forouzan and Mojgan Mirghafourvand

    Citation: BMC Emergency Medicine 2020 20:74

    Content type: Research article

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  6. Clinical decision-making (CDM) is an important competency for young doctors especially under complex and uncertain conditions in geriatric emergency medicine (GEM). However, research in this field is character...

    Authors: Maria Louise Gamborg, Mimi Mehlsen, Charlotte Paltved, Gitte Tramm and Peter Musaeus

    Citation: BMC Emergency Medicine 2020 20:73

    Content type: Research article

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  7. Amidst the ongoing opioid crisis there are debates regarding the optimal route of administration and dosages of naloxone. This applies both for lay people administration and emergency medical services, and in ...

    Authors: Ida Tylleskar, Linn Gjersing, Lars Petter Bjørnsen, Anne-Cathrine Braarud, Fridtjof Heyerdahl, Ola Dale and Arne Kristian Skulberg

    Citation: BMC Emergency Medicine 2020 20:71

    Content type: Research article

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  8. Vestibular symptoms are a frequent reason for presenting at the emergency department (ED). Underlying conditions range in severity from life-threatening to benign, but often remain undiagnosed despite extensiv...

    Authors: Martin Müller, Martina B. Goeldlin, Janika Gaschen, Thomas C. Sauter, Stephanie Stock, Franca Wagner, Aristomenis K. Exadaktylos, Urs Fischer, Roger Kalla and Georgios Mantokoudis

    Citation: BMC Emergency Medicine 2020 20:70

    Content type: Research article

    Published on:

  9. Worldwide, policies exist on family presence during resuscitation (FPDR), however, this is still lacking in the Gulf Corporation Countries (GCC) in general and in the Kingdom of Bahrain in particular. The aim ...

    Authors: Feras H. Abuzeyad, Ahmed Elhobi, Wael Kamkoum, Luma Bashmi, Ghada Al-Qasim, Leena Alqasem, Naser Mohamed Ali Mansoor, Stephanie Hsu and Priya Das

    Citation: BMC Emergency Medicine 2020 20:69

    Content type: Research article

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  10. Dyspnoea (breathing difficulty) is among the most commonly cited reasons for contacting emergency medical services (EMSs). Dyspnoea is caused by several serious underlying medical conditions and, based on pati...

    Authors: Wivica Kauppi, Johan Herlitz, Carl Magnusson, Lina Palmér and Christer Axelsson

    Citation: BMC Emergency Medicine 2020 20:67

    Content type: Research article

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  11. To manage increasing demand for emergency and unscheduled care NHS England policy has promoted services in which patients presenting to Emergency Departments (EDs) with non-urgent problems are directed to gene...

    Authors: Michelle Edwards, Alison Cooper, Freya Davies, Rebecca Sherlock, Andrew Carson-Stevens, Delyth Price, Alison Porter, Bridie Evans, Saiful Islam, Helen Snooks, Pippa Anderson, Aloysius Niroshan Siriwardena, Peter Hibbert, Thomas Hughes, Matthew Cooke, Jeremy Dale…

    Citation: BMC Emergency Medicine 2020 20:62

    Content type: Research article

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  12. There has been an increasing demand for emergency medical services (EMS), and a growing number of patients are not conveyed; i.e., they are referred to levels of care other than ambulance conveyance to the eme...

    Authors: Erik Höglund, Magnus Andersson-Hagiwara, Agneta Schröder, Margareta Möller and Emma Ohlsson-Nevo

    Citation: BMC Emergency Medicine 2020 20:61

    Content type: Research article

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  13. UK Ambulance services are under pressure to safely stream appropriate patients away from the Emergency Department (ED). Even so, there has been little evaluation of patient outcomes. We investigated difference...

    Authors: Joanna M. Blodgett, Duncan J. Robertson, David Ratcliffe and Kenneth Rockwood

    Citation: BMC Emergency Medicine 2020 20:48

    Content type: Research article

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  14. The average age of the global population is rising at an increasing rate. There is a disproportional increase in Emergency Department (ED) visits by older people worldwide. In the Brazilian health system, comp...

    Authors: João Carlos Pereira Gomes, Roger Daglius Dias, Jacson Venancio de Barros, Irineu Tadeu Velasco and Wilson Jacob Filho

    Citation: BMC Emergency Medicine 2020 20:47

    Content type: Research article

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  15. Previous studies have shown that prehospital insertion of peripheral vascular access is highly variable. The aim of this study is to establish the proportion of peripheral vascular access placement and its use...

    Authors: Erin Gonvers, Thierry Spichiger, Eric Albrecht and Fabrice Dami

    Citation: BMC Emergency Medicine 2020 20:46

    Content type: Research article

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  16. Several scores and codes are used in prehospital clinical quality registries but little is known of their reliability. The aim of this study is to evaluate the inter-rater reliability of the American Society o...

    Authors: A. Heino, P. Laukkanen-Nevala, L. Raatiniemi, M. Tommila, J. Nurmi, A. Olkinuora, I. Virkkunen and T. Iirola

    Citation: BMC Emergency Medicine 2020 20:42

    Content type: Research article

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  17. Acute pain is frequently encountered in the prehospital setting, and therefore, a fundamental aspect of quality emergency care. Research has shown a positive association between healthcare providers’ knowledge...

    Authors: Andrit Lourens, Peter Hodkinson and Romy Parker

    Citation: BMC Emergency Medicine 2020 20:31

    Content type: Research article

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  18. Pre-hospital identification of key subgroups within the suspected stroke population could reduce delays to emergency treatment. We aimed to identify and describe technology with existing proof of concept for d...

    Authors: Hannah A Lumley, Darren Flynn, Lisa Shaw, Graham McClelland, Gary A Ford, Phil M White and Christopher I Price

    Citation: BMC Emergency Medicine 2020 20:30

    Content type: Research article

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  19. Videolaryngoscopy (VL) has become a popular method of intubation (ETI). Although VL may facilitate ETI in less-experienced rescuers there are limited data available concerning ETI performed by paramedics durin...

    Authors: Joachim Risse, Christian Volberg, Thomas Kratz, Birgit Plöger, Andreas Jerrentrup, Dirk Pabst and Clemens Kill

    Citation: BMC Emergency Medicine 2020 20:22

    Content type: Research article

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  20. This article is a report of designing a rapid and effective guide for paramedics who take care of patients in a pre-hospital setting to answer developing demands.

    Authors: Fatemeh Shirzad, Fatemeh Hadi, Seyede Salehe Mortazavi, Maryam Biglari, Hassan Noori Sari, Zeinab Mohammadi, Mehrdad Kazemzade Atoofi and Seyed Vahid Shariat

    Citation: BMC Emergency Medicine 2020 20:19

    Content type: Research article

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  21. Crowding in the emergency department (ED) is a safety concern, and pathways to bypass the ED have been introduced to reduce the time to definitive care. Conversely, a number of low-acuity patients in the ED co...

    Authors: Carl Magnusson, Johan Herlitz and Christer Axelsson

    Citation: BMC Emergency Medicine 2020 20:7

    Content type: Research article

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  22. Paramedics are increasingly required to make complex decisions as to whether they should convey a patient to hospital or manage their condition at the scene. Dementia can be a significant barrier to the assess...

    Authors: Sarah Voss, Janet Brandling, Katherine Pollard, Hazel Taylor, Sarah Black, Marina Buswell, Richard Cheston, Sarah Cullum, Theresa Foster, Kim Kirby, Larissa Prothero, Sarah Purdy, Chris Solway and Jonathan Benger

    Citation: BMC Emergency Medicine 2020 20:6

    Content type: Research article

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  23. Rapid sequence intubation (RSI) is used to secure the airway of stroke patients. Randomized controlled trial evidence exists to support the use of paramedic RSI for traumatic brain injury (TBI), but cannot nec...

    Authors: Pieter Francsois Fouche, Paul Andrew Jennings, Malcolm Boyle, Stephen Bernard and Karen Smith

    Citation: BMC Emergency Medicine 2020 20:5

    Content type: Research article

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  24. Within each of the Sustainable Development Goals (SDGs), the World Health Organization (WHO) has identified key emergency care (EC) interventions that, if implemented effectively, could ensure that the SDG tar...

    Authors: Martina Anto-Ocrah, Jeremy Cushman, Mechelle Sanders and Timothy De Ver Dye

    Citation: BMC Emergency Medicine 2020 20:3

    Content type: Debate

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  25. Dispatch services (DS’s) form an integral part of emergency medical service (EMS) systems. The role of a dispatcher has also evolved into a crucial link in patient care delivery, particularly in dispatcher ass...

    Authors: Shawn Chieh Loong Lee, Desmond Renhao Mao, Yih Yng Ng, Benjamin Sieu-Hon Leong, Jirapong Supasaovapak, Faith Joan Gaerlan, Do Ngoc Son, Boon Yang Chia, Sang Do Shin, Chih-Hao Lin, G. V. Ramana Rao, Takahiro Hara and Marcus Eng Hock Ong

    Citation: BMC Emergency Medicine 2020 20:1

    Content type: Research article

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  26. Previous systematic reviews have examined the effectiveness of interventions for frequent presenters to the Emergency Department (ED) but not the costs and cost-effectiveness of such interventions.

    Authors: Viola Korczak, Janani Shanthosh, Stephen Jan, Michael Dinh and Thomas Lung

    Citation: BMC Emergency Medicine 2019 19:83

    Content type: Research article

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  27. Emergency ambulance services are integral to providing a service for those with unplanned urgent and life-threatening health conditions. However, high use of the service by a small minority of patients is a co...

    Authors: Helen A. Snooks, Ashrafunnesa Khanom, Robert Cole, Adrian Edwards, Bethan Mair Edwards, Bridie A. Evans, Theresa Foster, Rachael T. Fothergill, Carol P. Gripper, Chelsey Hampton, Ann John, Robin Petterson, Alison Porter, Andy Rosser and Jason Scott

    Citation: BMC Emergency Medicine 2019 19:82

    Content type: Research article

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  28. Nigeria is ranked second highest in the rate of road accidents and other emergencies (Deaths, disabilities) among 193 countries of the world. There is therefore the need for analyzing Emergency Medical Rescue ...

    Authors: Peter Asaga Mac, Axel Kroeger and Philomena Ehi Airiohuodion

    Citation: BMC Emergency Medicine 2019 19:78

    Content type: Research article

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  29. The growing demand for elderly care often exceeds the ability of emergency department (ED) services to provide quality of care within reasonable time. The purpose of this systematic review is to assess the eff...

    Authors: Gijs Hesselink, Özcan Sir and Yvonne Schoon

    Citation: BMC Emergency Medicine 2019 19:69

    Content type: Research article

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  30. In France, patients with acute coronary syndromes (ACS) are usually transferred from remote hospitals to percutaneous coronary intervention (PCI) centres in mobile intensive care units (MICUs) with on-board me...

    Authors: Sebastien Cassan, Mihaela Rata, Claire Vallenet, Philippe Fromage, Frederic Champly, Patrick Broin, Guillaume Peribois, Valerie Sierra, Cedric Lutz, Lionel Mangin, Dominique Savary, François-Xavier Ageron and Loic Belle

    Citation: BMC Emergency Medicine 2019 19:60

    Content type: Research article

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  31. The aim of this study was to evaluate the reliability and accuracy of documentation in FinnHEMS database, which is a nationwide helicopter emergency service (HEMS) clinical quality registry.

    Authors: A. Heino, T. Iirola, L. Raatiniemi, J. Nurmi, A. Olkinuora, P. Laukkanen-Nevala, I. Virkkunen and M. Tommila

    Citation: BMC Emergency Medicine 2019 19:53

    Content type: Research article

    Published on:

  32. Overcrowding in emergency departments (EDs) is internationally recognized as one of the greatest challenges to healthcare provision. Numerous studies have highlighted the ill-effects of overcrowding, including...

    Authors: Andrea Strada, Francesca Bravi, Giorgia Valpiani, Roberto Bentivegna and Tiziano Carradori

    Citation: BMC Emergency Medicine 2019 19:47

    Content type: Research article

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  33. Pain is the most frequent presenting complaint in patients consulting or admitted to the emergency department (ED). Thus, its acute management is often done by physicians working in the ED. These clinicians ar...

    Authors: Paul Owono Etoundi, Junette Arlette Metogo Mbengono, Ferdinand Ndom Ntock, Joel Noutakdie Tochie, Dominique Christelle Anaba Ndom, Francky Teddy Endomba Angong, Gérard Beyiha and Jacqueline Ze Minkande

    Citation: BMC Emergency Medicine 2019 19:45

    Content type: Research article

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  34. Some crucial decisions in treatment of hypothermic patients are closely linked to core body temperature. They concern modification of resuscitation algorithms and choosing the target hospital. Under- as well a...

    Authors: Paweł Podsiadło, Tomasz Darocha, Sylweriusz Kosiński, Tomasz Sanak and Robert Gałązkowski

    Citation: BMC Emergency Medicine 2019 19:44

    Content type: Research article

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  35. The prehospital care of patients with sepsis are commonly performed by the emergency medical services. These patients may be critically ill and have high in-hospital mortality rates. Unfortunately, few patient...

    Authors: Agnes Olander, Henrik Andersson, Annelie J. Sundler, Anders Bremer, Lars Ljungström and Magnus Andersson Hagiwara

    Citation: BMC Emergency Medicine 2019 19:43

    Content type: Research article

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  36. Patient satisfaction has become an increasingly important element in a service-oriented healthcare market. Although satisfaction is influenced by many factors, the waiting time to be seen by medical staff has ...

    Authors: Hervé Spechbach, Jessica Rochat, Jean-Michel Gaspoz, Christian Lovis and Frederic Ehrler

    Citation: BMC Emergency Medicine 2019 19:41

    Content type: Research article

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  37. Early recognition of stroke symptoms results in a lower time period after stroke onset to treatment with a better outcome. This depends on the awareness of patients, family members, and the general public.

    Authors: Elyar Sadeghi-Hokmabadi, Samad Shams Vahdati, Reza Rikhtegar, Khazar Ghasempour and Aysa Rezabakhsh

    Citation: BMC Emergency Medicine 2019 19:36

    Content type: Research article

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  38. Community Paramedics (CPs) require access to timely blood analysis in the field to guide treatment and transport decisions. Point of care testing (POCT), as opposed to laboratory analysis, may offer a solution...

    Authors: Ian E. Blanchard, Ryan Kozicky, Dana Dalgarno, Justin Simms, Stacy Goulder, Tyler S. Williamson, Susan Biesbroek, Lenore Page, Karen Leaman, Suzanne Snozyk, Lyle Redman, Keith Spackman, Christopher J. Doig, Eddy S. Lang and Gerald Lazarenko

    Citation: BMC Emergency Medicine 2019 19:30

    Content type: Research article

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  39. The increasing burdens of trauma and time sensitive non-communicable disease in Addis Ababa necessitate a robust emergency medical care system. The objectives of this study were to assess the proportion of pat...

    Authors: Menbeu Sultan, Yonas Abebe, Assefu Welde Tsadik, Asmamaw Ababa, Alegnta Gebre Yesus and Nee-Kofi Mould-Millman

    Citation: BMC Emergency Medicine 2019 19:28

    Content type: Research article

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  40. Prehospital emergency care has developed rapidly during the past decades. The care is given in a complex context which makes prehospital care a potential high-risk activity when it comes to patient safety. Pat...

    Authors: Magnus Andersson Hagiwara, Carl Magnusson, Johan Herlitz, Elin Seffel, Christer Axelsson, Monica Munters, Anneli Strömsöe and Lena Nilsson

    Citation: BMC Emergency Medicine 2019 19:14

    Content type: Research article

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  41. Decision-making concerning the limitation of potentially life-prolonging treatments is often challenging, particularly in the Emergency Department (ED). Current literature in this area of Emergency Medicine is...

    Authors: Nathan Walzl, Jessica Jameson, John Kinsella and David J. Lowe

    Citation: BMC Emergency Medicine 2019 19:9

    Content type: Research article

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  42. This descriptive study compared 2014–15 to 2005–06 data on the quality of mental health services (MHS) in relation to emergency room (ER) use to assess the impact of the 2005 Quebec MH reform regarding access,...

    Authors: Marie-Josée Fleury, Marilyn Fortin, Louis Rochette, Guy Grenier, Christophe Huỳnh, Éric Pelletier and Helen-Maria Vasiliadis

    Citation: BMC Emergency Medicine 2019 19:8

    Content type: Research article

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  43. Early warning score systems have been widely recommended for use to detect clinical deterioration in patients. The Irish National Emergency Medicine Programme has developed and piloted an emergency department ...

    Authors: Marie E. Ward, Abel Wakai, Ronald McDowell, Fiona Boland, Eoin Coughlan, Moayed Hamza, John Browne, Ronan O’Sullivan, Una Geary, Fiona McDaid, Éidín Ní Shé, Frances J. Drummond, Conor Deasy and Eilish McAuliffe

    Citation: BMC Emergency Medicine 2019 19:7

    Content type: Research article

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  44. Parental social characteristics influence the use of emergency departments (ED) in the USA, but less is known about paediatric ED care-seeking in countries with national health insurance. This prospective stud...

    Authors: Julia Ellbrant, Jonas Åkeson, Jenny Eckner and Pia Karlsland Åkeson

    Citation: BMC Emergency Medicine 2018 18:59

    Content type: Research article

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  45. In the emergency department, it is important to identify and prioritize who requires an urgent intervention in a short time. Triage helps recognize the urgency among patients. An accurate triage decision helps...

    Authors: Hon Lon Tam, Siu Fung Chung and Chi Kin Lou

    Citation: BMC Emergency Medicine 2018 18:58

    Content type: Research article

    Published on:

2018 Journal Metrics

  • Citation Impact
    1.48 - 2-year Impact Factor
    2.1 - CiteScore
    1.083 - SNIP (Source-Normalized Impact per Paper)
    0.647 - SJR (SCImago Journal Rank)

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