introduction : although many protocols are available in the field of the prehospital medical care (pmc), there is still a notable gap between protocol based directions and applied clinical practice. this study measures the rate of protocol adherence in pmc provided for patients with chest pain and loss of consciousness (loc). method : in this cross-sectional study, 10 educated research assistan...

background: identification of the effective factors in reducing response time in prehospital emergency medical service (ems) can assist in improving its services. this study aimed at reviewing the effect of applying global positioning system (gps) on response time of tehran ems ambulances. materials and methods: of 132 tehran ems stations, 24 ones were randomly selected, and relevant data, incl...

UNLABELLED Up to 3 million US children are cared for by emergency medical services (EMSs) annually. Limited research exists on pediatric prehospital care. The Pediatric Emergency Care Applied Research Network (PECARN) mission is to perform high-quality research for children, including prehospital research. Our objective was to develop a pediatric-specific prehospital research agenda. METHODS ...

Emergency nurses are actively involved in primary, secondary, and tertiary pediatric injury prevention activities. This article outlines the steps that emergency nurses can take to identify common pediatric injuries treated in the Emergency Departments and integrate existing and evolving injury prevention resources into their repertoire of nursing skills. Research and demonstration projects con...

UNLABELLED Indications and evidence are limited, multiple and complex for emergency tourniquet use. Good recent outcomes challenge historically poor outcomes. Optimal tourniquet use in trauma care appears to depend on adequate devices, modern doctrine, refined training, speedy evacuation, and performance improvement. Challenges remain in estimation of blood loss volumes, lesion lethality, and c...

OBJECTIVE This study evaluates the effect of early administration of an empirical (1 mEq/kg) sodium bicarbonate dose on survival from prehospital cardiac arrest within brief (<5 minutes), moderate (5-15 minutes), and prolonged (>15 minutes) down time. METHODS Prospective randomized, double-blinded clinical intervention trial that enrolled 874 prehospital cardiopulmonary arrest patients manage...

STUDY OBJECTIVE This study associated survival from prehospital cardiac arrest to patient historical variables including presenting complaint, medications used, and medical history as a secondary end point in a trial evaluating the effect of bicarbonate administration. This raises issues concerning extensive prehospital historical assessment that may potentially delay care and transport. METH...