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BACKGROUND Differences in activation of emergency medical services (EMS) may contribute to racial/ethnic and sex disparities in stroke outcomes. The purpose of this study was to determine whether EMS use varied by race/ethnicity and sex among a current, diverse national sample of hospitalized acute stroke patients. METHODS AND RESULTS We analyzed data from 398,798 stroke patients admitted to ...

BACKGROUND Accurate recognition of stroke symptoms by Emergency Medical Services (EMS) is necessary for timely care of acute stroke patients. We assessed the accuracy of stroke diagnosis by EMS in clinical practice in a major US city. METHODS AND RESULTS Philadelphia Fire Department data were merged with data from a single comprehensive stroke center to identify patients diagnosed with stroke...

INTRODUCTION Several initiatives aiming to improve retention and adherence in Prevention of Mother-to-Child Transmission of HIV (PMTCT) programs include "expert mothers" (EMs) as a central tenet of their interventions. This article compares the role of EMs in 3 implementation research studies examining approaches for improving retention in care among mothers living with HIV. METHODS We compar...

INTRODUCTION Workplace attitude, beliefs, and culture may impact the safety of patient care. This study characterized perceptions of safety culture in a nationwide sample of emergency medical services (EMS) agencies. METHODS We conducted a cross-sectional survey involving 61 advanced life support EMS agencies in North America. We administered a modified version of the Safety Attitudes Questio...

The ems/Emx genes encode homeodomain transcription factors that have conserved actions in anterior embryonic patterning in bilaterian animals ranging from insects to mammals. Recently, genes of the ems/Emx family have been identified in cnidarians raising the possibility that some of their developmental functions might be conserved throughout the Eumetazoa. To determine to what extent functions...

Rural-dwelling older adults experience unique challenges related to accessing medical and social services. This article describes the development, implementation, and experience of a novel, community-based program to identify rural-dwelling older adults with unmet medical and social needs that leveraged the existing emergency medical services (EMS) system. The program specifically included geri...

further to our recently published findings, we have completed the analysis of our second year of prehospital data collection for the same service. we wish to expedite the availability of this data to clinicians, researchers and policy makers in the region. our 2015/2016 out-of-hospital cardiac arrest (ohca) data displayed the following demographic results: 514 ohca resuscitation attempts were a...

NC Med J July/August 2007, Volume 68, Number 4 ike other organizations, emergency medical services (EMS) systems have revenues and expenses. The unpredictability of calls and the oftentimes inefficient nature of EMS operations make EMS management and financing difficult. Annually, EMS costs patients, insurers, and the federal government billions of dollars. In fiscal year 2002, Medicare spent $...

The aim of this study was to analyze the neuromuscular mechanisms involved in the torque decrease induced by submaximal electromyostimulation (EMS) of the quadriceps muscle. It was hypothesized that torque decrease after EMS would reflect the fatigability of the activated motor units (MUs), but also a reduction in the number of MUs recruited as a result of changes in axonal excitability thresho...