OBJECTIVE To examine the frequency and determinants of re-infarction after thrombolytic treatment of ST-elevation myocardial infarction (STEMI). DESIGN Observational study of national registry. SETTING Emergency ambulance services and admitting hospitals in England and Wales. PATIENTS 35 356 patients with STEMI given thrombolytic treatment in 2005-6. MAIN OUTCOME MEASURES Re-infarction ...

background: injuries and accidents are one of the main problems in the present century. the purpose of this study was the identification and analysis of the characteristics of pre-hospital emergency motor vehicle accidents (mva) in rafsanjan, iran, in 2014. materials and methods: this cross-sectional descriptive study was performed on all patients recorded by pre-hospital emergency during a per...

Background National Early Warning Score (NEWS) is increasingly used in UK hospitals. However, there is only limited evidence to support the use of pre-hospital early warning scores. We hypothesised that pre-hospital NEWS was associated with death or critical care escalation within the first 48 h of hospital stay. Methods Planned secondary analysis of a prospective cohort study at a single UK ...

Introduction Pre-hospital emergency medicine is an emerging subspecialty in which medical undergraduates traditionally often receive little or no formal training. This article describes one academic programme at a London medical school, which comprises of a partnership between the school, the local ambulance and the air ambulance service. It is believed that this programme is unique in its stru...

OBJECTIVE To evaluate the acute phase (pre- and in-hospital) antithrombotic management patterns (AMPs) and in-hospital outcomes for patients hospitalized with an acute coronary syndrome (ACS). METHODS In total, 1034 patients [514 patients with ST-segment elevation myocardial infarction (STEMI) and 520 with unstable angina/non-STEMI (UA/NSTEMI)] hospitalized for ACS within 24 h of symptom onse...

BACKGROUND Road traffic injuries are a major global public health problem. Improvements in pre-hospital trauma care can help minimize mortality and morbidity from road traffic injuries (RTIs) worldwide, particularly in low- and middle-income countries (LMICs) with a high rate of RTIs such as Iran. The current study aimed to explore pre-hospital trauma care process for RTI victims in Iran and to...

Pre-hospital care as a concept is subjective, multidimensional, ambiguous and associated with the health care system. Throughout the world the focus has been on the importance of burn victims, and pre-hospital emergency care is still an abstract concept. The purpose of the present study was to analyze the concept of care in the context of pre-hospital emergency. The study employed the hybrid mo...

Background Early presentation is desirable in all cases of acute prolonged chest pain. Causes of delayed presentation vary widely across geographic regions because of different patients' profile and different healthcare capabilities. Objectives To detect causes of delay of Non-ST elevation acute coronary syndrome (NSTE-ACS) patients in our country. Methods Patients admitted with NSTE-ACS we...

Background In Denmark, all ambulance transports are dispatched through the Acute Medical Coordination Centre (AMK). Even though this unit is the only way to request an ambulance, it is experienced by many Emergency Technicians EMTs that the visitation based on patient illness and injury differs widely. The visitation is performed either by an AMK visitation officer (AMK-VO), or a doctor that ta...

BACKGROUND Pre-hospital basic airway interventions can be ineffective at providing adequate oxygenation and ventilation in some severely ill or injured patients, and advanced airway interventions are then required. Controversy exists regarding the level of provider required to perform successful pre-hospital intubation. A previous meta-analysis reported pre-hospital intubation success rates of ...