Introduction: It is widely accepted that musculoskeletal injuries, especially in the lumbar region, are among the most common complaints of people working in emergency medical services (EMS). This study aimed to determine the prevalence of low back pain (LBP) and its associated factors in the field staff of prehospital EMS in northern Iran. Methods: This cross-sectional descriptive correlation...

AIM OF DATABASE The aim of the Danish quality database for prehospital emergency medical services (QEMS) is to assess, monitor, and improve the quality of prehospital emergency medical service care in the entire prehospital patient pathway. The aim of this review is to describe the design and the implementation of QEMS. STUDY POPULATION The study population consists of all "112 patient contac...

BACKGROUND Difficulties with prehospital intubations have encouraged the development of indirect laryngoscopy techniques, facilitating laryngeal visualization. Airtraq® is a relatively new single-use indirect laryngoscope. The Airtraq® has been evaluated in several prehospital mannequin intubation trials. However, prehospital clinical experience with the device is limited. METHODS A retrospec...

BACKGROUND Existing rural prehospital models have been criticised for being isolated from the healthcare system, and for following inflexible clinical protocols. Greater reliance on clinical judgement and informed decision making in the prehospital setting offer the potential to improve patient care. METHODS Soft systems methodology was used to develop and critically appraise the prehospital ...

OBJECTIVE Since March 1992, intravenous nalbuphine hydrochloride has been used prehospital by paramedics in the Plymouth area. This study assesses the impact of this intervention. METHODS A prospective study of the parenteral analgesic requirements of 1000 consecutive patients arriving by ambulance at the accident and emergency (A&E) department of a large district general hospital. Where pare...

OVERVIEW For time-sensitive, critical-care scenarios requiring transport—such as stroke, high-risk pregnancy, trauma, and pediatric care—reducing the elapsed time between symptom onset and treatment can be of great benefit to the patient while reducing the health care costs to the individual, the hospital, and the public. With mobile telemedicine, valuable prehospital transport time can be used...

trauma is a leading cause of death and disability especially amongst young people. road traffic crash–related death, injury, and chronic disability continue to be a major worldwide burden to drivers, pedestrians and users of mass transit, especially in low- and middle-income countries(lmic). projections predict worsening of this burden, and while motorization of lmic increases exponentially, a ...

This article is a summary of the proceedings from a panel presentation and discussion ‘‘Prehospital Rapidsequence Intubation—What Does the Evidence Show?’’ presented at the National Association of EMS Physicians (NAEMSP) annual meeting, Tucson, Arizona, in January 2004. The presenters, Henry E. Wang, MD, MPH, Daniel P. Davis, MD, and Marvin A. Wayne, MD, are nationally recognized leaders in the...

introduction: trauma is the most common cause of mortality in the 1 to 44 years age group and third leading cause of mortality in the world. in general, determination of defects caused by trauma has an essential role in management of traumatic patients. use of scoring systems for evaluation of static and dynamic states of traumatic events can decrease the mortality and morbidity rates. differen...

OBJECTIVE Prehospital intravenous (IV) fluid administration is common in trauma patients, although little evidence supports this practice. We hypothesized that trauma patients who received prehospital IV fluids have higher mortality than trauma patients who did not receive IV fluids in the prehospital setting. METHODS We performed a retrospective cohort study of patients from the National Tra...