BACKGROUND AND PURPOSE Optimizing prehospital stroke care is important because effective treatments for acute stroke require a narrow therapeutic time window. We developed a smartphone-assisted prehospital medical information system (SPMIS) to facilitate research on prehospital stroke care. METHODS Prehospital medical information was input into the SPMIS application installed on smartphones b...

Background: Given that a significant part of deaths due to traffic accidents are preventable in the prehospital phase, so it seems necessary to have an instrument to identify and measure the factors affecting it. This study aimed to develop and psychometrically assess an instrument for measuring preventable prehospital mortality due to traffic accidents. Methods: The study is a mixed qualitati...

BACKGROUND During out-of-hospital cardiac arrest, it is unclear how long prehospital resuscitation efforts should be continued to maximize lives saved. METHODS AND RESULTS Between 2005 and 2012, we enrolled 282 183 adult patients with bystander-witnessed out-of-hospital cardiac arrest from the All-Japan Utstein Registry. Prehospital resuscitation duration was calculated as the time interval f...

Oxygen use in prehospital care is aimed at treating or preventing hypoxemia. However, excess oxygen delivery has important consequences in select patients, and hyperoxia can adversely impact outcome. The unique environment of prehospital care poses logistical and educational challenges. Oxygen therapy in prehospital care should be provided to patients with hypoxemia and titrated to achieve norm...

Few data warehousing systems provide a complete and continuous history of trauma patients from the outset of prehospital care to the point of hospital discharge. Typical prehospital database systems are limited to data recorded by emergency personnel during patient transport and contain a minimal number of data points. This incomplete information provides a snapshot of patient status during the...

background:  emergency  medical  services  (ems)  staff  can  play  an  important  role  in  the survival and prevention of serious injuries to patients if they are in good physical and mental health and focus on doing their jobs with sufficient attention. therefore, a study was conducted to  investigate  attention  level  and  its  related  factors  in  night  shift  prehospital  emergency per...

INTRODUCTION Road traffic injuries (RTIs) and attendant fatalities on Nigerian roads have been on an increasing trend over the past three decades. Mortality from RTIs in Nigeria is estimated to be 162 deaths/100,000 population. This study aims to compare and identify best prehospital trauma care practices in Nigeria and some other African countries where prehospital services operate. METHODS ...

OBJECTIVE Timely reperfusion therapy for ST-elevation myocardial infarction (STEMI) is an important determinant of outcome, yet targets for time to treatment are frequently unmet in North America. Prehospital strategies can reduce time to reperfusion. We sought to determine the extent to which emergency medical services (EMS) use these strategies in Canada. METHODS We carried out a cross-sect...

The performance of nurses in prehospital care (PHC) assumes acquiring specific competences. The objectives of the present study were to verify nurses' opinion on theoretical knowledge and nursing skills necessary for the practice in pre-hospital setting and to analyze them according to their clinical practice. In this descriptive study, the opinion of nurses, from public pre-hospital care servi...