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...

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...

conclusions this study showed that the employees in the kashan pems obtained half of the score of organizational commitment and about two-thirds of the job involvement score. therefore, the higher level managers of the emergency medical system are advised to implement some strategies to increase the employees’ job involvement and organizational commitment. materials and methods this cross-secti...

background: fractures of femur are among the most important causes of mortality in musculoskeletal injuries. owning to lack of adequate research to compare various techniques of fracture stabilization, there has not yet been an agreement over a protocol to utilize a specific type of splint for femoral fracture immobilization. this study was thus conducted to compare the effects of simple and tr...

To the Editor: Prehospital use of CPAP reduces the mortality and intubation rate for patients with acute respiratory failure especially due to acute cardiogenic pulmonary edema.1 Although it is considered in guidelines, the need for additional trained health workers, special equipment, and clinical evidence for effectiveness and cost-effectiveness limits widespread use.1,2 The Boussignac CPAP f...

To the Editor: Prehospital use of CPAP reduces the mortality and intubation rate for patients with acute respiratory failure especially due to acute cardiogenic pulmonary edema.1 Although it is considered in guidelines, the need for additional trained health workers, special equipment, and clinical evidence for effectiveness and cost-effectiveness limits widespread use.1,2 The Boussignac CPAP f...

BACKGROUND Recently, a strategy for treating stroke directly at the emergency site was developed. It was based on the use of an ambulance equipped with a scanner, a point-of-care laboratory, and telemedicine capabilities (Mobile Stroke Unit). Despite demonstrating a marked reduction in the delay to thrombolysis, this strategy is criticized because of potentially unacceptable costs. METHODS We...

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: stroke is a major cause of death and disability in the world and these complications can be decreased by competent emergency care. emergency medical service (ems) transfer half of the stroke patients to hospitals. this study aimed to determine diagnosis of status and transfer time of stroke patients by ems to a main hospital (valiasr) in arak city. materials and methods: this study ...

objective: most previous retrospective studies failed to show a consistent association between pre-hospital time intervals and mortality in trauma patients, bringing the recommendation of “transport fast to increase survival” under question. the aim of this study was to evaluate the association of response time, scene time, and transport time with 24-hour in-hospital mortality.   methods: in th...