objective: to develop decision-support tools to identify patients experiencing sudden cardiac arrest (sca). methods: eighty calls related to sca were content analyzed, and the contextual patterns that emerged were organized into a checklist. two researchers independently analyzed the recorded calls and compared their findings. eighteen dispatchers scored 20 cases (which included sca and non-sca...

emergency medicine is a relatively new specialty in iran. therefore, the general public and the medical community do not have enough information on its duties, capabilities, its nature, and its work schedule or its degree of occupational difficulty compared to other specialties. hence, an insight from the early group of residents who selected this specialty can help identify the strengths and w...

background prehospital management of gunshot-wounded (gw) patients influences injury-induced morbidity and mortality. objectives to evaluate prehospital management to gw patients emphasizing the protocol of patient transfer to appropriate centers. patients and methods this prospective study, included all gw patients referred to four major, level-i hospitals in mashhad, iran. we evaluated demogr...

background trauma still stands atop of the list of emergencies. transfer of these patients via emergency medical services (ems) dispatch is critical with regard to importance of timing. this aspect has achieved greater importance due to population increase and telephone triage. objectives we aimed to decrease unnecessary emergency medical services (ems) missions via a computer program designed ...

background advanced ambulance service (emergency medical services/ems) is considered to be an integral part of emergency medical care as the first assets responding to emergencies and disasters in the prehospital setting in most developed countries. objectives the aim of this study was to evaluate the current situation of shiraz’s ems by comparing data obtained during two different time periods...

the emergency medical centers are very helpful since they reduce the number of death and injuries by getting to the scenes of accidents and dealing with the case immediately. as saving one's life is the prime goal in these centers, any findings and techniques which will improve the services and ease achieving the goal will be highly welcomed. the first and the major factor in giving this kind o...

conclusions this study highlighted the high frequency of wpv against emts. evidently, the health care systems’ officials would benefit from taking proper actions in this area, particularly by “staff and public education”. results most of the participants (79%) experienced wpv during the past six months. accident scene was the most important place of violence and the patients’ companions were th...

conclusions the delay time from symptom onset to hospital admission was high in patients with ami. it is necessary to create emergency medical system (ems) stations in suburbs and train the public on the importance of quick contact with the ems when the symptoms of an ami are observed. results the median delay was 129 minutes (mean ± sd, 240.44 ± 295.30). overall, 32.5% of patients were admitte...

hemodynamic monitoring is needed in up to 58% of patients presented to the emergency department. central venous pressure (cvp) monitoring is generally useful to assess general volume status. there are several methods of cvp measurement, which can be categorized as invasive and non-invasive. cvp manometer and electronic transducer are among the invasive methods and direct observation, ultrasonog...

background : treatment delay in the management of st-elevation myocardial infarction conversely correlates with prognosis and survival of the patients. this study aimed to investigate factors associated with delay in the thrombolytic therapy of these patients in tehran. methods : between 2007 and 2010, the interval between the self-reported time of the onset of symptoms and initiation of the th...