BACKGROUND Blunt implementation of Western trauma system models is not feasible in low-resource communities with long prehospital transit times. The aims of the study were to evaluate to which extent a low-cost prehospital trauma system reduces trauma deaths where prehospital transit times are long, and to identify specific life support interventions that contributed to survival. METHODS In t...

OBJECTIVES The prehospital management of trauma patients remains controversial. Little is known about the time each procedure contributes to the on-scene duration, and this information would be helpful in prioritizing which procedures to perform in the prehospital setting. We sought to estimate the contribution of procedures to on-scene duration focusing on intubation and establishment of intra...

BACKGROUND Prehospital 12-lead electrocardiography (ECG) is critical to timely STEMI care although its use remains inconsistent. Previous studies to identify reasons for failure to obtain a prehospital ECG have generally only focused on individual emergency medical service (EMS) systems in urban areas. Our study objective was to identify patient, geographic, and EMS agency-related factors assoc...

BACKGROUND In most countries, road traffic collisions (RTCs) are the main cause of cervical spine injuries. There are several techniques in use for spinal immobilisation during prehospital extrication; however, the evidence for these is currently poor. OBJECTIVE The objective of this study is to establish which technique provides the minimal deviation of the cervical spine from the neutral in...

The National Association of EMS Physicians (NAEMSP) believes that the relief of pain and suffering of patients must be a priority for every emergency medical services (EMS) system. Adequate analgesia is an important step in achieving this goal. NAEMSP believes that every EMS system should have a clinical care protocol to address prehospital pain management. Adequate training and education of pr...

Prehospital Intubation: Further Confounders in Trial Results Iqbal Sayeed, Fahim Atif, Claudia Espinosa-Garcia, Bushra Wali, Nefize Turan, Seema Yousuf & Donald G. Stein To cite this article: Iqbal Sayeed, Fahim Atif, Claudia Espinosa-Garcia, Bushra Wali, Nefize Turan, Seema Yousuf & Donald G. Stein (2018): Prehospital Intubation: Further Confounders in Trial Results, Prehospital Emergency Care...

OBJECTIVES The benefit of prehospital endotracheal intubation (ETI) among individuals experiencing out-of-hospital cardiac arrest (OOHCA) has not been fully examined. The objective of this study was to determine if prehospital ETI attempts were associated with return of spontaneous circulation (ROSC) and survival to discharge among individuals experiencing OOHCA. METHODS This retrospective st...

Prehospital care in the United Kingdom rarely lasts more than a few hours other than in exceptional circumstances (for example, mountain and cave rescue, oil rigs). In other parts of the world hospitals may be much more distant and in expeditions to remote areas, prehospital care may extend to days or even weeks. When this occurs, the boundaries between primary care and prehospital care blur.

OBJECTIVES We sought to determine whether the prehospital electrocardiogram (ECG) improves the diagnosis of an acute coronary syndrome. BACKGROUND The ECG is the most widely used screening test for evaluating patients with chest pain. METHODS Prehospital and in-hospital ECGs were obtained in 3,027 consecutive patients with symptoms of suspected acute myocardial infarction, 362 of whom were ...

UNLABELLED Up to 3 million US children are cared for by emergency medical services (EMSs) annually. Limited research exists on pediatric prehospital care. The Pediatric Emergency Care Applied Research Network (PECARN) mission is to perform high-quality research for children, including prehospital research. Our objective was to develop a pediatric-specific prehospital research agenda. METHODS ...