BACKGROUND Acute diabetic emergencies are often managed by prehospital Emergency Medical Services (EMS). The projected growth in prevalence of diabetes is likely to result in rising demand for prehospital EMS that are already under pressure. The aims of this study were to model the temporal trends and provide forecasts of prehospital attendances for diabetic emergencies. METHODS A time series...

OBJECTIVES To describe the nature and extent of prehospital doctor activity in an area of the West Midlands by review of group email. To explore the use of email as a means of data collection among a group of prehospital doctors. METHODS A retrospective review of data collected by a prehospital organisation's email based internet group. RESULTS Nearly half of prehospital doctor calls were t...

BACKGROUND Although pediatric-specific objectives for the initial education of prehospital providers have been established, uniform implementation of these objectives and guidelines for hours of required pediatric continuing education (CE) for prehospital providers have not been established. OBJECTIVES To examine the content and number of hours of pediatric-specific education that prehospital...

OBJECTIVE This study evaluates the effect of early administration of an empirical (1 mEq/kg) sodium bicarbonate dose on survival from prehospital cardiac arrest within brief (<5 minutes), moderate (5-15 minutes), and prolonged (>15 minutes) down time. METHODS Prospective randomized, double-blinded clinical intervention trial that enrolled 874 prehospital cardiopulmonary arrest patients manage...

STUDY OBJECTIVE This study associated survival from prehospital cardiac arrest to patient historical variables including presenting complaint, medications used, and medical history as a secondary end point in a trial evaluating the effect of bicarbonate administration. This raises issues concerning extensive prehospital historical assessment that may potentially delay care and transport. METH...

INTRODUCTION The intranasal (IN) mode of application may be a valuable asset in non-invasive pain management. Fentanyl demonstrates pharmacokinetic and pharmacodynamic properties that are desirable in the management of acute pain, and IN fentanyl may be of value in the prehospital setting. The aim of this systematic review was to evaluate the current evidence for the use of IN fentanyl in the e...

OBJECTIVES Single dose activated charcoal (SDAC) may be an effective method of gastric decontamination when administered to patients within an hour of drug overdose. However, few patients who may benefit from this treatment attend an emergency department within this timeframe. The authors sought to determine the current attitudes of ambulance NHS trusts to recent recommendations that the admini...

background respiration management is an important and critical issue in prehospital transportation phase of multiple trauma patients. however, the quality of this important care has not been assessed in iran emergency medical services’ (ems). objectives this study was conducted to investigate the quality of prehospital respiration management in patients with multiple trauma, referred to the sha...

The National Association of EMS Physicians (NAEMSP) believes that noninvasive positive pressure ventilation (NIPPV) is an important treatment modality for the prehospital management of acute dyspnea. This document serves as a resource to the NAEMSP position on prehospital NIPPV.