Creating a definition of the features and the architecture of a new Energy Management Software (EMS) is complex because different professionals will be involved in creating that definition and in using the tool. To simplify this definition and aid in the eventual selection of an existing EMS to fit a specific need, a set of metrics that considers the primary issues and drawbacks of the EMS is d...

OBJECTIVES 1) To describe characteristics of patient transport protocols in those U.S. cities that sanction EMS-initiated refusal of transport; and 2) to describe the frequency and type of alternatives to emergency ambulance transport. METHODS EMS systems in every one of the 200 largest cities in the United States were surveyed by telephone regarding EMS-initiated refusal policies, involvemen...

The increasing need to slow down climate change for environmental protection demands further advancements toward regenerative energy and sustainable mobility. While individual mobility applications are assumed be satisfied with improving battery electric vehicles (BEVs), the growing sector of freight transport heavy-duty requires alternative solutions meet requirements long ranges high payloads...

BACKGROUND Data on the use of emergency medical services (EMS) by patients with cardiac conditions in the Gulf region are scarce, and prior studies have suggested underutilization. Patient perception and knowledge of EMS care is critical to proper utilization of such services. OBJECTIVES To estimate utilization, knowledge, and perceptions of EMS among patients with ST-elevation myocardial inf...

Recently, whole body-electromyostimulation (WB-EMS) has upgraded its functions and capabilities and has overcome limitations and inconveniences from past systems. Although the efficacy and safety of EMS have been examined in some studies, specific guidelines for applying WB-EMS are lacking. To determine the efficacy and safety of applying it in healthy men to improve cardiopulmonary and psychop...

Introduction: Emergency medical services (EMS) personnel are subject to moral hazards during work, leading them to find moral distress (MD). Our literature review showed a gap in knowledge related to MD in EMS personnel. Therefore, this study investigated MD and its influential factors in pre-hospital emergency technicians. Methods: This descriptive-analytic study was conducted in Iran in 2017...

BACKGROUND AND PURPOSE Prehospital activation of in-hospital stroke response hastens treatment but depends on accurate emergency medical services (EMS) stroke recognition. We sought to measure EMS stroke recognition accuracy and identify clinical factors associated with correct stroke identification. METHODS Using EMS and hospital records, we assembled a cohort of EMS-transported suspect, con...

It should be clear from this discussion that coma cocktails are a bad idea and should be immediately abandoned. In fact, the indiscriminate use of the coma cocktail may indeed harm patients, EMS has evolved to a point where any EMS provider should be able to reasonably determine the most likely cause of coma, or, in a worst-case scenario, narrow the cause to but a few possibilities. Certainly, ...