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...

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...

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...

s 12th World Congress on Disaster and Emergency Medicine, Lyon, France S47 An Outcome Evaluation for Prehospital Cardiopulmonary Arrest Patients Using the Utstein Template: A Japanese Experience Kunihiro Mashiko; Toshihumi Otsuka; Shuji Shimazaki; Akitsugu Kohama; Gonbei Kamishima; Kikushi Katsurada; Yusuke Saivada; Izumi Matsubara; Kazunori Yamaguchi Outcome Evaluation Committee for Out of Hos...

BACKGROUND We aimed to assess the structure, function and performance of Ashanti Region's emergency medical services system in the context of the regional need for prehospital emergency care. DESIGN A mixed-methods approach was employed, using retrospective collection of quantitative data and prospectively gathered qualitative data. Setting - pertinent data were collected from Ghanaian and in...

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...

Palliative care, which is intended to keep patients at home as long as possible, is increasingly proposed for patients who live at home, with their family, or in retirement homes. Although their condition is expected to have a lethal evolution, the patients—or more often their families or entourages—are sometimes confronted with sudden situations of respiratory distress, convulsions, hemorrhage...

Guidelines recommend implementing prehospital electrocardiograms (PH ECG) into systems of care for patients with suspected ST-elevation–myocardial infarction to reduce door-to-balloon time (DTB). We developed a PH ECG protocol with an affiliated emergency medical service, combining 4 features: (1) PH ECG acquisition; (2) emergency medical service interpretation without PH ECG transmission; (3) ...

T here is increasing recognition and acceptance of the view that the emergency medical system should provide seamless and appropriate care from the moment the patient is injured, taken ill, or seeks help. Coupled with this is a developing understanding that the many different demands for emergency or ‘‘unscheduled’’ health care can only be met by new and innovative working patterns and practice...

Aim: Patients' relatives are routinely removed from the emergency department resuscitation room. One can attribute this practice primarily to reasons such as safeguarding patient welfare, protecting medical personnel and patient's potential risks. In prehospital medicine, it is often not possible prevent witnessed efforts. Prehospital caregivers responding cardiopulmonary arrest must focus only...