BACKGROUND In the Netherlands prehospital trauma care is provided by emergency medical services (EMS) nurses. This care is extended by Physician staffed Helicopter Emergency Medical Services (P-HEMS) for the more severely injured patient. Prehospital communication is a factor of influence on the identification of these patients and the dispatch of P-HEMS. Though prehospital communication it is ...

INTRODUCTION Prompt treatment of severe sepsis in the Emergency Department reduces deaths, but the role of prehospital fluid resuscitation is unknown. We sought to determine the risk-adjusted association between prehospital fluid administration and hospital mortality among emergency medical services (EMS) patients admitted with severe sepsis. METHODS We performed a prospective, observational ...

The prehospital management of serious injury is a key skill required of pitch-side medical staff. Previously, specific training in sports prehospital-immediate care was lacking or not of a comparable standard to other aspects of emergency care. Many principles have been drawn from general prehospital care or in-hospital training courses. This article discusses sports prehospital-immediate care ...

INTRODUCTION To determine emergency physician (EP) opinions of prehospital patient care reports (PCRs) and whether such reports are available at the time of emergency department (ED) medical decision-making. METHODS Prospective, cross-sectional, electronic web-based survey of EPs regarding preferences and availability of prehospital PCRs at the time of ED medical decision-making. RESULTS We...

The early recognition of severe sepsis is important; however, early identification of severe sepsis can be challenging, especially in the prehospital setting. As previous research has shown, advanced notification of time-sensitive disease states by prehospital personnel can improve outcomes and time to initiation of treatments. Prehospital personnel can potentially impact outcomes in sepsis thr...

introduction : although many protocols are available in the field of the prehospital medical care (pmc), there is still a notable gap between protocol based directions and applied clinical practice. this study measures the rate of protocol adherence in pmc provided for patients with chest pain and loss of consciousness (loc). method : in this cross-sectional study, 10 educated research assistan...

AIM To establish the national picture of prehospital anaesthesia in the UK and to reference practice against the Association of prior to Anaesthetists of Great Britain and Ireland safety guideline on prehospital anaesthesia. METHODS Lead clinicians were identified for all prehospital services in the UK that could potentially be performing prehospital anaesthesia and invited to complete a deta...

BACKGROUND The use of prehospital chest tube thoracostomy (TT) remains controversial because of presumed increased complication risks. This study analyzed infectious complication rates for physician-performed prehospital and emergency department (ED) TT. METHODS Over a 40-month period, all consecutive trauma patients with TT performed by the flight physician at the accident scene were compare...

The impact of prehospital care on the outcome of patients with a traumatic brain injury has investigated in Sweden and the results from Rudehill et al. [14] showed a positive impact on postresuscitation neurological status and therefore better neurological outcome because of an effective prehospital care [13]. Prehospital care has increased in terms of both medical and technical competence [14]...