background:  emergency  medical  services  (ems)  staff  can  play  an  important  role  in  the survival and prevention of serious injuries to patients if they are in good physical and mental health and focus on doing their jobs with sufficient attention. therefore, a study was conducted to  investigate  attention  level  and  its  related  factors  in  night  shift  prehospital  emergency per...

introduction this study determines the effect of prehospital time and advanced trauma life support interventions for trauma patients transported to an our trauma center. materials and methods this study was a retrospective study of trauma victims presenting to a trauma center in central iran by emergency medical services (ems) and hospitalized for more than 24 hours. demographic and injury char...

AIM OF DATABASE The aim of the Danish quality database for prehospital emergency medical services (QEMS) is to assess, monitor, and improve the quality of prehospital emergency medical service care in the entire prehospital patient pathway. The aim of this review is to describe the design and the implementation of QEMS. STUDY POPULATION The study population consists of all "112 patient contac...

conclusions this study showed that the employees in the kashan pems obtained half of the score of organizational commitment and about two-thirds of the job involvement score. therefore, the higher level managers of the emergency medical system are advised to implement some strategies to increase the employees’ job involvement and organizational commitment. materials and methods this cross-secti...

background: fractures of femur are among the most important causes of mortality in musculoskeletal injuries. owning to lack of adequate research to compare various techniques of fracture stabilization, there has not yet been an agreement over a protocol to utilize a specific type of splint for femoral fracture immobilization. this study was thus conducted to compare the effects of simple and tr...

Background: Given that a significant part of deaths due to traffic accidents are preventable in the prehospital phase, so it seems necessary to have an instrument to identify and measure the factors affecting it. This study aimed to develop and psychometrically assess an instrument for measuring preventable prehospital mortality due to traffic accidents. Methods: The study is a mixed qualitati...

background: stroke is a major cause of death and disability in the world and these complications can be decreased by competent emergency care. emergency medical service (ems) transfer half of the stroke patients to hospitals. this study aimed to determine diagnosis of status and transfer time of stroke patients by ems to a main hospital (valiasr) in arak city. materials and methods: this study ...

objective: most previous retrospective studies failed to show a consistent association between pre-hospital time intervals and mortality in trauma patients, bringing the recommendation of “transport fast to increase survival” under question. the aim of this study was to evaluate the association of response time, scene time, and transport time with 24-hour in-hospital mortality.   methods: in th...

Prehospital emergency medical care has many challenges including unpredictable patient profiles, emergency conditions, and administration of care in a non-medical area. Many conflicts occur in a prehospital setting that require ethical decisions to be made. An overview of the some of ethical issues in prehospital emergency care settings is given in this article. Ethical aspects of prehospital e...