Nerve trauma of the lower extremity: evaluation of 60,422 leg injured patients from the TraumaRegister DGU® between 2002 and 2015

Nerve lesions are well known reasons for reduced functional capacity and diminished quality of life. By now only a few epidemiological studies focus on lower extremity trauma related nerve injuries. This study...

Authors: Torge Huckhagel, Jakob Nüchtern, Jan Regelsberger, Mathias Gelderblom and Rolf Lefering

Development and implementation of a geographical area categorisation method with targeted performance indicators for nationwide EMS in Finland

In Finland, hospital districts (HD) are required by law to determine the level and availability of Emergency Medical Services (EMS) for each 1-km² sized area (cell) within their administrative area. The cells are...

Authors: Jukka Pappinen, Päivi Laukkanen-Nevala, Pekka Mäntyselkä and Jouni Kurola

Ventilation of intubated patients during HEMS hoisting operations

In response to the review “Advanced airway management in hoist and longline operations in mountain HEMS - considerations in austere environments: a narrative review.” by Pietsch et al. we refer to recently pub...

Authors: John Hollott

Emergency management of patients with ST-segment elevation myocardial infarction in Eastern Austria: a descriptive quality control study

Myocardial infarction is a time-critical condition and its outcome is determined by appropriate emergency care. Thus we assessed the efficacy of a supra-regional ST-segment elevation myocardial infarction (STE...

Authors: Helmut Trimmel, Thomas Bayer, Wolfgang Schreiber, Wolfgang G. Voelckel and Lukas Fiedler

Apples to apples: can differences in out-of-hospital cardiac arrest incidence and outcomes between Sweden and Ireland be explained by core Utstein variables?

Variation in reported incidence and outcome based on aggregated data is a persistent feature of out-of-hospital cardiac arrest (OHCA) epidemiology.

Authors: Siobhán Masterson, Anneli Strömsöe, John Cullinan, Conor Deasy and Akke Vellinga

Implementation of a mechanical CPR device in a physician staffed HEMS – a prospective observational study

In this prospective, observational study we describe the incidence and characteristics of out of hospital cardiac arrest (OHCA) cases who received mechanical CPR, after the implementation of a mechanical CPR d...

Authors: Simon Rauch, Giacomo Strapazzon, Monika Brodmann, Ernst Fop, Christian Masoner, Lydia Rauch, Alessandro Forti, Urs Pietsch, Peter Mair and Hermann Brugger

The epidemiology of mild traumatic brain injury: the Trondheim MTBI follow-up study

Mild traumatic brain injury (MTBI) is a frequent medical condition, and some patients report long-lasting problems after MTBI. In order to prevent MTBI, knowledge of the epidemiology is important and potential...

Authors: Toril Skandsen, Cathrine Elisabeth Einarsen, Ingunn Normann, Stine Bjøralt, Rune Hatlestad Karlsen, David McDonagh, Tom Lund Nilsen, Andreas Nylenna Akslen, Asta Kristine Håberg and Anne Vik

Temporal phenotyping of circulating microparticles after trauma: a prospective cohort study

After severe polytrauma the dynamic process of coagulation may deteriorate towards a trauma-induced coagulopathy (TIC) promoting a dramatic increase in morbidity and mortality. Recent evidence suggests that mi...

Authors: Matthias Fröhlich, Nadine Schäfer, Michael Caspers, Julia K. Böhm, Ewa K. Stürmer, Bertil Bouillon and Marc Maegele

Primary mass casualty incident triage: evidence for the benefit of yearly brief re-training from a simulation study

Triage is a mainstay of early mass casualty incident (MCI) management. Standardized triage protocols aim at providing valid and reproducible results and, thus, improve triage quality. To date, there is little ...

Authors: Michael S. Dittmar, Philipp Wolf, Marc Bigalke, Bernhard M. Graf and Torsten Birkholz

Haemodynamic outcomes during piston-based mechanical CPR with or without active decompression in a porcine model of cardiac arrest

Experimental active compression-decompression (ACD) CPR is associated with increased haemodynamic outcomes compared to standard mechanical chest compressions. Since no clinically available mechanical chest com...

Authors: Mikkel T. Steinberg, Jan-Aage Olsen, Morten Eriksen, Andres Neset, Per Andreas Norseng, Jo Kramer-Johansen, Bjarne Madsen Hardig and Lars Wik

Simple modification of trauma mechanism alarm criteria published for the TraumaNetwork DGU^® may significantly improve overtriage – a cross sectional study

No consensus exists in the literature on the use of uniform emergency room trauma team activation criteria (ERTTAC). Today excessive over- or undertriage rates continue to be a challenge for most trauma centre...

Authors: Philipp Braken, Felix Amsler and Thomas Gross

Traumatic cardiac arrest in Sweden 1990-2016 - a population-based national cohort study

Trauma is a main cause of death among young adults worldwide. Patients experiencing a traumatic cardiac arrest (TCA) certainly have a poor prognosis but population-based studies are sparse. Primarily to descri...

Authors: T. Djarv, C. Axelsson, J. Herlitz, A. Stromsoe, J. Israelsson and A. Claesson

Risk factors associated with short term mortality changes over time, after arrival to the emergency department

Preventing death is the most important outcome pursued in the Emergency Department. Prompt accurate assessment, followed by competent and efficient investigation and treatment is the recipe sought. Abnormal ph...

Authors: Camilla Nørgaard Bech, Mikkel Brabrand, Søren Mikkelsen and Annmarie Lassen

One-year and three-year mortality prediction in adult major blunt trauma survivors: a National Retrospective Cohort Analysis

Survivors of trauma are at increased risk of dying after discharge. Studies have found that age, head injury, injury severity, falls and co-morbidities predict long-term mortality. The objective of our study w...

Authors: Ting Hway Wong, Nivedita Vikas Nadkarni, Hai V. Nguyen, Gek Hsiang Lim, David Bruce Matchar, Dennis Chuen Chai Seow, Nicolas K. K. King and Marcus Eng Hock Ong

Admission rates in a general practitioner-based versus a hospital specialist based, hospital-at-home model: ACCESS, an open-labelled randomised clinical trial of effectiveness

Hospital at home (HaH) is an alternative to acute admission for elderly patients. It is unclear if should be cared for a primarily by a hospital intern specialist or by the patient’s own general practitioner (...

Authors: Christian Backer Mogensen, Ejnar Skytte Ankersen, Mats J. Lindberg, Stig L. Hansen, Jørgen Solgaard, Pia Therkildsen and Helene Skjøt-Arkil

Prehospital triage of patients diagnosed with perforated peptic ulcer or peptic ulcer bleeding: an observational study of patients calling 1-1-2

Triage systems are used in emergency medical services to systematically prioritize prehospital resources according to individual patient conditions. Previous studies have shown cases of preventable deaths in e...

Authors: Kasper Bonnesen, Kristian D. Friesgaard, Morten T. Boetker and Lone Nikolajsen

Change in the profile of traumatic spinal cord injury over 15 years in Spain

Traumatic spinal cord injury remains a serious public health and social problem. Although incidence rates are decreasing in our environment, it is a high cost condition that is associated with great disability...

Authors: Enrique Bárbara-Bataller, José Luis Méndez-Suárez, Carolina Alemán-Sánchez, Jesús Sánchez-Enríquez and Manuel Sosa-Henríquez

Advanced airway management in hoist and longline operations in mountain HEMS – considerations in austere environments: a narrative review This review is endorsed by the International Commission for Mountain Emergency Medicine (ICAR MEDCOM)

Providing sufficient oxygenation and ventilation is of paramount importance for the survival of emergency patients. Therefore, advanced airway management is one of the core tasks for every rescue team. Endotra...

Authors: Urs Pietsch, Jürgen Knapp, Oliver Kreuzer, Ludwig Ney, Giacomo Strapazzon, Volker Lischke, Roland Albrecht, Patrick Phillips and Simon Rauch

Decreased risk adjusted 30-day mortality for hospital admitted injuries: a multi-centre longitudinal study

The interpretation of changes in injury-related mortality over time requires an understanding of changes in the incidence of the various types of injury, and adjustment for their severity. Our aim was to inves...

Authors: Robert Larsen, Denise Bäckström, Mats Fredrikson, Ingrid Steinvall, Rolf Gedeborg and Folke Sjoberg

Pre-hospital extra-corporeal cardiopulmonary resuscitation

Survival from out-of-hospital cardiac arrest (OHCA) has remained low despite advances in resuscitation science. Hospital-based extra-corporeal cardiopulmonary resuscitation (ECPR) is a novel use of an establis...

Authors: Ben Singer, Joshua C. Reynolds, David J. Lockey and Ben O’Brien

Trauma facilities in Denmark - a nationwide cross-sectional benchmark study of facilities and trauma care organisation

Trauma is a leading cause of death among adults aged < 44 years, and optimal care is a challenge. Evidence supports the centralization of trauma facilities and the use multidisciplinary trauma teams. Because k...

Authors: Jesper Weile, Klaus Nielsen, Stine C. Primdahl, Christian A. Frederiksen, Christian B. Laursen, Erik Sloth, Ole Mølgaard, Lars Knudsen and Hans Kirkegaard

The impact of direct oral anticoagulants in traumatic brain injury patients greater than 60-years-old

Traumatic brain injury (TBI) is the leading cause of death among trauma patients. Patients under antithrombotic therapy (ATT) carry an increased risk for intracranial haematoma (ICH) formation. There is a pauc...

Authors: Oliver Prexl, Martin Bruckbauer, Wolfgang Voelckel, Oliver Grottke, Martin Ponschab, Marc Maegele and Herbert Schöchl

Review of 14 drowning publications based on the Utstein style for drowning

The Utstein style for drowning (USFD) was published in 2003 with the aim of improving drowning research. To support a revision of the USFD, the current study aimed to generate an inventory of the use of the US...

Authors: Allart M. Venema, Anthony R. Absalom, Ahamed H. Idris and Joost J. L. M. Bierens

Response to: pre-hospital advanced airway management in children: a challenge that training can handle

Authors: Mona Tarpgaard

First installation of a dual-room IVR-CT system in the emergency room

Computed tomography (CT) embedded in the emergency room has gained importance in the early diagnostic phase of trauma care. In 2011, we implemented a new trauma workflow concept with a sliding CT scanner syste...

Authors: Daiki Wada, Yasushi Nakamori, Shuji Kanayama, Shuhei Maruyama, Masahiro Kawada, Hiromu Iwamura, Koichi Hayakawa, Fukuki Saito and Yasuyuki Kuwagata