Articles

Geriatric screening, fall characteristics and 3- and 12 months adverse outcomes in older patients visiting the emergency department with a fall

Falls in older Emergency Department (ED) patients may indicate underlying frailty. Geriatric follow-up might help improve outcomes in addition to managing the direct cause and consequence of the fall. We aimed...

Authors: Laura C. Blomaard, Simon P. Mooijaart, Leonie J. van Meer, Julia Leander, Jacinta A. Lucke, Jelle de Gelder, Sander Anten, Jacobijn Gussekloo and Bas de Groot

Monitoring tissue oxygenation index using near‐infrared spectroscopy during pre‐hospital resuscitation among out‐of‐hospital cardiac arrest patients: a pilot study

Tissue oxygenation index (TOI) using the near infrared spectroscopy (NIRS) has been demonstrated as a useful indicator to predict return of spontaneous circulation (ROSC) among out-of-hospital cardiac arrest (...

Authors: Jumpei Tsukuda, Shigeki Fujitani, Mahbubur Rahman, Kenichiro Morisawa, Takeshi Kawaguchi and Yasuhiko Taira

Helicopter transport of critical care COVID-19 patients in the Netherlands: protection against COVID-19 exposure-a challenge to critical care retrieval personnel in a novel operation

During the Coronavirus Disease 2019 (COVID-19) outbreak in the Netherlands, the demand for intensive care beds exceeded availability within days. Initially, patients were redistributed regionally by ground tra...

Authors: Ed J. Spoelder, Marijn C. T. Tacken, Geert-Jan van Geffen and Cor Slagt

Quality of focused thoracic ultrasound performed by emergency medical technicians and paramedics in a prehospital setting: a feasibility study

In a prehospital setting, the severity of respiratory symptoms in patients calling for an ambulance differ. The initial evaluation, diagnosing, and thereby management can be challenging because respiratory sym...

Authors: Pia Iben Pietersen, Søren Mikkelsen, Annmarie T. Lassen, Simon Helmerik, Gitte Jørgensen, Giti Nadim, Helle Marie Christensen, Daniel Wittrock and Christian B. Laursen

Differences between manual CPR and corpuls cpr in regard to quality and outcome: study protocol of the comparing observational multi‐center prospective registry study on resuscitation (COMPRESS)

The effect of mechanical CPR is diversely described in the literature. Different mechanical CPR devices are available. The corpuls cpr is a new generation of piston-driven devices and was launched in 2015. The...

Authors: S. Seewald, S. Dopfer, J. Wnent, B. Jakisch, M. Heller, R. Lefering and JT Gräsner

Plasmatic and cell-based enhancement by microparticles originated from platelets and endothelial cells under simulated in vitro conditions of a dilutional coagulopathy

Aggressive fluid management and other external factors may lead to hypothermia, acidosis and hemodilution (defined as Lethal Triad, LT) contributing to a trauma-induced coagulopathy (TIC) that worsens patients...

Authors: Julia K. Böhm, Nadine Schäfer, Marc Maegele, Birgit Stümpges, Ursula Bauerfeind and Michael Caspers

Echocardiographic parameters during prolonged targeted temperature Management in out-of-hospital Cardiac Arrest Survivors to predict neurological outcome – a post-hoc analysis of the TTH48 trial

Transthoracic echocardiographic (TTE) indices of myocardial function among survivors of out-of-hospital cardiac arrest (OHCA) have been related to neurological outcome; however, results are inconsistent. We hy...

Authors: Thomas Hvid Jensen, Peter Juhl-Olsen, Bent Roni Ranghøj Nielsen, Johan Heiberg, Christophe Henri Valdemar Duez, Anni Nørgaard Jeppesen, Christian Alcaraz Frederiksen, Hans Kirkegaard and Anders Morten Grejs

Nasal nalbuphine analgesia in prehospital trauma managed by first-responder personnel on ski slopes in Switzerland: an observational cohort study

Pain is one of the major symptoms complained about by patients in the prehospital setting, especially in the case of trauma. When there is mountainous topography, as in Switzerland, there may be a time delay b...

Authors: Urs Pietsch, Yoël Berger, David Schurter, Lorenz Theiler, Volker Wenzel, Lorenz Meuli, Andreas Grünenfelder and Roland Albrecht

Is venous blood a more reliable description of acid-base state following simulated hypo- and hyperventilation?

ABGs are performed in acute conditions as the reference method for assessing the acid-base status of blood. Hyperventilation and breath-holding are common ventilatory changes that occur around the time of samp...

Authors: Lisha Shastri, Søren Kjærgaard, Peter S. Thyrrestrup, Stephen E. Rees and Lars P. Thomsen

Correction to: Mechanical ventilation of patients in helicopter emergency medical service transport: an international survey

An amendment to this paper has been published and can be accessed via the original article.

Authors: Peter Hilbert-Carius, Manuel F. Struck, Veronika Hofer, Jochen Hinkelbein, Leif Rognås, Jörn Adler, Michael D. Christian, Thomas Wurmb, Michael Bernhard and Björn Hossfeld

A common definition should be used in future studies of NSC

Authors: Kirsi Kemp, Reija Mertanen, Leila Niemi-Murola, Lasse Lehtonen and Maaret Castrén

A pre-hospital risk score predicts critical illness in non-trauma patients transported by ambulance to a Dutch tertiary referral hospital

Early pre-hospital identification of critically ill patients reduces morbidity and mortality. To identify critically ill non-traumatic and non-cardiac arrest patients, a pre-hospital risk stratification tool w...

Authors: Lars I. Veldhuis, Markus W. Hollmann, Fabian O. Kooij and Milan L. Ridderikhof

Emergency physician’s dispatch by a paramedic-staffed emergency medical communication centre: sensitivity, specificity and search for a reference standard

Some emergency medical systems (EMS) use a dispatch centre where nurses or paramedics assess emergency calls and dispatch ambulances. Paramedics may also provide the first tier of care “in the field”, with the...

Authors: Victor Nathan Chappuis, Hélène Deham, Philippe Cottet, Birgit Andrea Gartner, François Pierre Sarasin, Marc Niquille, Laurent Suppan and Robert Larribau

Effects of COVID-19 on in-hospital cardiac arrest: incidence, causes, and outcome – a retrospective cohort study

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), an emerging virus, has caused a global pandemic. Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, has led to high hospitalization rates w...

Authors: Kevin Roedl, Gerold Söffker, Dominik Fischer, Jakob Müller, Dirk Westermann, Malte Issleib, Stefan Kluge and Dominik Jarczak

Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conference

Over the past decade Smartphone-based activation (SBA) of Community First Responders (CFR) to out-of-hospital cardiac arrests (OHCA) has gained much attention and popularity throughout Europe. Various programm...

Authors: Camilla Metelmann, Bibiana Metelmann, Dorothea Kohnen, Peter Brinkrolf, Linn Andelius, Bernd W. Böttiger, Roman Burkart, Klaus Hahnenkamp, Mario Krammel, Tore Marks, Michael P. Müller, Stefan Prasse, Remy Stieglis, Bernd Strickmann and Karl Christian Thies

Analgesia in adult trauma patients in physician-staffed Austrian helicopter rescue: a 12-year registry analysis

Sufficient analgesia is an obligation, but oligoanalgesia (NRS> 3) is frequently observed prehospitally. Potent analgesics may cause severe adverse events. Thus, analgesia in the helicopter emergency medical s...

Authors: Christopher Rugg, Simon Woyke, Wolfgang Voelckel, Peter Paal and Mathias Ströhle

Virtual reality as a teaching method for resuscitation training in undergraduate first year medical students: a randomized controlled trial

Virtual reality is an innovative technology for medical education associated with high empirical realism.

Authors: Malte Issleib, Alina Kromer, Hans O. Pinnschmidt, Christoph Süss-Havemann and Jens C. Kubitz

The impact of age and receipt antihypertensives to systolic blood pressure and shock index at injury scene and in the emergency department to predict massive transfusion in trauma patients

Systolic blood pressure (SBP) and shock index (SI) are accurate indicators of hemodynamic instability and the need for transfusion in trauma patients. We aimed to determine whether the utility and cutoff point...

Authors: Se Jin Park, Mi Jin Lee, Changho Kim, Haewon Jung, Seong Hun Kim, Wooyoung Nho, Kang Suk Seo, Jungbae Park, Hyun Wook Ryoo, Jae Yun Ahn, Sungbae Moon, Jae Wan Cho and Shin-ah Son

Consensus on research priorities for Essex & Herts Air Ambulance: a Delphi study

Consensus methods such as the Delphi technique have been used widely for research priority setting in health care. Within pre-hospital emergency medicine, such approaches have helped to establish national and ...

Authors: Sarah McLachlan and Hilary Bungay

Association between the body mass index and outcomes of patients resuscitated from out-of-hospital cardiac arrest: a prospective multicentre registry study

The effects of the body mass index (BMI) on outcomes of patients resuscitated from cardiac arrest are controversial. Therefore, the current study investigated the association between the BMI and the favourable...

Authors: Heekyung Lee, Jaehoon Oh, Hyunggoo Kang, Tae Ho Lim, Byuk Sung Ko, Hyuk Joong Choi, Seung Min Park, You Hwan Jo, Jong Suk Lee, Yoo Seok Park, Young-Hoon Yoon, Su Jin Kim and Young-Gi Min

Early hemodynamic assessment using NICOM in patients at risk of developing Sepsis immediately after emergency department triage

One factor leading to the high mortality rate seen in sepsis is the subtle, dynamic nature of the disease, which can lead to delayed detection and under-resuscitation. This study investigated whether serial he...

Authors: Steve B. Chukwulebe, David F. Gaieski, Abhishek Bhardwaj, Lakeisha Mulugeta-Gordon, Frances S. Shofer and Anthony J. Dean

Early posttraumatic stress symptoms and levels of distress in trauma patients treated in the resuscitation room: an exploratory study

The aim of the present study was to investigate the incidence of psychological distress and posttraumatic stress symptoms in trauma patients who have been recruited from the resuscitation room. Further, we wan...

Authors: Iris Reiner, Manfred E. Beutel, Philipp Winter, Pol M. Rommens and Sebastian Kuhn

Patient handover between ambulance crew and healthcare professionals in Icelandic emergency departments: a qualitative study

Ambulance services play an important role in the healthcare system when it comes to handling accidents or acute illnesses outside of hospitals. At the time of patient handover from emergency medical technician...

Authors: Sveinbjörn Dúason, Björn Gunnarsson and Margrét Hrönn Svavarsdóttir

Conducting a conventional multi-casualty incident in COVID-19 personal protective equipment - a semi-structured interview

The risk of COVID-19 transmission to healthcare professionals is likely to continue for the foreseeable future. The wearing of personal protective equipment (PPE) presents a number of potential challenges to r...

Authors: James Raitt, Ben Watts, Jaspreet Rayet, Mark Hodkinson and David Zideman

External validation of multimodal termination of resuscitation rules for out-of-hospital cardiac arrest patients in the COVID-19 era

Futile resuscitation for out-of-hospital cardiac arrest (OHCA) patients in the coronavirus disease (COVID)-19 era can lead to risk of disease transmission and unnecessary transport. Various existing basic or a...

Authors: Haewon Jung, Mi Jin Lee, Jae Wan Cho, Sang Hun Lee, Suk Hee Lee, You Ho Mun, Han-sol Chung, Yang Hun Kim, Gyun Moo Kim, Sin-youl Park, Jae Cheon Jeon and Changho Kim

A validity study of the rapid emergency Triage and treatment system for children

The Scandinavian Rapid Emergency Triage and Treatment System-pediatric (RETTS-p) is a reliable triage system that includes both assessment of vital parameters and a systematic approach to history and symptoms....

Authors: Siv Steinsmo Ødegård, Thuy Tran, Lars E. Næss-Pleym, Kari Risnes and Henrik Døllner

A comparison of the demographics, injury patterns and outcome data for patients injured in motor vehicle collisions who are trapped compared to those patients who are not trapped

Motor vehicle collisions (MVCs) are a common cause of major trauma and death. Following an MVC, up to 40% of patients will be trapped in their vehicle. Extrication methods are focused on the prevention of seco...

Authors: Tim Nutbeam, Rob Fenwick, Jason Smith, Omar Bouamra, Lee Wallis and Willem Stassen

Pre-hospital critical care management of severe hypoxemia in victims of Covid-19: a case series

Despite critical hypoxemia, Covid-19 patients may present without proportional signs of respiratory distress. We report three patients with critical respiratory failure due to Covid-19, in which all presented ...

Authors: Jens Otto Mæhlen, Roger Mikalsen, Hans Julius Heimdal, Marius Rehn, Jostein S. Hagemo and William Ottestad

The accuracy of initial diagnoses in coma: an observational study in 835 patients with non-traumatic disorder of consciousness

Management of patients with coma of unknown etiology (CUE) is a major challenge in most emergency departments (EDs). CUE is associated with a high mortality and a wide variety of pathologies that require diffe...

Authors: Maximilian Lutz, Martin Möckel, Tobias Lindner, Christoph J. Ploner, Mischa Braun and Wolf Ulrich Schmidt

Multitasking behaviors and provider outcomes in emergency department physicians: two consecutive, observational and multi-source studies

Multitasking is a key skill for emergency department (ED) providers. Yet, potentially beneficial or debilitating effects for provider functioning and cognition are underexplored. We therefore aimed to investig...

Authors: Tobias Augenstein, Anna Schneider, Markus Wehler and Matthias Weigl

Why do infants need out-of-hospital emergency medical services? A retrospective, population-based study

The challenges encountered in emergency medical services (EMS) contacts with children are likely most pronounced in infants, but little is known about their out-of-hospital care. Our primary aim was to describ...

Authors: Jelena Oulasvirta, Heini Harve-Rytsälä, Mitja Lääperi, Markku Kuisma and Heli Salmi

Serum D-dimer level as a biomarker for identifying patients with isolated injury to prevent unnecessary whole-body computed tomography in blunt trauma care

Unnecessary whole-body computed tomography (CT) may lead to excess radiation exposure. Serum D-dimer levels have been reported to correlate with injury severity. We examined the predictive value of serum D-dim...

Authors: Rakuhei Nakama, Ryo Yamamoto, Yoshimitsu Izawa, Keiichi Tanimura and Takashi Mato

Injuries, treatment, and impairment caused by different types of fireworks; results of a 10 year multicenter retrospective cohort study

The primary aim of this study was to evaluate the number of patients reported to a hospital with injuries from consumer fireworks in the months December–January in the past 10 years, and to describe the associ...

Authors: Daan T. Van Yperen, Esther M. M. Van Lieshout, J. Niels Dijkshoorn, Cornelis H. Van der Vlies and Michael H. J. Verhofstad

Apnoeic oxygenation for emergency anaesthesia of pre-hospital trauma patients

Efficient and timely airway management is universally recognised as a priority for major trauma patients, a proportion of whom require emergency intubation in the pre-hospital setting. Adverse events occur mor...

Authors: Kate Crewdson, Ainsley Heywoth, Marius Rehn, Samy Sadek and David Lockey

Physician-led prehospital management is associated with reduced mortality in severe blunt trauma patients: a retrospective analysis of the Japanese nationwide trauma registry

Although the results of previous studies suggested the effectiveness of physician-led prehospital trauma management, it has been uncertain because of the limited number of high-quality studies. Furthermore, th...

Authors: Akira Endo, Mitsuaki Kojima, Saya Uchiyama, Atsushi Shiraishi and Yasuhiro Otomo

Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): update and insights into current practices and future directions for research and implementation

In this review, we assess the state of Resuscitative Endovascular Occlusion of the Aorta (REBOA) today with respect to out-of-hospital (OOH) vs. inhospital (H) use in blunt and penetrating trauma, as well as d...

Authors: Marianne A. Thrailkill, Kevin H. Gladin, Catherine R. Thorpe, Teryn R. Roberts, Jae H. Choi, Kevin K. Chung, Corina N. Necsoiu, Todd E. Rasmussen, Leopoldo C. Cancio and Andriy I. Batchinsky

Predictors of recognition of out of hospital cardiac arrest by emergency medical services call handlers in England: a mixed methods diagnostic accuracy study

The aim of this study was to identify key indicator symptoms and patient factors associated with correct out of hospital cardiac arrest (OHCA) dispatch allocation. In previous studies, from 3% to 62% of OHCAs ...

Authors: Caroline L. Watkins, Stephanie P. Jones, Margaret A. Hurley, Valerio Benedetto, Christopher I. Price, Christopher J. Sutton, Tom Quinn, Munirah Bangee, Brigit Chesworth, Colette Miller, Dawn Doran, Aloysius Niroshan Siriwardena and Josephine M. E. Gibson

Validation of the BATT score for prehospital risk stratification of traumatic haemorrhagic death: usefulness for tranexamic acid treatment criteria

Tranexamic acid reduces surgical blood loss and reduces deaths from bleeding in trauma patients. Tranexamic acid must be given urgently, preferably by paramedics at the scene of the injury or in the ambulance....

Authors: Francois-Xavier Ageron, Timothy J. Coats, Vincent Darioli and Ian Roberts

Hospital-level intracranial pressure monitoring utilization and functional outcome in severe traumatic brain injury: a post hoc analysis of prospective multicenter observational study

Several observational studies have shown that hospital-level intracranial pressure (ICP) monitoring utilization varies considerably in patients with severe traumatic brain injury (TBI). However, the relationsh...

Authors: Tomoya Okazaki, Kenya Kawakita and Yasuhiro Kuroda

Alternatives to direct emergency department conveyance of ambulance patients: a scoping review of the evidence

The role of ambulance services is shifting, due in part to more intermediate, non-urgent patients who do not require direct emergency department conveyance, yet who cannot be safely left at home alone. Evidenc...

Authors: Joanna M. Blodgett, Duncan J. Robertson, Elspeth Pennington, David Ratcliffe and Kenneth Rockwood

Prehospital identification of Covid-19: an observational study

The novel coronavirus disease 2019 (Covid-19) pandemic has affected prehospital care systems across the world, but the prehospital presentation of affected patients and the extent to which prehospital care pro...

Authors: Douglas Spangler, Hans Blomberg and David Smekal

The protective effects of phosphodiesterase-5 inhibitor, sildenafil on post-resuscitation cardiac dysfunction of cardiac arrest: by regulating the miR-155-5p and miR-145-5p

MiRNA-155 and miRNA-145 have been demonstrated to function as a key regulator in the development of the cardiovascular system. Recent experimental and clinical studies have indicated the cardioprotective role ...

Authors: Yong He, Guoxing Wang, Chuang Li, Yuxing Wang and Qian Zhang

Survival among patients with severe high cervical spine injuries – a TraumaRegister DGU® database study

Trauma is a significant cause of death and impairment. The Abbreviated Injury Scale (AIS) differentiates the severity of trauma and is the basis for different trauma scores and prediction models. While the maj...

Authors: O. Kamp, O. Jansen, R. Lefering, M. Aach, C. Waydhas, M. Dudda, T. A. Schildhauer and U. Hamsen

Assessment of changes in cardiopulmonary resuscitation practices and outcomes on 1005 victims of out-of-hospital cardiac arrest during the COVID-19 outbreak: registry-based study

The COVID-19 outbreak requires a permanent adaptation of practices. Cardiopulmonary resuscitation (CPR) is also involved and we evaluated these changes in the management of out-of-hospital cardiac arrest (OHCA).

Authors: Valentine Baert, Deborah Jaeger, Hervé Hubert, Jean-Baptiste Lascarrou, Guillaume Debaty, Tahar Chouihed and François Javaudin

A conceptual framework for Emergency department design in a pandemic

The current COVID-19 pandemic is highlighting gaps around the world in the design and workflow of Emergency Departments (ED). These gaps have an impact on both patient care and staff safety and represent a ris...

Authors: Gayathri Devi Nadarajan, Eunizar Omar, Benjamin S. Abella, Pei Shan Hoe, Sang Do Shin, Matthew Huei-Ming Ma and Marcus Eng Hock Ong

Multiple trauma management in mountain environments - a scoping review

Multiple trauma in mountain environments may be associated with increased morbidity and mortality compared to urban environments.

Authors: G. Sumann, D. Moens, B. Brink, M. Brodmann Maeder, M. Greene, M. Jacob, P. Koirala, K. Zafren, M. Ayala, M. Musi, K. Oshiro, A. Sheets, G. Strapazzon, D. Macias and P. Paal

Endotracheal intubation to reduce aspiration events in acutely comatose patients: a systematic review

It is customary to believe that a patient with a Glasgow Coma Scale (GCS) score less than or equal to 8 should be intubated to avoid aspiration. We conducted a systematic review to establish if patients with G...

Authors: Daniele Orso, Luigi Vetrugno, Nicola Federici, Natascia D’Andrea and Tiziana Bove

Major incident preparedness: a curriculum and workplace necessity

Major incidents are defined as: An event or situation with a range of serious consequences, which require special arrangements to be implemented by one, or more emergency responder agency. The ability for a he...

Authors: Dominic Hampson

The effect of national lockdown due to COVID-19 on emergency department visits

COVID-19 outbreak lead to nationwide lockdown in Finland on the March 16th, 2020. Previous data regarding to the patient load in the emergency departments during pandemics is scarce. Our aim is to describe the...

Authors: Ilari Kuitunen, Ville T. Ponkilainen, Antti P. Launonen, Aleksi Reito, Teemu P. Hevonkorpi, Juha Paloneva and Ville M. Mattila

Development of machine learning models to predict RT-PCR results for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in patients with influenza-like symptoms using only basic clinical data

Reverse Transcription-Polymerase Chain Reaction (RT-PCR) for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-COV-2) diagnosis currently requires quite a long time span. A quicker and more efficient diagn...

Authors: Thomas Langer, Martina Favarato, Riccardo Giudici, Gabriele Bassi, Roberta Garberi, Fabiana Villa, Hedwige Gay, Anna Zeduri, Sara Bragagnolo, Alberto Molteni, Andrea Beretta, Matteo Corradin, Mauro Moreno, Chiara Vismara, Carlo Federico Perno, Massimo Buscema…