Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Original research

A novel scoring system for predicting the neurologic prognosis prior to the initiation of induced hypothermia in cases of post-cardiac arrest syndrome: the CAST score

The aim of this study was to develop a scoring system for identifying the post-cardiac arrest syndrome (PCAS) patients with a good potential for recovery prior to the initiation of induced therapeutic hypother...

Mitsuaki Nishikimi, Naoyuki Matsuda, Kota Matsui, Kunihiko Takahashi, Tadashi Ejima, Keibun Liu, Takayuki Ogura, Michiko Higashi, Hitoshi Umino, Go Makishi, Atsushi Numaguchi, Satoru Matsushima, Hideki Tokuyama, Mitsunobu Nakamura and Shigeyuki Matsui

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:49

Published on: 10 May 2017

Original research

Do pre-hospital poisoning deaths differ from in-hospital deaths? A retrospective analysis

Most fatal poisonings occur outside the hospital and the victims found dead. The purpose of this study was to determine the general pattern and patient demographics of fatal poisonings in Northern Finland. In ...

Lauri Koskela, Lasse Raatiniemi, Håkon Kvåle Bakke, Tero Ala-Kokko and Janne Liisanantti

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:48

Published on: 8 May 2017

Original research

Sex-based differences in outcomes after severe injury: an analysis of blunt trauma patients in China

Experimental research suggests that females have a higher survival rate after trauma, although this claim is controversial. This study sought to determine the role of sex on mortality among trauma patients in ...

Ziqiang Zhu, Xiaoping Shang, Peiyi Qi and Shengli Ma

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:47

Published on: 2 May 2017

Original research

Clinical course and prognostic factors of patients in severe accidental hypothermia with circulatory instability rewarmed with veno-arterial ECMO - an observational case series study

Recently, veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has become the rewarming treatment of choice in hypothermic cardiac arrest. The detailed indications for extracorporeal rewarming in non-ar...

Sylweriusz Kosiński, Tomasz Darocha, Anna Jarosz, Aleksander Zeliaś, Mirosław Ziętkiewicz, Paweł Podsiadło, Tomasz Sanak, Kinga Sałapa, Jacek Piątek, Janusz Konstany-Kalandyk, Robert Gałązkowski, Paweł Krawczyk, Łukasz Krzych and Rafał Drwiła

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:46

Published on: 2 May 2017

Original research

In-hospital airway management training for non-anesthesiologist EMS physicians: a descriptive quality control study

Pre-hospital airway management is a major challenge for emergency medical service (EMS) personnel. Despite convincing evidence that the rescuer’s qualifications determine efficacy of tracheal intubation, in-ho...

Helmut Trimmel, Christoph Beywinkler, Sonja Hornung, Janett Kreutziger and Wolfgang G. Voelckel

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:45

Published on: 26 April 2017

Original research

Treatment-limiting decisions in patients with severe traumatic brain injury in a Norwegian regional trauma center

Treatment-limiting decisions (TLD) for severe traumatic brain injury (sTBI) have been sparsely studied. This study determine prevalence, main reason for, categories and timing of TLDs in a Norwegian regional t...

Annette Robertsen, Reidun Førde, Nils Oddvar Skaga and Eirik Helseth

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:44

Published on: 26 April 2017

Original research

Hypothermia in trauma victims at first arrival of ambulance personnel: an observational study with assessment of risk factors

Hypothermia is common in trauma victims and is associated with increased mortality, however its causes are little known. The objective of this study was to identify the risk factors associated with hypothermia...

Frédéric Lapostolle, James Couvreur, François Xavier Koch, Dominique Savary, Armelle Alhéritière, Michel Galinski, Jean-Luc Sebbah, Karim Tazarourte and Frédéric Adnet

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:43

Published on: 24 April 2017

Review

Lessons from a large trauma center: impact of blunt chest trauma in polytrauma patients—still a relevant problem?

Thoracic trauma is the third most common cause of death after abdominal injury and head trauma in polytrauma patients. The purpose of this study was to investigate epidemiological data, treatment and outcome o...

Konstantina Chrysou, Gabriel Halat, Beatrix Hoksch, Ralph A. Schmid and Gregor J. Kocher

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:42

Published on: 20 April 2017

Original research

The association of patient and trauma characteristics with the health-related quality of life in a Dutch trauma population

It is suggested in literature to use the Health Related Quality of Life (HRQoL) as an outcome indicator for evaluating trauma centre performances. In order to predict HRQoL, characteristics that could be of in...

Amy Gunning, Mark van Heijl, Karlijn van Wessem and Luke Leenen

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:41

Published on: 14 April 2017

Original research

Merger of two dispatch centres: does it improve quality and patient safety?

Dispatch centres (DCs) are considered an essential but expensive component of many highly developed healthcare systems. The number of DCs in a country, region, or state is usually based on local history and of...

Alexandre Moser, Annette Mettler, Vincent Fuchs, Walter Hanhart, Claude-François Robert, Vincent Della Santa and Fabrice Dami

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:40

Published on: 13 April 2017

Review

The use of viscoelastic haemostatic assays in goal-directing treatment with allogeneic blood products – A systematic review and meta-analysis

Management of the critically bleeding patient can be encountered in many medical and surgical settings. Common for these patients is a high risk of dying from exsanguination secondary to developing coagulopath...

Mathilde Fahrendorff, Roberto S. Oliveri and Pär I. Johansson

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:39

Published on: 13 April 2017

Original research

PreHospital Ambulance Stroke Test - pilot study of a novel stroke test

There is a need for a prehospital stroke test that in addition to high sensitivity for stroke, also is able to communicate stroke severity similar to the National Institute of Health Stroke Scale (NIHSS).

Gunnar Andsberg, Magnus Esbjörnsson, Arne Olofsson, Arne Lindgren, Bo Norrving and Mia von Euler

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:37

Published on: 11 April 2017

Original research

The challenges of military medical education and training for physicians and nurses in the Nordic countries - an interview study

Development and use of e-learning has not taken place to the same extent in military medicine in the Nordic countries. The aim was to explore the similarities and differences in education and training in milit...

Linda Sonesson, Kenneth Boffard, Lars Lundberg, Martin Rydmark and Klas Karlgren

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:38

Published on: 11 April 2017

Original research

Effect of an interactive cardiopulmonary resuscitation assist device with an automated external defibrillator synchronised with a ventilator on the CPR performance of emergency medical service staff: a randomised simulation study

The present study evaluates whether the quality of advanced cardiac life support (ALS) is improved with an interactive prototype assist device. This device consists of an automated external defibrillator linke...

Rainer Nitzschke, Christoph Doehn, Jan F. Kersten, Julian Blanz, Tobias J. Kalwa, Norman A. Scotti and Jens C. Kubitz

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:36

Published on: 4 April 2017

Original article

Termination of prehospital resuscitative efforts: a study of documentation on ethical considerations at the scene

Discussions on ethical aspects of life-and-death decisions within the hospital are often made in plenary. The prehospital physician, however, may be faced with ethical dilemmas in life-and-death decisions when...

Søren Mikkelsen, Caroline Schaffalitzky de Muckadell, Lars Grassmé Binderup, Hans Morten Lossius, Palle Toft and Annmarie Touborg Lassen

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:35

Published on: 31 March 2017

Original research

External validation of the ROSC after cardiac arrest (RACA) score in a physician staffed emergency medical service system

The return of spontaneous circulation (ROSC) after cardiac arrest (RACA) score may have implications as a quality indicator for the emergency medical services (EMS) system. We aimed to validate this score exte...

Petteri Kupari, Markus Skrifvars and Markku Kuisma

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:34

Published on: 29 March 2017

Original research

Blood transfusion and coagulopathy in geriatric trauma patients

Trauma resuscitation has undergone a paradigm shift with new emphasis on the early use of blood products and increased proportions of plasma and platelets. However, it is unclear how this strategy is applied o...

Brett Mador, Bartolomeu Nascimento, Simon Hollands and Sandro Rizoli

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:33

Published on: 29 March 2017

Commentary

We need to include bystander first aid in trauma research

The chain of trauma survival is a concept that originated in the area of out-of-hospital cardiac arrest (OHCA) and was adapted to the treatment of trauma. In out-of-hospital cardiac arrest research into bystan...

Håkon Kvåle Bakke and Torben Wisborg

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:32

Published on: 23 March 2017

Meeting abstracts

Meeting abstracts from the 7th Danish Emergency Medicine Conference

Osama Bin Abdullah, Johannes Grand, Astha Sijapati, Petrine Nimskov, Finn Erland Nielsen, Jens Christian Schmidt, Noel Pérez, Tanja Kirkegaard, Marianne Fløjstrup, Mikkel Brabrand, Mathias Galthen-Sørensen, Rasa Ramoskiene, Arman Arshad, Annmarie Lassen, Lars Stubbe Teglbjærg, O. Andersen…

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25(Suppl 2):29

Published on: 17 March 2017

This article is part of a Supplement: Volume 25 Supplement 2

Original research

Targeted temperature management in cardiac arrest: survival evaluated by propensity score matching

Targeted temperature management in cardiac arrest was introduced following evidence of increased survival from two controlled trials published in 2002. We wanted to investigate whether the introduction of targ...

Eirik A. Buanes, Karl O. Hufthammer, Jørund Langørgen, Anne-Berit Guttormsen and Jon-Kenneth Heltne

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:31

Published on: 16 March 2017

Original research

Prothrombin time is predictive of low plasma prothrombin concentration and clinical outcome in patients with trauma hemorrhage: analyses of prospective observational cohort studies

Fibrinogen and prothrombin have been suggested to become rate limiting in trauma associated coagulopathy. Administration of fibrinogen is now recommended, however, the importance of prothrombin to patient outc...

Clare A. Balendran, Ann Lövgren, Kenny M. Hansson, Karin Nelander, Marita Olsson, Karin J. Johansson, Karim Brohi, Dietmar Fries and Anders Berggren

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:30

Published on: 14 March 2017

Original research

The laboratory risk indicator for necrotizing fasciitis (LRINEC) scoring: the diagnostic and potential prognostic role

Necrotizing fasciitis (NF) is a devastating soft tissue infection associated with potentially poor outcomes. The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score has been introduced as a diag...

Ayman El-Menyar, Mohammad Asim, Insolvisagan N. Mudali, Ahammed Mekkodathil, Rifat Latifi and Hassan Al-Thani

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:28

Published on: 7 March 2017

Original research

Effect and accuracy of emergency dispatch telephone guidance to bystanders in trauma: post-hoc analysis of a prospective observational study

Emergency medical communication centres (EMCCs) dispatch and allocate ambulance resources, and provide first-aid guidance to on-scene bystanders. We aimed to 1) evaluate whether dispatcher guidance improved by...

Håkon Kvåle Bakke, Tine Steinvik, Håkon Ruud and Torben Wisborg

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:27

Published on: 7 March 2017

Original research

Presentations to an urban emergency department in Bern, Switzerland associated with acute recreational drug toxicity

Although the recreational use of psychoactive substances is common there is only limited systematic collection of data on acute drug toxicity or hospital presentations. Currently, data from Switzerland are onl...

Evangelia Liakoni, Sabine Müller, Adrian Stoller, Meret Ricklin, Matthias E. Liechti and Aristomenis K. Exadaktylos

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:26

Published on: 7 March 2017

Review

The haemodynamic dilemma in emergency care: Is fluid responsiveness the answer? A systematic review

Fluid therapy is a common and crucial treatment in the emergency department (ED). While fluid responsiveness seems to be a promising method to titrate fluid therapy, the evidence for its value in ED is unclear...

Mohammed H. Elwan, Ashraf Roshdy, Eman M. Elsharkawy, Salah M. Eltahan and Timothy J. Coats

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2017 25:25

Published on: 6 March 2017