SJTREM is the official publication of the Norwegian Air Ambulance Foundation
Articles
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Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:59
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Patients suffering traumatic brain injury: patient characteristics, prehospital triage, primary referral and mortality - A population-based follow-up study
Traumatic brain injury (TBI) is a potential high-risk condition, but appropriate care pathways, including prehospital triage and primary referral to a specialised neurosurgical centre, can improve neurological...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:58 -
The effect of circle of willis anatomy and scanning practices on outcomes for blunt cerebrovascular injuries
Limited research has explored the effect of Circle of Willis (CoW) anatomy among blunt cerebrovascular injuries (BCVI) on outcomes. It remains unclear if current BCVI screening and scanning practices are suffi...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:57 -
Enhancing prehospital analgesia – advantages and further indications of nalbuphin
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:56 -
112 What’s your emergency? Overview of mental health and sleep disorders among emergency medical dispatchers in a French 112 call center
Emergency medical dispatchers (EMD) experience significant occupational stress. Medical dispatching includes call-taking, triage, dispatch, and providing callers gesture guidance to the victims. Every decision...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:55 -
Invited Letter to editor (respons STRE-D-24–00176)
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:54 -
Prehospital procedural sedation and analgesia agent selection: propofol, etomidate, ketamine
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:53 -
Enhancing prehospital analgesia: addressing methodological concerns and proposing the START-A mnemonic
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:52 -
Pediatric trauma patients in Swedish ambulance services -a retrospective observational study of assessments, interventions, and clinical outcomes
Pediatric trauma patients constitute a significant portion of the trauma population treated by Swedish Emergency Medical Services (EMS), and trauma remains a notable cause of death among Swedish children. Prev...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:51 -
Online training to improve BLS performance with dispatcher assistance? Results of a cluster-randomised controlled simulation trial
The prognosis for patients improves significantly with effective cardiopulmonary resuscitation (CPR) performed by bystanders. Current research indicates that individuals who receive CPR from trained bystanders...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:50 -
Implementation of a point-of-care ultrasound archiving system and governance framework in a UK physician-paramedic staffed helicopter emergency medical service
There has been a rapid expansion in the use of point-of-care ultrasonography (POCUS) by emergency medical services (EMS). However, less than a third of UK EMS utilise imaging archiving for POCUS, and fewer rev...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:49 -
Mortality after paediatric emergency calls for patients with or without pre-existing comorbidity: a nationwide population based cohort study
Life-threatening conditions are infrequent in children. Current literature in paediatric prehospital research is centred around trauma and paediatric out-of-hospital cardiac arrests (POHCA). The aims of this s...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:48 -
The accuracy of prehospital triage decisions in English trauma networks – a case-cohort study
Care for injured patients in England is provided by inclusive regional trauma networks. Ambulance services use triage tools to identify patients with major trauma who would benefit from expedited Major Trauma ...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:47 -
Attributes of leadership skill development in high-performance pre-hospital medical teams: results of an international multi-service prospective study
Team leadership skills of physicians working in high-performing medical teams are directly related to outcome. It is currently unclear how these skills can best be developed. Therefore, in this multi-national ...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:46 -
Health-Related Quality of Life in severely injured patients in Finland: an observational cohort study of 325 patients with 1-year follow-up
Major trauma has a significant effect on Health-Related Quality of Life (HR-QoL). It is unclear, however, which factors most affect HR-QoL. This study aims to evaluate HR-QoL after severe injury in Finland and...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:45 -
Impact of “hypotension on arrival” on required surgical disciplines and usage of damage control protocols in severely injured patients
For trauma patients with subsequent immediate surgery, it is unclear which surgical disciplines are most commonly required for treatment, and whether and to what extend this might depend on or change with “hyp...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:44 -
Aftermath Türkiye’s double earthquake: detailed analysis of fracture characteristics and acute management from a level I trauma center
This research investigated surgical interventions for the treatment of extremity and pelvic fractures and aimed to provide an analysis of management challenges under crisis conditions in a Level I Trauma Cente...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:43 -
The prevalence of clinically relevant delayed intracranial hemorrhage in head trauma patients treated with oral anticoagulants is very low: a retrospective cohort register study
Current guidelines from Scandinavian Neuro Committee mandate a 24-hour observation for head trauma patients on anticoagulants, even with normal initial head CT scans, as a means not to miss delayed intracrania...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:42 -
Effectiveness and safety of prehospital analgesia with nalbuphine and paracetamol versus morphine by paramedics - an observational study
Despite the development of various analgesic concepts, prehospital oligoanalgesia remains very common. The present work examines prehospital analgesia by paramedics using morphine vs. nalbuphine + paracetamol.
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:41 -
Efficacy of endotracheal intubation in helicopter cabin vs. ground: a systematic review and meta-analysis
Pre-hospital endotracheal intubation (ETI) is a sophisticated procedure with a comparatively high failure rate. Especially, ETI in confined spaces may result in higher difficulty, longer times, and a higher fa...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:40 -
Procedural sedation by advanced practice providers in the emergency medical service in the Netherlands: a retrospective study
Procedural sedation and analgesia (PSA) is a technique of administering sedatives to induce a state that allows the patient to tolerate painful procedures while maintaining cardiorespiratory function, a condit...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:39 -
Development of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care
Emergency Medical Services (EMS) are a unique setting because care for the chief complaint is given across all ages in a complex and high-risk environment that may pose a threat to patient safety. Traditionall...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:38 -
The skåne emergency medicine (SEM) cohort
In the European Union alone, more than 100 million people present to the emergency department (ED) each year, and this has increased steadily year-on-year by 2–3%. Better patient management decisions have the ...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:37 -
A retrospective analysis of mission reports in the national Swedish Police Registry on mountain rescue 2018–2022: here be snowmobiles
Increasing mountain activity and decreasing participant preparedness, as well as climate change, suggest needs to tailor mountain rescue. In Sweden, previous medical research of these services are lacking. The...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:36 -
Effect of a vapor barrier in combination with active external rewarming for cold-stressed patients in a prehospital setting: a randomized, crossover field study
Use of a vapor barrier in the prehospital care of cold-stressed or hypothermic patients aims to reduce evaporative heat loss and accelerate rewarming. The application of a vapor barrier is recommended in vario...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:35 -
Prevalence of airway patency and air pocket in critically buried avalanche victims - a scoping review
Survival of critically buried avalanche victims is directly dependent on the patency of the airway and the victims’ ability to breathe. While guidelines and avalanche research have consistently emphasized on t...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:34 -
Development and internal validation of an algorithm for estimating mortality in patients encountered by physician-staffed helicopter emergency medical services
Severity of illness scoring systems are used in intensive care units to enable the calculation of adjusted outcomes for audit and benchmarking purposes. Similar tools are lacking for pre-hospital emergency med...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:33 -
Acute patients discharged without an established diagnosis: risk of mortality and readmission of nonspecific diagnoses compared to disease-specific diagnoses
Nonspecific discharge diagnoses after acute hospital courses represent patients discharged without an established cause of their complaints. These patients should have a low risk of adverse outcomes as serious...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:32 -
A national multi centre pre-hospital ECPR stepped wedge study; design and rationale of the ON-SCENE study
The likelihood of return of spontaneous circulation with conventional advanced life support is known to have an exponential decline and therefore neurological outcome after 20 min in patients with a cardiac ar...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:31 -
Optimizing remote and rural prehospital resources using air transport of thrombectomy candidates
In Finland, the yearly number of mechanical thrombectomies for acute stroke is increasing and more patients are transported over 100 km to the comprehensive stroke centre (CSC) for definitive care. This leaves...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:30 -
Mortality rates in Norwegian HEMS—a retrospective analysis from Central Norway
Helicopter Emergency Medical Services (HEMS) provide rapid and specialized care to critically ill or injured patients. Norwegian HEMS in Central Norway serves an important role in pre-hospital emergency medica...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:29 -
Letter to the editor
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:28 -
Impact of delayed mobile medical team dispatch for respiratory distress calls: a propensity score matched study from a French emergency communication center
Shortness of breath is a common complaint among individuals contacting emergency communication center (EMCCs). In some prehospital system, emergency medical services include an advanced life support (ALS)-capa...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:27 -
A wrong conclusion
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:26 -
Non-technical skills needed by medical disaster responders– a scoping review
There is no universal agreement on what competence in disaster medicine is, nor what competences and personal attributes add value for disaster responders. Some studies suggest that disaster responders need no...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:25 -
Characteristics of traumatic major haemorrhage in a tertiary trauma center
Major traumatic haemorrhage is potentially preventable with rapid haemorrhage control and improved resuscitation techniques. Although advances in prehospital trauma management, haemorrhage is still associated ...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:24 -
Prognostic value of arterial carbon dioxide tension during cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients receiving extracorporeal resuscitation
Current guidelines on extracorporeal cardiopulmonary resuscitation (ECPR) recommend careful patient selection, but precise criteria are lacking. Arterial carbon dioxide tension (PaCO2) has prognostic value in out...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:23 -
Firefighters and police search dog handlers’ experiences working closely with paramedics in urban search and rescue incidents: a qualitative focus group study from Oslo
Rescue operations are in Norway defined as situations where patients are difficult to access or that more resources are needed than the health services alone possess and can put in operation (Bull A, Redningsh...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:22 -
Evaluation of the offset static rope evacuation procedure: insights from a safe job analysis
Recently, the Norwegian Helicopter Emergency Medical Service (HEMS) has developed a procedure for a special type of static rope rescue operation, referred to as the offset technique. In this technique, the hel...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:21 -
Prehospital invasive arterial blood pressure monitoring in critically ill patients attended by a UK helicopter emergency medical service– a retrospective observational review of practice
Accurate haemodynamic monitoring in the prehospital setting is essential. Non-invasive blood pressure measurement is susceptible to vibration and motion artefact, especially at extremes of hypotension and hype...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:20 -
The diagnostic accuracy of cardiac ultrasound for acute myocardial ischemia in the emergency department: a systematic review and meta-analysis
Chest pain is responsible for millions of visits to the emergency department (ED) annually. Cardiac ultrasound can detect ischemic changes, but varying accuracy estimates have been reported in previous studies...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:19 -
Therapeutic efficacy of tranexamic acid on traumatic brain injury: a systematic review and meta-analysis
Tranexamic acid (TXA) demonstrates therapeutic efficacy in the management of traumatic brain injury (TBI). The objective of this systematic review and meta-analysis was to evaluate the safety and effectiveness...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:18 -
Characteristics and critical care interventions in drowning patients treated by the Danish Air Ambulance from 2016 to 2021: a nationwide registry-based study with 30-day follow-up
Improving oxygenation and ventilation in drowning patients early in the field is critical and may be lifesaving. The critical care interventions performed by physicians in drowning management are poorly descri...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:17 -
A randomized double-blind trial of intranasal dexmedetomidine versus intranasal esketamine for procedural sedation and analgesia in young children
Procedural sedation and analgesia are commonly used in the Emergency Departments. Despite this common need, there is still a lack of options for adequate and safe analgesia and sedation in children. The object...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:16 -
Impact of emergency physician performed ultrasound in the evaluation of adult patients with acute abdominal pain: a prospective randomized bicentric trial
Abdominal pain is common in patients visiting the emergency department (ED). The aim of this study was to assess the diagnostic contribution of point-of-care ultrasound (POCUS) in patients presenting to the ED...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:15 -
Correction: Trauma patient transport to hospital using helicopter emergency medical services or road ambulance in Sweden: a comparison of survival and prehospital time intervals
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:14 -
Correction: The implication of a translational triage tool in mass casualty incidents: part three: a multinational study, using validated patient cards
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:13 -
Cardiorespiratory consequences of attenuated fentanyl and augmented rocuronium dosing during protocolised prehospital emergency anaesthesia at a regional air ambulance service: a retrospective study
Pre-Hospital Emergency Anaesthesia (PHEA) has undergone significant developments since its inception. However, optimal drug dosing remains a challenge for both medical and trauma patients. Many prehospital tea...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:12 -
Prolonged critical avalanche burial for nearly 23 h with severe hypothermia and severe frostbite with good recovery: a case report
Accidental hypothermia with severe frostbite is a rare combination of injuries with a high risk for long-term sequelae. There are widely accepted recommendations for the management of avalanche victims and for...
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:11 -
Clinical features and outcomes of orthopaedic injuries after the kahramanmaraş earthquake: a retrospective study from a hospital located in the affected region
The purpose of this retrospective, single-institutional study was to report the clinical features and outcomes of orthopaedic injuries after the Kahramanmaraş earthquake.
Citation: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2024 32:10
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