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Telephone triage and dispatch of ambulances to patients with suspected and verified acute stroke - a descriptive study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-03-14 Bjørn Jamtli, Maren Ranhoff Hov, Trine Møgster Jørgensen, Jo Kramer-Johansen, Hege Ihle-Hansen, Else Charlotte Sandset, Håvard Wahl Kongsgård, Camilla Hardeland
In this study we aimed to explore EMCC triage of suspected and confirmed stroke patients to gain more knowledge about the initial phase of the acute stroke response chain. Accurate dispatch at the Emergency Medical Communication Center (EMCC) is crucial for optimal resource utilization in the prehospital service, and early identification of acute stroke is known to improve patient outcome. We conducted
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Patient experience of non-conveyance in the EMS of Southwest Finland: a descriptive survey study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-03-13 Eetu Skaffari, Timo Iirola, Hilla Nordquist
Emergency Medical Services are dispatched more frequently than before. However, many non-urgent patients do not need ambulance transportation to a healthcare facility after evaluation and treatment on scene. This study explored the experiences of non-conveyed patients. Our research questions were: (1) How have non-conveyed patients experienced the service received from EMS? (2) Does a patient’s age
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Frequency and features of medical emergencies at a teaching dental hospital in Saudi Arabia: a 14-year retrospective observational study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-03-13 Maisa O. Al-Sebaei
This study aimed to determine the nature, frequency, and characteristics of medical emergencies occurring at the King Abdulaziz University Dental Hospital. The incident reports of medical emergencies recorded at the King Abdulaziz University Dental Hospital from January 2008 to December 2022 were retrospectively reviewed. The annual/overall incidence of medical emergency events was calculated per 100
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Derivation of the Difficult Airway Physiological Score (DAPS) in adults undergoing endotracheal intubation in the emergency department BMC Emerg. Med. (IF 2.5) Pub Date : 2024-03-12 Shahan Waheed, Junaid Abdul Razzak, Nadeemullah Khan, Ahmed Raheem, Asad Iqbal Mian
Prediction of serious outcomes among patients with physiological instability is crucial in airway management. In this study, we aim to develop a score to predict serious outcomes following intubation in critically ill adults with physiological instability by using clinical and laboratory parameters collected prior to intubation. This single-center analytical cross-sectional study was conducted in the
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Applying Sydney Triage to Admission Risk Tool (START) to improve patient flow in emergency departments: a multicentre randomised, implementation study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-03-07 Saartje Berendsen Russell, Radhika V Seimon, Emma Dixon, Margaret Murphy, Matthew Vukasovic, Nicole Bohlken, Sharon Taylor, Zoe Cooper, Jennifer Scruton, Nitin Jain, Michael M Dinh
To determine the effectiveness of applying the Sydney Triage to Admission Risk Tool (START) in conjunction with senior early assessment in different Emergency Departments (EDs). This multicentre implementation study, conducted in two metropolitan EDs, used a convenience sample of ED patients. Patients who were admitted, after presenting to both EDs, and were assessed using the existing senior ED clinician
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Perceptions of professional challenges by emergency medical services providers: a qualitative content analysis study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-03-06 Afshin Khazaei, Ali Afshari, Mahnaz Khatiban, Seyed Reza Borzou, Khodayar Oshvandi, Majedeh Nabavian, Maryam Maddineshat
Emergency medical services (EMS) providers encounter a variety of challenges due to the unpredictable, uncontrollable, and dynamic conditions in the pre-hospital field. This study explored the perceived professional challenges among EMS providers. This study was conducted using a qualitative research approach and the method of content analysis. Eighteen EMS providers were purposively selected from
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Association between social support and ambulance use among older people in Japan: an empirical cross-sectional study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-03-05 Yotaro Asano, Tomo Takasugi, Keiko Ueno, Naoki Kondo, Atsuto Yoshino, Toshiyuki Ojima
Ambulance service demand and utilization are increasing worldwide. To address this issue, the factors that affect ambulance use must be identified. Few studies have examined factors that can intervene and thus reduce the frequency of ambulance use. This study aimed to examine the association between social support and ambulance use among older adults in Japan. We hypothesize that social support is
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Prognostic effects of cardiopulmonary resuscitation (CPR) start time and the interval between CPR to extracorporeal cardiopulmonary resuscitation (ECPR) on patient outcomes under extracorporeal membrane oxygenation (ECMO): a single-center, retrospective observational study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-03-05 Amir Vahedian-Azimi, Ibrahim Fawzy Hassan, Farshid Rahimi-Bashar, Hussam Elmelliti, Mahmood Salesi, Hazim Alqahwachi, Fatima Albazoon, Anzila Akbar, Ahmed Labib Shehata, Abdulsalam Saif Ibrahim, Ali Ait Hssain
The impact of the chronological sequence of events, including cardiac arrest (CA), initial cardiopulmonary resuscitation (CPR), return of spontaneous circulation (ROSC), and extracorporeal cardiopulmonary resuscitation (ECPR) implementation, on clinical outcomes in patients with both out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA), is still not clear. The aim of this study
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Characteristics of the most severely ill and injured patients in a Norwegian helicopter emergency medical service: a retrospective cohort study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-03-02 Eirik Ringen, Helge Haugland, Jostein Rødseth Brede
Physician-staffed helicopter emergency medical services (HEMS) are dispatched to a variety of incidents, ranging from less serious to life-threatening. The skillset of a physician may be important to provide appropriate care for the most critically ill and severely injured patients. A better understanding of these patients may therefore be important to optimize dispatch criteria, training, and equipment
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The non-conveyance of trauma patients in Swedish emergency medical services: a retrospective observational study of the trauma population not transported to an emergency department BMC Emerg. Med. (IF 2.5) Pub Date : 2024-02-27 Glenn Larsson, Jana Eldh, Elisabeth Hagman, Magnus Andersson Hagiwara
Due to a systemic modification in Swedish emergency medical services (EMS) staffing in recent years, the nature of the Swedish EMS has changed. Transport to an emergency department (ED) is no longer the only option. Referrals and non-conveyance form a growing part of EMS assignments. Trauma is one of the most common causes of death and accounts for 17% of Swedish EMS assignments. The aim of this study
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Emergency department utilisation and treatment for trauma-related presentations of adolescents aged 16–18: a retrospective cross-sectional study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-02-27 Lara Brockhus, Elias Hofmann, Kristina Keitel, Martina Bärtsch, Martin Müller, Jolanta Klukowska-Rötzler
A recent study conducted at our tertiary hospital emergency department (ED) reviewed ED consultations and found that adolescents aged 16–18 years present significantly more often for trauma and psychiatric problems than adults over 18 years. Accidental injuries are one of the greatest health risks for children and adolescents. In view of the increased vulnerability of the adolescent population, this
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Mortality of traumatic chest injury and its predictors across sub-saharan Africa: systematic review and meta-analysis, 2024 BMC Emerg. Med. (IF 2.5) Pub Date : 2024-02-27 Ousman Adal, Abiyu Abadi Tareke, Eyob Ketema Bogale, Tadele Fentabil Anagaw, Misganaw Guadie Tiruneh, Eneyew Talie Fenta, Destaw Endeshaw, Amare Mebrat Delie
Globally, chest trauma remain as a prominent contributor to both morbidity and mortality. Notably, patients experiencing blunt chest trauma exhibit a higher mortality rate (11.65%) compared to those with penetrating chest trauma (5.63%). This systematic review and meta-analysis aimed to assess the mortality rate and its determinants in cases of traumatic chest injuries. The Preferred Reporting Items
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Digital stressors and resources perceived by emergency physicians and associations to their digital stress perception, mental health, job satisfaction and work engagement BMC Emerg. Med. (IF 2.5) Pub Date : 2024-02-27 Monika Bernburg, Anika Tell, David A. Groneberg, Stefanie Mache
Digital technologies are increasingly being integrated into healthcare settings, including emergency departments, with the potential to improve efficiency and patient care. Although digitalisation promises many benefits, the use of digital technologies can also introduce new stressors and challenges among medical staff, which may result in the development of various negative work and health outcomes
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Earthquake victims in focus: a cross-sectional examination of trauma and management in intensive care unit BMC Emerg. Med. (IF 2.5) Pub Date : 2024-02-20 Kaniye Aydin, Aysun Ozel Yesilyurt, Ferhat Cetinkaya, Mehmet Gokhan Gok, Omer Dogan, Dilek Ozcengiz
After the Kahramanmaras earthquake of February 6, 2023, the disaster of the century, a significant number of victims were admitted to intensive care units (ICUs). In this study, we aimed to share the characteristics and management of critical earthquake victims and shed light on our experiences as intensivists in future earthquakes. The study included 62 earthquake victims in two tertiary ICUs. Demographic
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Identifying quality indicators to measure workplace violence in healthcare settings: a rapid review BMC Emerg. Med. (IF 2.5) Pub Date : 2024-02-16 Brendan Lyver, Jaswanth Gorla, Christian Schulz-Quach, Melanie Anderson, Brendan Singh, Trevor Hanagan, Jennifer Haines, Rickinder Sethi
Workplace violence (WPV) in healthcare is a growing challenge posing significant risks to patient care and employee well-being. Existing metrics to measure WPV in healthcare settings often fail to provide decision-makers with an adequate reflection of WPV due to the complexity of the issue. This increases the difficulty for decision-makers to evaluate WPV in healthcare settings and implement interventions
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Developing a set of emergency department performance measures to evaluate delirium care quality for older adults: a modified e-Delphi study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-02-15 Sarah Filiatreault, Sara A. Kreindler, Jeremy M. Grimshaw, Alecs Chochinov, Malcolm B. Doupe
Older adults are at high risk of developing delirium in the emergency department (ED); however, it is under-recognized in routine clinical care. Lack of detection and treatment is associated with poor outcomes, such as mortality. Performance measures (PMs) are needed to identify variations in quality care to help guide improvement strategies. The purpose of this study is to gain consensus on a set
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Development and inter-rater reliability of a simple prehospital mobility score for use in emergency patients BMC Emerg. Med. (IF 2.5) Pub Date : 2024-02-15 Søren Westh Asmussen, Jacob Metze Holme, Kurt Joensen, Stine Ibsen, Henrik Bøggild, Erika Frischknecht Christensen, Tim Alex Lindskou
Mobility assessment enhances the ability of vital sign-based early warning scores to predict risk. Currently mobility is not routinely assessed in a standardized manner in Denmark during the ambulance transfer of unselected emergency patients. The aim of this study was to develop and test the inter-rater reliability of a simple prehospital mobility score for pre-hospital use in ambulances and to test
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Reverse shock index multiplied by simplified motor score as a predictor of clinical outcomes for patients with COVID-19 BMC Emerg. Med. (IF 2.5) Pub Date : 2024-02-14 Meng-Yu Wu, Yueh-Tseng Hou, Jui-Yuan Chung, Giou-Teng Yiang
The reverse shock index (rSI) combined with the Simplified Motor Score (sMS), that is, the rSI-sMS, is a novel and efficient prehospital triage scoring system for patients with COVID-19. In this study, we evaluated the predictive accuracy of the rSI-sMS for general ward and intensive care unit (ICU) admission among patients with COVID-19 and compared it with that of other measures, including the shock
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Emergency physician personnel crisis: a survey on attitudes of new generations in Slovenia BMC Emerg. Med. (IF 2.5) Pub Date : 2024-02-14 Luka Petravić, Boštjan Bajec, Evgenija Burger, Eva Tiefengraber, Ana Slavec, Matej Strnad
Emergency departments globally are overburdened, and emergency medicine residency is losing popularity among students and physicians. This raises concerns about the collapse of a life-saving system. Our goal was to identify the key workforce reasoning and question medical staff employment behavior. This was a prospective cross-sectional study. In December 2022, medical students and pre-residency doctors
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Psychometric evaluation of the Persian version of Emergency Medical Services- Safety Attitudes Questionnaire (EMS-SAQ) BMC Emerg. Med. (IF 2.5) Pub Date : 2024-02-14 Roohangiz Norouzinia, Maryam Aghabarary, Pardis Rahmatpour
This study aimed to conduct a psychometric evaluation of the Persian adaptation of the Emergency Medical Services Safety Attitudes Questionnaire (EMS-SAQ). In this cross-sectional study, the validity and reliability of the EMS-SAQ were assessed among 484 Iranian pre-hospital emergency department employees between February and June 2023. Five factors were extracted namely safety climate, teamwork, job
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Healthcare risk stratification model for emergency departments based on drugs, income and comorbidities: the DICER-score BMC Emerg. Med. (IF 2.5) Pub Date : 2024-02-14 Jesús Ruiz-Ramos, Emili Vela, David Monterde, Marta Blazquez-Andion, Mireia Puig-Campmany, Jordi Piera-Jiménez, Gerard Carot, Ana María Juanes-Borrego
During the last decade, the progressive increase in age and associated chronic comorbidities and polypharmacy. However, assessments of the risk of emergency department (ED) revisiting published to date often neglect patients’ pharmacotherapy plans, thus overseeing the Drug-related problems (DRP) risks associated with the therapy burden. The aim of this study is to develop a predictive model for ED
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Missed nursing care in emergency departments: a cross-sectional descriptive study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-02-14 Zahra Rooddehghan, Hamid Karimi, Esmaeil Mohammadnejad, Leila Sayadi, Shima Haghani, Raoofeh Karimi
Missed care refers to the omission or delay in performing any aspect of patient’s care (either a part of the care or the entire care). Currently, missed care has become a growing concern at the international level, which threatens the quality and safety of care and cases many unwanted consequences. This study aims to investigate the frequency and types of missed nursing care in the emergency departments
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Components of hospital personnel preparedness to evacuate patients in disasters: a systematic review BMC Emerg. Med. (IF 2.5) Pub Date : 2024-02-06 Shandiz Moslehi, Mohammad Masbi, Nader Noori, Fereshteh Taheri, Samira Soleimanpour, Sajjad Narimani
During natural catastrophes, hospital staff members’ readiness for crisis management—particularly concerning patient evacuation and improving their safety—becomes paramount. This study aimed to identify the components contributing to hospital staff members’ preparedness to evacuate patients in an emergency. A systematic review was conducted by searching databases such as Scopus, Web of Science, PubMed
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Machine learning models for predicting unscheduled return visits to an emergency department: a scoping review BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-30 Yi-Chih Lee, Chip-Jin Ng, Chun-Chuan Hsu, Chien-Wei Cheng, Shou-Yen Chen
Unscheduled return visits (URVs) to emergency departments (EDs) are used to assess the quality of care in EDs. Machine learning (ML) models can incorporate a wide range of complex predictors to identify high-risk patients and reduce errors to save time and cost. However, the accuracy and practicality of such models are questionable. This review compares the predictive power of multiple ML models and
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Acute care pathway assessed through performance indicators during the COVID-19 pandemic in OECD countries (2020–2021): a scoping review BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-26 Ana Sofia V. Carvalho, Bente Broekema, Óscar Brito Fernandes, Niek Klazinga, Dionne Kringos
The COVID-19 pandemic severely impacted care for non-COVID patients. Performance indicators to monitor acute care, timely reported and internationally accepted, lacked during the pandemic in OECD countries. This study aims to summarize the performance indicators available in the literature to monitor changes in the quality of acute care in OECD countries during the first year and a half of the pandemic
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Effect of wet clothing removal on skin temperature in subjects exposed to cold and wrapped in a vapor barrier: a human, randomized, crossover field study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-25 Linn Therese Hagen, Guttorm Brattebø, Jörg Assmus Dipl-Math, Øystein Wiggen, Øyvind Østerås, Sigurd Mydske, Øyvind Thomassen
Prehospital care for cold-stressed and hypothermic patients focuses on effective insulation and rewarming. When encountering patients wearing wet clothing, rescuers can either remove the wet clothing before isolating the patient or isolate the patient using a vapor barrier. Wet clothing removal increases skin exposure but avoids the need to heat the wet clothing during rewarming. Leaving wet clothing
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A hybrid strategy using an ambulance and a helicopter to convey thrombectomy candidates to definite care: a prospective observational study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-25 Pauli Vuorinen, Piritta Setälä, Jyrki Ollikainen, Sanna Hoppu
Mechanical thrombectomy is the treatment of choice for large vessel occlusion strokes done only in comprehensive stroke centres (CSC). We investigated whether the transportation time of thrombectomy candidates from another hospital district could be reduced by using an ambulance and a helicopter and how this affected their recovery. We prospectively gathered the time points of thrombectomy candidates
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Factors associated with serious abdominal conditions in geriatric patients visiting the emergency department BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-25 Ar-aishah Dadeh, Wasitthee Uppakarnnuntakul
Abdominal pain occurs in 20% of geriatric patients who visit the emergency department (ED). Geriatric patients usually have more severe conditions and a higher mortality rate. We aimed to determine the factors associated with serious abdominal conditions in geriatric patients who visit the ED with abdominal pain. This retrospective cohort study was conducted from January 1, 2017 to June 30, 2021. The
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Comparing the efficacy of intravenous morphine versus ibuprofen or the combination of ibuprofen and acetaminophen in patients with closed limb fractures: a randomized clinical trial BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-25 Mehdi Nasr Isfahani, Hossein Etesami, Omid Ahmadi, Babak Masoumi
This study aims to investigate the effectiveness of intravenous ibuprofen or intravenous ibuprofen plus acetaminophen compared to intravenous morphine in patients with closed extremity fractures. A triple-blinded randomized clinical trial was conducted at a tertiary trauma center in Iran. Adult patients between 15 and 60 years old with closed, isolated limb fractures and a pain intensity of at least
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Reality of treatment for severely injured patients: are there age-specific differences? BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-24 Teresa Maek, Ulrike Fochtmann, Pascal Jungbluth, Bastian Pass, Rolf Lefering, Carsten Schoeneberg, Sven Lendemans, Bjoern Hussmann
Major trauma and its consequences are one of the leading causes of death worldwide across all age groups. Few studies have conducted comparative age-specific investigations. It is well known that children respond differently to major trauma than elderly patients due to physiological differences. The aim of this study was to analyze the actual reality of treatment and outcomes by using a matched triplet
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The effectiveness of allied health and nurse practitioner models-of-care in managing musculoskeletal conditions in the emergency department: a systematic review and meta-analysis BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-17 Simon P Vella, Alla Melman, Danielle Coombs, Christopher G Maher, Michael S Swain, Elizabeth Monk, Gustavo C Machado
Musculoskeletal conditions are the most common health condition seen in emergency departments. Hence, the most effective approaches to managing these conditions is of interest. This systematic review aimed to evaluate the effectiveness of allied health and nursing models of care for the management of musculoskeletal pain in ED. MEDLINE, EMBASE, CINAHL and LILACS databases were searched from inception
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Impact of the COVID-19 pandemic on prehospital and in-hospital treatment and outcomes of patients after out-of-hospital cardiac arrest: a Japanese multicenter cohort study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-08 Chie Tanaka, Takashi Tagami, Junya Kaneko, Nobuya Kitamura, Hideo Yasunaga, Shotaro Aso, Munekazu Takeda, Masamune Kuno
In the chain of survival for Out-of-hospital cardiac arrest (OHCA), each component of care contributes to improve the prognosis of the patient with OHCA. The SARS-CoV-2 (COVID-19) pandemic potentially affected each part of care in the chain of survival. The aim of this study was to compare prehospital care, in-hospital treatment, and outcomes among OHCA patients before and after the COVID-19 pandemic
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Epidemiology of patients assessed for trauma by Swedish ambulance services: a retrospective registry study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-08 Glenn Larsson, Christer Axelsson, Magnus Andersson Hagiwara, Johan Herlitz, Håkan Klementsson, Thomas Troëng, Carl Magnusson
There is a lack of knowledge regarding the epidemiology of severe trauma assessed by Swedish emergency medical services (EMS). To investigate the prevalence of trauma in Sweden assessed by EMS from a national perspective and describe patient demography, aetiology, trauma type, prehospital triage and clinical outcomes. Data from two national quality registries, the Swedish Ambulance Registry and the
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Factors associated with prolonged on-scene time in ambulance transportation among patients with minor diseases or injuries in Japan: a population-based observational study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-07 Keiko Ueno, Chie Teramoto, Daisuke Nishioka, Shiho Kino, Hiroyuki Sawatari, Kazuaki Tanabe
Prolonged prehospital time is a major global problem in the emergency medical system (EMS). Although factors related to prolonged on-scene times (OSTs) have been reported in patients with trauma and critical medical conditions, those in patients with minor diseases or injuries remain unclear. We examined factors associated with prolonged OSTs in patients with minor diseases or injuries. This population-based
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The impact of the COVID-19 pandemic on transfers between long-term care and emergency departments across Alberta BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-07 Leanna Wyer, Yair Guterman, Vivian Ewa, Eddy Lang, Peter Faris, Jayna Holroyd-Leduc
Long-term care (LTC) was overwhelmingly impacted by COVID-19 and unnecessary transfer to emergency departments (ED) can have negative health outcomes. This study aimed to explore how the COVID-19 pandemic impacted LTC to ED transfers and hospitalizations, utilization of community paramedics and facilitated conversations between LTC and ED physicians during the first four waves of the pandemic in Alberta
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Effect of acute alcohol consumption on blunt bowel mesenteric injury: a retrospective analysis BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-07 Ting-Min Hsieh, Kuo-Chen Huang, Po-Chun Chuang, Chun-Ting Liu, Bei-Yu Wu, Ching-Hua Hsieh, Fu-Jen Cheng
The effect of alcohol consumption on trauma remains controversial. The effects of alcohol on hemorrhage and peritonitis after blunt abdominal trauma have rarely been discussed. This study aimed to explore the effects of acute alcohol intoxication on the clinical characteristics, injury patterns, and outcomes in a surgical blunt bowel mesenteric injury (BBMI) cohort. A retrospective data analysis was
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Prehospital ultrasound scanning for abdominal free fluid detection in trauma patients: a systematic review and meta-analysis BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-07 Kun-Te Lin, Zih-Yang Lin, Cheng-Chieh Huang, Shang-Yan Yu, Jing-Lan Huang, Jian-Houng Lin, Yan-Ren Lin
Focused assessment with sonography for trauma helps detect abdominal free fluid. Prehospital ultrasound scanning is also important because the early diagnosis of hemoperitoneum may reduce the time to definitive treatment in the hospital. This study investigated whether prehospital ultrasound scanning can help detect abdominal free fluid. In this systematic review, relevant databases were searched for
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Pericardial effusion in children at tertiary national referral hospital, Addis Ababa, Ethiopia: a 7-year institution based review BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-07 Selamawit Amare, Henok Tadele
Pericardial effusion (PE) is a rare yet an important cause of child mortality due to collection of excess fluid in pericardial space. The study aimed to describe the PE profile in the national cardiac referral hospital, Addis Ababa, Ethiopia. The study employed cross-sectional study design for a 7-year review of childhood PE in Tikur Anbessa Specialized Hospital. Descriptive and analytic statistics
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Creating and evaluating the score to assess overdose: the OD score BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-07 Kazuki Nagashima, Nobuhiro Yasuno, Machiko Watanabe
During disasters (including epidemics such as coronavirus disease 2019), the capacity of emergency departments is exceeded, thereby hindering the administration of appropriate lifesaving measures. Furthermore, the number of overdose patients increases because of the stress overload during emergency situation. The fact that overdose patients are forced to be transported to medical facilities that do
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Nurses’ experiences of providing medical services during the Kermanshah earthquake in Iran: a qualitative study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-07 Khadijeh Akbari, Arezoo Yari, Abbas Ostadtaghizadeh
Nurses have always been at the forefront of providing services for victims of disasters. Using nurses’ experiences in disaster planning can play an important role in improving their readiness to provide healthcare during disasters. The objective of this study is not only to understand the challenges but also to explore and document the broader spectrum of experiences encountered by nurses in these
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Transfusion practice in Central Norway – a regional cohort study in patients suffering from major haemorrhage BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-07 Marte Irene Skille Carlsen, Jostein Rødseth Brede, Christian Medby, Oddvar Uleberg
In patients with major hemorrhage, balanced transfusions and limited crystalloid use is recommended in both civilian and military guidelines. This transfusion strategy is often applied in the non-trauma patient despite lack of supporting data. The aim of this study was to describe the current transfusion practice in patients with major hemorrhage of both traumatic and non-traumatic etiology in Central
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Effects of an advanced first aid course or real-time video communication with ambulance personnel on layperson first response for building-site severe injury events: a simulation study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-07 Hans Hedberg, Pia Hedberg, Jonas Aléx, Sofia Karlsson, Michael Haney
The risk of high-energy trauma injuries on construction sites is relatively high. A delayed response time could affect outcomes after severe injury. This study assessed if an advanced first aid course for first aid response for laypersons (employees or apprentices) in the construction industry or real-time video communication and support with ambulance personnel, or neither, together with access to
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Nurses’ challenges for disaster response: a qualitative study BMC Emerg. Med. (IF 2.5) Pub Date : 2024-01-03 Jamileh Farokhzadian, Parvin Mangolian Shahrbabaki, Hojjat Farahmandnia, Gülcan Taskiran Eskici, Faezeh Soltani Goki
Healthcare providers, particularly nurses, play a critical role in mitigating the impact of disasters on victims and the healthcare system. However, nurses face unique challenges in disasters that may not experience in their daily practice, which can make it harder for them to deal with disasters efficiently. This study aimed to investigate the challenges faced by nurses for disaster response. A qualitative
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Gender disparities in the mediating role of symptom knowledge level in reducing acute coronary syndrome (ACS) decision delay: Findings from a community-based study in China BMC Emerg. Med. (IF 2.5) Pub Date : 2023-12-16 Siyue Wang, Junxian Song, Chongyou Lee, Jin Jiang, Mengying Wang, Dongjing Liu, Zhuqing Wang, Yuan Yuan, Wenyong Li, Ren Zhou, Hongchen Zheng, Jianmin Wei, Yonghua Hu, Tao Wu, Zhenbiao Tian, Hong Chen
Implementing training programs to educate patients on the prodromal symptoms of acute coronary syndrome (ACS) may assist patients in accurately recognizing these symptoms, and ultimately decrease their time delay in seeking emergency medical services (EMS). However, the effectiveness of this approach remains uncertain, particularly among the Chinese population. A cross-sectional study was conducted
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Prehospital COVID-19 patients discharged at the scene – an observational study BMC Emerg. Med. (IF 2.5) Pub Date : 2023-12-06 Kari Heinonen, Markku Kuisma, Heli Salmi, Tuukka Puolakka
Emergency medical services (EMS) were the first point of contact for many COVID-19 patients during the pandemic. The aim of this study was to investigate whether the non-conveyance decision of a COVID-19 patient was more frequently associated with a new EMS call than direct ambulance transport to the hospital. All confirmed COVID-19 patients with an EMS call within 14 days of symptom onset were included
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Risk assessment scales to predict risk of lower extremity deep vein thrombosis among multiple trauma patients: a prospective cohort study BMC Emerg. Med. (IF 2.5) Pub Date : 2023-12-05 Huijuan Chen, Libing Sun, Xiangyan Kong
Deep vein thrombosis (DVT) is a common complication in orthopedic patients. Previous studies have focused on major orthopedic surgery.There are few studies with multiple trauma. We aimed to describe the prevalence of DVT and compare the predictive power of the different risk assessment scales in patients with multiple trauma. This prospective cohort study involved multiple trauma patients admitted
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Exploring the challenges to using telecardiology as perceived by pre-hospital emergency care personnel: a qualitative study BMC Emerg. Med. (IF 2.5) Pub Date : 2023-12-04 Mostafa Bijani, Saeed Abedi, Azam Zare, Ziba Tavacol, Fozieh Abadi, Abdulhakim Alkamel
Today, using the medical technology of telecardiology, as part of advanced medical services, plays an essential role in providing care to cardiac patients in life-threatening conditions who need emergency care. However, pre-hospital emergency care personnel are faced with certain challenges in using telecardiology, with adverse effects on their performance. Therefore, the present study aimed to investigate
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Using infrared cameras in drones to detect bleeding events BMC Emerg. Med. (IF 2.5) Pub Date : 2023-12-01 Christoph West, Bernhard Kaus, Sean O’ Sullivan, Henning Schneider, Oskar Seifert
Hemorrhage is one of the main causes of death in trauma. Critical bleeding in patients needs to be detected as soon as possible to save the patient. Drones are gaining increasing importance in emergency services and can support rescue forces in accident scenarios such as a mass casualty incident. In this study, a simulated pelvic hemorrhage was detected using a drone from 7 m above the ground over
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Evaluation of video review tools for assessing non-technical skills in emergency department resuscitation teams: a systematic review BMC Emerg. Med. (IF 2.5) Pub Date : 2023-11-29 Emily G Alexander, Fraser Denny, Malcom WG Gordon, Cieran McKiernan, David J Lowe
Use of video review in medicine is established in contexts such as surgery. Although not widely used in the emergency department (ED), some centres use it to evaluate non-technical skills (NTS) to support teaching and quality improvement. There is no consensus on assessment of NTS using video review in the ED and the purpose of this review was to identify tools used in this context. Studies were identified
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Cost-effectiveness of modified diagnostic strategy to safely rule-out pulmonary embolism in the emergency department: a non-inferiority cluster crossover randomized trial (MODIGLIA-NI) BMC Emerg. Med. (IF 2.5) Pub Date : 2023-11-29 Arnaud Nze Ossima, Bibi Fabiola Ngaleu Siaha, Maroua Mimouni, Nadia Mezaour, Meryl Darlington, Laurence Berard, Marine Cachanado, Tabassome Simon, Yonathan Freund, Isabelle Durand-Zaleski
The aim of this trial-based economic evaluation was to assess the incremental costs and cost-effectiveness of the modified diagnostic strategy combining the YEARS rule and age-adjusted D-dimer threshold compared with the control (which used the age-adjusted D-dimer threshold only) for the diagnosis of pulmonary embolism (PE) in the Emergency Department (ED). Economic evaluation from a healthcare system
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Characterizing intubation practices in response to the COVID-19 pandemic: a survey of the Canadian COVID-19 Emergency Department Rapid Response Network (CCEDRRN) sites BMC Emerg. Med. (IF 2.5) Pub Date : 2023-11-24 Muzeen Ismath, Holly Black, Carmen Hrymak, Rhonda J. Rosychuk, Patrick Archambault, Patrick T. Fok, Thomas Audet, Brenden Dufault, Corinne Hohl, Murdoch Leeies
The risk of occupational exposure during endotracheal intubation has required the global Emergency Medicine (EM), Anesthesia, and Critical Care communities to institute new COVID- protected intubation guidelines, checklists, and protocols. This survey aimed to deepen the understanding of the changes in intubation practices across Canada by evaluating the pre-COVID-19, early-COVID-19, and present-day
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Experiences of operating room nurses in disaster preparedness of a great disaster in Iran: a qualitative study BMC Emerg. Med. (IF 2.5) Pub Date : 2023-11-23 Mohammad Rostami, Saeed Babajani-Vafsi, Arash Ziapour, Kourosh Abbasian, Mojgan Mohammadimehr, Armin Zareiyan
In recent years, Iran has encountered a growing frequency of earthquake disasters. Given that nurses constitute the largest group of healthcare providers, it is imperative that they possess adequate disaster preparedness skills, irrespective of the location or time. Despite the operating room nurses’ roles in disasters, their experiences and challenges in disaster preparedness have been overlooked
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Measuring health-related quality of life of older people with frailty receiving acute care: feasibility and psychometric performance of the EuroQol EQ-5D BMC Emerg. Med. (IF 2.5) Pub Date : 2023-11-19 James D. van Oppen, Simon P. Conroy, Timothy J. Coats, Nicola J. Mackintosh, Jose M. Valderas
Although outcome goals for acute healthcare among older people living with frailty often include Health-Related Quality of Life (HRQoL) and other patient-reported outcome measures (PROMs), current quality metrics usually focus on waiting times and survival. Lay and patient review have identified the EuroQol EQ-5D as a candidate measure for this setting. This research appraised the EQ-5D for feasibility
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Navigating into the unknown: exploring the experience of exposure to prehospital emergency stressors: a sequential explanatory mixed-methods BMC Emerg. Med. (IF 2.5) Pub Date : 2023-11-15 Ali Afshari, Mohammad Torabi, Sasan Navkhasi, Marzieh Aslani, Afshin Khazaei
The unpredictability of prehospital emergencies combined with constantly changing circumstances can lead to increased stress and mental health issues among Emergency Medical Technicians (EMTs). To accurately determine the stress-inducing factors in the prehospital environment, it is important to first identify the stressful events that occur in this environment. Therefore, this study strives to provide a
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Factors affecting the preparedness of Helicopter Emergency Medical Services (HEMS) in disasters: a systematic review BMC Emerg. Med. (IF 2.5) Pub Date : 2023-11-13 Mahmoud Hatami, Milad Ahmadi Marzaleh, Mostafa Bijani, Mahmoudreza Peyravi
One of the most significant advantages of Helicopter Emergency Medical Service (HEMS) in disaster relief efforts is their ability to reach inaccessible or remote areas quickly. This is especially important in the aftermath of natural disasters such as earthquakes, floods, or hurricanes, where roads may be blocked or damaged, and conventional ground transportation may not be available. There are many
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Evaluation of a newly developed first aid training programme adapted for older people BMC Emerg. Med. (IF 2.5) Pub Date : 2023-11-10 Eva Dolenc Šparovec, Damjan Slabe, Ivan Eržen, Uroš Kovačič
Older people need to acquire knowledge and skills at first aid (FA) training tailored to them. Our research aimed to evaluate an FA training programme adapted for older people. We assumed that satisfaction with FA training, as well as knowledge of FA, would be higher among older people who received training according to an adapted programme compared to those who received training according to the existing
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The perceived self-efficacy of senior, middle, and operations managers of the incident command system dealing with emergencies and disasters during the COVID-19 pandemic BMC Emerg. Med. (IF 2.5) Pub Date : 2023-11-09 Asiye Aminafshar, Majid Sartipi, Abdolrazzagh Pakzad
Natural disasters, health, terrorism, infectious diseases, and social unrest affect more than 200 million people worldwide each year. The present study is an attempt to evaluate the self-efficacy of senior, middle, and operational managers of the Incident Command System (ICS) of Zahedan University of Medical Sciences in Iran. The study examined the perceived self-efficacy of 103 senior, middle, and
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Evaluation of parameters used in echocardiography and ultrasound protocol for the diagnosis of shock etiology in emergency setting BMC Emerg. Med. (IF 2.5) Pub Date : 2023-11-09 Asmaa Ramadan, Tamer Abdallah, Hassan Abdelsalam, Ahmed Mokhtar, Assem Abdel Razek
Early recognition and appropriate treatment has shown to decrease morbidity and mortality in patients with undifferentiated shock. There are many ultrasound protocols in shock; each protocol combines core ultrasound elements such as IVC and cardiac assessment which includes detection of cardiac tamponade, left ventricular function and right ventricular strain.Valvular assessment is absent in majority
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The significance of nonurgent psychiatric emergencies in an ED: a retrospective study BMC Emerg. Med. (IF 2.5) Pub Date : 2023-11-08 Heribert Kirchner, Heiko Ullrich, Peter Neu, Nik Hulsmans, Georg Juckel, Patrick Brzoska
In emergency departments, patients with mental health conditions are a major concern and make up the third or fourth of the most common diagnosis seen during all consultations. Over the past two decades, there has been a noticeable rise in the number of cases, particularly due to an increase in nonurgent visits for somatic medical issues. The significance of nonurgent visits for psychiatric patients
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Patient-reported side effects and satisfaction of pre-hospital analgesia with low-dose esketamine: a cross-sectional study BMC Emerg. Med. (IF 2.5) Pub Date : 2023-11-04 David Häske, Fabian Eppler, Niklas Heinemann, Benjamin Schempf
Analgesia is a core intervention in emergency medicine. Pain is subjective, so patient-reported experience with pain and analgesia is essential for healthcare professionals. The aim of this study was to evaluate patient-reported side effects and satisfaction associated with pre-hospital analgesia with low-dose esketamine. This is an observational cross-sectional study conducted as part of quality assurance