Large‐Vessel Occlusion Stroke Knowledge and Training for Stroke Severity Assessment Among Emergency Medical Services Personnel in the United States by Kaiz S. Asif, Robin Novakovic, Thanh N. Nguyen, Santiago Ortega‐Gutierrez, Youngran Kim, Amanda Jagolino‐Cole, Sushanth Aroor, Alicia Castonguay, Prateek Kumar, Ashutosh P. Jhadav, Dileep Yavagal, May Nour, Gabor Toth, Maxim Mokin, Sunil A. Sheth, Mouhammad A. Jumaa, Alhamza Al‐bayati, Mohamed Teleb, Ossama Y. Mansour, Shashvat M. Desai, Joshua Hartman, David S. Liebeskind, Ameer E. Hassan, Brijesh P. Mehta

“…Background Prehospital identification of large‐vessel occlusion (LVO) stroke facilitates the development of a regional triage protocol that could lead to an improvement in intrahospital and interhospital workflows. …”
Get full text

Efficacy of the Protocol for Trauma Team Activation in Taipei: A Retrospective Study by Wan-Lin Chen, Ju-Chi Ou, Shih-Yu Ko, Wen-Ching Li, Hon-Ping Ma

“…Conclusion: The Taipei prehospital field triage guidelines are acceptable but not an ideal tool for identifying patients with major trauma, with an overtriage rate of 48.12% and an undertriage rate of 12.03%. …”
Get full text

Incidence and Risk Factors for Early Acute Kidney Injury in Nonsurgical Patients: A Cohort Study by Javier Enrique Cely, Elkin José Mendoza, Carlos Roberto Olivares, Oscar Julián Sepúlveda, Juan Sebastián Acosta, Rafael Andrés Barón, Juan José Diaztagle

“…The risk factors included CKD from stage 3 onwards, prehospital treatment with nephrotoxic drugs, and VTE at admission. …”
Get full text

Improving the accUracy of Referrals to the emerGency departmEnt of patieNts with chesT pain using the modified HEART score in Emergency Medical Transport (URGENT 2.0): protocol for... by Joan G Meeder, Frits H M Van Osch, Robert T A Willemsen, Braim M Rahel, Lisa D S Frenk, Cees B de Vos, Fabiana G Prestigiacomo, Marcel J W Janssen, Arnoud W van 't Hof

“…Traditionally, distinguishing patients with cardiac ischaemia from patients with less alarming disease, in prehospital triage of chest pain, is challenging for both general practitioners and ambulance paramedics. …”
Get full text

Bleeding control of an injury to the infrarenal inferior vena cava and right external iliac vein by ipsilateral internal iliac artery and superficial femoral vein ligation after bl... by Hoonsung Park, Maru Kim, Dae-Sang Lee, Tae Hwa Hong, Doo-Hun Kim, Hangjoo Cho

“…Despite advancements in prehospital care, transportation, operative techniques, and perioperative management, the mortality rate for IVC injuries has remained at 20% to 66% for several decades. …”
Get full text

Response Time Threshold for Predicting Outcomes of Patients with Out-of-Hospital Cardiac Arrest by Ling Hsuan Huang, Yu-Ni Ho, Ming-Ta Tsai, Wei-Ting Wu, Fu-Jen Cheng

“…A retrospective observational analysis was conducted using the emergency medical service (EMS) database (January 2015 to December 2019). Prehospital factors, underlying diseases, and OHCA outcomes were assessed. …”
Get full text

Comparing propofol anaesthesia guided by Bispectral Index monitoring and frontal EEG wave analysis with standard monitoring in laparoscopic surgery: protocol for the ‘EEG in Genera... by Luzius A Steiner, Salome Dell-Kuster, Bettina U Gruber, Valerie Girsberger, Lukas Kusstatscher, Simon Funk, Anita Luethy, Lien Jakus, Julien Maillard, Christoph S Burkhart

Get full text

Functional outcomes following injury in pediatric patients without traumatic brain injury by Ryo Yamamoto, Lillian Liao, Keitaro Yajima, Akira Endo, Kazuma Yamakawa, Junichi Sasaki

“…The GEE model revealed that female sex, physical disability before injury, prehospital transfusion, lower Glasgow Coma Score (GCS) score on arrival, neck surgery, and higher AIS in the neck and extremity/pelvis were independently associated with unfavorable function at discharge. …”
Get full text

Predictive value of the New Zealand Early Warning Score for early mortality in low-acuity patients discharged at scene by paramedics: an observational study by Bridget Dicker, Verity Frances Todd, Tony Smith, Andy Swain, Graham Howie, Melanie Moylan, Aroha Brett

“…The objective of this study was to evaluate the association between the NZEWS risk-assessment tool and adverse outcomes of early mortality or ambulance reattendance within 48 hours in low-acuity, prehospital patients not transported by ambulance.Design A retrospective cohort study.Setting Prehospital emergency medical service provided by St John New Zealand over a 2-year period (1 July 2016 through 30 June 2018).Participants 83 171 low-acuity, adult patients who were attended by an ambulance and discharged at scene. …”
Get full text

A Narrowing Diagnosis: A Rare Cause of Adult Croup and Literature Review by Jayshil J. Patel, Emily Kitchin, Kurt Pfeifer

“…Within 72 hours, the patient made a complete clinical recovery without the need for escalation of care. Prehospital discharge chest radiograph demonstrated resolution of subglottic narrowing.…”
Get full text

Conversion from Nonshockable to Shockable Rhythms and Out-of-Hospital Cardiac Arrest Outcomes by Initial Heart Rhythm and Rhythm Conversion Time by Wanwan Zhang, Shengyuan Luo, Daya Yang, Yongshu Zhang, Jinli Liao, Liwen Gu, Wankun Li, Zhihao Liu, Yan Xiong, Ahamed Idris

“…No difference was found in odds of prehospital ROSC across rhythm conversion time, regardless of initial heart rhythm. …”
Get full text

Water triggered injectable polylactic acid hydrogel based on zwitterionic sulfobetaine modification for incompressible bleeding and tissue anti-adhesion by Xinran Yang, Xiudan Wang, Lizong Tang, Zhiguang Sun, Xing Gao, Yanmei Zhao, Shike Hou, Jie Shi, Qi Lv

“…Massive blood loss is the main cause of prehospital trauma-related death, the development of rapid and effective hemostatic materials is imminent. …”
Get full text

Can Peak Expiratory Flow Measurements Differentiate Chronic Obstructive Pulmonary Disease from Congestive Heart Failure? by John E. Gough, Kori L. Brewer

“…This study should be expanded to the prehospital setting with a larger number of subjects.…”
Get full text

Mpox Preparedness and Response 2024: Position Statement of The Disaster Management Experts Club by Heetaf Aloqaily, Rania Abdurhman Alnafea, Shahad Abdullah Alotaibi, Mohamad Bakir, Sharafaldeen Bin Nafisah, Bandr Mzahim

“…The smooth flow of patients through primary healthcare, prehospital care, and hospital triage was critical for early detection and isolation of suspected cases. …”
Get full text

Protocolized approach saves the limb in peripheral arterial injury: A decade experience by Pratyusha Priyadarshini, Supreet Kaur, Komal Gupta, Abhinav Kumar, Junaid Alam, Dinesh Bagaria, Narender Choudhary, Amit Gupta, Sushma Sagar, Biplab Mishra, Subodh Kumar

“…Purpose: Outcomes of peripheral arterial injury (PAI) depend on various factors, such as warm ischemia time and concomitant injuries. Suboptimal prehospital care may lead to delayed presentation, and a lack of dedicated trauma system may lead to poorer outcome. …”
Get full text

Streptococcus intermedius Causing Necrotizing Pneumonia in an Immune Competent Female: A Case Report and Literature Review by Faris Hannoodi, Israa Ali, Hussam Sabbagh, Sarwan Kumar

“…Comparison of the published cases showed a highly varied prehospital course and radiological presentations, with a symptomatic phase ranging from 10 days to five months. …”
Get full text

Sudden Cardiac Death: The Most Feared but Potentially Preventable Presentation of Wolff-Parkinson-White Syndrome by Ana Rita Pereira, Alexandra Briosa, Rita Miranda, Sofia Sequeira Almeida, Luís Brandão, Hélder Pereira

“…Due to rapid initiation of prehospital advanced life support, return of spontaneous circulation was observed. …”
Get full text

Application of the Modified Basic Life Support Training Model in Improving Community Residents’ Rescue Willingness in Nantong City in China by Yu-Fei Qian, Yu-Qin Ren, Li Wang, Rong-Qian Sun, Dan-Feng Li

“…The modified BLS training model could improve the community residents’ rescue willingness and skill mastery rates, enhance their first-aid skills and awareness, reduce the risk of disease transmission to a certain extent, and improve the success rate of prehospital first aid to ensure the safety of rescuers and patients.…”
Get full text

Update in the Early Management and Reperfusion Strategies of Patients with Acute Ischemic Stroke by Aldo A. Mendez, Edgar A. Samaniego, Sunil A. Sheth, Sudeepta Dandapat, David M. Hasan, Kaustubh S. Limaye, Bradley J. Hindman, Colin P. Derdeyn, Santiago Ortega-Gutierrez

“…Acute ischemic stroke (AIS) remains a leading cause of death and long-term disability. The paradigms on prehospital care, reperfusion therapies, and postreperfusion management of patients with AIS continue to evolve. …”
Get full text

The Experience of the Upu Smurd Floreasca Team during the Earthquakes in Turkey, February 2023 by Bogdan Oprita, Ruxandra Oprita, Teodor-Nicolae Berea, Ionut Olaru, Marian Alexandru Draghici

“…The need for an international consensus for the prehospital care of these patients is needed now more than ever in order to further ameliorate morbidity and mortality that largely occurs due to crush syndrome and its derived complications.…”
Get full text