''Sugar for the Heart'', a bitter pill for tenecteplase: the crystallisation trap of pre-hospital fibrinolysis [0.03%]
“糖心丸”还是“苦口良药”?——急性心肌梗死院前溶栓的结晶化陷阱
Thibaut Prevautel,Alisson Adet,Guillaume Michoud
Thibaut Prevautel
Background: Recent evidence suggests that empiric prehospital administration of tenecteplase in out-of-hospital cardiac arrest is associated with decreased survival and lower rates of return of spontaneous circulation. Wh...
Tim Nutbeam
Tim Nutbeam
Background: Cervical collar application remains prevalent in trauma care despite the absence of evidence of neurological benefit from spinal immobilisation. Clinical behaviour in this area has proven resistant to change, ...
Fentanyl or Morphine? a qualitative investigation of solo responding paramedics´ decision-making in prehospital care [0.03%]
芬太尼还是吗啡?定性调查单独出诊的急救医护人员在院前护理中的决策过程
Andreas Gustavsen,Randi Simensen
Andreas Gustavsen
Background: Solo responding unit (SRU) paramedics at Oslo University Hospital (OUH) can administer either morphine or fentanyl for prehospital pain management. Although both opioids are available, the choice between them ...
Risk assessment reasoning and decision-making by ambulance professionals in patients with a transient loss of consciousness: a qualitative study [0.03%]
关于救护人员对一过性意识丧失患者的风险评估、推理及决策:定性研究
Lucia G Uit Het Broek-Creemers,Lilian C M Vloet,Hester Vermeulen et al.
Lucia G Uit Het Broek-Creemers et al.
Background: Patients with a transient loss of consciousness (T-LOC) present a complex clinical situation for ambulance professionals. The challenge arises from the complexity of the diverse aetiologies associated with T-L...
Collaboration among emergency first responders at major incidents - an explorative focus group study [0.03%]
重大事件中紧急救援人员的合作-一项探索性焦点小组研究
Andreas Rantala,Anna Conradsson,Jonathan Adamsson et al.
Andreas Rantala et al.
Background: In the event of a major incident, collaboration between the ambulance service, fire brigade and police is common. Effective collaboration requires teamwork, with communication between the three organisations b...
Exploring enablers and barriers to the use of chest compression feedback devices in advanced life support: a qualitative study [0.03%]
关于高级生命支持中使能胸部按压反馈装置使用的促进因素和障碍因素的定性研究
Øystein Myrlund Hansen,Charlotte Björk Ingul,Benjamin Stage Storm et al.
Øystein Myrlund Hansen et al.
Background: In sudden cardiac arrest, high-quality chest compressions are crucial for survival with favorable neurological outcomes. Chest compression feedback devices improve chest compression quality and the likelihood ...
Helicopter versus GROUND emergency medical services in mountainous trauma care: a comparative cohort study on time efficiency, golden hour achievement, and clinical outcomes in the Qinba region [0.03%]
直升机与地面紧急医疗服务在山区创伤救护中的时效性、黄金一小时救治及时性和临床预后的比较研究——秦巴地区创伤患者的队列研究
Yong Bai,Kai Yang,Jing Gao et al.
Yong Bai et al.
Objective: To compare the time efficiency and clinical outcomes of helicopter emergency medical services (HEMS) versus ground emergency medical services (GROUND) for severe trauma in the mountainous Qinba region, with a f...
Feasibility and diagnostic accuracy of paramedic-performed prehospital point-of-care ultrasound: a retrospective observational study [0.03%]
关于急救医护人员实施院前超声检查的可行性及其诊断准确性的一项回顾性观察研究
Adrian Boehm,Tobias Bexten,Michael Stanley et al.
Adrian Boehm et al.
Background: Point-of-care ultrasound (POCUS) is increasingly being used in prehospital emergency medicine. While physician-performed prehospital ultrasound is well established, evidence regarding the feasibility and diagn...
BMI is independently associated with ARDS, sepsis and multiorgan failure after major trauma-results of a high-volume retrospective observational cohort study [0.03%]
体重指数(BMI)与重度创伤后急性肺损伤、脓毒症和多器官功能障碍的独立相关性:一项大型回顾性队列研究的结果
B Erdle,J Mangold,J Kalbhenn et al.
B Erdle et al.
Background: Obesity is increasingly prevalent among trauma patients and has been proposed to influence post-injury inflammatory responses and organ dysfunction. However, evidence on the independent effect of body mass ind...
Video-assisted versus telephone-only pediatric emergency calls: a predefined substudy of the cluster randomized CAM-VISION trial [0.03%]
儿童急救视频呼叫与电话呼叫的预定义子研究——集群随机CAM-VISON试验的一部分
N H Bohnstedt-Pedersen,T B Gehrt,R A Blauenfeldt et al.
N H Bohnstedt-Pedersen et al.
Background: Assessment of pediatric emergencies by telephone is challenging and may be associated with uncertainty and overtriage. Video streaming has been introduced in emergency medical dispatch, but evidence regarding ...