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Electric Scooter-Related Injuries Strain Urban Trauma Units

The rapid spread of electric scooters, e-bikes, and other micromobility vehicles is reshaping the patterns of road traffic injuries in Rome and other cities worldwide. Policies aimed at reducing the use of polluting vehicles have accelerated adoption, but healthcare systems are now facing a growing burden of trauma related to

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articles

Access Granted—IV vs. IO in Cardiac Arrest

Written by Joshua Dodge and Ketan Patel Spoon Feed In adult out-of-hospital cardiac arrest (OHCA), initial intraosseous (IO) versus intravenous (IV) access showed no significant difference in long-term survival, favorable neurological outcomes, or quality of life. Different routes, same destination Rapid vascular access is a core component of advanced life

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EMS

Safety of Peripheral Vasoactive Drug Administration in Prehospital and Retrieval Medicine (SPOTLESS-2): A Prospective Observational Cohort Study

Robbie Ley Greaves, Aaron Quay, Renee Bolot, Jemma King, Clinton Gibbs ABSTRACT                  Introduction Adrenaline and noradrenaline are cornerstones of critical care. Traditionally, delivery of these drugs has been through central venous access due to concerns over the safety of peripheral venous access. However, central venous access

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articles

BMJ: Helicopter Emergency Medical Services attendance is associated with favourable survival outcomes in major trauma: derivation and internal validation of prediction models in a regional trauma system

Joanne Griggs ,1,2 Jenny Harris,2 Jack Barrett,1,3 Scott Clarke,1 John O’Neill,4,5 Leigh Curtis,6 Malcolm Tunnicliff,4,7 Claire Baker,8 Duncan Bootland,9,10 Emma Ream,2 Richard Lyon,2,11 On behalf of Air Ambulance Charity Kent Surrey Sussex Abstract.                Background Survival benefit of Helicopter Emergency Medical Services (HEMS) attended major

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articles

JAMA: Out-of-Hospital Cardiac Arrest Survival at Nighttime

Joshua M. Kimbrell, BA1; Tanner Smida, PhD2; Judah A. Kreinbrook, BS3 et al Key Points Question  Does out-of-hospital cardiac arrest resuscitation with nighttime prehospital response remain associated with low rates of survival using contemporary data? Findings  In this retrospective cohort study including 874 415 patients from a nationwide out-of-hospital cardiac registry from 2013 to 2024, patients with prehospital response at nighttime

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articles

ACEP: What EPs Should Know about Cyanide Toxicity in Smoke Inhalation

By Robert Dunne, MD | on April 30, 2026 | Smoke inhalation from closed-space fires remains a major cause of preventable death in the United States. A combination of smoke inhalation and burns (49 percent), and smoke inhalation alone (35 percent), are the leading causes of U.S. fire-related civilian fatalities.1  /Although  carbon monoxide (CO) poisoning

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articles

New Penetrating TBI Guidelines—Brain Trauma Foundation

Written by Clay Smith Spoon Feed The Brain Trauma Foundation guidelines on penetrating traumatic brain injury (pTBI) offer helpful tips to improve survival. U.S.—more guns than people. Deaths—132 people every day. Correlation? The Brain Trauma Foundation (BTF) has guidelines for TBI, but pTBI is different. Here are the recommendations. In the prehospital and

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