עמוד זה מכיל מאמרים רלוונטיים לפרמדיקים
Rib Fracture Management: Is Individualized Treatment Needed?
Paolo Spriano, MD Rib fractures (RF) are the most common form of chest wall injury and are one of the most prevalent injuries overall. An estimated 10% of all trauma patients and 55% of those with blunt chest wall trauma has RF. RF varies widely in severity, ranging from simple isolated fractures
Naloxone and Clinical Outcomes in Suspected Opioid-Associated Out-of-Hospital Cardiac Arrests
Ralph C. Wang, MD, MAS; Jake Toy, DO, MS; Juan Carlos C. Montoy, MD, PhD; Juliana Tolles, MD, MHS; Paul F. Ehlers, MD, MS; J Joelle Donofrio-Odmann, DO; James J. Menegazzi, PhD; Marianne Gausche-Hill, MD; Robert M. Rodriguez, MD; David G. Dillon, MD, PhD; for the CAL-ROC Investigators Key Points
JAMA: A Rare Ebola Virus Is Spreading in the DRC—Here’s What to Know
Kate Schweitzer1 For years, there has been cautious optimism among global health officials that Ebola was, finally, under control. Better surveillance, faster diagnostics, and safer health care practices were just a few of the lessons learned from past outbreaks in West Africa that had transformed the response to such public health emergencies. (opens
HEPARIN STEMI RCT—Prehospital Heparin for STEMI
Written by Clark Strunk Spoon Feed In this single-center RCT of patients with STEMI within 6 hours of symptom onset, a heparin bolus at first prehospital medical contact (FMC) resulted in better flow in the infarct related artery (IRA) at initial angiography, without an increased risk of significant bleeding. Early
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
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
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
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