s 12th World Congress on Disaster and Emergency Medicine, Lyon, France S47 An Outcome Evaluation for Prehospital Cardiopulmonary Arrest Patients Using the Utstein Template: A Japanese Experience Kunihiro Mashiko; Toshihumi Otsuka; Shuji Shimazaki; Akitsugu Kohama; Gonbei Kamishima; Kikushi Katsurada; Yusuke Saivada; Izumi Matsubara; Kazunori Yamaguchi Outcome Evaluation Committee for Out of Hos...

BACKGROUND We aimed to assess the structure, function and performance of Ashanti Region's emergency medical services system in the context of the regional need for prehospital emergency care. DESIGN A mixed-methods approach was employed, using retrospective collection of quantitative data and prospectively gathered qualitative data. Setting - pertinent data were collected from Ghanaian and in...

OBJECTIVES The prehospital management of trauma patients remains controversial. Little is known about the time each procedure contributes to the on-scene duration, and this information would be helpful in prioritizing which procedures to perform in the prehospital setting. We sought to estimate the contribution of procedures to on-scene duration focusing on intubation and establishment of intra...

Palliative care, which is intended to keep patients at home as long as possible, is increasingly proposed for patients who live at home, with their family, or in retirement homes. Although their condition is expected to have a lethal evolution, the patients—or more often their families or entourages—are sometimes confronted with sudden situations of respiratory distress, convulsions, hemorrhage...

Guidelines recommend implementing prehospital electrocardiograms (PH ECG) into systems of care for patients with suspected ST-elevation–myocardial infarction to reduce door-to-balloon time (DTB). We developed a PH ECG protocol with an affiliated emergency medical service, combining 4 features: (1) PH ECG acquisition; (2) emergency medical service interpretation without PH ECG transmission; (3) ...

T here is increasing recognition and acceptance of the view that the emergency medical system should provide seamless and appropriate care from the moment the patient is injured, taken ill, or seeks help. Coupled with this is a developing understanding that the many different demands for emergency or ‘‘unscheduled’’ health care can only be met by new and innovative working patterns and practice...

introduction : although many protocols are available in the field of the prehospital medical care (pmc), there is still a notable gap between protocol based directions and applied clinical practice. this study measures the rate of protocol adherence in pmc provided for patients with chest pain and loss of consciousness (loc). method : in this cross-sectional study, 10 educated research assistan...

background: identification of the effective factors in reducing response time in prehospital emergency medical service (ems) can assist in improving its services. this study aimed at reviewing the effect of applying global positioning system (gps) on response time of tehran ems ambulances. materials and methods: of 132 tehran ems stations, 24 ones were randomly selected, and relevant data, incl...

UNLABELLED Up to 3 million US children are cared for by emergency medical services (EMSs) annually. Limited research exists on pediatric prehospital care. The Pediatric Emergency Care Applied Research Network (PECARN) mission is to perform high-quality research for children, including prehospital research. Our objective was to develop a pediatric-specific prehospital research agenda. METHODS ...

Emergency nurses are actively involved in primary, secondary, and tertiary pediatric injury prevention activities. This article outlines the steps that emergency nurses can take to identify common pediatric injuries treated in the Emergency Departments and integrate existing and evolving injury prevention resources into their repertoire of nursing skills. Research and demonstration projects con...