To the editor: As medicine has progressed over the past decade, prehospital care in Ontario has largely remained stagnant. The failure to implement evidence-based best practices means that Ontarians are not receiving an appropriate level of prehospital care. Paramedics are dependent on the Ministry of Health and Long-Term Care to provide clinical standards through the Basic Life Support (BLS) P...

E year in the United States, approximately 21 million persons call 911, are evaluated by emergency medical services (EMS), and are transported to emergency departments (EDs) for potential medical emergencies (1). Of these, approximately 35% are related to injuries or chest, respiratory, or neurologic symptoms and more than one third of all patients aged 65 years or older are transported to the ...

STUDY OBJECTIVE This study associated survival from prehospital cardiac arrest to patient historical variables including presenting complaint, medications used, and medical history as a secondary end point in a trial evaluating the effect of bicarbonate administration. This raises issues concerning extensive prehospital historical assessment that may potentially delay care and transport. METH...

Study objective: This study associated survival from prehospital cardiac arrest to patient historical variables including presenting complaint, medications used, and medical history as a secondary end point in a trial evaluating the effect of bicarbonate administration. This raises issues concerning extensive prehospital historical assessment that may potentially delay care and transport. Metho...