BACKGROUND Patients with acute exacerbation of chronic obstructive pulmonary disease often require prehospital emergency treatment. This enables patients who are less ill to be treated on-site and to avoid hospital admission, while severely ill patients can receive immediate ventilatory support in the form of intubation. The emergency physician faces difficult treatment decisions, however, and ...

The prehospital emergency airway management is a key moderating factor for patient survival and mortality rates. There has been much debate around the optimum method of management. This commentary critically appraises recent systematic review which assesses harms benefits three different strategies range clinical scenarios. Commentary on: Carney N, Totten AM, Cheney T et al. Prehospital Airway ...

BACKGROUND Prehospital 12-lead electrocardiography (ECG) is critical to timely STEMI care although its use remains inconsistent. Previous studies to identify reasons for failure to obtain a prehospital ECG have generally only focused on individual emergency medical service (EMS) systems in urban areas. Our study objective was to identify patient, geographic, and EMS agency-related factors assoc...

Background Penetrating cardiac injury has the highest mortality and morbidity rates of all organ injury. The prehospital mortality rate for penetrating cardiac injury was 70 – 80%. Prehospital care including rapid transportation of patients to trauma center and agresive intervention has increased survival rate. The purpose of this study was to show our experience in treatment of patient with pe...