We report the case of a patient suspected of voluntary massive poisoning by ethylene glycol. Prehospital diagnosis was established by portable blood analyser and an early antidote with 4 MP treatment initiated in out-of-hospital setting. Use of portable blood analyser in prehospital care should be considered in case of suspected massive poisoning by ethylene glycol.

INTRODUCTION Emergency prehospital medical care providers are frontline health workers during emergencies. However, little is known about their attitudes, perceptions, and likely behaviors during emergency conditions. Understanding these attitudes and behaviors is crucial to mitigating the psychological and operational effects of biohazard events such as pandemic influenza, and will support the...

Ambulance personnel today are highly trained and perform specialized care. There are high expectations with respect to knowledge and competence of the Registered Nurses, RNs, in ambulance care, as they possess a medical responsibility for patient care in this setting. The overall aim of this thesis was to explore the training for RNs in ambulance care in Sweden and Europe, and to study the alig...

There is no specific structured training programme for doctors working in prehospital care in the United Kingdom. In the West Midlands (UK) a structured supervised programme has been devised, which recruits medical undergraduates and provides an educational programme and practical experience leading to the successful completion of the Diploma in Immediate Medical Care and the status of an indep...

OBJECTIVE Since March 1992, intravenous nalbuphine hydrochloride has been used prehospital by paramedics in the Plymouth area. This study assesses the impact of this intervention. METHODS A prospective study of the parenteral analgesic requirements of 1000 consecutive patients arriving by ambulance at the accident and emergency (A&E) department of a large district general hospital. Where pare...

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...

Study Objective: To conduct a systematic review and meta-analysis that examined the impact of new prehospital practitioners, including Emergency Care Practitioners (EmCPs), Paramedic Practitioners and Extended Care Paramedics (ECPs) on Emergency Department (ED) services. Methods: We searched MEDLINE, Embase, CINAHL and AUSTHealth databases and handsearched the relevant journal and references in...

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...

Prehospital emergency care personnel can play a crucial role in the identification and management of patients presenting with ST Elevation Myocardial Infarction (STEMI). Specifically, prehospital thrombolysis by emergency medical personnel such as paramedics/nurses/prehospital doctors has been identified as being a successful and safe approach for the provision of accelerating reperfusion strat...

Methods Objective: To determine whether prehospital cooling improves outcomes after resuscitation from cardiac arrest in patients with ventricular fibrillation (VF) and without VF. Design: A randomized clinical trial that assigned adults with prehospital cardiac arrest to standard care with or without prehospital cooling. Patient follow-up was completed by May 1, 2013. Nearly all of the patient...