Objectives: To explore the challenges and experiences of Prehospital Emergency Personnel in context COVID-19 pandemic Iran. Design: Qualitative study Setting: Medical Services (EMS), Participants: 15 personnel were invited to participate. Semi-structured in-depth interviews conducted between Januarys March 2021. Results: Themes relating COVID – 19 were: Lack preparedness EMS for pandemic, short...

BACKGROUND Prehospital care of combat casualties is a critical phase of emergency medical practice on the battlefield. The Joint Theater Trauma Registry (JTTR) was developed to standardize a system of data collection for combat casualty care; however, the degree of population and granularity of prehospital data were unknown. METHODS This is a retrospective comparative study of all US military...

Introduction. Limited evidence is available on simulation training of prehospital care providers, specifically the use of tourniquets and needle decompression. This study focused on whether the confidence level of prehospital personnel performing these skills improved through simulation training. Methods. Prehospital personnel from Alachua County Fire Rescue were enrolled in the study over a 2-...

Prehospital care is defined as the phase of patient care from the point of injury or illness to the place of definitive treatment. As such, it is imperative that the right patient is transported to the right place of care within the right time frame via the right mode of transportation by the right personnel. In this article, the authors explore seven components that are essential in the initia...

Critical illness intersects with the workload of rural doctors in Australia, mostly via their on-call responsibilities to rural hospitals. A significant proportion of these are prehospital incidents - vehicle crashes, farming injuries, bushfire etc. Effective care for such patients requires an integration of prehospital ambulance services, retrieval services and tertiary level trauma services a...

Infants and children are common victims of disaster or mass casualty situations. Prehospital providers provide the initial care and stabilization at the scene of a mass casualty event. There are a number of challenges the prehospital provider faces when caring for children in a mass casualty event, among them are the following: the physiology of children differs from adults, children are partic...

OBJECTIVE Preclinical actions in the primary assessment of victims of blunt trauma may prolong the time to definitive clinical care. The aim of this study was to examine the duration of performed interventions and to study the effect of on-scene time (OST) and interventions performed before admission to hospital on hospital resuscitation time. METHODS 147 consecutive patients with high-energy...

The prevailing wisdom for the prehospital fluid resuscitation of trauma victims in hemorrhagic shock in 1992 was to administer 2 L of crystalloid solution as rapidly as possible. A review of the fluid resuscitation literature found that this recommendation was not well supported by the evidence at the time. Prehospital fluid resuscitation strategies were reevaluated in the 1993-1996 Tactical Co...

BACKGROUND AND PURPOSE In acute stroke, thromboembolism or spontaneous hemorrhage abruptly reduces blood flow to a part of the brain. To limit necrosis, rapid radiological identification of the pathological mechanism must be conducted to allow the initiation of targeted treatment. The aim of the Norwegian Acute Stroke Prehospital Project is to determine if anesthesiologists, trained in prehospi...

Specific management in specialized hospital facilities has been shown to improve process quality and outcomes in a variety of diseases. In the context of neurological disorders, this applies to the treatment of acute stroke in Stroke Units or of intracranial hemorrhages in hospitals with organized stroke care or neurosurgery facilities. Correct prehospital diagnosis is important because it avoi...