UNLABELLED Indications and evidence are limited, multiple and complex for emergency tourniquet use. Good recent outcomes challenge historically poor outcomes. Optimal tourniquet use in trauma care appears to depend on adequate devices, modern doctrine, refined training, speedy evacuation, and performance improvement. Challenges remain in estimation of blood loss volumes, lesion lethality, and c...

BACKGROUND Although clinical applications such as emergency medicine and prehospital care could benefit from a fast-mounting electroencephalography (EEG) recording system, the lack of specifically designed equipment restricts the use of EEG in these environments. METHODS This paper describes the design and testing of a six-channel emergency EEG (emEEG) system with a rapid preparation time int...

conclusions the two key requirements of the first aid and transportation courses are practicality and managerial engagement. we developed and provided specific guidance of fat curriculum by using the study findings. this curriculum is recommended for educating fat staffs, paramedics, emergency technicians, and military nurses. results study participants’ experiences of wartime first aid and tra...

Germany has a long tradition of having physicians, often anesthesiologists with additional training in emergency medicine, deliver prehospital emergency care. Hospital-based emergency medicine in Germany also differs significantly from the Anglo-American model, and until recently having separate emergency rooms for different departments was the norm. In the past decade, many hospitals have crea...

To the Editor: Prehospital use of CPAP reduces the mortality and intubation rate for patients with acute respiratory failure especially due to acute cardiogenic pulmonary edema.1 Although it is considered in guidelines, the need for additional trained health workers, special equipment, and clinical evidence for effectiveness and cost-effectiveness limits widespread use.1,2 The Boussignac CPAP f...

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...

INTRODUCTION In a populous city like Mumbai, which lacks an organized prehospital emergency medical services (EMS) system, there exists an informal network through which victims arrive at the trauma center. This baseline study describes the prehospital care and transportation that currently is available in Mumbai. METHODS A prospective trauma database was created by interviewing 170 randomly ...