BACKGROUND Stroke is the third leading cause of death in Puerto Rico. We examined the pre-hospital phase, management and case-fatality-rates (CFR) of patients discharged with acute stroke from the Carolina University of Puerto Rico Hospital during 2007. METHODS Trained personnel collected information on demographics, delay-time, mode-of-transportation, management, and mortality from all medic...

BACKGROUND This study investigated the relationship between training programmes for pandemic flu and level of knowledge of health-care professionals with performance in an avian flu exercise. METHODS Training programmes of all general hospitals in Israel for managing a pandemic influenza were evaluated. Spearman's ρ correlation was used to analyse the relationship between training scores and ...

High-quality pediatric emergency care can be provided only through the collaborative efforts of many health care professionals and child advocates working together throughout a continuum of care that extends from prevention and the medical home to prehospital care, to emergency department stabilization, to critical care and rehabilitation, and finally to a return to care in the medical home. At...

BACKGROUND Prehospital personnel are at risk of occupational hearing loss due to high noise exposure. The aim of the study was to establish an overview of noise exposure during emergency responses in Mobile Emergency Care Units (MECU), ambulances and Helicopter Emergency Medical Services (HEMS). A second objective was to identify any occupational hearing loss amongst prehospital personnel. ME...

INTRODUCTION Over the past 15 years, violent threats and acts against hospital patients, staff, and providers have increased and escalated. The leading area for violence is the emergency department (ED) given its 24/7 operations, role in patient care, admissions gateway, and center for influxes during acute surge events. This investigation had three objectives: to assess the current security of...

OBJECTIVES To investigate the association between the difficulty in hospital acceptance at the scene by emergency medical service (EMS) personnel and prehospital demographic factors and reasons for EMS calls. DESIGN A retrospective, observational study. SETTING Osaka City, Japan. PARTICIPANTS A total of 100 649 patients transported to medical institutions by EMS from January 2013 to Decem...

This exploratory-descriptive study was performed with a qualitative approach, aiming at finding indicators for the measurement of nursing personnel in adult emergency services. Data were collected using nursing work observation and a semistructured interview with nurses; data were analyzed based upon the theory of working process, originating the following categories: working process and nursin...