Few data warehousing systems provide a complete and continuous history of trauma patients from the outset of prehospital care to the point of hospital discharge. Typical prehospital database systems are limited to data recorded by emergency personnel during patient transport and contain a minimal number of data points. This incomplete information provides a snapshot of patient status during the...

INTRODUCTION Road traffic injuries (RTIs) and attendant fatalities on Nigerian roads have been on an increasing trend over the past three decades. Mortality from RTIs in Nigeria is estimated to be 162 deaths/100,000 population. This study aims to compare and identify best prehospital trauma care practices in Nigeria and some other African countries where prehospital services operate. METHODS ...

BACKGROUND Prehospital care provided by specially trained, physician-based emergency services (P-EMS) is an integrated part of the emergency medical systems in many developed countries. To what extent P-EMS increases survival and favourable outcomes is still unclear. The aim of the study was thus to investigate ambulance runs initially assigned 'life-saving missions' with emphasis on long-term ...

BACKGROUND AND PURPOSE Emergency medical services routing of patients with acute stroke to designated centers may increase the proportion of patients receiving care at facilities meeting national standards and augment recruitment for prehospital stroke research. METHODS We analyzed consecutive patients enrolled within 2 hours of symptom onset in a prehospital stroke trial, before and after re...

BACKGROUND Haemostatic impairment can have a crucial impact on the outcome of emergency patients, especially in cases of concomitant antithrombotic drug treatment. In this prospective observational study we used a point of care (POC) coagulometer in a prehospital physician-based emergency medical system in order to test its validity and potential value in the treatment of emergency patients. ...

OBJECTIVES To develop a feasible and safe prehospital decision support system (DSS) for the emergency medical services (EMS), facilitating safe steering of geriatric patients to an optimal level of healthcare. METHODS The development process involves four consecutive steps. The first step was gathering data from patients transported by EMS, with the electronic patient care record, to retrospe...

Point-of Care analysis is increasingly being applied in the prehospital scene. Arterial blood gas analysis is one of many new initiatives adding to the diagnostic tools of the prehospital physician. In this paper we present a study on the feasibility of the Radiometer ABL-90 in a ground-based Mobile Emergency Care Unit and report on some clinical situations in which the apparatus has proven ben...

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...

Prehospital Intubation: Further Confounders in Trial Results Iqbal Sayeed, Fahim Atif, Claudia Espinosa-Garcia, Bushra Wali, Nefize Turan, Seema Yousuf & Donald G. Stein To cite this article: Iqbal Sayeed, Fahim Atif, Claudia Espinosa-Garcia, Bushra Wali, Nefize Turan, Seema Yousuf & Donald G. Stein (2018): Prehospital Intubation: Further Confounders in Trial Results, Prehospital Emergency Care...

The National Association of EMS Physicians (NAEMSP) believes that the relief of pain and suffering of patients must be a priority for every emergency medical services (EMS) system. Adequate analgesia is an important step in achieving this goal. NAEMSP believes that every EMS system should have a clinical care protocol to address prehospital pain management. Adequate training and education of pr...