BACKGROUND AND PURPOSE U.K ambulance services assess patients with suspected stroke using the Face Arm Speech Test (FAST). The Recognition Of Stroke In the Emergency Room (ROSIER) tool has been shown superior to the FAST in identifying strokes in emergency departments but has not previously been tested in the ambulance setting. We investigated whether ROSIER use by ambulance clinicians can impr...

This study investigates the priority of the auscultation on the ambulance. On the point of physics view, the electrical noise cancellation is simpler than mechanical one. Therefore, the difficulties of the measurement the physiological sounds are more than that of physiological electrical signals. Therefore, the medical doctors might practically consider the priority of the emergent measurement...

OBJECTIVES In the present study, we modified a night shift system for an ambulance service so that ambulance paramedics were assured of taking a nap, and examined the effects of this new system on the fatigue and physiological function of ambulance paramedics. METHODS Ten ambulance paramedics at a fire station in the center of a large city in Japan voluntarily enrolled as subjects in this fie...

In a poem titled “Fence or Ambulance” written more than one hundred years ago, Joseph Malins described the policy dilemma a city faced in tackling the rising morbidity and mortality from accidental falls from a dangerous cliff. The 2 policy options considered included building a strong fence around the edge of the cliff or raising funds to support an ambulance down in the valley. The city initi...

INTRODUCTION Ambulance personnel use wheeled stretchers for moving patients in the out-of-hospital setting. The nature of adverse events and associated injuries occurring during ambulance stretcher operation was characterised. METHODS Data from the United States Food and Drug Administration's Manufacturer and User Facility Device Experience Database (MAUDE) were used. All adverse events invol...

Nursing is evolving into new fields of health care including ambulance care, where a branch of specialist nursing is growing. Various views exist on the desired competence for the ambulance nurse and valid guidelines are lacking in Sweden. To increase knowledge of the field, professionals were asked to describe what competences an ambulance nurse should possess. The aim of this study was theref...

OBJECTIVES Whether traffic remoteness from health care service in rural areas influences usage of ambulance service has not been well investigated. This study aimed to evaluate the relation between remoteness to health care facilities and incidence of ambulance calls in rural areas of Japan. METHODS We analyzed 155 rural communities of Hiroshima. Data were obtained on all ambulance dispatches...

amyotrophic lateral sclerosis (als) is a progressive neurodegenerative disorder of the motor neurons in the spinal cord, brainstem, and motor cortex. ten percent of als cases are familial with both autosomal dominant and recessive modes of inheritance. mutations in the copper/zinc superoxidedismutase-1 (sod-1) gene, the first gene linked with als, result in sod-1 gene accounting for ~ 20% of fa...