traumatic brain injury is a leading cause of death in developed countries. it is estimated that only in the united states about 100,000 people die annually in parallel among the survivors there is a significant number of people with disabilities with significant costs for the health system. it has been determined that after moderate and severe traumatic injury, brain parenchyma is affected by m...

introduction: trauma is the most common cause of mortality in the 1 to 44 years age group and third leading cause of mortality in the world. in general, determination of defects caused by trauma has an essential role in management of traumatic patients. use of scoring systems for evaluation of static and dynamic states of traumatic events can decrease the mortality and morbidity rates. differen...

In the prehospital setting, the emergency care provider must anticipate that some patients will manifest with difficult airways. The use of video laryngoscopy to secure an airway in the prehospital setting has not been explored widely, but has the potential to be a useful tool. This article briefly reviews some of the major video laryngoscopes on the market and their usefulness in the prehospit...

BACKGROUND AND PURPOSE Optimizing prehospital stroke care is important because effective treatments for acute stroke require a narrow therapeutic time window. We developed a smartphone-assisted prehospital medical information system (SPMIS) to facilitate research on prehospital stroke care. METHODS Prehospital medical information was input into the SPMIS application installed on smartphones b...

Study Objective: To conduct a systematic review and meta-analysis that examined the impact of new prehospital practitioners, including Emergency Care Practitioners (EmCPs), Paramedic Practitioners and Extended Care Paramedics (ECPs) on Emergency Department (ED) services. Methods: We searched MEDLINE, Embase, CINAHL and AUSTHealth databases and handsearched the relevant journal and references in...

Emergency medical services (EMS) systems, and prehospital care are difficult to evaluate. Accordingly, the true efficacy and value of such systems are difficult to determine. The multitude of variations and combinations of involved factors makes standardisation and comparison difficult, and universal indicators are hard to develop. Various attempts have been made to determine valid indicators o...

Surprisingly, the way in which pre-hospital emergency care is delivered varies greatly internationally. Two contrasting models can be identified: one physician-led, the other with direct or indirect medical supervision. The development of pre-hospital care in Ireland has been convoluted and stunted. However, in less than a decade, the Irish emergency medical services have evolved significantly....

The prehospital emergency airway management is a key moderating factor for patient survival and mortality rates. There has been much debate around the optimum method of management. This commentary critically appraises recent systematic review which assesses harms benefits three different strategies range clinical scenarios. Commentary on: Carney N, Totten AM, Cheney T et al. Prehospital Airway ...

OBJECTIVES The benefit of prehospital endotracheal intubation (ETI) among individuals experiencing out-of-hospital cardiac arrest (OOHCA) has not been fully examined. The objective of this study was to determine if prehospital ETI attempts were associated with return of spontaneous circulation (ROSC) and survival to discharge among individuals experiencing OOHCA. METHODS This retrospective st...

BACKGROUND Many low- and middle-income countries depend on emergency medical technicians (EMTs), nurses, midwives, and layperson community health workers with limited training to provide a majority of emergency medical, trauma, and obstetric care in the prehospital setting. To improve timely patient care and expand provider scope of practice, nations leverage cellular phones and call centers fo...