Review
Medicine, General & Internal
Caleb Hanson Gage, Charnelle Stander, Liz Gwyther, Willem Stassen
Summary: This study aimed to map the existing literature on emergency medical services (EMS) and palliative care by answering the question of what literature exists in this field. Through literature review and analysis, it was found that EMS have a role in out-of-hospital palliative care, but there are also many challenges that need to be addressed. Recommendations and solutions have been proposed to overcome these challenges.
Article
Medicine, General & Internal
Ole Erik Ulvin, Eivinn ardal Skjaerseth, Andreas J. Kruger, Kjetil Thorsen, Trond Nordseth, Helge Haugland
Summary: The aim of this study was to evaluate the impact of introducing video calls in the emergency medical communication centres on the precision of helicopter emergency medical services dispatch.
Review
Medicine, General & Internal
Caleb Hanson Gage, Charnelle Stander, Liz Gwyther, Willem Stassen
Summary: The aim of this scoping review is to map existing literature concerning EMS and palliative care by identifying literature types, extracting key findings, and noting limitations using descriptive analysis. It seeks to explore the relationship between EMS and palliative care through collecting and analyzing relevant literature, and identify their integration points and limitations.
Editorial Material
Medicine, General & Internal
Julie Chor, Andrew M. Davis, Jennifer M. Rusiecki
Summary: This article summarizes guidance from the American Cancer Society on cervical cancer screening, including recommendations for when to start screening, how often to test, and which modality to use.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Article
Medicine, General & Internal
Tina Trinh, Amira Elfergani, Maralyssa Bann
Summary: The study found that physicians consider patients' medical and social needs, assess risks, and re-evaluate when deciding whether to admit patients. Physician decision making is not solely based on medical acuity or clinical algorithms, but is also influenced by factors such as homelessness, substance use disorder, frailty, etc., which may raise concerns about patient safety or appropriate treatment.
Article
Medicine, General & Internal
Catherine Atkin, Suzy Gallier, Elizabeth Wallin, Vinay Reddy-Kolanu, Elizabeth Sapey
Summary: This study assessed the performance of the Amb score and GAPS in identifying acute medical admissions suitable for same day emergency care. The results indicate that both scores had poor discriminatory ability in selecting patients for assessment within SDEC services.
Article
Public, Environmental & Occupational Health
Jose L. Martin-Conty, Begona Polonio-Lopez, Ancor Sanz-Garcia, Carlos del Pozo Vegas, Laura Mordillo-Mateos, Juan Jose Bernal-Jimenez, Rosa Conty-Serrano, Miguel A. Castro Villamor, Raul Lopez-Izquierdo, Francisco Martin-Rodriguez
Summary: This study examined COVID-19 as an independent risk factor for long-term mortality. The results showed that patients with COVID-19 had a significantly higher mortality rate compared to those without COVID-19, indicating that COVID-19 is a risk factor for long-term mortality.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Emergency Medicine
Michael W. Supples, Mark Liao, Daniel P. O'Donnell, Thomas J. Duszynski, Nancy K. Glober
Summary: This study analyzed cases of patients returning to the emergency department within 72 hours of discharge in a large urban EMS agency. The study found that male patients and those who were not transported were more likely to experience bouncebacks. The primary reason for returning to the ED was mental health-related issues.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Management
Samuel Ridler, Andrew J. Mason, Andrea Raith
Summary: This paper introduces JEMSS, a free and open-source software package for simulation and optimization of Emergency Medical Services (EMS). JEMSS incorporates integer programming optimization, heuristic local search, and simulation capabilities to evaluate and optimize EMS decision-making and strategies. The package includes flexible and customizable decision protocols for ambulance dispatch and dynamic redeployment. It runs simulations quickly, allowing for efficient evaluation of realistic city models. The software also includes visualization tools and has been validated against existing EMS simulation software.
EUROPEAN JOURNAL OF OPERATIONAL RESEARCH
(2022)
Article
Transportation Science & Technology
Gaby Joe Hannoun, Monica Menendez
Summary: Advancements in vehicular and wireless communication technologies have shaped the future of transportation systems, but emergency medical services (EMS) still face issues with response delays. This research introduces a smart EMS system using modular vehicle technology to improve resource allocation and rescue efficiency. Results show that the system can respond quicker to emergencies, especially in large-scale disaster scenarios.
TRANSPORTATION RESEARCH PART C-EMERGING TECHNOLOGIES
(2022)
Article
Medicine, General & Internal
Stine Engebretsen, Stig Tore Bogstrand, Dag Jacobsen, Rune Rimstad
Summary: The study aimed to compare the quality of care, resource use, and patient outcome between emergency response team and standard care for critically ill medical patients in the emergency department. The results show that team management had positive effects on quality of care and resource use, but the impact on subsequent outcomes like mortality, ICU length of stay and hospital length of stay was less clear.
Review
Medicine, General & Internal
Sue Dean, Julian Barratt
Summary: Same day emergency care is a new model of care that aims to provide alternatives to emergency department attendance or hospital admission for people with urgent healthcare needs. This review focuses on acute medical same day emergency care and aims to map the existing evidence base.
Article
Medicine, General & Internal
Kristoffer Wibring, Markus Lingman, Johan Herlitz, Sinan Amin, Angela Bang
Summary: The majority of prehospital patients with chest pain have low-risk conditions and do not have prognostic reasons for acute hospital care upon discharge. A smaller proportion have high-risk conditions and require prompt specialist care. Building accurate models for prehospital identification of these groups is feasible, and utilizing risk stratification models could potentially lead to more personalized care and increased patient safety.
Article
Economics
Marcos Colla, Gilson Ditzel Santos, Gilson Adamczuk Oliveira, Renata Braga Berenguer de Vasconcelos
Summary: Research on ambulance response times for EMS calls has been conducted for decades, primarily in developed countries. However, there is limited scientific research on this topic in Brazil, a developing country, which mainly focuses on cities with a population of over one million. This highlights the need to extend research to small and medium-sized cities.
SOCIO-ECONOMIC PLANNING SCIENCES
(2023)
Article
Emergency Medicine
Ariel Guinzburg, Shaul Gelikas, Avishai M. Tsur, Roy Nadler, Alex Sorkin, Guy Avital, Irina Radomislensky, Moran Bodas, David Segal, Avi Benov, Jacob Chen
Summary: This study evaluated the association between helicopter emergency medical services (HEMS) and early mortality in Israel. The results showed that HEMS was not associated with a decrease in early mortality among trauma casualties overall, but it may be associated with a decrease in mortality among casualties with a penetrating injury.
EUROPEAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Emergency Medicine
Vibe Maria Laden Nielsen, Morten Breinholt Sovso, Torben Anders Klojgard, Regitze Gyldenholm Skals, Alasdair Ross Corfield, Lars Bender, Hans Morten Lossius, Soren Mikkelsen, Erika Frischknecht Christensen
Summary: Specific educational initiatives increased the extent of vital sign registration in paediatric patients, especially those aged <= 7 years. No change was observed in the region without interventions.
SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE
(2023)
Article
Multidisciplinary Sciences
Tim Alex Lindskou, Patricia Jessen Andersen, Erika Frischknecht Christensen, Morten Breinholt Sovso
Summary: In this study, the authors investigated the trend in frequency of chest pain patients brought to hospital by ambulance and the subsequent diagnosis of acute myocardial infarction (AMI). They found that the frequency of chest pain patients and AMI increased over the study period, while the proportion of AMI patients remained stable. The overall mortality in chest pain patients was low, suggesting that monitoring the number of chest pain patients and AMI diagnoses can help evaluate ambulance utilization and triage.
Article
Critical Care Medicine
Chika Nishiyama, Tekeyuki Kiguchi, Masashi Okubo, Hajriz Alihodzic, Rabab Al-Araji, Enrico Baldi, Frankie Beganton, Scott Booth, Janet Bray, Erika Christensen, Ruggero Cresta, Judith Finn, Jan-Thorsten Grasner, Xavier Jouven, Karl B. Kern, Ian Maconochie, Siobhan Masterson, Bryan McNally, Jerry P. Nolan, Marcus Eng Hock Ong, Gavin D. Perkins, Jeong Ho Park, Patrick Ristau, Simone Savastano, Nur Shahidah, Sang Do Shin, Jasmeet Soar, Ingvild Tjelmeland, Martin Quinn, Jan Wnent, Myra H. Wyckoff, Taku Iwami
Summary: This study provides updated data on out-of-hospital cardiac arrest (OHCA) from 2015 to 2017. The provision of bystander cardiopulmonary resuscitation (CPR) has increased, but survival rates remain low.
Article
Emergency Medicine
Vibe Maria Laden Nielsen, Tim Alex Lindskou, Ulla Moller Weinreich, Michael Skaerbaek Jespersen, Erika Frischknecht Christensen, Henrik Boggild
Summary: During the early weeks of the COVID-19 outbreak, paramedics in North Denmark were authorized to assess suspected patients at home and decide if they needed to be transported to a hospital. This study aimed to describe the patients assessed at home and their outcomes. The majority of non-conveyed patients did not visit a hospital within three days after the assessment.
BMC EMERGENCY MEDICINE
(2023)
Article
Medicine, General & Internal
Martin F. Gude, Jan B. Valentin, Helle C. Christensen, Soren Mikkelsen, Morten B. Sovso, Grethe Andersen, Hans Kirkegaard, Soren P. Johnsen
Summary: This study investigates the association between the initial stroke triage conducted by Emergency Medical Service dispatchers and prehospital stroke management. The study found that correct stroke recognition by EMS dispatchers was associated with a higher rate of primary admission to hospitals offering revascularization treatment and a higher rate of acute revascularization treatment. It also resulted in a reduction in prehospital time delay. These findings highlight the importance of accurate stroke recognition by EMS dispatchers.
INTERNAL AND EMERGENCY MEDICINE
(2023)
Article
Multidisciplinary Sciences
Mia Caroe Sorensen, Morten Breinholt Sovso, Erika Frischknecht Christensen, Tim Alex Lindskou
Summary: One third of ambulance patients receive non-specific diagnoses in hospital. Vital signs at first contact with ambulance personnel can act as a proxy for the patient's condition. Most ambulance patients with non-specific diagnoses had normal or non-critical deviating vital signs and low mortality, but around 4% had critical vital signs and high mortality, not explained by age or comorbidity.
Article
Multidisciplinary Sciences
Louise Milling, Dorthe Susanne Nielsen, Jeannett Kjaer, Lars Grassme Binderup, Caroline Schaffalitzky de Muckadell, Helle Collatz Christensen, Erika Frischknecht Christensen, Annmarie Touborg Lassen, Soren Mikkelsen
Summary: This study explores how Danish prehospital physicians navigate ethical considerations in decision-making during out-of-hospital cardiac arrest (OHCA) treatment. The study found that physicians experience a complex interplay of ethical considerations, including expectations towards patient prognosis, expectations from relatives, bystanders, and colleagues involved in the cardiac arrest, values and beliefs of the physician and others involved, and dilemmas encountered in decision-making.
Article
Medicine, General & Internal
Tim Alex Lindskou, Logan Morgan Ward, Morten Breinholt Sovso, Mads Lause Mogensen, Erika Frischknecht Christensen
Summary: This study aimed to validate the predictive ability of early warning scores (EWSs) for mortality and ICU stay in a cohort of adult patients who used ambulances. The study found that EWSs performed moderately in predicting outcomes among unselected patients who used ambulances in the prehospital setting. The findings suggest the need for new and improved EWSs suitable for prehospital use.
Article
Nursing
Rikke Rishoj Molgaard, Lone Jorgensen, Mette Gronkjaer, Jacob ostergaard Madsen, Erika Frischknecht Christensen, Siri Lygum Voldbjerg
Summary: This study examines the effective use of the early warning score (EWS) in a hospital setting by exploring the ideas of nurses and physicians. Participatory workshops were conducted to gather data, and the integration of new functions, training, and updates were recommended to support the use of the EWS.
GLOBAL QUALITATIVE NURSING RESEARCH
(2023)