Review
Clinical Neurology
Kori S. Zachrison, Victoria M. Nielsen, Natalia Perez de la Ossa, Tracy E. Madsen, Rebecca E. Cash, Remle P. Crowe, Erika C. Odom, Edward C. Jauch, Opeolu M. Adeoye, Christopher T. Richards
Summary: Prehospital factors play a critical role in acute stroke care and patient outcomes. This review discusses the current state of prehospital components of stroke systems of care, including layperson recognition of stroke, transport strategies, networked care, data integration, and inequities within systems.
Article
Medicine, General & Internal
Johannes Bladt Andersen, August Emil Licht, Tim Alex Lindskou, Erika Frischknecht Christensen, Louise Milling, Soren Mikkelsen
Summary: The findings of this cohort study suggest that prehospital treatment and subsequent release at the scene is safe. One patient in 12 attended the emergency department within the ensuing 48 hours. However, for patients with respiratory diseases, this rate was doubled. Hospital admission could be avoided for some patients in the end stage of a terminal illness.
Review
Clinical Neurology
Christopher T. T. Richards, J. Adam Oostema, Sherita N. N. Chapman, Lauren E. E. Mamer, Ethan S. S. Brandler, Anne W. W. Alexandrov, Alexandra L. L. Czap, Juan Carlos Martinez-Gutierrez, Christian Martin-Gill, Ashish R. R. Panchal, Jason T. T. McMullan, Kori S. S. Zachrison
Summary: This topical review discusses the current state of prehospital acute stroke screening and transport, as well as new and emerging advances in prehospital diagnosis and treatment of acute stroke. Topics include prehospital stroke screening, stroke severity screening, emerging technologies to aid in the identification and diagnosis of acute stroke in the prehospital setting, prenotification of receiving emergency departments, decision support for destination determination, and the capabilities and opportunities for prehospital stroke treatment in mobile stroke units. Further evidence-based guideline development and implementation of new technologies are critical for ongoing improvements in prehospital stroke care.
Review
Critical Care Medicine
Daniel R. Austin, Marvin G. Chang, Edward A. Bittner
Summary: Point-of-care ultrasound in emergency airway management has the potential to assist in rapid screening for difficult laryngoscopy, locating the cricothyroid membrane, assessing aspiration risk, and confirming proper endotracheal tube positioning. By providing an algorithm and framework, point-of-care ultrasound aims to enhance patient safety in EAM practices.
Article
Health Care Sciences & Services
Lizbet Todorova, Anders Johansson, Bodil Ivarsson
Summary: This study aimed to evaluate a prehospital emergency psychiatric unit from the perspective of prehospital emergency nurses (PENs). The results showed that there was a transition from limited and insufficient care to improved and adequate care for psychiatric patients in the unit. The study also found a lack of knowledge and skills about mental illnesses in general ambulance care, while the PAP concept opened new avenues for the care of patients with mental illness.
Article
Emergency Medicine
Danielle Marie Canter, Mary Ann Difranco, Kevin Landefeld, Christine Butts, Nicole L. Kaban
Summary: This case report highlights the importance of recognizing iatrogenic femoral artery pseudoaneurysm formation after intervention and the role of bedside ultrasound in expedited diagnosis and treatment. Emergency physicians should be aware of the risk of pseudoaneurysm formation in patients presenting with symptoms after arterial site intervention, even if the intervention was performed on the opposite side.
JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Public, Environmental & Occupational Health
Mahshid Abir, Jane Forman, Rekar K. Taymour, Christina Brent, Brahmajee K. Nallamothu, Jaqueline Scott, Kathy Wahl
Summary: This study conducted qualitative research involving EMS stakeholders in Michigan to identify themes and modifiers of EMS oversight quality, providing insights for policy improvement in EMS oversight and prehospital care. The findings were evaluated in the context of current evidence and informed state policy to enhance EMS quality for routine and disaster settings.
DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS
(2021)
Article
Clinical Neurology
Lukas Sveikata, Kazimieras Melaika, Adam Widniewski, Aleksandras Vilionskis, Kestutis Petrikonis, Edgaras Stankevicius, Kristaps Jurjans, Aleksandra Ekkert, Dalius Jatuzis, Rytis Masiliunas
Summary: This study assessed the impact of interactive emergency medical services (EMS) training on stroke recognition and prehospital care performance. The results showed that the training significantly improved stroke recognition, shortened the time from onset to hospital transport, and had a trend of reducing in-hospital mortality. However, adapted training strategies may be needed for EMS providers in suburban areas.
FRONTIERS IN NEUROLOGY
(2022)
Article
Obstetrics & Gynecology
Rebecca E. Cash, Robert A. Swor, Margaret Samuels-Kalow, David Eisenbrey, Anjali J. Kaimal, Carlos A. Camargo
Summary: Prehospital obstetric events encountered by EMS personnel are infrequent but often high-risk, with about one-third of cases being classified as high acuity. The most common presentation is early or threatened labor, while abdominal complaints are the most common primary symptoms and impressions. More research is needed to optimize prehospital care and outcomes for these patients.
BMC PREGNANCY AND CHILDBIRTH
(2021)
Article
Medicine, General & Internal
Kathryn M. Stadeli, Dylan Sonett, Kelsey M. Conrick, Megan Moore, Matthew Riesenberg, Eileen M. Bulger, Hendrika Meischke, Monica S. Vavilala
Summary: Patients with limited English proficiency (LEP) face disparities in prehospital care. This study aimed to identify barriers and facilitators perceived by EMS providers to provide high-quality care for LEP patients.
Article
Medicine, General & Internal
Jonghoon Yoo, Soo Yeon Kang, Ik Joon Jo, Taerim Kim, Guntak Lee, Jong Eun Park, Sung Yeon Hwang, Won Chul Cha, Tae Gun Shin, Hee Yoon
Summary: The study revealed that in emergency medical centers in Korea, the majority of physicians are performing various types of ultrasound scans more frequently compared to 10 years ago. Despite about 73% of respondents receiving ultrasound education, barriers related to education still pose the biggest deterrent to POCUS use.
JOURNAL OF KOREAN MEDICAL SCIENCE
(2021)
Article
Nursing
Anu Venesoja, Veronica Lindstrom, Maaret Castren, Susanna Tella
Summary: This study explores the experiences of prehospital nursing students in the patient safety culture of emergency medical services. The findings suggest that patient safety events described by students were rarely reported and were often related to communication, checking/verification, and teamwork. The study highlights the importance of utilizing students' observations to improve patient safety culture in emergency medical services.
JOURNAL OF CLINICAL NURSING
(2023)
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.
Review
Health Care Sciences & Services
Abdullah Alruwaili, Ahmed Ramdan M. Alanazy
Summary: The aim of this study was to compare pre-hospital time intervals between rural and urban communities in terms of emergency medical services. The study found that response time, transport time, and on-scene time were all shorter in urban communities compared to rural communities.
Article
Emergency Medicine
Martin Rief, Daniel Auinger, Michael Eichinger, Gabriel Honnef, Gregor Alexander Schittek, Philipp Metnitz, Gerhard Prause, Philipp Zoidl, Paul Zajic
Summary: We collected information on 32 European countries and found that 94% of the countries utilize physicians in prehospital emergency medical services, with 53% also involving general practitioners. Based on the degree of physician utilization, we classified the prehospital emergency systems into different tiers. There are significant differences in system designs and physician utilization intensity across different geographic areas, countries, and regions in Europe, with three archetypal models coexisting.
Article
Surgery
F. Savioli, E. S. Morrow, L. K. Cheung, S. Stallard, J. Doughty, L. Romics
Summary: This study evaluated the impact of routine cavity shaving on re-excision rates. The results showed that routine cavity shaving decreases re-excision rate and prevents delays to adjuvant treatment due to incomplete excision.
ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND
(2023)
Article
Emergency Medicine
Korakot Apiratwarakul, Pariwat Phungoen, Lap Woon Cheung, Somsak Tiamkao, Takaaki Suzuki, Chatkhane Pearkao, Kamonwon Ienghong
Summary: Motorcycle ambulances can reach patients faster, especially during the morning and afternoon operation time. This study focuses on cases where the travel distance is less than 10 kilometers.
PREHOSPITAL AND DISASTER MEDICINE
(2023)
Article
Health Care Sciences & Services
Kamonwon Ienghong, Lap Woon Cheung, Somsak Tiamkao, Vajarabhongsa Bhudhisawasdi, Korakot Apiratwarakul
Summary: Globally, emergency departments are facing overcrowding issues, and prehospital Point of Care ultrasound (POCUS) has a high potential to reduce time of diagnosis and investigation, leading to shorter emergency department length of stay (LOS). The study compared the LOS between the prehospital POCUS group and the standard care group, and found that there was no significant difference in LOS between the two groups.
JOURNAL OF MULTIDISCIPLINARY HEALTHCARE
(2023)
Article
Nursing
Chatkhane Pearkao, Wiphawadee Potisopha, Parichat Wonggom, Apinya Jumpamool, Korakot Apiratwarakul, Kamonwon Lenghong
Summary: This research aimed to evaluate patient outcomes after implementing a novel web application operating system in trauma care. The results showed that the application can improve the length of stay for patients.
ASIAN NURSING RESEARCH
(2023)
Article
Emergency Medicine
Korakot Apiratwarakul, Lap Woon Cheung, Kamonwon Ienghong
Summary: The primary objective of this study is to compare the duration of patient care in an ambulance between the use and non-use of smart glasses. The secondary objective is to identify the characteristics of data communication between the ambulance and the hospital.
PREHOSPITAL AND DISASTER MEDICINE
(2023)
Article
Health Care Sciences & Services
Kamonwon Ienghong, Lap Woon Cheung, Pornpawit Wongwan, Korakot Apiratwarakul
Summary: The study aimed to assess the effectiveness of using smart glasses for ultrasound-guided peripheral venous access (USGPIV). It was found that the smart glasses group had a higher first-attempt success rate and shorter procedure time compared to the non-smart glasses group. However, there were no significant differences in the first pass success rate of USGPIV between the two groups.
JOURNAL OF MULTIDISCIPLINARY HEALTHCARE
(2023)
Article
Education, Scientific Disciplines
Kamonwon Ienghong, Dhanu Gaysonsiri, Lap Woon Cheung, Korakot Apiratwarakul
Summary: This study aimed to investigate the satisfaction of Laos EM residents with the structure and scope of POCUS training in overseas elective rotation. The findings showed that participants were highly satisfied with the course and the rotation significantly enhanced their POCUS knowledge.
ADVANCES IN MEDICAL EDUCATION AND PRACTICE
(2023)
Article
Emergency Medicine
Korakot Apiratwarakul, Lap Woon Cheung, Chatkhane Pearkao, Dhanu Gaysonsiri, Kamonwon Ienghong
Summary: The study compares the response times of EMS between traditional phone calls and the utilization of smart emergency call points on university campuses. It also provides insights into the characteristics of smart emergency call points.
PREHOSPITAL AND DISASTER MEDICINE
(2023)
Article
Emergency Medicine
Pariwat Phungoen, Lap Woon Cheung, Kamonwon Ienghong, Korakot Apiratwarakul
Summary: This study compared the characteristics and outcomes of patients transferred to the emergency department (ED) by emergency medical services (EMS) and patients transported by other means. The results showed that patients utilizing EMS services had a higher median age, a higher frequency of emergency cases and trauma-related complaints, a greater need for treatment interventions and imaging procedures, a higher rate of hospital and intensive care unit (ICU) admissions, as well as a higher mortality rate compared to patients transported by other means.
ARCHIVES OF ACADEMIC EMERGENCY MEDICINE
(2023)