The impact of H1N1 influenza A virus pandemic on the emergency medical service in Kobe Masaharu Tsubokura, Haruka Nakada, Tomoko Matsumura, Yuko Kodama, Masahiro Kami
DOI: http://dx.doi.org/10.1016/j.ajem.2009.10.013
The American Journal of Emergency Medicine , Vol. 28 , Issue 2 ,
Published in issue: February 2010
x Pandemic H1N1 2009 influenza virus infection has been identified as the cause of a widespread outbreak of febrile respiratory tract infection. On June 11, 2009, the World Health Organization raised its pandemic alert to the highest level, phase 6.
Association of educational level with delay of prehospital care before reperfusion in STEMI Ju Yeon Heo, Ki Jeong Hong, Sang Do Shin, Kyoung Jun Song, Young Sun Ro
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.019
The American Journal of Emergency Medicine , Vol. 33 , Issue 12 ,
Published online: August 13 2015
x Rapid access to reperfusion is important in ST-segment elevation myocardial infarction (STEMI). The goal of this study is to assess the association of the educational level of patients with STEMI and prehospital and inhospital delay before reperfusion.
A proper adjustment for sicker patients with out-of-hospital cardiac arrest Taeyun Kim
DOI: http://dx.doi.org/10.1016/j.ajem.2015.11.046
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: November 18 2015
x The reader's comments on our recent study [1] are very valuable. I completely agree that confounding by indication is a serious problem that can distort the results of all observational designs that compare airways in cardiac arrest.
Characteristics of trauma patients overimmobilized by prehospital providers Elizabeth Paterek, Derek L. Isenberg, Ellie Salinski, Herbert Schiffer, Bruce Nisbet
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.034
The American Journal of Emergency Medicine , Vol. 33 , Issue 1 ,
Published online: October 25 2014
x Previous studies have shown that prehospital providers, both emergency medical technicians (EMTs) and paramedics, can accurately apply selective spinal immobilization (SSI) to trauma patients [1–9]. However, no studies have examined why emergency medical services (EMS) providers overimmobilize trauma patients. Our study aimed to examine the reasons why prehospital providers in our system overimmobilized trauma patients.
Prehospital activated charcoal use in antipsychotic overdose Joseph Villarreal, Christopher A. Kahn, James V. Dunford, Edward M. Castillo, Richard F. Clark
DOI: http://dx.doi.org/10.1016/j.ajem.2015.10.057
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: November 3 2015
x We recently published a retrospective review of our prehospital administration of activated charcoal (AC) with a focus on transport times [1]. We report a further review of our experience with prehospital AC, now focusing specifically on its use in antipsychotic overdose.
Patient transport via private vehicle in Sequoia and Kings Canyon National Parks Albert Sae, Stephen Haverly, Jeffery Uller, Marc Shalit, Geoff Stroh
DOI: http://dx.doi.org/10.1016/j.ajem.2005.02.002
The American Journal of Emergency Medicine , Vol. 23 , Issue 3 ,
Published in issue: May 2005
x Emergency medical service providers frequently encounter patients with low acuity. Because of liability and safety concerns, emergency medical service systems often prohibit privately owned vehicle (POV) transport. Thus, prehospital resources are used with questionable benefit. In Sequoia and Kings Canyon National Parks, our primary objective was to determine the feasibility of POV. We assessed patient compliance, satisfaction, and safety. Our hypothesis was that POV is feasible with online physician medical control.
Variation in outcome in studies of out-of-hospital cardiac arrest: a review of studies conforming to the utstein guidelines Martin Fredriksson, J Herlitz, G Nichol
DOI: http://dx.doi.org/10.1016/S0735-6757(03)00082-2
The American Journal of Emergency Medicine , Vol. 21 , Issue 4 ,
Published in issue: July 2003
x The objective of this study was to systematically review studies on out-of-hospital cardiac arrest published according to the Utstein guidelines to describe the variability in factors of resuscitation and outcome. Articles that reported primary data on survival after out-of-hospital cardiac arrest in the Utstein style were included. Forty-seven articles were identified using Medline. Fourteen studies met our criteria for inclusion. The number of patients in whom resuscitation was attempted varied between 78 and 3,243.
Emergency medical care in the Soviet Union Boris D. Komarov
DOI: http://dx.doi.org/10.1016/0735-6757(84)90048-2
The American Journal of Emergency Medicine , Vol. 2 , Issue 5 ,
Published in issue: September 1984
A multijurisdictional experience with the EZ-IO intraosseous device in the prehospital setting Donald V. Byars, Sara N. Tsuchitani, Jeff Yates, Barry Knapp
DOI: http://dx.doi.org/10.1016/j.ajem.2013.08.056
The American Journal of Emergency Medicine , Vol. 31 , Issue 12 ,
Published online: September 27 2013
x Rapid peripheral venous access for the severely ill or injured patient in the prehospital setting is critical for their proper management. Unfortunately, due to either disease or trauma, vascular collapse may cause intravenous cannulation to be delayed considerably or even impossible. Over the years, the use of intraosseous (IO) access has become the preferred alternative method for obtaining vascular access in the prehospital setting. The National Association of EMS Physicians emphasized this role for IO in the prehospital setting in a position statement in 2007 [1].
Which stroke symptoms prompt a 911 call? A population-based study Dawn Kleindorfer, Christopher J. Lindsell, Charles J. Moomaw, Kathleen Alwell, Daniel Woo, Matthew L. Flaherty, Opeolu Adeoye, Tarek Zakaria, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2009.02.016
The American Journal of Emergency Medicine , Vol. 28 , Issue 5 ,
Published online: November 23 2009
x Many studies show that a major barrier to short-term treatment of stroke is patient or bystander delay in responding to stroke symptoms. Most studies have found that less than half of stroke/transient ischemic attack (TIA) events result in a 911 call. We sought to determine which symptoms prompt the public to call 911.
Impact of first contact on symptom onset–to-door time in patients presenting for primary percutaneous coronary intervention Abdul Moiz Hafiz, Srihari S. Naidu, Joshua DeLeon, Shahidul Islam, Basil Alkhatib, Miguel Lorenz, Alexis D’Elia, Barry Rosenthal, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2013.03.005
The American Journal of Emergency Medicine , Vol. 31 , Issue 6 ,
Published online: April 26 2013
x To determine effect of first medical contact type on symptom onset–to-door time (SODT).
Prehospital delay and its impact on time to treatment in ST-elevation myocardial infarction Haroon Chughtai, Douglas Ratner, Mario Pozo, Joseph A. Crouchman, Barbara Niedz, Richard Merwin, Robert G. Lahita
DOI: http://dx.doi.org/10.1016/j.ajem.2009.11.006
The American Journal of Emergency Medicine , Vol. 29 , Issue 4 ,
Published online: April 5 2010
x We performed this study to assess the impact of pre-hospital time on the patient’s outcome.
Cricothyrotomy performed by prehospital personnel Daniel W. Spaite
DOI: http://dx.doi.org/10.1016/0735-6757(93)90149-6
The American Journal of Emergency Medicine , Vol. 11 , Issue 3 ,
Published in issue: May 1993
Feasibility of pre-hospital fibrinolytic therapy in acute myocardial infarction David Applebaum, Avraham T. Weiss, Gideon Koren, Yoseph Ben David, Yonathan Hasin, Mervyn S. Gotsman
DOI: http://dx.doi.org/10.1016/0735-6757(86)90065-3
The American Journal of Emergency Medicine , Vol. 4 , Issue 3 ,
Published in issue: May 1986
x Intravenous streptokinase (STK) was given in the field by a physician-staffed mobile intensive care ambulance to 13 patients. Patients waited 33 ± 17 minutes to call the ambulance, arrival time was 5 ± 3 minutes, and a further work-up time of 32 ± 8 minutes elapsed. The average time from the onset of pain until administration of STK was 66.7 minutes. Patients were transferred to hospital without important side effects or complications. Eleven of 12 of the infarction-related arteries were patent on subsequent coronary angiography.
Ambulance use by high-acuity patients in a pediatric ED Susanne Kost, Kathleen Cronan, Marc Gorelick, Jaime Arruda
DOI: http://dx.doi.org/10.1053/ajem.2000.16290
The American Journal of Emergency Medicine , Vol. 18 , Issue 6 ,
Published in issue: October 2000
x The objective of this study was to analyze ambulance usage by highest acuity patients as compared with all patients in a suburban pediatric hospital ED. A 1-year retrospective records analysis was conducted of all highest acuity patients (those patients triaged as emergent or critical or admitted to the intensive care unit). A total of 245 patients made 270 high-acuity visits to the ED in 1995. Thirty-one (13%) of the high-acuity patients arrived via ambulance; the rest arrived via private vehicle.
Urban emergency medical system: A consensus Alexander E. Kuehl, James T. Kerr, Jay M. Thompson
DOI: http://dx.doi.org/10.1016/0735-6757(84)90084-6
The American Journal of Emergency Medicine , Vol. 2 , Issue 6 ,
Published in issue: November 1984
A pilot model for predicting the success of prehospital endotracheal intubation Leigh Ann Diggs, Sameera D. Viswakula, Manasi Sheth-Chandra, Gianluca De Leo
DOI: http://dx.doi.org/10.1016/j.ajem.2014.11.020
The American Journal of Emergency Medicine , Vol. 33 , Issue 2 ,
Published online: November 19 2014
x We sought to evaluate the success of prehospital, non–drug-assisted endotracheal intubation (ETI) performed by Virginia prehospital care providers and to develop a model designed to predict the probability of success of ETI.
Protocols for prehospital emergency medical care, 2nd edition: By Abbott J, Gifford M, Rosen P. Baltimore, Williams and Wilkins, 1981, 302 pages, $17.95 Anne Boyd
DOI: http://dx.doi.org/10.1016/0735-6757(85)90187-1
The American Journal of Emergency Medicine , Vol. 3 , Issue 6 ,
Published in issue: November 1985
Action guide for emergency service personnel: Rescue Training Associates, Ltd., 1985 Brady Communications Company, Inc Anne Boyd
DOI: http://dx.doi.org/10.1016/0735-6757(85)90188-3
The American Journal of Emergency Medicine , Vol. 3 , Issue 6 ,
Published in issue: November 1985
Patient factors associated with identification of sepsis in the ED D.K. Wilson, C.C. Polito, M.J. Haber, A. Yancey II, G.S. Martin, A. Isakov, B.J. Anderson, V. Kundel, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2014.06.014
The American Journal of Emergency Medicine , Vol. 32 , Issue 10 ,
Published online: June 19 2014
x Early antibiotics and quantitative fluid resuscitation have been shown to reduce mortality in patients with severe sepsis in the emergency department (ED) [1,2]. However, estimates of ED identification of sepsis are as low as 17% [3]. The goal of this study was to identify patient factors that are most practically and accurately associated with identification of sepsis in the ED.
