ECG signs of acute myocardial ischemia in the prehospital setting of a suspected acute coronary syndrome and its association with outcomes Nguyen Dang Thang, Birgitta Wireklint Sundström, Thomas Karlsson, Johan Herlitz, Björn Wilgot Karlson
DOI: http://dx.doi.org/10.1016/j.ajem.2014.03.006
The American Journal of Emergency Medicine , Vol. 32 , Issue 6 ,
Published online: March 17 2014
x The aims of this study were (a ) to determine the prehospital prevalence of electrocardiographic (ECG) signs of acute myocardial ischemia in patients with suspected acute coronary syndrome and (b ) to describe the relationships between the various ECG patterns and the diagnosis of acute myocardial infarction (AMI) and outcomes.
A prehospital screening tool utilizing end-tidal carbon dioxide predicts sepsis and severe sepsis Christopher L. Hunter, Salvatore Silvestri, George Ralls, Amanda Stone, Ayanna Walker, Linda Papa
DOI: http://dx.doi.org/10.1016/j.ajem.2016.01.017
The American Journal of Emergency Medicine , Vol. 34 , Issue 5 ,
Published online: January 20 2016
x To determine the utility of a prehospital sepsis screening protocol utilizing systemic inflammatory response syndrome (SIRS) criteria and end-tidal carbon dioxide (ETCO2 ).
Terminating unsuccessful advanced cardiac life support in the field Arthur L. Kellermann, Bela B. Hackman
DOI: http://dx.doi.org/10.1016/0735-6757(87)90197-5
The American Journal of Emergency Medicine , Vol. 5 , Issue 6 ,
Published in issue: November 1987
Emergency medical service safety of helicopters Robert C. Mathews
DOI: http://dx.doi.org/10.1016/0735-6757(91)90221-5
The American Journal of Emergency Medicine , Vol. 9 , Issue 5 ,
Published in issue: September 1991
The authors reply Ronald B. Low, Ira J. Blumen
DOI: http://dx.doi.org/10.1016/0735-6757(91)90222-6
The American Journal of Emergency Medicine , Vol. 9 , Issue 5 ,
Published in issue: September 1991
Transmission of 12-lead electrocardiographic tracings by Emergency Medical Technician–Basics and Emergency Medical Technician–Intermediates: a feasibility study Howard A. Werman, Robert Newland, Brad Cotton
DOI: http://dx.doi.org/10.1016/j.ajem.2010.01.015
The American Journal of Emergency Medicine , Vol. 29 , Issue 4 ,
Published online: May 5 2010
x Prehospital transmission of the electrocardiogram (ECG) in ST-elevation myocardial infarction patients has been shown to reduce door to treatment time and improve outcome. Acquisition of the ECG tracing is a paramedic skill, thus limiting the benefit of early ECG transmission to primarily urban areas. The purpose of this investigation was to determine whether prehospital ECGs could be transmitted by nonparamedic personnel.
Ondansetron as an effective antiemetic in the rural, out-of-hospital setting John P. Benner, Jeffrey D. Ferguson, Anthony E. Judkins, Robert E. O'Connor, William J. Brady
DOI: http://dx.doi.org/10.1016/j.ajem.2011.03.022
The American Journal of Emergency Medicine , Vol. 29 , Issue 7 ,
Published online: June 6 2011
x We write to you with the results of our investigation of ondansetron as an acceptable and efficacious antiemetic for the treatment of nausea and vomiting in the rural, out-of-hospital setting. Nausea is a commonly encountered patient complaint in both the out-of-hospital and emergency department (ED) settings [1]. Although a nonspecific symptom, nausea can result from a myriad of both benign and emergent etiologies, ranging from migraine headaches and gastroenteritis to intracranial hemorrhage and acute myocardial infarction.
Defibrillation in rural areas Mathias Ströhle, Peter Paal, Giacomo Strapazzon, Giovanni Avancini, Emily Procter, Hermann Brugger
DOI: http://dx.doi.org/10.1016/j.ajem.2014.08.046
The American Journal of Emergency Medicine , Vol. 32 , Issue 11 ,
Published online: August 26 2014
x Automated external defibrillation (AED) and public access defibrillation (PAD) have become cornerstones in the chain of survival in modern cardiopulmonary resuscitation. Most studies of AED and PAD have been performed in urban areas, and evidence is scarce for sparsely populated rural areas. The aim of this review was to review the literature and discuss treatment strategies for out-of-hospital cardiac arrest in rural areas.
Paramedic assessment and treatment of upper airway obstruction in pediatric patients: an exploratory analysis by the Children's Safety Initiative-Emergency Medical Services Matthew Hansen, Garth Meckler, William Lambert, Caitlin Dickinson, Kathryn Dickinson, Jeanne-Marie Guise
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.082
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: December 30 2015
x Croup, asthma, and anaphylaxis are potentially life-threatening pediatric emergencies. These medical conditions have distinct yet effective treatments. Croup causes upper airway obstruction, although virally mediated edema of the upper airway. Nebulized epinephrine, via its α -1 effect of vasoconstriction, is a highly effective treatment for upper airway obstruction caused by croup [1–5]. Asthma causes lower airway obstruction and is treated with albuterol whose β -2 mechanism causes relaxation of the lower airways [6].
Hospital-based healthcare provider (nurse and physician) integration into an emergency medical services–managed mass-gathering event Christian Martin-Gill, William J. Brady, Kevin Barlotta, Anthony Yoder, Allen Williamson, Benjamin Sojka, Dayton Haugh, Marcus L. Martin, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2006.07.003
The American Journal of Emergency Medicine , Vol. 25 , Issue 1 ,
Published in issue: January 2007
x This report describes not only the implementation of a coordinated emergency medical services–hospital–based healthcare team but also investigates the integration of nurse-physician teams at a mass gathering medical care event.
Predicting resource use at mass gatherings using a simplified stratification scoring model Nicholas Hartman, Allen Williamson, Benjamin Sojka, Kostas Alibertis, Marjorie Sidebottom, Thomas Berry, Jay Hamm, Robert E. O'Connor, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2008.03.042
The American Journal of Emergency Medicine , Vol. 27 , Issue 3 ,
Published in issue: March 2009
x Mass gathering events require varying types and amounts of medical resources to deal with patient presentations. The needs of various events have so far been difficult to predict with precision, yet likely are impacted by several factors which may be used in a predictive fashion.
Atropine aggravates signs and symptoms of Takotsubo cardiomyopathy Gagangeet Sandhu, Zhanna Servetnyk, Sherryl Croitor, Eyal Herzog
DOI: http://dx.doi.org/10.1016/j.ajem.2009.06.011
The American Journal of Emergency Medicine , Vol. 28 , Issue 2 ,
Published in issue: February 2010
x We present a novel case of Takotsubo cardiomyopathy, associated with worsening chest pain and T-wave inversions on electrocardiogram after atropine use. Our patient was an 82-year-old woman who complained of substernal chest discomfort of 5 hours duration. Atropine 0.5 mg was administered intravenously by the emergency medical service for symptomatic bradycardia. The patient subsequently complained of worsening chest pain and developed new T-wave inversions on the electrocardiogram. Cardiac catheterization was diagnostic and revealed normal coronary arteries but akinesis of the apical segment.
Human Carbon Monoxide Factory Karin Howe, David Griffen, Cassie Jaeger
DOI: http://dx.doi.org/10.1016/j.ajem.2016.04.008
Publication stage: In Press Accepted Manuscript
The American Journal of Emergency Medicine
Published online: April 8 2016
x Methylene chloride is a common occupational exposure. A metabolic product of methylene chloride is carbon monoxide (CO) and toxicity can lead to increased carboxyhemoglobin (COHb) levels. The half-life of COHb is prolonged in methylene chloride toxicity as the conversion to CO can last several hours beyond the exposure. In addition, methylene chloride can be stored in tissues, particularly adipose tissue, and converted to CO over time. The following case demonstrates that patients exposed to methylene chloride can essentially become CO factories with the production of CO within the body continuing long after exposure to the toxin.
Numerators, denominators, and survival rates: Reporting survival from out-of-hospital cardiac arrest Mickey S. Eisenberg, Richard O. Cummins, Mary Pat Larsen
DOI: http://dx.doi.org/10.1016/0735-6757(91)90108-V
The American Journal of Emergency Medicine , Vol. 9 , Issue 6 ,
Published in issue: November 1991
x This study demonstrates the effect of different denominators on the survival rate from out-of-hospital cardiac arrest. We retrospectively analyzed data from a cardiac arrest surveillance system in King County, Washington during the years 1976 to 1988, and calculated survival rates using eight different definitions of denominators. The eight survival rates ranged from 16% to 49% discharge from hospital. The denominator for the lowest survival rate included all cases of cardiac arrest for whom emergency medical services personnel started cardiopulmonary resuscitation.
Tele-ultrasound and paramedics: real-time remote physician guidance of the Focused Assessment With Sonography for Trauma examination Keith S. Boniface, Hamid Shokoohi, E. Reed Smith, Kari Scantlebury
DOI: http://dx.doi.org/10.1016/j.ajem.2009.12.001
The American Journal of Emergency Medicine , Vol. 29 , Issue 5 ,
Published online: April 14 2010
x The aim of this study was to examine the capability of ultrasound-naïve paramedics to obtain interpretable Focused Assessment With Sonography for Trauma (FAST) images under the remote direction of emergency physicians (EPs).
Effective prehospital advanced life support on outcomes of major trauma patients: Eckstein M, Chan L, Schmeir A, et al. J Trauma 2000;48:643–648
DOI: http://dx.doi.org/10.1016/S0735-6757(01)80093-0
The American Journal of Emergency Medicine , Vol. 19 , Issue 5 ,
Published in issue: September 2001
Survival from out-of-hospital cardiac arrest: Effects of patient age and presence of 911 emergency medical services phone access Sue A. Joslyn, Paul R. Pomrehn, Donald D. Brown
DOI: http://dx.doi.org/10.1016/0735-6757(93)90124-T
The American Journal of Emergency Medicine , Vol. 11 , Issue 3 ,
Published in issue: May 1993
x The purpose of this investigation was to determine factors associated with survival from out-of-hospital cardiac arrest, including effects of 911 Emergency Medical Services telephone access and the age of patient. Subjects included 1,753 prehospital cardiac arrest patients in Iowa. Patient survival status and other variables were compared for patients with access to a 911 service with those who did not, and for different age categories, using univariate associations and multivariate logistic regression analysis.
If we don't learn from history…: Ethical failings in a new prehospital directive Kenneth V Iserson
DOI: http://dx.doi.org/10.1016/0735-6757(95)90108-6
The American Journal of Emergency Medicine , Vol. 13 , Issue 2 ,
Published in issue: March 1995
Systems approach to emergency medical care: Boyd DR, Edlich RF, Micik S (eds). Norwalk, Connecticut, Appleton-Century-Crofts, 1983, 528 pages. ISBN 0-8385-8792-5, $48.00 Kenneth J. Rhee
DOI: http://dx.doi.org/10.1016/0735-6757(88)90026-5
The American Journal of Emergency Medicine , Vol. 6 , Issue 3 ,
Published in issue: May 1988
Clinical characteristics of aortic aneurysm and dissection as a cause of sudden death in outpatients Lauren C. Pierce, D. Mark Courtney
DOI: http://dx.doi.org/10.1016/j.ajem.2007.12.014
The American Journal of Emergency Medicine , Vol. 26 , Issue 9 ,
Published in issue: November 2008
x To describe characteristics of nonhospitalized patients experiencing sudden death from aortic causes and compare with characteristics of patients experiencing nontraumatic, unexpected, outpatient death from other causes.
