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Evaluation of prehospital preparedness for major incidents on a national level, with focus on mass casualty incidents
PurposeTo investigate prehospital preparedness work for Mass Casualty Incidents (MCI) and Major Incidents (MI) in Norway.
MethodA national...
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Comparison of helicopter and ground transportation in pediatric trauma patients
BackgroundDecision making regarding transportation mode after a traumatic injury may have a significant impact on outcomes, due to differences in...
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Prehospital management of chest injuries in severely injured patients—a systematic review and clinical practice guideline update
PurposeOur aim was to review and update the existing evidence-based and consensus-based recommendations for the management of chest injuries in...
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Analysis of the primary utilization of videolaryngoscopy in prehospital emergency care in Germany
BackgroundIn 2019, the German prehospital airway management guidelines were published. One of the recommendations was the primary utilization of...
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Prehospital blood gas analyses in acute patients treated by a ground-based physician-manned emergency unit: a cohort study
BackgroundThe prehospital patients treated by ambulances and mobile emergency care units (MECU) are potentially critically ill or injured. Knowing...
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Early identification of bleeding in trauma patients: external validation of traumatic bleeding scores in the Swiss Trauma Registry
BackgroundEarly identification of bleeding at the scene of an injury is important for triage and timely treatment of injured patients and transport...
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Witnessed prehospital traumatic arrest: predictors of survival to hospital discharge
PurposeTrauma patients are rapidly transported to the hospital for definitive care. Nonetheless, some are alive upon Emergency Medical Services (EMS)...
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Efficacy and safety of the second in-hospital dose of tranexamic acid after receiving the prehospital dose: double-blind randomized controlled clinical trial in a level 1 trauma center
BackgroundPrehospital administration of tranexamic acid (TXA) to injured patients is increasing worldwide. However, optimal TXA dose and need of a...
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Development and inter-rater reliability of a simple prehospital mobility score for use in emergency patients
BackgroundMobility assessment enhances the ability of vital sign-based early warning scores to predict risk. Currently mobility is not routinely...
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Transfusion Management in Trauma: What is Current Best Practice?
Purpose of ReviewIn the past few years, transfusion strategies in trauma have changed dramatically. We aim to define current practices, explore the...
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Effectiveness and safety of prehospital analgesia with nalbuphine and paracetamol versus morphine by paramedics - an observational study
BackgroundDespite the development of various analgesic concepts, prehospital oligoanalgesia remains very common. The present work examines...
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Navigating into the unknown: exploring the experience of exposure to prehospital emergency stressors: a sequential explanatory mixed-methods
IntroductionThe unpredictability of prehospital emergencies combined with constantly changing circumstances can lead to increased stress and mental...
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The advanced machine learner XGBoost did not reduce prehospital trauma mistriage compared with logistic regression: a simulation study
BackgroundAccurate prehospital trauma triage is crucial for identifying critically injured patients and determining the level of care. In the...
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Association of red blood cells and plasma transfusion versus red blood cell transfusion only with survival for treatment of major traumatic hemorrhage in prehospital setting in England: a multicenter study
BackgroundIn-hospital acute resuscitation in trauma has evolved toward early and balanced transfusion resuscitation with red blood cells (RBC) and...
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Prehospital factors associated with out-of-hospital cardiac arrest outcomes in a metropolitan city: a 4-year multicenter study
BackgroundPrehospital factors play a vital role in out-of-hospital cardiac arrest (OHCA) survivability, and they vary between countries and regions....
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Lived experiences of Iranian prehospital emergency technicians in facing women’s emergencies: a phenomenological study
Introduction: This study aimed to investigate the work problems and challenges of male prehospital emergency technicians when faced with female...
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Association between prehospital end-tidal carbon dioxide levels and mortality in patients with suspected severe traumatic brain injury
PurposeSevere traumatic brain injury is a leading cause of mortality and morbidity, and these patients are frequently intubated in the prehospital...
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The New Zealand National Trauma Registry: an essential tool for trauma quality improvement
PurposeTrauma registries are essential tools for trauma systems and underpin any quality improvement activities. This paper describes the history,...
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Association between three prehospital thoracic decompression techniques by physicians and complications: a retrospective, multicentre study in adults
IntroductionWe sought to compare the complication rates of prehospital needle decompression, finger thoracostomy and three tube thoracostomy systems...
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Do direct admissions to trauma centers have a survival benefit compared to inter-hospital transfers in severe trauma?
PurposeTo compare mortality among severe and critically injured patients who were directly admitted (DA) to level I trauma center (TCI) or level II...