Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine最新文献

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The use of Foley catheter tamponade for bleeding control in penetrating injuries. Foley导管填塞在穿透性损伤出血控制中的应用。
IF 3.3
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Pub Date : 2021-12-04 DOI: 10.1186/s13049-021-00975-2
Nicolas Beysard, Mathieu Pasquier, Tobias Zingg, Pierre-Nicolas Carron, Vincent Darioli
{"title":"The use of Foley catheter tamponade for bleeding control in penetrating injuries.","authors":"Nicolas Beysard, Mathieu Pasquier, Tobias Zingg, Pierre-Nicolas Carron, Vincent Darioli","doi":"10.1186/s13049-021-00975-2","DOIUrl":"https://doi.org/10.1186/s13049-021-00975-2","url":null,"abstract":"","PeriodicalId":501057,"journal":{"name":"Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine","volume":" ","pages":"165"},"PeriodicalIF":3.3,"publicationDate":"2021-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8642887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39690309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
The updated national research agenda 2021-2026 for prehospital emergency medical services in the Netherlands: a Delphi study. 更新的荷兰院前急救医疗服务2021-2026年国家研究议程:德尔菲研究
IF 3.3
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Pub Date : 2021-11-20 DOI: 10.1186/s13049-021-00971-6
Lilian C M Vloet, Gijs Hesselink, Sivera A A Berben, Margreet Hoogeveen, Paul J T Rood, Remco H A Ebben
{"title":"The updated national research agenda 2021-2026 for prehospital emergency medical services in the Netherlands: a Delphi study.","authors":"Lilian C M Vloet,&nbsp;Gijs Hesselink,&nbsp;Sivera A A Berben,&nbsp;Margreet Hoogeveen,&nbsp;Paul J T Rood,&nbsp;Remco H A Ebben","doi":"10.1186/s13049-021-00971-6","DOIUrl":"https://doi.org/10.1186/s13049-021-00971-6","url":null,"abstract":"<p><strong>Background: </strong>In 2015, a national research agenda was established for Dutch prehospital EMS to underpin the evidence base of care delivery and inform policymakers and funders. The continuously increasing demand for ambulance care and the reorientation towards the role of EMS in recent years may have changed research priorities. Therefore, this study aimed to update the Dutch national EMS research agenda.</p><p><strong>Methods: </strong>A three-round online Delphi survey was used to explore and discuss different viewpoints and to reach consensus on research priorities (i.e., themes and special interest groups, e.g. patient types who require specific research attention). A multidisciplinary expert panel (n = 62) was recruited in the field of prehospital EMS and delegates of relevant professional organizations and stakeholders participated. In round one, fifty-nine research themes and six special interest groups (derived from several resources) were rated on importance on a 5-point scale by the panel members. In round two, the panel selected their priority themes and special interest groups (yes/no), and those with a positive difference score were further assessed in round three. In this final round, appropriateness of the remaining themes and agreement within the panel was taken into account, following the RAND/UCLA appropriateness method, which resulted in the final list of research priorities.</p><p><strong>Results: </strong>The survey response per round varied between 94 and 100 percent. In round one, a reduction from 59 to 25 themes and the selection of three special interest groups was realized. Round two resulted in the prioritization of six themes and one special interest group ('Vulnerable elderly'). Round three showed an adequate level of agreement regarding all six themes: 'Registration and (digital) exchange of patient data in the chain of emergency care'; 'Mobile care consultation/Non conveyance'; 'Care coordination'; 'Cooperation with professional partners within the care domain'; 'Care differentiation' and 'Triage and urgency classification'.</p><p><strong>Conclusions: </strong>The updated Dutch national EMS research agenda builds further on the previous version and introduces new EMS research priorities that correspond with the future challenges prehospital EMS care is faced with. This agenda will guide researchers, policymakers and funding bodies in prioritizing future research projects.</p>","PeriodicalId":501057,"journal":{"name":"Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine","volume":" ","pages":"162"},"PeriodicalIF":3.3,"publicationDate":"2021-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8605575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39641496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Helicopter emergency medical services use of thoracic point of care ultrasound for pneumothorax: a systematic review and meta-analysis. 直升机紧急医疗服务使用胸部护理点超声治疗气胸:系统回顾和荟萃分析。
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Pub Date : 2021-11-20 DOI: 10.1186/s13049-021-00977-0
Edward Griffiths
{"title":"Helicopter emergency medical services use of thoracic point of care ultrasound for pneumothorax: a systematic review and meta-analysis.","authors":"Edward Griffiths","doi":"10.1186/s13049-021-00977-0","DOIUrl":"10.1186/s13049-021-00977-0","url":null,"abstract":"<p><strong>Background: </strong>Auscultating for breath sounds to assess for pneumothorax in the helicopter emergency medical services (HEMS) settings can be extremely challenging. Thoracic point of care ultrasound (POCUS) offers a seemingly more useful visual (rather than audible) alternative. This review critically and quantitatively evaluates the use of thoracic POCUS for pneumothorax in the HEMS setting.</p><p><strong>Methods: </strong>A systematic literature review with meta-analysis was conducted. Only papers reporting on patients undergoing POCUS for pneumothorax in the helicopter or pre-hospital setting were included. Primary outcome was accuracy, focusing on sensitivity and specificity. Secondary outcome was practicality. PubMed, Embase and the Cochrane Library were searched. The Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) was used to assess validity of studies.</p><p><strong>Results: </strong>Twelve studies reporting on n = 1,936 images from medical and trauma patients were included in qualitative synthesis. Studies were nearly all observational designs. Most images were acquired by nurses or paramedics who were previously novices to ultrasound. The reference standard was predominantly CT. Specificity results were unanimously precise and very high, whereas sensitivity results were imprecise and extremely variable. Meta-analysis of eight studies involving n = 1,713 images yielded pooled sensitivity 61% (95% CI: 27-87%; I<sup>2</sup> = 94%) and pooled specificity 99% (95% CI: 98-100%; I<sup>2</sup> = 89%). Six studies involving n = 315 images reported practicality. The highest or second highest categorisation of image quality was reported in around half of those images.</p><p><strong>Conclusion: </strong>Thoracic POCUS is highly specific but has extremely variable sensitivity for pneumothorax when performed in the HEMS setting. This is from purely a diagnostic (not clinical) perspective. Sensitivity increases when only clinically significant pneumothoraces are considered. Case reports reveal thoracic POCUS can appropriately alter treatment and triage decisions, but only for a small number of patients. It appears predominantly useful in mitigating against unnecessary interventions. More research reporting patient focused outcomes is required. In the meantime, thoracic POCUS appears to offer a more appropriate visual alternative to auscultation for breath sounds when assessing for pneumothorax in the HEMS setting.</p>","PeriodicalId":501057,"journal":{"name":"Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine","volume":" ","pages":"163"},"PeriodicalIF":0.0,"publicationDate":"2021-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8606084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39641087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analgesia in pediatric trauma patients in physician-staffed Austrian helicopter rescue: a 12-year registry analysis. 儿科创伤患者在奥地利直升机救援中的镇痛:一项12年的登记分析。
IF 3.3
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Pub Date : 2021-11-18 DOI: 10.1186/s13049-021-00978-z
Christopher Rugg, Simon Woyke, Julia Ausserer, Wolfgang Voelckel, Peter Paal, Mathias Ströhle
{"title":"Analgesia in pediatric trauma patients in physician-staffed Austrian helicopter rescue: a 12-year registry analysis.","authors":"Christopher Rugg,&nbsp;Simon Woyke,&nbsp;Julia Ausserer,&nbsp;Wolfgang Voelckel,&nbsp;Peter Paal,&nbsp;Mathias Ströhle","doi":"10.1186/s13049-021-00978-z","DOIUrl":"https://doi.org/10.1186/s13049-021-00978-z","url":null,"abstract":"<p><strong>Background: </strong>As pediatric patients are typically rare among helicopter emergency medical systems (HEMS), children might be at risk for oligo-analgesia due to the rescuer's lack of experience and the fear of side effects.</p><p><strong>Methods: </strong>In this retrospective analysis, data was obtained from the ÖAMTC HEMS digital database including 14 physician staffed helicopter bases in Austria over a 12-year timeframe. Primary missions involving pediatric trauma patients (< 15 years) not mechanically ventilated on-site were included. Analgesia was assessed and compared between the age groups 0-5, 6-10 and 11-14 years.</p><p><strong>Results: </strong>Of all flight missions, 8.2% were dedicated to children < 15 years. Analgetic drugs were administered in 31.4% of all primary missions (3874 of 12,324), wherefrom 2885 were injured and non-ventilated (0-5 yrs.: n = 443; 6-10 yrs.: n = 902; 11-14 yrs.: n = 1540). The majority of these patients (> 75%) suffered moderate to severe pain, justifying immediate analgesia. HEMS physicians typically chose a monotherapy with an opioid (n = 1277; 44.3%) or Esketamine (n = 1187; 41.1%) followed by the combination of both (n = 324; 11.2%). Opioid use increased (37.2% to 63.4%) and Esketamine use decreased (66.1% to 48.3%) in children < 6 vs. > 10 years. Esketamine was more often administered in extremity (57.3%) than in head (41.5%) or spine injuries (32.3%). An intravenous access was less often established in children < 6 years (74.3% vs. 90.8%; p < 0.001). Despite the use of potent analgesics, 396 missions (13.7%) were performed without technical monitoring. Particularly regarding patient data at handover in hospital, merely < 10% of all missions featured complete documentation. Therefore, sufficient evaluation of the efficacy of pain relief was not possible. Yet, by means of respiratory measures required during transport, severe side effects such as respiratory insufficiency, were barely noted.</p><p><strong>Conclusions: </strong>In the physician-staffed HEMS setting, pediatric trauma patients liberally receive opioids and Esketamine for analgesia. With regard to severe respiratory insufficiency during transport, the application of these potent analgesics seems safe.</p>","PeriodicalId":501057,"journal":{"name":"Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine","volume":" ","pages":"161"},"PeriodicalIF":3.3,"publicationDate":"2021-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8600762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39746356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Identification and validation of objective triggers for initiation of resuscitation management of acutely ill non-trauma patients: the INITIATE IRON MAN study. 急性非创伤患者复苏管理启动的客观触发因素的识别和验证:INITIATE IRON MAN研究。
IF 3.3
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Pub Date : 2021-11-13 DOI: 10.1186/s13049-021-00973-4
Alexandros Rovas, Efe Paracikoglu, Mark Michael, André Gries, Janina Dziegielewski, Hermann Pavenstädt, Michael Bernhard, Philipp Kümpers
{"title":"Identification and validation of objective triggers for initiation of resuscitation management of acutely ill non-trauma patients: the INITIATE IRON MAN study.","authors":"Alexandros Rovas,&nbsp;Efe Paracikoglu,&nbsp;Mark Michael,&nbsp;André Gries,&nbsp;Janina Dziegielewski,&nbsp;Hermann Pavenstädt,&nbsp;Michael Bernhard,&nbsp;Philipp Kümpers","doi":"10.1186/s13049-021-00973-4","DOIUrl":"https://doi.org/10.1186/s13049-021-00973-4","url":null,"abstract":"<p><strong>Background: </strong>While there are clear national resuscitation room admission guidelines for major trauma patients, there are no comparable alarm criteria for critically ill nontrauma (CINT) patients in the emergency department (ED). The aim of this study was to define and validate specific trigger factor cut-offs for identification of CINT patients in need of a structured resuscitation management protocol.</p><p><strong>Methods: </strong>All CINT patients at a German university hospital ED for whom structured resuscitation management would have been deemed desirable were prospectively enrolled over a 6-week period (derivation cohort, n = 108). The performance of different thresholds and/or combinations of trigger factors immediately available during triage were compared with the National Early Warning Score (NEWS) and Quick Sequential Organ Failure Assessment (qSOFA) score. Identified combinations were then tested in a retrospective sample of consecutive nontrauma patients presenting at the ED during a 4-week period (n = 996), and two large external datasets of CINT patients treated in two German university hospital EDs (validation cohorts 1 [n = 357] and 2 [n = 187]).</p><p><strong>Results: </strong>The any-of-the-following trigger factor iteration with the best performance in the derivation cohort included: systolic blood pressure < 90 mmHg, oxygen saturation < 90%, and Glasgow Coma Scale score < 15 points. This set of triggers identified > 80% of patients in the derivation cohort and performed better than NEWS and qSOFA scores in the internal validation cohort (sensitivity = 98.5%, specificity = 98.6%). When applied to the external validation cohorts, need for advanced resuscitation measures and hospital mortality (6.7 vs. 28.6%, p < 0.0001 and 2.7 vs. 20.0%, p < 0.012) were significantly lower in trigger factor-negative patients.</p><p><strong>Conclusion: </strong>Our simple, any-of-the-following decision rule can serve as an objective trigger for initiating resuscitation room management of CINT patients in the ED.</p>","PeriodicalId":501057,"journal":{"name":"Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine","volume":" ","pages":"160"},"PeriodicalIF":3.3,"publicationDate":"2021-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8590263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39621105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Letter to the Editor in regard to the "Effects of COVID-19 on in-hospital cardiac arrest: incidence, causes, and outcome" by Roedl et al." Roedl等人关于“COVID-19对院内心脏骤停的影响:发生率、原因和结果”的致编辑信。
IF 3.3
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Pub Date : 2021-11-03 DOI: 10.1186/s13049-021-00965-4
A D Krieg, J Duval-Arnould, H Newton, B D Winters, E A Hunt
{"title":"Letter to the Editor in regard to the \"Effects of COVID-19 on in-hospital cardiac arrest: incidence, causes, and outcome\" by Roedl et al.\"","authors":"A D Krieg,&nbsp;J Duval-Arnould,&nbsp;H Newton,&nbsp;B D Winters,&nbsp;E A Hunt","doi":"10.1186/s13049-021-00965-4","DOIUrl":"https://doi.org/10.1186/s13049-021-00965-4","url":null,"abstract":"","PeriodicalId":501057,"journal":{"name":"Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine","volume":" ","pages":"159"},"PeriodicalIF":3.3,"publicationDate":"2021-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8564593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39588207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preparation of hospitals for mass casualty incidents in Bavaria, Germany: care capacities for penetrating injuries and explosions in TerrorMASCALs. 在德国巴伐利亚为医院应对大规模伤亡事件做好准备:在恐怖主义袭击中对穿透性伤害和爆炸的护理能力。
IF 3.3
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Pub Date : 2021-10-30 DOI: 10.1186/s13049-021-00970-7
Nina Thies, Alexandra Zech, Thorsten Kohlmann, Peter Biberthaler, Michael Bayeff-Filloff, Karl-Georg Kanz, Stephan Prückner
{"title":"Preparation of hospitals for mass casualty incidents in Bavaria, Germany: care capacities for penetrating injuries and explosions in TerrorMASCALs.","authors":"Nina Thies,&nbsp;Alexandra Zech,&nbsp;Thorsten Kohlmann,&nbsp;Peter Biberthaler,&nbsp;Michael Bayeff-Filloff,&nbsp;Karl-Georg Kanz,&nbsp;Stephan Prückner","doi":"10.1186/s13049-021-00970-7","DOIUrl":"https://doi.org/10.1186/s13049-021-00970-7","url":null,"abstract":"<p><strong>Background: </strong>In a terror attack mass casualty incident (TerrorMASCAL), compared to a \"normal\" MASCAL, there is a dynamic course that can extend over several hours. The injury patterns are penetrating and perforating injuries. This article addresses the provision of material and personnel for the care of special injuries of severely injured persons that may occur in the context of a TerrorMASCAL.</p><p><strong>Methods: </strong>To answer the research question about the preparation of hospitals for the care of severely injured persons in a TerrorMASCAL, a survey of trauma surgery departments in Bavaria (Germany) was conducted using a questionnaire, which was prepared in three defined steps based on an expert consensus. The survey is divided into a general, neurosurgical, thoracic, vascular and trauma surgery section. In the specialized sections, the questions relate to the implementation of and material and personnel requirements for special interventions that are required, particularly for injury patterns following gunshot and explosion injuries, such as trepanation, thoracotomy and balloon occlusion of the aorta.</p><p><strong>Results: </strong>In the general section, it was noted that only a few clinics have an automated system to notify off-duty staff. When evaluating the data from the neurosurgical section, the following could be established with regard to the performance of trepanation: the regional trauma centers do not perform trepanation but nevertheless have the required material and personnel available. A similar result was recorded for local trauma centers. In the thoracic surgery section, it could be determined that almost all trauma centers that do not perform thoracotomy have the required material available. This group of trauma centers also stated that they have staff who can perform thoracotomy independently. The retrograde endovascular aortic occlusion procedure is possible in 88% of supraregional, 64% of regional and 10% of local trauma centers. Pelvic clamps and external fixators are available at all trauma centers.</p><p><strong>Conclusion: </strong>The results of the survey show potential for optimization both in the area of framework conditions and in the care of patients. Consistent and specific training measures, for example, could improve the nationwide performance of these special interventions. Likewise, it must be discussed whether the abovementioned special procedures should be reserved for higher-level trauma centers.</p>","PeriodicalId":501057,"journal":{"name":"Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine","volume":" ","pages":"156"},"PeriodicalIF":3.3,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8557545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39576136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Guideline adherence among prehospital emergency nurses when caring for patients with chest pain: a prospective cohort study. 院前急救护士在护理胸痛患者时的指南依从性:一项前瞻性队列研究
IF 3.3
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Pub Date : 2021-10-30 DOI: 10.1186/s13049-021-00972-5
Kristoffer Wibring, Markus Lingman, Johan Herlitz, Lina Blom, Otto Serholt Gripestam, Angela Bång
{"title":"Guideline adherence among prehospital emergency nurses when caring for patients with chest pain: a prospective cohort study.","authors":"Kristoffer Wibring,&nbsp;Markus Lingman,&nbsp;Johan Herlitz,&nbsp;Lina Blom,&nbsp;Otto Serholt Gripestam,&nbsp;Angela Bång","doi":"10.1186/s13049-021-00972-5","DOIUrl":"https://doi.org/10.1186/s13049-021-00972-5","url":null,"abstract":"<p><strong>Background: </strong>The emergency medical services (EMS) use guidelines to describe optimal patient care for a wide range of clinical conditions and symptoms. The intent is to guide personnel to provide patient care in line with best practice. The aim of this study is to describe adherence to such guidelines among prehospital emergency nurses (PENs) when caring for patients with chest pain.</p><p><strong>Objective: </strong>To describe guideline adherence among PENs when caring for patients with chest pain. To investigate whether guideline adherence is associated with patient age, sex or final diagnosis of acute myocardial infarction on hospital discharge.</p><p><strong>Methods: </strong>Guideline adherence in terms of patient examination and pharmaceutical treatment was analysed in a cohort of 2092 EMS missions carried out in 2018 in Region Halland, Sweden. Multivariate regression was used to describe how guideline adherence is associated with patient age, sex and diagnosis on hospital discharge.</p><p><strong>Results: </strong>Guideline adherence was high regarding examination of vital signs (93%) and electrocardiogram (ECG) registration (96%) but lower in terms of pharmaceutical treatment (ranging from 28 to 90%). Adherence was increased in cases in which the patient ended up with acute myocardial infarction (AMI) as diagnosis on discharge. Patients with AMI were given acetylsalicylic acid by PENs in 50% of cases. Women were less likely than men to receive treatment with acetylsalicylic acid and oxycodone.</p><p><strong>Conclusions: </strong>Guideline adherence among PENs when caring for patients with chest pain is satisfactory in terms vital signs and ECG registration. Regarding pharmaceutical treatment guideline adherence is defective. Improved adherence is mainly associated with male sex in patients and a diagnosis of AMI on hospital discharge. Defective adherence excludes measures known to improve patients' prognoses such as treatment with acetylsalicylic acid.</p>","PeriodicalId":501057,"journal":{"name":"Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine","volume":" ","pages":"157"},"PeriodicalIF":3.3,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8557510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39680133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
High class filtering facepiece (FFP) are fundamental and effective in protection of emergency health care workers: an observational cohort study in a German community. 高级过滤面罩(FFP)在保护急诊医护人员方面是基础和有效的:德国社区的一项观察性队列研究。
IF 3.3
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Pub Date : 2021-10-30 DOI: 10.1186/s13049-021-00969-0
Martin Lier, Stefan Nessler, Christine Stadelmann, Meike Pressler, Leif Saager, Onnen Moerer, Markus Roessler, Konrad Meissner, Martin S Winkler
{"title":"High class filtering facepiece (FFP) are fundamental and effective in protection of emergency health care workers: an observational cohort study in a German community.","authors":"Martin Lier,&nbsp;Stefan Nessler,&nbsp;Christine Stadelmann,&nbsp;Meike Pressler,&nbsp;Leif Saager,&nbsp;Onnen Moerer,&nbsp;Markus Roessler,&nbsp;Konrad Meissner,&nbsp;Martin S Winkler","doi":"10.1186/s13049-021-00969-0","DOIUrl":"https://doi.org/10.1186/s13049-021-00969-0","url":null,"abstract":"<p><strong>Background: </strong>Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is a highly contagious airborne virus inducing pandemic coronavirus disease 2019 (COVID-19). This is most relevant for medical staff working under harmful conditions in emergencies often dealing with patients and an undefined SARS-CoV-2 status. We aimed to measure the effect of high-class filtering facepieces (FFP) in emergency medical service (EMS) staff by analyzing seroprevalence and history of positive polymerase chain reaction (PCR) for SARS-CoV-2.</p><p><strong>Method: </strong>This observational cohort study included workers in EMS, who were compared with hospital staff (HS) and staff, which was not directly involved in patient care (NPC). All direct patient contacts of EMS workers were protected by FFP2/N95 (filtering face piece protection class 2/non-oil-based particulates filter efficiency 95%) masks, whereas HS was protected by FFP2/N95 exclusively when a patient had a proven or suspected SARS-CoV-2 infection. NPC was not protected by higher FFP. The seroprevalence of SARS-CoV-2 antibodies was analyzed by immunoassay by end of 12/2020 together with the history of a positive PCR. In addition, a self-assessment was performed regarding the quantity of SARS-CoV-2 positive contacts, about flu symptoms and personal belief of previous COVID-19 infections.</p><p><strong>Results: </strong>The period in which contact to SARS-CoV-2 positive patients has been possible was 10 months (March to December 2020)-with 54,681 patient contacts documented for EMS-either emergencies (n = 33,241) or transportation services (n = 21,440). Seven hundred-thirty (n = 730) participants were included into the study (n = EMS: 325, HS: 322 and NPC: 83). The analysis of the survey showed that the exposure to patients with an unknown and consecutive positive SARS-CoV-2 result was significantly higher for EMS when compared to HS (EMS 55% vs. HS 30%, p = 0.01). The incidence of a SARS-CoV-2 infection in our cohort was 1.2% (EMS), 2.2% (HS) and 2.4% (NPC) within the three groups (ns) and lowest in EMS. Furthermore, the belief of previous COVID-19 was significant higher in EMS (19% vs. 10%), CONCLUSION: The consistent use of FFP2/N95 in EMS is able to prevent work-related SARS-CoV-2 infections in emergency situations. The significance of physical airway protection in exposed medical staff is still relevant especially under the aspect of new viral variants and unclear effectiveness of new vaccines.</p>","PeriodicalId":501057,"journal":{"name":"Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine","volume":" ","pages":"155"},"PeriodicalIF":3.3,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8556778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39680131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Correction to: Use of troponin assay after electrical injuries: a 15-year multicentre retrospective cohort in emergency departments. 更正:电损伤后肌钙蛋白测定的使用:一项急诊部门15年多中心回顾性队列研究。
IF 3.3
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Pub Date : 2021-10-19 DOI: 10.1186/s13049-021-00968-1
Delphine Douillet, Stéphanie Kalwant, Yara Amro, Benjamin Gicquel, Idriss Arnaudet, Dominique Savary, Quentin Le Bastard, François Javaudin
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引用次数: 1
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