{"title":"Interventions to reduce emergency department overcrowding and their effects on patient outcomes: a mixed-methods systematic review and meta-analysis.","authors":"Weaam Alamri, Farah Aljuhani, Nouf Alsharef, Rebal Khayyat, Manal Shuaib, Tahira Faheem, Abdu Alsayed","doi":"10.1186/s12873-026-01587-8","DOIUrl":"https://doi.org/10.1186/s12873-026-01587-8","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ľudmila Jánošíková, Peter Jankovič, Dalibor Gonda, Jozef Karaš, Jakub Holod, Marek Kvet
{"title":"Logistic regression and simulation modelling to evaluate survival effects of EMS response time in suspected cardiac arrest.","authors":"Ľudmila Jánošíková, Peter Jankovič, Dalibor Gonda, Jozef Karaš, Jakub Holod, Marek Kvet","doi":"10.1186/s12873-026-01596-7","DOIUrl":"https://doi.org/10.1186/s12873-026-01596-7","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hüseyin Selvi, Utku Murat Kalafat, Salih Fettahoğlu, Süreyya Tuba Fettahoğlu, Bilal Yeniyurt, Muhammed Güner, Efe Demir Bala, Ayşe Fethiye Basa Kalafat, Rabia Birsen Tapkan, Serkan Doğan
{"title":"Comparative performance of manual triage systems and ML models in predicting clinical outcomes among patients transported to the emergency department by emergency medical services.","authors":"Hüseyin Selvi, Utku Murat Kalafat, Salih Fettahoğlu, Süreyya Tuba Fettahoğlu, Bilal Yeniyurt, Muhammed Güner, Efe Demir Bala, Ayşe Fethiye Basa Kalafat, Rabia Birsen Tapkan, Serkan Doğan","doi":"10.1186/s12873-026-01595-8","DOIUrl":"https://doi.org/10.1186/s12873-026-01595-8","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charles-Eric Lavoignet, Pascal Bilbault, François Lefebvre, Valentin De Carlo, Laura Bejinariu, Julia Chevrolet-Lavoignet, Fanny Schweitzer, Suheil Zayet, Pascale Dussert, Laure Abensur Vuillaume, Pierrick Le Borgne
{"title":"Diagnostic performance of eosinopenia for identifying bacterial infections in the emergency department: a prospective multicenter study.","authors":"Charles-Eric Lavoignet, Pascal Bilbault, François Lefebvre, Valentin De Carlo, Laura Bejinariu, Julia Chevrolet-Lavoignet, Fanny Schweitzer, Suheil Zayet, Pascale Dussert, Laure Abensur Vuillaume, Pierrick Le Borgne","doi":"10.1186/s12873-026-01581-0","DOIUrl":"https://doi.org/10.1186/s12873-026-01581-0","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of video-assisted CPR using the LINE application and telephone-assisted CPR: a randomized controlled simulation trial.","authors":"Muthita Munsongthum, Thanat Tangpaisarn, Tai Luanghvisut, Pinhatai Pakirana, Ploypailin Wintasombut, Konglar Saenpan, Sumana Sriphrom, Pariwat Phungoen","doi":"10.1186/s12873-026-01591-y","DOIUrl":"https://doi.org/10.1186/s12873-026-01591-y","url":null,"abstract":"<p><strong>Background: </strong>Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) is associated with improved bystander CPR performance and outcomes in out-of-hospital cardiac arrest (OHCA). However, the optimal method for delivering DA-CPR-telephone-assisted CPR (T-CPR) versus video-assisted CPR (V-CPR)-remains unclear. The LINE application, a widely used messaging platform in Thailand, offers a video call feature that could support real-time CPR guidance.</p><p><strong>Objective: </strong>To compare CPR quality metrics-including chest compression depth, chest compression rate, correct hand positioning, and high-quality CPR fraction-between V-CPR delivered via the LINE application and T-CPR in a simulated OHCA scenario.</p><p><strong>Methods: </strong>In this randomized controlled trial, undergraduate students aged ≥ 18 years from non-health science faculties without prior CPR training were enrolled and paired by sex. Participant pairs were randomly assigned to receive dispatcher guidance via telephone (T-CPR) or video call using the LINE application (V-CPR). Participants performed CPR in a simulated OHCA scenario under real-time dispatcher guidance. CPR quality metrics were measured using a training manikin.</p><p><strong>Results: </strong>A total of 192 participants (48 pairs per group) were randomized to T-CPR or V-CPR. Baseline characteristics were comparable between groups, and all V-CPR pairs successfully initiated video calls using the LINE application. Compared with the T-CPR group, the V-CPR group achieved greater chest compression depth (3.82 ± 0.85 cm vs. 3.34 ± 0.97 cm; P = 0.011) and a higher high-quality CPR fraction (median 0.47% [IQR 0.00-19.55%] vs. 0.00% [IQR 0.00-2.02%]; P = 0.028). Other metrics, including compression rate and hand positioning accuracy, were comparable between groups. No-flow time was longer in the V-CPR group (median 9 s vs. 6 s; P < 0.001).</p><p><strong>Conclusion: </strong>In this simulation-based trial, V-CPR using the LINE application improved chest compression depth compared with T-CPR but was associated with longer no-flow time.</p><p><strong>Trial registration: </strong>Thai Clinical Trials Registry, TCTR20241022011. Registered on 19 October 2024. First posted publicly on 22 October 2024. https://www.thaiclinicaltrials.org/.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cross-sectional study of workplace violence prevention training among emergency medical services personnel and students.","authors":"Tia Windahl, Jenni Hämäläinen, Anu Venesoja","doi":"10.1186/s12873-026-01592-x","DOIUrl":"https://doi.org/10.1186/s12873-026-01592-x","url":null,"abstract":"<p><strong>Background: </strong>Workplace violence (WPV) in emergency medical services (EMS) has become a part of everyday life, constituting an occupational safety risk for paramedics. This study aimed to explore EMS personnel and students' experiences and expectations regarding WPV prevention training.</p><p><strong>Methods: </strong>A cross-sectional study using data collected via social media. The survey included structured and open-ended questions that were analyzed by using descriptive statistics and inductive content analysis.</p><p><strong>Results: </strong>A total of 124 EMS personnel responded, with 93% having received WPV prevention training during their studies or at work. Key topics included anticipation, planning and preparedness (92%), occupational safety (87%), and situational awareness (84%). Less covered topics were organizational reporting (41%), filing a criminal report (30%), and screening previous risk information (14%). Among those who had received training, 90% found it useful, citing benefits like improved preparedness, situation management, safety, and a sense of security. As the result of a qualitative analysis, the main category Consistent training to reinforce safe practices and resilience was created. This category consisted of three sub- categories: Consistency, Safe working practices, and Attention to psychological resilience and recovery.</p><p><strong>Conclusions: </strong>Training appears to be well-structured, but it seems to lack uniformity and does not fully meet the needs of EMS personnel and students. In particular, the portion of the training related to aftercare in WPV situations seems to receive insufficient attention. Further research is needed to determine how WPV prevention training should be developed. The knowledge gained from this study can be utilized in educational institutes and EMS organizations to support the development of WPV prevention training.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mahmut Şahin, Osman Taş, Mehmet Şirin Büyükkaya, Mehmet Yorgun
{"title":"Sibling count and family employment status shape injury patterns and emergency department resource use in pediatric trauma.","authors":"Mahmut Şahin, Osman Taş, Mehmet Şirin Büyükkaya, Mehmet Yorgun","doi":"10.1186/s12873-026-01589-6","DOIUrl":"https://doi.org/10.1186/s12873-026-01589-6","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ahmet Aykut, Cüneyt Güven, Ertuğ Günsoy, Cem Yıldırım, Mehmet Şirin Büyükkaya, Mehmet Yorgun, Osman Taş, Mahmut Şahin
{"title":"Comprehensive geriatric assessment measures and subsequent EMS-transported emergency department use in adults aged ≥ 80 years: a retrospective cohort study.","authors":"Ahmet Aykut, Cüneyt Güven, Ertuğ Günsoy, Cem Yıldırım, Mehmet Şirin Büyükkaya, Mehmet Yorgun, Osman Taş, Mahmut Şahin","doi":"10.1186/s12873-026-01590-z","DOIUrl":"https://doi.org/10.1186/s12873-026-01590-z","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147715906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Liberatha Rumagihwa, Priscille Musabirema, Gerard Urimubenshi, Isabel Coetzee-Prinsloo, Jean Claude Byiringiro
{"title":"Lived experiences of prehospital care among road traffic accident survivors in Rwanda: a qualitative descriptive study.","authors":"Liberatha Rumagihwa, Priscille Musabirema, Gerard Urimubenshi, Isabel Coetzee-Prinsloo, Jean Claude Byiringiro","doi":"10.1186/s12873-026-01588-7","DOIUrl":"https://doi.org/10.1186/s12873-026-01588-7","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}