How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

30,064 results for

Emergency Medical Service

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. Emergency and acute medical care in over 16s: service delivery and organisation

on medicines optimisation includes recommendations on medicines-related communication systems when patients move from one care setting to another, medicines reconciliation, clinical decision support, and medicines-related models of organisational and cross-sector working. Emergency and acute medical care in over 16s: service delivery and organisation (NG94) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 12 of 19Putting (...) Emergency and acute medical care in over 16s: service delivery and organisation Emergency and acute medical care in Emergency and acute medical care in o ov ver 16s: service deliv er 16s: service delivery and ery and organisation organisation NICE guideline Published: 28 March 2018 nice.org.uk/guidance/ng94 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

2. CRACKCast E188 – Emergency Medical Service: Overview and Ground Transport

CRACKCast E188 – Emergency Medical Service: Overview and Ground Transport CRACKCast E188 – Emergency Medical Service: Overview and Ground Transport - CanadiEM CRACKCast E188 – Emergency Medical Service: Overview and Ground Transport In , by Adam Thomas June 21, 2018 This episode of CRACKCast covers Chapter 190 of Rosen’s Emergency Medicine(9th Ed.). After listening to this podcast, you will have a more comprehensive understanding of the intricacies of pre-hospital care and be better able (...) of resuscitation rules for use by EMS personnel. The rule for BLS providers equipped with AEDs includes the following three criteria: Event not witnessed by emergency medical services personnel No AED used, or manual shock applied in out-of-hospital setting No return of spontaneous circulation in out-of-hospital setting. NOTE: The advanced life support (ALS) rule includes the BLS criteria as well as two additional criteria: Arrest not witnessed by bystander and No bystander-administered CPR In the studies

2018 CandiEM

3. Emergency Medical Services Simple Thoracostomy for Traumatic Cardiac Arrest: Postimplementation Experience in a Ground-based Suburban/Rural Emergency Medical Services Agency. (Abstract)

Emergency Medical Services Simple Thoracostomy for Traumatic Cardiac Arrest: Postimplementation Experience in a Ground-based Suburban/Rural Emergency Medical Services Agency. Tube thoracostomy has long been the standard of care for treatment of tension pneumothorax in the hospital setting yet is uncommon in prehospital care apart from helicopter emergency medical services.We aimed to evaluate the performance of simple thoracostomy (ST) for patients with traumatic cardiac arrest and suspected (...) neurologically intact. Of the survivors, all were blunt trauma mechanism with initial rhythms of pulseless electrical activity. There were no reported medic injuries.Our data show that properly trained paramedics in ground-based emergency medical services were able to safely and effectively perform ST in patients with traumatic cardiac arrest. We found a significant (32%) presence of pneumothorax in our sample, which supports previously reported high rates in this patient population.Copyright © 2018 Elsevier

2018 Journal of Emergency Medicine

4. Management of Suspected Opioid Overdose with Naloxone by Emergency Medical Services Personnel

Management of Suspected Opioid Overdose with Naloxone by Emergency Medical Services Personnel Comparative Effectiveness Review Number 193 Management of Suspected Opioid Overdose with Naloxone by Emergency Medical Services Personnel e Comparative Effectiveness Review Number 193 Management of Suspected Opioid Overdose With Naloxone by Emergency Medical Services Personnel Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane (...) by Emergency Medical Services Personnel. Comparative Effectiveness Review No. 193. (Prepared by the Pacific Northwest Evidence-based Practice Center under Contract No. 290-2015-00009-I.) AHRQ Publication No. 17(18)-EHC025-EF. Rockville, MD: Agency for Healthcare Research and Quality; November 2017. www.effectivehealthcare.ahrq.gov/reports/final.cfm. DOI: https://doi.org/10.23970/AHRQEPCCER193. ii i Preface The Agency for Healthcare Research and Quality (AHRQ), through its Evidence-based Practice Centers

2017 Effective Health Care Program (AHRQ)

5. Helicopter emergency medical services for adults with major trauma. Full Text available with Trip Pro

Helicopter emergency medical services for adults with major trauma. Although helicopters are presently an integral part of trauma systems in most developed nations, previous reviews and studies to date have raised questions about which groups of traumatically injured people derive the greatest benefit.To determine if helicopter emergency medical services (HEMS) transport, compared with ground emergency medical services (GEMS) transport, is associated with improved morbidity and mortality

2015 Cochrane

6. Critical Medication Shortages: Effective Strategies to Maintain Continuous Medication Availability for Emergency Medical Services. (Abstract)

Critical Medication Shortages: Effective Strategies to Maintain Continuous Medication Availability for Emergency Medical Services. Objective: Critical shortages of generic injectable medications are an ongoing challenge for Emergency Medical Services (EMS) systems. Mitigation strategies have been proposed to address the issue, but a limited amount of data exists quantifying the scope of the problem or describing strategies being used to ensure access to essential medications for prehospital (...) care. In this study, we sought to quantify specific medication shortages and to determine the most frequently employed mitigation strategies to maintain medication availability in a large, regional EMS system. Methods: A survey was distributed to the 30 public advanced life support (ALS) provider agencies in Los Angeles County (LAC) to assess the prevalence of specific medication shortages and types of shortage mitigation strategies implemented. Survey responses were reviewed and presented using

2019 Prehospital emergency care

7. Emergency Medical Services Use Among Patients Receiving Involuntary Psychiatric Holds and the Safety of an Out-of-Hospital Screening Protocol to "Medically Clear" Psychiatric Emergencies in the Field, 2011 to 2016. Full Text available with Trip Pro

Emergency Medical Services Use Among Patients Receiving Involuntary Psychiatric Holds and the Safety of an Out-of-Hospital Screening Protocol to "Medically Clear" Psychiatric Emergencies in the Field, 2011 to 2016. Patients with acute psychiatric emergencies who receive an involuntary hold often spend hours in the emergency department (ED) because of a deficit in inpatient psychiatric beds. One solution to address the lack of prompt psychiatric evaluation in the ED has been to establish (...) regional stand-alone psychiatric emergency services. However, patients receiving involuntary holds still need to be screened and evaluated to ensure that their behavior is not caused by an underlying and life-threatening nonpsychiatric illness. Although traditional regional emergency medical services (EMS) systems depend on the medical ED for this function, a field-screening protocol can allow EMS to directly transport a substantial portion of patients to a stand-alone psychiatric emergency service

2018 Annals of Emergency Medicine

8. Association of the Emergency Medical Services-Related Time Interval with Survival Outcomes of Out-of-Hospital Cardiac Arrest Cases in Four Asian Metropolitan Cities Using the Scoop-and-Run Emergency Medical Services Model. (Abstract)

Association of the Emergency Medical Services-Related Time Interval with Survival Outcomes of Out-of-Hospital Cardiac Arrest Cases in Four Asian Metropolitan Cities Using the Scoop-and-Run Emergency Medical Services Model. Response time interval (RTI) and scene time interval (STI) are key time variables in the out-of-hospital cardiac arrest (OHCA) cases treated and transported via emergency medical services (EMS).We evaluated distribution and interactive association of RTI and STI with survival

2017 Journal of Emergency Medicine

9. Pediatric out-of-hospital cardiopulmonary resuscitation by helicopter emergency medical service, does it has added value compared to regular emergency medical service? Full Text available with Trip Pro

Pediatric out-of-hospital cardiopulmonary resuscitation by helicopter emergency medical service, does it has added value compared to regular emergency medical service? To determine the outcome of out-of-hospital (OOH) cardiopulmonary resuscitation (CPR) and the advanced life support (ALS) procedures provided in pediatrics by the Rotterdam Helicopter Emergency Medical Service (HEMS) METHODS: Retrospective evaluation of all pediatric (0-17 years) OOH cardiopulmonary arrests within a 6-year period (...) protocol states intubation, intravenous, or intraosseal excess and medication, in many patients, only HEMS provided additional ALS care.The HEMS brings essential medical expertise in the field not provided by regular emergency medical service. HEMS provide a significant quantity of procedures, obviously needed by the OOH CPR of a pediatric patient.

2017 European Journal of Trauma and Emergency Surgery

10. Differences between cases admitted to hospital and discharged from the emergency department after emergency medical services transport. Full Text available with Trip Pro

Differences between cases admitted to hospital and discharged from the emergency department after emergency medical services transport. Rising emergency medical services (EMS) utilisation increases transport to hospital emergency departments (ED). However, some patients receive outpatient treatment (discharged) while others are hospitalised (admitted). The aims of this analysis were to compare admitted and discharged cases, to assess whether cases that were discharged from the ED could (...) compared to hospital diagnoses.39.4% of cases were discharged. They were especially likely to be young (OR 10.53 (CI 9.31 to 11.92), comparing <15-year-olds to >70-year-olds) and to fall under the categories 'accidents/trauma' (OR 2.87 (CI 2.74 to 3.01)) or 'other emergencies (unspecified)' (OR 1.23 (CI 1.12 to 1.34) (compared with 'cardiovascular'). Most frequent diagnoses came from chapter 'injury and poisoning' (30.1%) of the 10th revision of the international statistical classification of disease

2019 BMJ open

11. Derivation and validation of a machine learning record linkage algorithm between emergency medical services and the emergency department. (Abstract)

Derivation and validation of a machine learning record linkage algorithm between emergency medical services and the emergency department. Linking emergency medical services (EMS) electronic patient care reports (ePCRs) to emergency department (ED) records can provide clinicians access to vital information that can alter management. It can also create rich databases for research and quality improvement. Unfortunately, previous attempts at ePCR and ED record linkage have had limited success (...) in both the training and test datasets. Date-of-birth match had the highest odds ratio of 16.9, followed by last name match (10.6). Social security number match had an odds ratio of 3.8.We were able to successfully derive and validate a record linkage algorithm from a single EMS ePCR provider to our hospital EMR.© The Author(s) 2019. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions

2019 Journal of the American Medical Informatics Association

12. Oligoanalgesia in Patients With an Initial Glasgow Coma Scale Score ≥8 in a Physician-Staffed Helicopter Emergency Medical Service: A Multicentric Secondary Data Analysis of &gt;100,000 Out-of-Hospital Emergency Missions. (Abstract)

Oligoanalgesia in Patients With an Initial Glasgow Coma Scale Score ≥8 in a Physician-Staffed Helicopter Emergency Medical Service: A Multicentric Secondary Data Analysis of >100,000 Out-of-Hospital Emergency Missions. Oligoanalgesia, as well as adverse events related to the initiated pain therapy, is prevalent in out-of-hospital emergency medicine, even when a physician is present. We sought to identify factors involved in insufficient pain therapy of patients presenting with an initial (...) Glasgow Coma Scale (GCS) score of ≥8 in the out-of-hospital phase, when therapy is provided by a physician-staffed helicopter emergency medical service (p-HEMS).This was a multicenter, secondary data analysis of conscious patients treated in primary p-HEMS missions between January 1, 2005, and December 31, 2017. Patients with a numeric rating scale (NRS) pain score ≥4, GCS score ≥8 on the scene, without cardiopulmonary resuscitation (CPR), and a National Advisory Committee for Aeronautics (NACA) score

2019 Anesthesia and Analgesia

13. [Comparison of sublingual and intravenous administration of lorazepam in psychiatric emergencies in emergency medical services]. (Abstract)

[Comparison of sublingual and intravenous administration of lorazepam in psychiatric emergencies in emergency medical services]. Agitation is a frequent reason for emergency physician calls in psychiatric emergencies in the German preclinical emergency medical system. Benzodiazepines have proven to be effective in treating acute agitation. Although lorazepam has beneficial clinical and pharmacological properties it is hardly used by emergency physicians. The sublingual administration (...) is effective for treating acute agitation in emergency medical services.

2019 Der Anaesthesist Controlled trial quality: uncertain

14. Characteristics of Prehospital Electrocardiogram Use in North Carolina Using a Novel Linkage of Emergency Medical Services and Emergency Department Data. Full Text available with Trip Pro

Characteristics of Prehospital Electrocardiogram Use in North Carolina Using a Novel Linkage of Emergency Medical Services and Emergency Department Data. Objective: Prehospital electrocardiography (ECG) is recommended for patients with suspected acute coronary syndrome (ACS), yet only 20-80% of chest pain patients receive a prehospital ECG. Less is known about prehospital ECG use in patients with less common complaints (e.g., fatigue) suspicious for ACS who are transported by emergency medical (...) services (EMS). The aims of this study were to determine: (1) the proportion of patients with chest pain and less typical complaints, and (2) patient characteristics associated with prehospital ECG use in patients transported by EMS to emergency departments across North Carolina. Methods: A novel linked database was created between prehospital and emergency department (ED) patient care data from the North Carolina Prehospital Medical Information System and the North Carolina Disease Event Tracking

2019 Prehospital emergency care

15. Videotelephony-assisted medical direction to improve emergency medical service. (Abstract)

Videotelephony-assisted medical direction to improve emergency medical service. In South Korea, on-line medical direction using voice calls has been implemented to improve the quality of the emergency medical system. However, in the same, short time span, video will be able to convey more information than by voice. The purpose of this study is to find out if videotelephony-assisted medical direction (VAMD) can change the intervention of the emergency medical technician compared to using (...) conventional voice calls.We conducted a prospective study of 312 patients with online medical direction from November 2017 to November 2018. We assisted patients with direct medical direction using conventional voice calls from October to November 2017, and then VAMD was implemented from October to November 2018.From the total number of conventional voice calls, 131 were used for this study, and of the total number of VAMD interventions, 181 were included. There were differences between conventional voice

2019 American Journal of Emergency Medicine

16. Satisfaction of 30 402 callers to a medical helpline of the Emergency Medical Services Copenhagen: a retrospective cohort study. Full Text available with Trip Pro

Satisfaction of 30 402 callers to a medical helpline of the Emergency Medical Services Copenhagen: a retrospective cohort study. To keep healthcare systems sustainable for future demands, many countries are developing a centralised telephone line for out-of-hours primary care services. To increase the quality of such services, more information is needed on factors that influence caller satisfaction. The aim of this study was to identify demographic and call-related characteristics (...) that are associated with the patient satisfaction of callers to a medical helpline in Denmark.Retrospective cohort study on patient registry data and questionnaire results.Non-emergency medical helpline in the Capital Region of Denmark.A random sample of 30 402 callers to the medical helpline between May 2016 and May 2018.Responses of a satisfaction questionnaire were linked to demographic and call-related dispatch data. Associations between the characteristics were analysed with multivariable logistic regression

2019 BMJ open

17. Impact of Emergency Medical Services Activation of the Cardiac Catheterization Laboratory and a 24-Hour/Day In-Hospital Interventional Cardiology Team on Treatment Times (Door to Balloon and Medical Contact to Balloon) for ST-Elevation Myocardial Infarcti (Abstract)

Impact of Emergency Medical Services Activation of the Cardiac Catheterization Laboratory and a 24-Hour/Day In-Hospital Interventional Cardiology Team on Treatment Times (Door to Balloon and Medical Contact to Balloon) for ST-Elevation Myocardial Infarcti The incremental benefit of emergency medical services (EMS) activation of the cardiac catheterization laboratory (CCL) for ST-elevation myocardial infarction (STEMI) in the setting of an established in-house interventional team (IHIT (...) ) is uncertain. We evaluated the impact of EMS activation on door-to-balloon (D2B) time and first medical contact-to-balloon (FMC2B) time for STEMI when coupled with a 24-hour/day IHIT. All patients presenting with STEMI to Loyola University Medical Center had demographic, procedural, and outcome data consecutively entered in a STEMI Data Registry. From 223 consecutive patients presenting between April 2009 and December 2015, a retrospective analysis was performed on 190 patients. Patients were divided

2019 American Journal of Cardiology

18. The 2019 Core Content of Emergency Medical Services Medicine. Full Text available with Trip Pro

The 2019 Core Content of Emergency Medical Services Medicine. On March 13, 2019 the EMS Examination Committee of the American Board of Emergency Medicine (ABEM) approved modifications to the Core Content of EMS Medicine. The Core Content is used to define the subspecialty of EMS Medicine, provides the basis for questions to be used during written examinations, and leads to development of a certification examination blueprint. The Core Content defines the universe of knowledge for the treatment (...) of prehospital patients that is necessary to practice EMS Medicine. It informs fellowship directors and candidates for certification of the full range of content that might appear on certification examinations.

2019 Prehospital emergency care

19. Fuzzy multi-objective medical service organization selection model considering limited resources and stochastic demand in emergency management. Full Text available with Trip Pro

Fuzzy multi-objective medical service organization selection model considering limited resources and stochastic demand in emergency management. In recent years, most countries around the world have faced increasing pressures in the realm of emergency management than ever before. Medical service organization selection is one of the most vital facets of emergency management. Meanwhile, during the selection process, many criteria may conflict with one another and information is uncertain (...) , rendering decision-making processes complex. Hence, multi-objective optimization, fuzzy way and stochastic theories serve as suitable means of addressing such problems. In this paper, a fuzzy multi-objective linear model is developed to overcome medical service organization selection issues and uncertain information. Meanwhile, a fuzzy objective and weight are applied to enable the decision-maker to select suitable schemes while considering stochastic medical service demand. Moreover, real data cannot

2019 PLoS ONE

20. Symptom, diagnosis and mortality among respiratory emergency medical service patients. Full Text available with Trip Pro

Symptom, diagnosis and mortality among respiratory emergency medical service patients. Breathing difficulties and respiratory diseases have been under-reported in Emergency Medical Services research, despite these conditions being prevalent with substantial mortality. Our aim was two-fold; 1) to investigate the diagnostic pattern and mortality among EMS patients to whom an ambulance was dispatched due to difficulty breathing, and 2) to investigate the initial symptoms and mortality for EMS (...) patients diagnosed with respiratory diseases in hospital.Population-based historic cohort study in the North Denmark Region 2012-2015. We included two patient groups; 1) patients calling the emergency number with breathing difficulty as main symptom, and 2) patients diagnosed with respiratory diseases in hospital following an emergency call. Main outcome was estimated 1- and 30-day mortality rates.There were 3803 patients with the symptom breathing difficulty, nearly half were diagnosed

2019 PLoS ONE

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>