Introduction: American Heart Association (AHA) guidelines recommend cardiopulmonary resuscitation (CPR) chest compressions 1.5 to 2 inches (3.75-5 cm) deep at 100 120 per minute. Recent studies demonstrated that manual CPR by emergency medical services (EMS) personnel is substandard. We hypothesized transport quality significantly worse than on-scene quality.Methods: analyzed adult patients receiving and from nine EMS sites across two Midwestern states May 2008 July 2010. Two periods were...

The COVID-19 pandemic has claimed over one million lives in the United States and drastically changed how patients interact with healthcare system. Emergency medical services (EMS) are essential for emergency response, disaster preparedness, responding to everyday emergencies. We therefore examined differences EMS utilization call severity 2020 compared trends from 2015-2019 a large, multi-state advanced life support agency serving U.S. Upper Midwest. Specifically, we analyzed all calls made...

Objective: The objective is to report a contemporary population-based estimate of hypoglycemia requiring emergency medical services (EMS), its burden on resources, and associated mortality in patients with or without diabetes mellitus (DM, non-DM), which will enable development prospective strategies that capture promptly provide an integrated approach for prevention such episodes. Methods: We retrieved all ambulance calls activated Olmsted County, Minnesota, between January 1, 2003 December...

Objective. Achieving successful peripheral intravenous (PIV) vascular access in children can be difficult. In the prehospital setting, opportunities are rare. Obtaining becomes vital emergent and life-threating conditions, such as seizures, hypoglycemia, cardiac arrest. This study examines pediatric PIV attempts, success rates, impact of patient age. Methods. was a retrospective chart review patients aged 18 years or younger receiving attempts from January 1, 2003, through May 31, 2011....

Introduction: This study aimed to identify factors associated with successful endotracheal intubation (ETI) by a multisite emergency medical services (EMS) agency.Methods: We collected data from the electronic prehospital record for all ETI attempts made January through May 2010 paramedics and other EMS crew members at single multistate agency. If documentation was incomplete, team contacted paramedic. Paramedics use current National Association of Physicians definition an attempt...

Background. Intraosseous (IO) access is attempted when intravenous cannot be established during an emergency. The U.S. Food and Drug Administration–cleared semiautomatic IO device (EZ-IO; Vidacare Corp., Shavano Park, TX) has been shown to safe effective. Objective. To examine the characteristics of pediatric patients receiving infusions, primary clinical impressions emergency medical services providers, success rates, subsequent treatment after use a manual or device. Methods. A midwestern,...

Abstract Objective: Performance feedback on clinical care and patient outcomes is a cornerstone of medical education, yet it remains lacking in the prehospital environment. Research seeking to establish quantity provided Emergency Medical Services (EMS) has been limited studies focused complimentary or how relates EMS job satisfaction are lacking. The objectives this study were measure frequency nature received by agencies identify importance receiving as satisfaction. Methods: This was an...

The objective of this study was to determine the effect transitioning from direct laryngoscopy (DL) video (VL) on endotracheal intubation success overall and with enhanced precautions implemented during COVID-19 pandemic.

Prehospital spinal immobilization criteria are useful in identifying those at risk for fractures, while reducing the number of patients unnecessarily immobilized. The use criteria, without regard to mechanism injury, has been shown accomplish this task.The study's purpose is examine efficacy a prehospital clearance guideline and triage/management these injuries.This was retrospective study traumatically injured based on clinical between January 2006 2007. Two gold standards were used...

A limited set of attributes can guide visual selective attention. Thus, it is possible to deploy attention an item defined by appropriate color, size, or orientation but not a specific type line intersection letter (assuming other like are controlled). What defines the guiding attributes? Perhaps surfaces materials in world. L. Sharan, R. E. Rosenholtz, and H. Adelson (submitted for publication) have shown that observers extremely adept at identifying materials. Are they equally one material...

Introduction: Community paramedicine (CP) is an innovative care model focused on medical management for patients suffering from chronic diseases or other conditions that result in over-utilization of healthcare services. Despite their value, CP models are not widely used United States settings. More research needed to understand the feasibility and effectiveness implementing programs. Our objective was develop a program better meet needs complex, high-utilizer rural setting.Methods: We...

Abstract Introduction Hemorrhage remains the major cause of preventable death after trauma. Recent data suggest that earlier blood product administration may improve outcomes. The purpose this study was to determine whether opportunities exist for transfusion by ground Emergency Medical Services (EMS). Methods This a single EMS agency retrospective and helicopter responses from January 1, 2011 through December 31, 2015 adult trauma patients transported scene injury who met predetermined...

OBJECTIVE To examine factors associated with emergency department (ED) transport after hypoglycemia treated by medical services (EMS) and assess the impact of ED on severe recurrence. RESEARCH DESIGN AND METHODS We retrospectively analyzed electronic health records a multistate advanced life support EMS provider an integrated healthcare delivery system serving overlapping geographic area in upper Midwest. For adults diabetes for between 2013 2019, we examined rates transport, it, its...

A prehospital 12-lead electrocardiogram (ECG) is commonly used for patients with suspected ST-segment elevation myocardial infarction (STEMI). This case report describes how paramedics diagnosed inferior STEMI all ECG leads positioned on a patient's back (i.e., “all-posterior” positioning). The patient was hemodynamically stable but morbidly obese and markedly diaphoretic. Owing to severe pain, he refused lie in the supine position assessment or transport. At emergency department, lateral...

In times of crisis, rapid deployment clinical resources to under-served areas/populations is needed, particularly in the absence an established health care infrastructure. The COVID-19 pandemic exposed profound gaps for people experiencing homelessness.1-3 A Mobile Unit was