A5000748317- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Trauma Management and Diagnosis
- Cardiac, Anesthesia and Surgical Outcomes
- Injury Epidemiology and Prevention
- Traumatic Brain Injury Research
- Pregnancy-related medical research
- Nursing Roles and Practices
- Anesthesia and Sedative Agents
- Traumatic Brain Injury and Neurovascular Disturbances
- Mechanical Circulatory Support Devices
- Anesthesia and Neurotoxicity Research
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Interprofessional Education and Collaboration
- Disaster Response and Management
- Intraoperative Neuromonitoring and Anesthetic Effects
- Healthcare Technology and Patient Monitoring
- Airway Management and Intubation Techniques
- Spinal Fractures and Fixation Techniques
- Cardiac Structural Anomalies and Repair
- Blood transfusion and management
- Health Promotion and Cardiovascular Prevention
Erasmus MC
2017-2025
Erasmus University Rotterdam
2021-2024
Erasmus MC - Sophia Children’s Hospital
2021-2023
Tolbrug Specialistische Revalidatie
2022
Abstract Background The likelihood of return spontaneous circulation with conventional advanced life support is known to have an exponential decline and therefore neurological outcome after 20 min in patients a cardiac arrest poor. Initiation venoarterial ExtraCorporeal Membrane Oxygenation (ECMO) during resuscitation might improve outcomes if used time selected patient category. However, previous studies failed significantly reduce the from ECMO flow less than 60 min. We hypothesize that...
Abstract Background Procedural sedation and analgesia (PSA) is a technique of administering sedatives to induce state that allows the patient tolerate painful procedures while maintaining cardiorespiratory function, condition frequently desired prehospital. Non-physician prehospital clinicians often have limited scope practice when it comes providing sedation; sometimes resulting in crew request for back-up from physician-staffed services.“. This also case if desirable. Advanced providers...
In the prehospital setting, crystalloid fluids are frequently used, but only erythrocytes capable of transporting oxygen to tissues. The aim this study was establish efficacy and safety use uncross matched type O rhesus-negative packed red blood cells (URBC) by Dutch physician-staffed helicopter emergency medical service. We hypothesized that URBC transfusions safe more effective with respect survival than resuscitations crystalloids.The effects were studied comparing a cohort patients (>18...
Shockable rhythm following pediatric out-of-hospital cardiac arrest (pOHCA) is consistently associated with hospital and short-term survival. Little known about the relationship between shockable long-term outcomes (>1 year) after pOHCA. The aim was to investigate association first documented in a pOHCA cohort over 18 years.All children aged 1 day-18 years who experienced non-traumatic 2002-2019 were subsequently admitted emergency department (ED) or intensive care unit (PICU) of Erasmus...
To determine the outcome of out-of-hospital (OOH) cardiopulmonary resuscitation (CPR) and advanced life support (ALS) procedures provided in pediatrics by Rotterdam Helicopter Emergency Medical Service (HEMS) Retrospective evaluation all pediatric (0–17 years) OOH arrests within a 6-year period attended HEMS team. There were 201 CPRs from October 2008 until 2014. Endotracheal intubation was performed 164 cases done 104 patients (63%), intraosseous/intravenous cannulation 43/27 times,...
In prehospital care, the Helicopter Emergency Medical Service (HEMS) can be dispatched for critically injured or ill children. However, little detail is known about dispatches children, in terms of incidence interventions and overall mortality. The primary objective this study to provide an overview pediatric patient characteristics interventions.A retrospective chart review all patients ≤ 17 years who received medical care by Rotterdam HEMS from 2012 until 2017 was carried out.During...
Background: Traumatic spinal injury in children is a rare but serious life event. Predicting pediatric patients at risk for remains difficult. This study focuses on the cause of and predictors to identify appropriate diagnostic procedures. Methods: Retrospective chart review from Landelijke Trauma Registratie with 2010 2021 level 1 trauma center. Results: We included 114 injury, 79.8% whom were aged 12-17 years. In overall population, incidence was 10% years, 2.3% 6-11 0.4% 0-5 years age....
Dutch ambulance service faces future challenges due to acute care development, patient changes, demographics, increased runs and regional differences. Ambulance Care Netherlands published a framework titled "Pilot physician assistant nurse practitioner care". Within this framework, role is proposed so that their qualifications can provide solutions challenges. Despite the introduction of practitioners assistants into care, little known about effects or tasks these professionals perform....
Emergency medical service (EMS) is responsible for prehospital care encompassing all ages, irrespective of injury cause or condition, which includes peripartum emergencies. When patients require more advanced than the level provided by national EMS protocol, an physician-staffed Dutch helicopter emergency (HEMS) may be dispatched. In Netherlands in 2016, there were 21.434 planned home births guided midwives alone without further obstetric assistance, accounting 12.7% that year. However, are...
There is generally limited but conflicting literature on the incidence, causes, and outcomes of pediatric out-of-hospital cardiac arrest. This study was performed to determine incidence outcome arrest reported by all helicopter emergency medical services in Netherlands provide a description causes treatments and, particular, specific interventions that can be physician-staffed service.A retrospective analysis documented (0 < 18 years age) arrests from July 2015 2017, attended 4 Dutch service...
Niet elke dag krijgt een ambulanceverpleegkundige te maken met neurotrauma bij kind onder de twee jaar. Lastig, vanwege vaak geringe expertise en ervaring op het gebied van acute kindergeneeskunde. Mede door vast houden aan methodiek, structuur goede samenwerking betrokken hulpverleners is deze casus tot goed einde gebracht.
Abstract Introduction A broad range of pathophysiologic conditions can lead to cardiopulmonary arrest in children. Some these children suffer from refractory cardiac arrest, not responding basic and advanced life support. Extracorporeal-Cardiopulmonary Resuscitation (E-CPR) might be a life-saving option for this group. Currently therapy is only performed in-hospital, often necessitating long transport times, thereby negatively impacting eligibility chances survival. We present the first two...
This study aimed to investigate trends over time in pre-hospital factors for pediatric out-of-hospital cardiac arrest (pOHCA) and long-term neurological neuropsychological outcomes. These have not been described before large populations.
Sparse data are available on prehospital care by Helicopter Emergency Medical Service (HEMS) for pediatric patients with traumatic brain injury (TBI). This study focusses interventions, neurosurgical interventions and mortality in this group.