Publications by authors named "H Hill Stoecklein"
Objectives: Previous research demonstrated that the numerical Cincinnati Prehospital Stroke Scale (CPSS) identifies large vessel occlusion (LVO) at similar rates compared to dedicated LVO screening tools. We aimed to compare numerical CPSS to additional stroke scales using a national Emergency Medical Services (EMS) database.
Methods: Using the ESO Data Collaborative, the largest EMS database with linked hospital data, we retrospectively analyzed prehospital patient records from 2022.
Article Synopsis
- Cardiac arrest affects over 600,000 people each year in the U.S., and survival rates have not improved. REBOA, typically used for severe trauma cases, is being explored for use in refractory non-traumatic cardiac arrest to improve blood flow to the heart and brain.
- The study outlined a training program for emergency medicine physicians to perform REBOA in the emergency department, detailing the training and clinical outcomes from their first eight cases, all of which were successfully catheterized on the first attempt.
- While REBOA placement showed a 37.5% rate of return of spontaneous circulation (ROSC) among patients, none survived to hospital discharge, indicating the need for further
Objectives: Transport destination decisions by prehospital personnel depend on a combination of protocols, judgment, patient acuity, and patient preference. Non-protocolized transport outside the service area may result in unnecessary time out of service and inappropriate resource utilization. Scant research exists regarding clinician rationale for destination decisions.
View Article and Find Full Text PDFBackground: Previous research demonstrated that the numerical Cincinnati Prehospital Stroke Scale (CPSS) identifies large vessel occlusion (LVO) at similar rates compared to a limited number of stroke severity screening tools. We aimed to compare numerical CPSS to additional stroke scales using a national EMS database.
Methods: Using the ESO Data Collaborative, the largest EMS database with hospital linked data, we retrospectively analyzed prehospital patient records for the year 2022.
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is most commonly used to manage non-compressible torso hemorrhage. It is also emerging as a promising treatment for non-traumatic refractory cardiac arrest. Aortic occlusion during chest compressions increases cardio-cerebral perfusion, increasing the potential for sustained return of spontaneous circulation (ROSC) or serving as a bridge to extracorporeal cardiopulmonary resuscitation (ECPR).
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