Publications by authors named "Hashim Zaidi"
While prior research has identified racial disparities in prehospital analgesia for traumatic pain, little is known about non-traumatic pain. Using a national prehospital dataset, we sought to evaluate for racial and ethnic disparities in analgesia given by EMS for non-traumatic pain. We analyzed the 2018 and 2019 data from the ESO Data Collaborative, a collection of de-identified prehospital electronic health records from nearly 1,300 participating EMS agencies in the US.
View Article and Find Full Text PDFBackground: Prehospital hypoglycemia is usually treated with oral or intravenous (IV) dextrose in a variety of concentrations. In the absence of vascular access, intramuscular (IM) glucagon is commonly administered. Occupational needle-stick injury remains a significant risk while attempting to obtain vascular access or administer medications intramuscularly in the prehospital setting.
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- The study examines the complications arising from cardiopulmonary resuscitation (CPR) in adults after non-traumatic out-of-hospital cardiac arrest (OHCA), identifying common thoracic injuries such as rib and sternal fractures.
- A retrospective analysis of 786 OHCA patients transported to an urban hospital revealed that 32.9% of those admitted underwent CT imaging, revealing significant thoracic injuries in a substantial portion of them (29.2% had rib fractures, 8.8% had pneumothorax).
- Chest X-ray was found to be ineffective at detecting these injuries, with low sensitivity rates (7.5% for rib fractures, 50% for pneumothorax) despite a perfect specificity
Accurate tracking of patients poses a significant challenge to prehospital and hospital emergency medical providers in planned and unplanned events. Previous reports on patient tracking systems are limited primarily to descriptive reports of post incident reviews or simulated exercises. Our objective is to report our experience with implementing a patient barcode tracking system during various planned events within a large urban EMS system.
View Article and Find Full Text PDFIntroduction: Emergency department thoracotomy (EDT) is a lifesaving procedure within the scope of practice of emergency physicians. Because EDT is infrequently performed, emergency medicine (EM) residents lack opportunities to develop procedural competency. There is no current mastery learning curriculum for residents to learn EDT.
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- Agitated patients present challenges for both emergency medical services (EMS) provider safety and patient care, and midazolam is often used to manage these situations, though data on its use outside hospitals is limited.
- A retrospective review in a large urban EMS system from 2014 to 2016 analyzed the effectiveness of administering midazolam for acute agitation, utilizing different routes of administration (IV, IM, IN) and collecting data on outcomes and side effects.
- Results indicated that midazolam effectively reduced agitation in 73.5% of cases with low adverse effects (3.4%), and no significant difference was found between the effectiveness of IM and IN administration.
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- A 22-item checklist for performing emergency department thoracotomy (EDT) was created to improve training and assessment for emergency medicine residents.
- Experts reviewed and revised the checklist, resulting in strong inter-rater reliability (κ = 0.84) when used to evaluate performance.
- Performance on the checklist was better among those with clinical experience, highlighting its potential for enhancing procedural competency training in emergency medicine.
Patients with cancer and palliative care needs frequently use the emergency department (ED). ED-based palliative services may extend the reach of palliative care for these patients. To assess the feasibility and reach of an ED-based palliative intervention (EPI) program.
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