Procedural Sedation and Analgesia in Trauma Patients in an Out-of-Hospital Emergency Setting: A Prospective Multicenter Observational Study.

Background: The quality of procedural analgesia and sedation among trauma patients has not been studied much in the prehospital setting. The main objective of this study was to characterize the quality of procedural analgesia sedation practices in prehospital settings in trauma patients.

Methods: This was an open-label observational prospective multicenter study (January 01, 2012-December 31, 2013).

Adverse Events With Ketamine Versus Ketofol for Procedural Sedation on Adults: A Double-blind, Randomized Controlled Trial.

Objectives: The goal of our study was to compare the frequency and severity of recovery reactions between ketamine and ketamine-propofol 1:1 admixture ("ketofol").

Methods: We performed a multicentric, randomized, double-blind trial in which adult patients received emergency procedural sedations with ketamine or ketofol. Our primary outcome was the proportion of unpleasant recovery reactions.

Family presence during cardiopulmonary resuscitation.

Background: The effect of family presence during cardiopulmonary resuscitation (CPR) on the family members themselves and the medical team remains controversial.

Methods: We enrolled 570 relatives of patients who were in cardiac arrest and were given CPR by 15 prehospital emergency medical service units. The units were randomly assigned either to systematically offer the family member the opportunity to observe CPR (intervention group) or to follow standard practice regarding family presence (control group).

A study comparing care between nurses and doctors in the French prehospital setting: the case of hypoglycemia.

Introduction: The objective of this study was to compare the quality of care between French nurses and physicians in the prehospital management of hypoglycemic patients.

Methods: Response times, concordance with medical protocols/recommendations, quality of medical records, and percentage of hospitalized patients were evaluated.

Results: A total of 33 patients were treated for hypoglycemia by the nurse group and 41 by the physician group.

[Yanomami children's nutritional status in the middle Rio Negro, Brazilian Amazônia].

The nutritional status of 290 Yanomami Amerindians children, from birth to about six year-olds, living in the middle Rio Negro, Brazilian Amazonia, has been studied in 1998 and 1999 using the weight-for-height. All of them were of low stature. Twenty malnourished (7%), defined as below two standard deviations of NCHS' data, have been observed.