Publications by authors named "J M Kurola"
Article Synopsis
- - Patient safety is increasingly important in emergency medical services (EMS), particularly with an aging population in high-income countries leading to more EMS calls and discussions around non-conveyance safety.
- - A study analyzed 73 EMS-related complaints from 2013-2019, finding that most complaints were about non-conveyance and often dealt with ethical conduct and paramedic behavior.
- - Overall, the number of complaints was low, and fostering better communication and respect in paramedic-patient interactions could help reduce these issues further.
Background: Many prehospital emergency patients receive suboptimal treatment for their moderate to severe pain. Various factors may contribute. We aim to systematically review literature pertaining to prehospital emergency adult patients with acute pain and the pain-reducing effects, adverse events (AEs), and safety issues associated with inhaled analgetic agents compared with other prehospital analgesic agents.
View Article and Find Full Text PDFBackground: Fever after cardiac arrest may impact outcome. We aimed to assess the incidence of fever in post-cardiac arrest patients, factors predicting fever and its association with functional outcome in patients treated without targeted temperature management (TTM).
Methods: The FINNRESUSCI observational cohort study in 2010-2011 included intensive care unit (ICU)-treated out-of-hospital cardiac arrest (OHCA) patients from all five Finnish university hospitals and 14 of 15 central hospitals.
Article Synopsis
- The study focused on aneurysmal intracerebral hemorrhage (aICH), highlighting the absence of personalized patient timelines and detailed brain imaging throughout treatment and recovery.
- Researchers analyzed 54 patients who underwent surgical clipping for a specific type of aneurysm, compiling data from emergency calls to clinical outcomes using timeline and imaging panels.
- Findings indicate that larger aICH volumes at the time of admission were linked to higher rates of rebleeds and mortality, emphasizing the need for timely intervention and enhanced imaging during surgery to monitor recovery.
Purpose: Our review of acute brain insult articles indicated that the patients' individual (i) timeline panels with the defined time points since the emergency call and (ii) serial brain CT/MRI slice panels through the neurointensive care until death or final brain tissue outcome at 12 months or later are not presented.
Methods: We retrospectively constructed such panels for the 45 aneurysmal subarachnoid hemorrhage (aSAH) patients with a secondary decompressive craniectomy (DC) after the acute admission to neurointensive care at Kuopio University Hospital (KUH) from a defined population from 2005 to 2018. The patients were indicated by numbers (1.