Publications by authors named "James M Nania"
Article Synopsis
- Geospatial smartphone applications are being used to gather community responses for out-of-hospital cardiac arrest (OHCA), but many activations may involve patients who aren’t actually experiencing cardiac arrest.
- A 3-year study in four U.S. communities tracked cases where this technology was activated for suspected OHCA, revealing that over half of the 1,023 non-arrest patients had various medical conditions like syncope and seizures.
- Common EMS interventions included placing IV lines and administering naloxone, suggesting that these non-arrest conditions could benefit from quicker care response times.
Background: Survival following out-of-hospital cardiac arrest (OHCA) decreases as the interval from collapse to CPR and defibrillation increases. Innovative approaches are needed to reduce response intervals, especially for private locations.
Methods: We undertook the Verified Responder Program in 5 United States communities during 2018, whereby off-duty EMS professionals volunteered and were equipped with automated external defibrillators (AEDs).
Objective: Physiologic alterations during rapid sequence intubation (RSI) have been studied in several emergency airway management settings, but few data exist to describe physiologic alterations during prehospital RSI performed by ground-based paramedics. To address this evidence gap and provide guidance for future quality improvement initiatives in our EMS system, we collected electronic monitoring data to evaluate peri-intubation vital signs changes occurring during prehospital RSI.
Methods: Electronic patient monitor data files from cases in which paramedic RSI was attempted were prospectively collected over a 15-month study period to supplement the standard EMS patient care documentation.