Publications by authors named "N Bosson"
Article Synopsis
- The prologue outlines the reasons for creating the NAEMSP Prehospital Trauma Compendium and describes how the manuscripts were developed.
- It summarizes the key topics covered in the compendium, such as hemorrhage control, airway management, pain management, care for traumatic brain injuries, and trauma triage.
- The text also references other current literature that addresses various aspects of prehospital trauma care.
Rationale and development of a prehospital goal-directed bundle of care to prevent rearrest after return of spontaneous circulation.
J Am Coll Emerg Physicians Open
December 2024
In patients with out-of-hospital cardiac arrest (OHCA) who attain return of spontaneous circulation (ROSC), rearrest while in the prehospital setting represents a significant barrier to survival. To date, there are limited data to guide prehospital emergency medical services (EMS) management immediately following successful resuscitation resulting in ROSC and prior to handoff in the emergency department. Post-ROSC care encompasses a multifaceted approach including hemodynamic optimization, airway management, oxygenation, and ventilation.
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- EMS clinicians handle traumatic pneumothoraxes, including simple ones that are less severe and tension pneumothoraxes that can lead to serious complications like shock.
- The most common treatment for tension pneumothorax in EMS is needle thoracostomy, but its frequent misapplication and low success rates have raised concerns about its effectiveness.
- The National Association of EMS Physicians conducted a literature review to create evidence-based recommendations for managing traumatic pneumothoraxes, addressing the need for proper decompression techniques and clarifying procedures for open pneumothoraxes.
Evaluating the current breadth of randomized control trials on cardiac arrest: A scoping review.
J Am Coll Emerg Physicians Open
October 2024
Objectives: Despite the significant disease burden due to cardiac arrest, there is a relative paucity of randomized controlled trials (RCTs) to inform definitive management. We aimed to evaluate the current scope of cardiac arrest RCTs published between 2015 and 2022.
Methods: We conducted a search in October 2023 of MEDLINE, Embase, and Web of Science for cardiac arrest RCTs.
Entrapped patients may be simply entombed or experiencing crush injury or entanglement. Patients with trauma who are entrapped are at higher risk of significant injury than patients not entrapped. Limited access and prolonged scene times further complicate patient management.
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