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Development and validation of a screening tool for sepsis without laboratory results in the emergency department: a machine learning study.
EClinicalMedicine
February 2025
Emergency Centre, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Background: Sepsis is a significant health burden on a global scale. Timely identification and treatment of sepsis can greatly improve patient outcomes, including survival rates. However, time-consuming laboratory results are often needed for screening sepsis.
View Article and Find Full Text PDFStroke Triage Alpha Rescue Score (STARS): Prehospital phone-based tool to identify cerebral large vessel occlusion.
Rev Neurol (Paris)
January 2025
Unité neurovasculaire, Centre Hospitalier Métropole Savoie, Chambéry, France. Electronic address:
Introduction: Prehospital identification of stroke patients with large vessel occlusion (LVO) is crucial to optimize transport to an endovascular thrombectomy (EVT)-capable center. Existing scores require medical or paramedical expertise and specific teachings. We aimed to validate a simple prehospital phone-based score for LVO identification.
View Article and Find Full Text PDFSignificant room for improvement in the prehospital assessment and treatment of acute abdominal pain: a retrospective observational study.
Scand J Trauma Resusc Emerg Med
January 2025
Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Background: Acute abdominal pain (AAP) is a common reason for calling emergency medical services (EMS). Despite the widely acknowledged importance of effective prehospital pain management, described by patients as crucial regardless of any other factor, studies on prehospital pain management in AAP patients are limited and suggest room for improvement. This is particularly relevant given the long-standing controversy surrounding the use of analgesia in AAP patients before a final diagnosis is made, which may still influence the prehospital pain management.
View Article and Find Full Text PDFThe Role of Personality in Explaining Burnout, Work Addiction, and Stress-Related Growth in Prehospital Emergency Personnel.
Healthcare (Basel)
January 2025
Emergency Medicine and First Aid Department, Faculty of Medicine, University of Medicine and Pharmacy, 200349 Craiova, Romania.
This is a cross-sectional study designed to explore the contribution of personality factors (the Alternative Five Factor Model) and lower order characteristics (responsive distress and self-discipline) to burnout, work addiction, and stress-related growth among Romanian prehospital emergency healthcare workers. A total of 266 prehospital professionals (41 physicians, 74 nurses, and 151 paramedics) participated in the study out of the 728 invited (36.5% response rate).
View Article and Find Full Text PDFHospital selection for suspected stroke: risk-averse approach considering the minimal risk of exceeding the therapeutic time window.
J Neurointerv Surg
January 2025
Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
Background: Timely treatment within the therapeutic window is critical for patients with stroke. This study adopts a risk-averse optimization approach to maximize the likelihood of receiving treatment within this window.
Methods: We developed an optimization model using data from a citywide stroke registry (July 1, 2019 to December 31, 2020).
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