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The prehospital paediatric emergency care burden managed by a public ambulance service in the Western Cape, South Africa.
BMC Emerg Med
December 2024
Department of Emergency Medical Sciences, Faculty of Health & Wellness Sciences, Cape Peninsula University of Technology, Cape Town, South Africa.
Background: Paediatric mortality rates in low- and middle-income countries account for over 80% of the global burden. In South Africa, one in every 33 children will not reach the age of five. Despite the high mortality rate, there is a paucity of data describing the prehospital paediatric under-five emergency care burden in South Africa.
View Article and Find Full Text PDFAcute stroke care coordination in the United States: Variation in state laws for Emergency Medical Services and hospitals.
J Stroke Cerebrovasc Dis
December 2024
Center for Healthcare Delivery Science and Innovation, University of Chicago Medicine; Department of Neurology, Biological Sciences Division, University of Chicago. Electronic address:
Background: Lack of care coordination between Emergency Medical Services (EMS) and hospitals contributes to delay of acute stroke (AS) treatment. In the United States, states have adopted laws to improve the quality of EMS and hospital care; the degree to which these laws create regulatory incentives to promote care coordination between them is less well known. We examined state variation in attributes of laws that may influence AS care coordination between EMS and hospitals.
View Article and Find Full Text PDFFactors Influencing Analgesic Use During Transport of Intubated Pediatric Patients.
Prehosp Emerg Care
December 2024
Ornge, Mississauga, Ontario, Canada.
Article Synopsis
- The study investigates the use of analgesia in critically ill pediatric patients undergoing mechanical ventilation during transport, focusing on its prevalence and influencing factors.
- From 903 patients reviewed, 85.3% received pain relief, primarily opioids or ketamine, with those lacking analgesia experiencing higher rates of hypotension and hypoxemia.
- Findings suggest the need for better pain management protocols during transport, particularly considering factors like transport duration and pre-existing health conditions.
Not Just 9-1-1: The Expanded Work Environment of United States Emergency Medical Service Clinicians.
Cureus
October 2024
Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, USA.
Introduction: Recently, there have been annual increases in emergency medical service (EMS) demand with concurrent clinician shortages. Understanding the diverse number of EMS clinicians available for emergent roles is vital for planning and resource management. Our study aims to understand the roles and environments of US EMS clinicians.
View Article and Find Full Text PDFObjective: The aim of this study was to determine how the COVID-19 pandemic affected patient demographics, injury mechanisms, interhospital transfers and mortality of patients with traumatic brain injuries (TBIs) treated in US emergency departments (EDs).
Design: This cross-sectional study analysed 2016-2020 Nationwide Emergency Department Sample (NEDS) data.
Setting: US EDs contained in the NEDS.
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