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| http://dx.doi.org/10.1161/JAHA.119.011963 | DOI Listing |
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Time-Critical Emergencies in Suburban Parks and Outdoor Recreation Spaces.
Cureus
December 2024
Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, USA.
Objective Prior studies have described the patterns of emergency medical service (EMS) activations in national parks in the United States. However, little data exists regarding EMS activations in local and regional outdoor recreational locations. We performed a retrospective analysis of EMS activations originating from parks and recreational areas in suburban Howard County, Maryland, to characterize those activations determined to be time-critical emergencies.
View Article and Find Full Text PDFObjectives: The Screening, Brief Intervention, and Referral to Treatment (SBIRT) framework is a validated process that is used to identify individuals with substance use disorders (SUDs) and then encourage them to engage in and facilitate entry into treatment. It is not known how well SBIRT can be incorporated into prehospital practice and what barriers to Emergency Medical Services (EMS) implementation of an SBIRT program might arise. The aim of this project was to implement a pilot EMS based SBIRT program.
View Article and Find Full Text PDFCharacteristics of Patients Experiencing Opioid Overdose and Eligibility for Prehospital Treatment with Buprenorphine.
Prehosp Emerg Care
January 2025
Co-Principal Investigator, EMS Bridge, Alameda Health System - Highland Hospital, Emergency Medicine, 1141 E 31st. St, Oakland, CA, 94602.
Objectives: Opioids kill tens of thousands of patients each year. While only a fraction of people with opioid use disorder (OUD) have accessed treatment in the last year, 30% of people who died from an overdose had an Emergency Medical Services (EMS) encounter within a year of their death. Prehospital buprenorphine represents an important emerging OUD treatment, yet limited data describe barriers to this treatment.
View Article and Find Full Text PDFHelicopter emergency medical services in Eastern Iran: a 4-year cross-sectional study of time intervals and mission profiles.
BMC Emerg Med
January 2025
Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
Article Synopsis
- Air medical transport is crucial for emergency care, especially in remote regions like eastern Iran, where timely transfers of critically ill patients are essential.
- A retrospective study analyzed 252 helicopter emergency medical services (HEMS) missions from 2021 to 2024, revealing a mean activation time of 9.14 minutes—far exceeding the national benchmark of 3 minutes—and an average prehospital transport time of 49.73 minutes.
- While HEMS activation time was slower than desired, it provided faster patient transport compared to ground ambulances, highlighting its efficiency in emergencies.
Adherence to institutional stroke alert criteria in an academic adult emergency department population.
Clin Neurol Neurosurg
December 2024
Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, USA; Geriatric Research, Education, and Clinical Center, Tennessee Valley Healthcare Center, Nashville, TN, USA; Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address:
Background: Timely recognition of acute ischemic stroke (AIS) is essential to identify patients who may be eligible for acute intervention. Protocols to streamline systems-based care, such as "stroke alerts" in the emergency department (ED) can safely reduce time-to-care while enhancing safety. However, clinician adherence to stroke alert criteria is poorly described.
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