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The development of a decision support tool in the prehospital setting for acute chest pain - a study protocol for an observational study (BRIAN2).
Scand J Trauma Resusc Emerg Med
January 2025
PreHospen-Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
Introduction: Chest pain is one of the most common reasons for contacting the emergency medical services (EMS). It is difficult for EMS personnel to distinguish between patients suffering from a high-risk condition in need of prompt hospital care and patients suitable for non-conveyance. A vast majority of patients with chest pain are therefore transported to the emergency department (ED) for further investigation even if hospital care is not necessary.
View Article and Find Full Text PDFAssessment of the correlation between the Vittel criteria and the ISS score: A novel approach to pre-hospital severe trauma patient's triage.
Tunis Med
December 2024
Department of Anesthesiology and Intensive Care, Sahloul University Hospital, Sousse, Tunisia.
Unlabelled: Introduction-Aim: Validated triage tools such as the Vittel criteria are essential to improve the care of trauma patients. The aim of this study was to evaluate the correlation between the Vittel triage criteria and the Injury Severity Score (ISS) to improve the accuracy of pre-hospital triage.
Methods: We conducted a longitudinal study of all trauma patients transported by EMS over a two-year period (November 2021- November 2023).
Energy management strategy for methanol hybrid commercial vehicles based on improved dung beetle algorithm optimization.
PLoS One
January 2025
School of Mechanical and Automotive Engineering, Anhui Polytechnic University, Wuhu, China.
In order to solve the problem of poor adaptability and robustness of the rule-based energy management strategy (EMS) in hybrid commercial vehicles, leading to suboptimal vehicle economy, this paper proposes an improved dung beetle algorithm (DBO) optimized multi-fuzzy control EMS. First, the rule-based EMS is established by dividing the efficient working areas of the methanol engine and power battery. The Tent chaotic mapping is then used to integrate strategies of cosine, Lévy flight, and Cauchy Gaussian mutation, improving the DBO.
View Article and Find Full Text PDFEMS Pediatric Trauma Transport: Do Disparities Exist?
J Pediatr Surg
December 2024
Division of Pediatric General & Thoracic Surgery, Children's Hospital Orange County, Orange, CA, USA; Department of Surgery, University of California Irvine Medical Center, Orange, CA, USA. Electronic address:
Introduction: Trauma is the leading cause of disability and death among children in the United States. Optimal outcomes are achieved at pediatric trauma centers (PTCs), which are specialized to address the unique needs of this population. Disparities in trauma have been reported, affecting optimal delivery of care.
View Article and Find Full Text PDFImproving Emergency Medical Services (EMS) Care for People With Autism in the Prehospital Setting Through Sensory and Communication Aids.
Cureus
November 2024
Emergency Medicine, Franciscan Health Olympia Fields, Olympia Fields, USA.
Autism spectrum disorder (ASD) is a prevalent neurodevelopmental disorder characterized by social, communication, and behavioral challenges. Emergency medical services (EMS) environments, with their loud noises, bright lights, and unfamiliar personnel, often exacerbate these challenges, making care for individuals with ASD particularly complex. To address these challenges, the Franciscan Crown Point EMS system introduced the "Ben's Blue Bags" (BBBs) program.
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