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Helicopter emergency medical services demonstrate reduced time to emergency anaesthesia in an undifferentiated trauma population: a retrospective observational analysis across three major trauma networks.
Scand J Trauma Resusc Emerg Med
December 2024
Air Ambulance Charity Kent Surrey Sussex, Redhill Aerodrome, Redhill, Surrey, RH1 5YP, UK.
Background: Early rapid sequence induction of anaesthesia (RSI) and tracheal intubation for patients with airway or ventilatory compromise following major trauma is recommended, with guidance suggesting a 45-min timeframe. Whilst on-scene RSI is recommended, the potential time benefit offered by Helicopter Emergency Medical Services (HEMS) has not been studied. We compared the time from 999/112 emergency call to delivery of RSI between patients intubated either in the Emergency Department or pre-hospital by HEMS.
View Article and Find Full Text PDFAssessing the Effect of a Pandemic on Emergency Medical Service Response Times and Interventions for Out-of-Hospital Cardiac Arrest.
Cureus
December 2024
Department of Emergency and Critical Care Medicine, Iizuka City Hospital, Iizuka, JPN.
Objectives: The coronavirus disease 2019 (COVID-19) pandemic has significantly disrupted emergency medical service (EMS) prehospital care for patients with out-of-hospital cardiac arrest (OHCA), necessitating a thorough assessment of its effects on prehospital time and emergency interventions. Therefore, we aimed to analyze the changes in EMS operations before and after the onset of the pandemic and their potential effects on patient care.
Methods: We retrospectively reviewed OHCA cases between January 2017 and December 2022, categorizing them into pre-pandemic and pandemic phases.
The influence of functional components of natural scenes on episodic memory.
Sci Rep
December 2024
Department of Psychology, Rutgers University, New Brunswick, USA.
Prior expectation for the structure of natural scenes is perhaps the most influential contributor to episodic memory for objects in scenes. While the influence of functional components of natural scenes on scene perception and visual search has been well studied, far less is known about the independent contributions of these components to episodic memory. In this investigation, we systematically removed three functional components of natural scenes: global-background, local spatial, and local associative information, to evaluate their impact on episodic memory.
View Article and Find Full Text PDFHelicopter hoist operations in German mid-range mountains retrospective analysis of incidence, medical characteristics, and mission tactics.
Scand J Trauma Resusc Emerg Med
December 2024
German Air Rescue, DRF Stiftung Luftrettung Gemeinnützige AG, Rita-Maiburg-Str. 2, 70794, Filderstadt, Germany.
Article Synopsis
- Helicopter hoist operations (HHO) are crucial for conducting rescue missions in Germany's challenging mid-range mountain terrains, especially for outdoor sports-related injuries.
- A study analyzing HHO missions from 2020 to 2022 found 410 rescue cases, with 304 suitable for statistical analysis, revealing a peak in summer and on weekends with 75% of cases linked to trauma.
- The analysis indicated that many patients were in severe conditions requiring invasive treatments, and different air rescue bases employed varying tactics, affecting the efficiency of their missions.
The nature, sequence and duration of professional activities of Emergency Medical Service providers: An observational study to evaluate quality of care using the steps in the EMS care process as described by the SPART model.
PLoS One
December 2024
Faculty of Science and Engineering Artificial Intelligence - Bernoulli Institute, University of Groningen, Groningen, The Netherlands.
Article Synopsis
- The study assessed the quality of EMS care by analyzing deployment reports and measuring how time was spent during various phases of EMS operations, raising questions about the relevance of time metrics in evaluating care quality.
- A focused ethnographic approach was used, involving video recordings and interviews, which helped outline the EMS care process through the development of a model known as SPART.
- The results provided insights into the effectiveness of clinical reasoning and the overall quality of care by analyzing the nature, order, and duration of EMS activities across different operational periods (response, on-scene, transport).
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