Background: Pre-hospital emergency care is a comprehensive system that responds to the medical needs of injured patients outside of health care centers. The right equipment and facilities are necessary to provide proper and satisfactory services. Due to the increase in pre-hospital emergency services and the high prevalence of emergency events, the present study was conducted to investigate the status of medication and equipment in pre-hospital emergency bases and compare it with national standards.
Methods: This descriptive-analytical study was conducted in Iran in 2022-2023. Sampling was done in 46 urban and road bases using the census method. Data collection was done using two checklists. The first checklist, in 17 sections, was based on the latest edition of the instructions for medication and equipment of Iran's pre-hospital emergency organization. The second checklist included the specifications of the base. The collected data were analyzed using descriptive and analytical statistics and SPSS25 software.
Results: Of the 46 bases included in the study, 41.3% were urban bases and the rest were road bases. The mean age for building the bases was 13.76±9.47 years (the minimum was one year and the maximum was 45 years). The mean score of the status of medication and equipment in the bases was 224.34 ± 32.05 (minimum score 155 and maximum 322), which was 56.09% of the total score. The highest score was obtained in the medication section of the patient cabin (81.88%) and the lowest score was in the CBRNe bag equipment section (4.55%).
Conclusions: The results showed that the status of the medication and equipment of the pre-hospital emergency bases is far from the standards. This long distance can affect the quality of pre-hospital emergency services. Resolving deficiencies and reaching standards requires more attention.
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http://dx.doi.org/10.5249/jivr.v17i1.1893 | DOI Listing |
BMC Emerg Med
January 2025
Department of Medical Surgical Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, 81936-13119, Iran.
Background: Moral intelligence is a significant and influential factor in the delivery of principled and high-quality care. This is because moral intelligence is the ability to recognize and be sensitive to moral issues, which contributes to the organization of appropriate behavior in the face of moral issues. This is particularly pertinent given that pre-hospital emergency medical services personnel (prehospital EMS personnel) frequently encounter stressful and tension-filled situations.
View Article and Find Full Text PDFAm J Emerg Med
January 2025
Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon; Emergency Medical Services and Pre-hospital Care Program, American University of Beirut Medical Center, Beirut, Lebanon. Electronic address:
Background: Trauma is the leading non obstetric cause of death in pregnant women. Pregnancy above 20 weeks falls under special considerations group in the Center for Disease Control and Prevention (CDC) field triage criteria. Trauma centers' designation level in the United States is based on available resources for care.
View Article and Find Full Text PDFEmerg Med J
January 2025
Department of Anesthesiology & Trauma Center / HEMS Lifeliner 1, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands
Thoracostomies, and subsequent placements of chest tubes (CTs), are a standard procedure in several domains of medicine. In emergency medicine, thoracostomies are indicated to release a relevant hemothorax or pneumothorax, particularly a life-threatening tension pneumothorax. In many cases, an initial finger-assisted thoracostomy is followed by placement of a CT to ensure continuous decompression of blood and air.
View Article and Find Full Text PDFScand J Trauma Resusc Emerg Med
January 2025
Department of Acute Care, University Medical Centre Groningen, Groningen, the Netherlands.
Background: As iatrogenic hyperoxia has been related to adverse outcomes in critically ill patients, guidelines advise to titrate oxygen to physiological levels. In the prehospital setting where partial arterial oxygen (PaO) values are often not readily available, titration of oxygen is based on peripheral oxygen saturations (SpO2). In this study we aimed to investigate the efficacy of SpO guided oxygen titration in the prevention of hyperoxia.
View Article and Find Full Text PDFRev Bras Enferm
January 2025
Universidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil.
Objective: To map studies on clinical simulation training directed at first responders during pediatric emergencies, focusing on interaction with families.
Methods: A scoping review based on the guidelines of the JBI Manual for Evidence Syntheses and reported according to the PRISMA-ScR checklist, covering eight databases and gray literature, without time or language restrictions.
Results: The ten selected studies indicated that most publications were from the United States.
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