Evidence for Practice

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Paramedic Registration

By Amy Cotton on May 15th, 2012

Does direct transport to provincial burn centres improve outcomes? A spatial epidemiology of severe burn injury in British Columbia, 2001-2006.

Can J Surg. 2012 Apr;55(2):110-6. FREE FULL TEXT Bell N, Simons R, Hameed SM, Schuurman N, Wheeler S. Source Department of Surgery, University of British Columbia, Vancouver, BC. Abstract Background: In Canada and the United States, research has shown that injured patients initially treated at smaller emergency departments before transfer to larger regional facilities are [...]

By Amy Cotton on May 15th, 2012

Prehospital analgesia in New South Wales, Australia.

Prehosp Disaster Med. 2011 Nov-Dec;26(6):422-6. Bendall JC, Simpson PM, Middleton PM. Source Ambulance Research Institute, Ambulance Service of New South Wales, Rozelle NSW, Australia. Abstract Introduction: With at least 20% of ambulance patients reporting pain of moderate to severe intensity, pain management has become a primary function of modern ambulance services. The objective of this [...]

By Amy Cotton on May 15th, 2012

Emergency tracheal intubation without drugs: outcome and one-year survival of medical patients not in cardiac arrest.

Scott Med J. 2012 May;57(2):84-7. Paul AM, Young NH, Price GC. Source Department of Anaesthesia, Critical Care and Pain Medicine, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK. Abstract Non-medicine-assisted tracheal intubation in prehospital trauma is associated with a dismal prognosis. We wished to study the outcome of medical patients who underwent non-medicine-assisted tracheal intubation. This [...]

By Amy Cotton on May 15th, 2012

The Hospital’s Role in Improving Survival of Patients With Out-of-Hospital Cardiac Arrest.

Clin Cardiol. 2012 Apr 30. doi: 10.1002/clc.21992. [Epub ahead of print] Kumar S, Ewy GA. Source Cardiology and University of Arizona Sarver Heart Center Tucson, Arizona. Abstract Out-of-hospital cardiac arrest (OHCA) is a major public health problem. Unfortunately, in spite of recurring updated guidelines, survival of patients with OHCA had been unchanged for decades. Recently, [...]

By Amy Cotton on May 15th, 2012

Challenges in International Medicine: Ethical Dilemmas, Unanticipated Consequences, and Accepting Limitations.

Acad Emerg Med. 2012 Apr 30. doi: 10.1111/j.1553-2712.2012.01376.x. [Epub ahead of print] Iserson KV, Biros MH, James Holliman C. Source From the Department of Emergency Medicine, The University of Arizona, and REEME Project (KVI), Tucson, AZ; the Department of Emergency Medicine, Hennepin County Medical System (MHB), Minneapolis, MN; the Uniformed Services University of the Health [...]

By Amy Cotton on May 15th, 2012

Comparison of Neurological Outcome between Tracheal Intubation and Supraglottic Airway Device Insertion of Out-of-hospital Cardiac Arrest Patients: A Nationwide, Population-based, Observational Study.

J Emerg Med. 2012 Apr 26. [Epub ahead of print] Tanabe S, Ogawa T, Akahane M, Koike S, Horiguchi H, Yasunaga H, Mizoguchi T, Hatanaka T, Yokota H, Imamura T. Source Foundation for Ambulance Service Development, Emergency Life-Saving Technique Academy of Tokyo, Tokyo, Japan. Abstract BACKGROUND: The effect of prehospital use of supraglottic airway devices [...]

By Amy Cotton on May 15th, 2012

Traumatic spinal cord injuries – incidence, mechanisms and course.

Tidsskr Nor Laegeforen. 2012 Apr 17;132(7):831-837. FREE FULL TEXT [Article in English, Norwegian] Hagen EM, Rekand T, Gilhus NE, Grønning M. Abstract Background. The primary purpose of this article is to provide an overview of demography, neurological level of injury, extent of lesion, incidence, prevalence, injury mechanisms as well as lethality and causes of death [...]

By Amy Cotton on May 03rd, 2012

Extending the paramedic role in rural Australia: a story of flexibility and innovation

Rural and Remote Health; 12th April 2012; FREE FULL TEXT Author(s) : O’Meara PF, Tourle V, Stirling C, Walker J, Pedler D Introduction: This article identifies trends in the evolving practice of rural paramedics and describes key characteristics, roles and expected outcomes for a Rural Expanded Scope of Practice (RESP) model. Methods: A multiple case [...]

By Amy Cotton on April 22nd, 2012

The initial health-system response to the earthquake in Christchurch, New Zealand, in February, 2011.

Lancet. 2012 Apr 13. [Epub ahead of print] Ardagh MW, Richardson SK, Robinson V, Than M, Gee P, Henderson S, Khodaverdi L, McKie J, Robertson G, Schroeder PP, Deely JM. Source University of Otago, Christchurch, New Zealand. Abstract At 1251 h on Feb 22, 2011, an earthquake struck Christchurch, New Zealand, causing widespread destruction. The [...]

By Amy Cotton on April 22nd, 2012

Paramedic-Performed Digital Nerve Block To Facilitate Field Reduction Of A Dislocated Finger.

Prehosp Emerg Care. 2012 Apr 17. [Epub ahead of print] Simpson PM, McCabe B, Bendall JC, Cone DC, Middleton PM. Source From the Ambulance Service of New South Wales (PMS, BM, JCB, DCC, PMM) , New South Wales , Australia ; the Discipline of Emergency Medicine, University of Sydney (PMM) , Sydney , Australia ; [...]

By Amy Cotton on April 22nd, 2012

Improving documentation in prehospital rapid sequence intubation: investigating the use of a dedicated airway registry form.

Emerg Med J. 2012 Apr 13. [Epub ahead of print] Bloomer R, Burns BJ, Ware S. Source Greater Sydney Area Helicopter Emergency Medical Service (GSA-HEMS), New South Wales, Australia. Abstract ObjectiveThe quality of medical documentation is integral to audit, clinical governance, education, medico-legal aspects and continuity of patient care. This study aims to investigate the [...]

By Amy Cotton on April 22nd, 2012

Risk factors for 48-hours mortality after prehospital treatment of opioid overdose.

Emerg Med J. 2012 Apr 13. [Epub ahead of print] Wichmann S, Nielsen SL, Siersma VD, Rasmussen LS. Source Department of Anaesthesia, Centre of Head and Orthopaedics, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. Abstract IntroductionOpioid overdose is commonly treated by prehospital emergency services and the majority of the patients are discharged immediately after treatment and [...]

By Amy Cotton on April 22nd, 2012

Diagnosis and treatment of patients with stroke in a mobile stroke unit versus in hospital: a randomised controlled trial.

Lancet Neurol. 2012 May;11(5):397-404. Epub 2012 Apr 11. Walter S, Kostopoulos P, Haass A, Keller I, Lesmeister M, Schlechtriemen T, Roth C, Papanagiotou P, Grunwald I, Schumacher H, Helwig S, Viera J, Körner H, Alexandrou M, Yilmaz U, Ziegler K, Schmidt K, Dabew R, Kubulus D, Liu Y, Volk T, Kronfeld K, Ruckes C, Bertsch [...]

By Amy Cotton on April 22nd, 2012

Stroke management in northern Lombardy: organization of an emergency-urgency network and development of a connection between prehospital and in-hospital settings.

Int J Stroke. 2012 Apr 12. doi: 10.1111/j.1747-4949.2012.00792.x. [Epub ahead of print] Vidale S, Verrengia E, Gerardi F, Arnaboldi M, Bezzi G, Bono G, Guidotti M, Grampa G, Perrone P, Zarcone D, Zoli A, Beghi E, Agostoni E, Porazzi D, Landriscina M. Source Department of Neurology, Sant’Anna Hospital, San Fermo della Battaglia, Italy. Abstract Stroke [...]

By Amy Cotton on April 22nd, 2012

Continuously recorded oxygen saturation and heart rate during prehospital transport outperform initial measurement in prediction of mortality after trauma.

J Trauma Acute Care Surg. 2012 Apr;72(4):1006-12. Woodford MR, Mackenzie CF, Dubose J, Hu P, Kufera J, Hu EZ, Dutton RP, Scalea TM. Source Baltimore, Maryland From the Shock Trauma and Anesthesiology Research Center (M.R.W., C.F.M., P.H., J.K., E.Z.H.), Departments of Anesthesiology (C.F.M., P.H., R.P.D.) and Surgery (J.D., T.M.S.), R Adams Cowley Shock Trauma Center, [...]