European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Comparative Study Observational Study
Quick Sepsis-related Organ Failure Assessment predicts 72-h mortality in patients with suspected infection.
The aim of this study was to compare quick Sepsis-related Organ Failure Assessment (qSOFA) and Systemic Inflammatory Response Syndrome (SIRS) scores for predicting mortality. ⋯ The qSOFA scores are more accurate than SIRS scores for predicting 72-h mortality and are better at predicting 72-h mortality than 28-day mortality.
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Editorial Historical Article
The European Society for Emergency Medicine is 25 years old: a moment of reflection.
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Comparative Study Observational Study
Feasibility of prehospital freeze-dried plasma administration in a UK Helicopter Emergency Medical Service.
Early transfusion of patients with major traumatic haemorrhage may improve survival. This study aims to establish the feasibility of freeze-dried plasma transfusion in a Helicopter Emergency Medical Service in the UK. ⋯ Prehospital freeze-dried plasma and packed red blood cell transfusion is feasible in a 1: 1 ratio in patients with suspected traumatic haemorrhage. The use of freeze-dried plasma as a first-line fluid bolus reduced the number of prehospital packed red blood cell units required and reduced the time to transfusion.
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Multicenter Study
Prognostic value of prehospital quick sequential organ failure assessment score among patients with suspected infection.
After the third international consensus on sepsis released its new definitions, the prognostic value of quick sequential organ failure assessment (qSOFA) score has been confirmed in the emergency department. However, its validity in the prehospital setting remains unknown. The objective of the study was to assess its accuracy for prehospital patients cared by emergency physician-staffed ambulances (services mobiles d'urgence et de réanimation SMUR). ⋯ In this large multicenter study, prehospital qSOFA presents a strong association with mortality in infected patient, though with poor prognostic performances in our severely ill sample.