European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Living in high-rise buildings may cause delays in reaching a hospital after an out-of-hospital cardiac arrest. This study aimed to compare neurological outcomes in people who had had an out-of-hospital cardiac arrest, according to their floor of residence. ⋯ People living on higher floors have poorer outcomes after an out-of-hospital cardiac arrest. Further studies are required to assess factors causing a delay in the emergency medical service response time, and placement of automated external defibrillators in high-rise buildings.
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Up to 20% of major trauma patients may sustain a pneumothorax. Traumatic pneumothoraces can be difficult to diagnose on scene. Although the use of handheld ultrasound (HHUS) is becoming increasingly widespread, there remains uncertainty about its efficacy as a diagnostic tool in the prehospital setting. The aim of this study was to determine the diagnostic performance of prehospital chest HHUS in trauma patients. ⋯ In this retrospective study, sensitivity of prehospital HHUS for diagnosing a pneumothorax was lower than is often reported in in-hospital studies. This suggests that caution should be exercised in using HHUS for the exclusion of pneumothorax in the prehospital setting.
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Observational Study
Comparing thoracoabdominal injuries of manual versus load-distributing band cardiopulmonary resuscitation.
To identify and compare manual and load-distributing band (LDB) cardiopulmonary resuscitation (CPR)-related injuries. ⋯ Rib fractures, sternal fractures, hemothorax and hemopericardium are common CPR-related injuries. LDB CPR is significantly associated with more posterior rib fractures and a trend toward more pneumothoraces is observed when compared with manual CPR. This knowledge is important for caretakers in the case of ongoing CPR, as a pneumothorax may attribute to not achieving persistent return of spontaneous circulation, and to improve postresuscitation care of survivors.
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Randomized Controlled Trial
Parental involvement in the manual reduction of pulled elbow in children.
To investigate the effect of parental involvement in the manual reduction of pulled elbow in children. ⋯ Parental involvement did not affect the procedure of physician, but it improved the understanding and satisfaction of the parents.