Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
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It is not known how rocuronium compares with succinylcholine in its effect on intubation success during air medical rapid-sequence intubation (RSI). ⋯ Rapid-sequence intubation was more successful with fewer attempts in patients intubated by air medical crews with succinylcholine as opposed to rocuronium. Prospective, randomized studies are needed to confirm these findings and to explore the impact of succinylcholine on the outcomes of air medical-transported patients. Key words: airway management; critical care; emergency medical services; neuromuscular blockade; succinylcholine; rocuronium; rapid-sequence intubation; intubation; air medical transport.
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The National Association of EMS Physicians (NAEMSP) believes that health care systems need to collectively work to minimize ambulance offload delay. This paper is the official position of the National Association of EMS Physicians.
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Intraosseous (IO) access is attempted when intravenous access cannot be established during an emergency. The U.S. Food and Drug Administration-cleared semiautomatic IO access device (EZ-IO; Vidacare Corp., Shavano Park, TX) has been shown to be safe and effective. ⋯ For the pediatric cohort, use of a semiautomatic IO access device in place of a manual device offered no statistically significant difference in first-attempt success (3.3%) or in success per attempt (13.0%). However, the rate at which IO access was used by emergency medical services providers more than tripled with use of the semiautomatic device.
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The National Association of EMS Physicians (NAEMSP) and the American College of Surgeons-Committee on Trauma (ACS-COT) believe that achieving optimal outcomes for severely injured people requires a well-functioning and inclusive trauma system. This paper is the official position of the NAEMSP and ACS-COT. Key words: trauma; triage; inclusive; EMS; position statement; NAEMSP; ACS-COT.
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Comparative Study
Comparison of two packable hemostatic Gauze dressings in a porcine hemorrhage model.
Uncontrolled hemorrhage remains the primary cause of preventable battlefield mortality and a significant cause of domestic civilian mortality. Rapid hemorrhage control is crucial for survival. ChitoGauze and Combat Gauze are commercially available products marketed for rapid hemorrhage control. These products were selected because they are packable gauze that work via differing mechanisms of action (tissue adhesion versus procoagulant). ⋯ ChitoGauze and Combat Gauze appear to be equally efficacious in their hemostatic properties, as demonstrated in a porcine hemorrhage model.