Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
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This is the official position statement of the National Association of EMS Physicians on the role of emergency medical services (EMS) in disaster response.
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This is the official position statement of the National Association of EMS Physicians and the National Association of State EMS Officials on medical direction for operational emergency medical services (EMS) programs.
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Less is known about the prevalence of pain in prehospital emergency medicine than about pain in the emergency department. Objectives. To estimate the prehospital prevalence of pain and to identify the factors associated with oligoanalgesia. ⋯ In our studied population, pain in prehospital emergency medicine affects 42% of patients. However, the rate varies widely according to the origin of the pain. Pain management is inadequate, as only one in two patients experiences relief.
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Comparative Study
Neurologically intact survival in a porcine model of cardiac arrest: manual cardiopulmonary resuscitation vs. LifeBelt cardiopulmonary resuscitation.
To compare the LifeBelt (Deca-Medica, Inc., Columbus, OH), a novel cardiopulmonary resuscitation (CPR) device, with manual CPR on the outcome of neurologically intact survival in a porcine model of cardiac arrest. ⋯ In this porcine model of cardiac arrest, we did not detect significant differences in neurologically intact survival between LifeBelt CPR and manual CPR.
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To examine the effects of adding close concurrent and retrospective physician oversight, consistent with National Association of EMS Physicians (NAEMSP) recommendations, to an existing regional prehospital rapid-sequence intubation (RSI) program. ⋯ Close concurrent and retrospective physician oversight consistent with recommendations from the NAEMSP is associated with improved cognitive skills in paramedics, including appropriate patient selection for RSI. Further research is warranted to validate this model and optimize where resources are best used to enhance patient safety and improve clinical management for this controversial paramedic skill.