Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
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Injury is a leading cause of death and disability. Preventing injuries from ever occurring is primary injury prevention (PIP). ⋯ Essential PIP activities for leaders and decision makers of every EMS system include: protecting individual EMS providers from injury; providing education to EMS providers in PIP fundamentals; supporting and promoting the collection and utilization of injury data; obtaining support for PIP activities; networking with other injury prevention organizations; empowering individual EMS providers to conduct PIP activities; interacting with the media to promote injury prevention; and participating in community injury prevention interventions. Essential PIP knowledge areas for EMS providers include: PIP principles; personal injury prevention and role modeling; safe emergency vehicle operation; injury risk identification; documentation of injury data; and one-on-one safety education.
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Randomized Controlled Trial Clinical Trial
A randomized, controlled trial of the efficacy of closed chest compressions in ambulances.
To examine the feasibility of closed chest compressions in ambulances. ⋯ The percentage of correct compressions in all the vehicles tested was lower when compared with the percentage on the ground, and the increase in heart rate was higher. Only one of these results was statistically significant. A further study with more participants seems warranted.
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To analyze medical care facilities and resources available for spectators attending football games in the current National Football League (NFL) stadiums. ⋯ A wide variety of system designs, facilities, and personnel configurations are used to provide emergency medical care for spectators attending NFL games. This information may be useful for assisting those individuals responsible for organizing stadium medical coverage.
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1) To perform a statewide analysis of the frequency of major pediatric trauma cases and the use of resuscitation skills by paramedics (EMT-Ps). 2) To determine whether EMT-Ps use resuscitation skills less frequently for injured children than for older patients. ⋯ EMT-Ps infrequently manage seriously injured children. i.v.s are less frequently placed in pediatric trauma patients, even in the setting of physiologic abnormalities. The contributions of these field procedures to patient outcomes should be evaluated further.