Scand J Trauma Resus
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Scand J Trauma Resus · Feb 2016
Patient safety and patient assessment in pre-hospital care: a study protocol.
Patient safety issues in pre-hospital care are poorly investigated. The aim of the planned study is to survey patient safety problems in pre-hospital care in Sweden. ⋯ The findings will make an important contribution to knowledge about patient safety issues in pre-hospital care.
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Scand J Trauma Resus · Feb 2016
Resuscitative endovascular balloon occlusion of the aorta for uncontrolled haemorrahgic shock as an adjunct to haemostatic procedures in the acute care setting.
Haemorrhagic shock is a major cause of death in the acute care setting. Since 2009, our emergency department has used intra-aortic balloon occlusion (IABO) catheters for resuscitative endovascular balloon occlusion of the aorta (REBOA). ⋯ REBOA can be performed in ER and ICU with a high degree of technical success. Furthermore, correlations between occlusion time and initial high lactate levels and shock index may be important because prolonged occlusion is associated with a poorer outcome.
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Scand J Trauma Resus · Feb 2016
Use of the reverse shock index for identifying high-risk patients in a five-level triage system.
The ratio of systolic blood pressure (SBP) to heart rate (HR), called the reverse shock index (RSI), is used to evaluate the hemodynamic stability of trauma patients. To minimize undertriage in emergency departments (EDs), we evaluated whether RSI < 1 (i.e., SBP lower than HR) could be used as an additional variable to identify patients at high risk for more severe injury within a level category of the five-level Taiwan Triage and Acuity Scales (TTAS) system. ⋯ RSI < 1 upon arrival at an ED is an alarming sign of an associated worse outcome. Within the same triage level from level I to level III, patients with RSI < 1 had worse outcomes than those with RSI ≥ 1. The inclusion of RSI in the TTAS system may help to identify patients with more serious injuries who need an upgraded management level.
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Scand J Trauma Resus · Feb 2016
Selection of quality indicators for hospital-based emergency care in Denmark, informed by a modified-Delphi process.
In 2013, Danish policy-makers on a nationwide level decided to set up a national quality of care database for hospital-based emergency care in Denmark including the selection of quality indicators. The aim of the study was to describe the Delphi process that contributed to the selection of quality indicators for a new national database of hospital-based emergency care in Denmark. ⋯ The two-round modified Delphi process contributed to the selection of an initial set of nine quality indicators for a new a national database for hospital-based emergency care in Denmark. Final selection was made by the database steering group informed by the Delphi process.
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Scand J Trauma Resus · Feb 2016
Review Meta Analysis Comparative StudyMechanical versus manual chest compressions for cardiac arrest: a systematic review and meta-analysis.
The aim of this paper was to conduct a systematic review of the published literatures comparing the use of mechanical chest compression device and manual chest compression during cardiac arrest (CA) with respect to short-term survival outcomes and neurological function. ⋯ The ability to achieve ROSC with mechanical devise was inferior to manual chest compression during resuscitation. The use of mechanical chest compression cannot be recommended as a replacement for manual CPR, but rather a supplemental treatment in an overall strategy for treating CA patients.