Articles: emergency-medical-services.
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Tidsskr. Nor. Laegeforen. · Sep 1992
[Results of treatment--the Nord-Gudbrandsdal Project--circulatory collapse in sparsely populated regions].
In Project Nord-Gudbrandsdal we aimed to reduce prehospital mortality from myocardial infarction in a sparsely populated area. The ambulance system consisted of local ambulances with semi-automatic defibrillators (the ambulance personnel were trained in the use of these), combined with advanced medical support from the local doctor and/or the air ambulance doctor. ⋯ Four patients were discharged from hospital in a satisfactory condition. We discuss the factors determining successful resuscitation.
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To inform doctors of potential hazards if opioids are administered in excessive doses to patients with acute pulmonary oedema. ⋯ Parenteral administration of opioids should be used with caution in acute pulmonary oedema. The authors present a protocol for prehospital drug therapy.
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Diving accidents include air embolism and decompression sickness. Both require early stabilization and initiation of therapy before transfer to a definitive medical center for recompression therapy. Initial treatment consists of hydration, oxygen therapy and often steroids and antithrombosis therapy. Symptoms must be separated from other related conditions including myocardial infarction.
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Ann R Coll Surg Engl · Sep 1992
The Royal London Hospital Helicopter Emergency Medical Service: first phase 1990.
A Helicopter Emergency Medical Service (HEMS) has been introduced to improve trauma care in the Southeast of England. The majority of the workload comes from the area bounded by the M25 ring road. ⋯ In September 1990 this service was further improved by the opening of a helipad at the Royal London Hospital and a designated HEMS desk at London Ambulance Service central control. Eighty-four patients were transported in primary rescue missions and 107 as emergency transfers in 1990.