To develop and validate a new time interval model for evaluating operational and patient care issues in emergency medical service (EMS) systems. DESIGN/SETTING/TYPE OF PARTICIPANT: Prospective analysis of 300 EMS responses among 20 advanced life support agencies throughout an entire state by direct, in-field observation. Mean times (minutes) were response, 6.8; patient access, 1.0; initial assessment, 3.3; scene treatment, 4.4; patient removal, 5.5; transport, 11.7; delivery, 3.5; and recovery, 22.9. The largest component of the on-scene interval was patient removal. Scene treatment accounted for only 31.0% of the on-scene interval, whereas accessing and removing patients took nearly half of the on-scene interval (45.8%). Operational problems (eg, communications, equipment, uncooperative patient) increased patient removal (6.4 versus 4.5; P = .004), recovery (25.4 versus 20.2; P = .03), and out-of-service (43.0 versus 30.1; P = .007) intervals. Rural agencies had longer response (9.9 versus 6.4; P = .014), transport (21.9 versus 10.3; P < .0005), and recovery (29.8 versus 22.1; P = .049) interval than nonrural. The total on-scene interval was longer if an IV line was attempted at the scene (17.2 versus 12.2; P < .0001). This re...Continue Reading
Paramedic programs and out-of-hospital cardiac arrest: I. Factors associated with successful resuscitation
A comparison of prehospital estimated time of arrival and actual time of arrival to an emergency department
Cost-effectiveness analysis of paramedic emergency medical services in the treatment of prehospital cardiopulmonary arrest
Survival rates from out-of-hospital cardiac arrest: recommendations for uniform definitions and data to report
Prehospital cardiac arrest: the impact of witnessed collapse and bystander CPR in a metropolitan EMS system with short response times
Prehospital data entry compliance by paramedics after institution of a comprehensive EMS data collection tool
Prehospital cricothyrotomy: an investigation of indications, technique, complications, and patient outcome
Prehospital care by EMTs and EMT-Is in a rural setting: prolongation of scene times by ALS procedures
The effect of urban trauma system hospital bypass on prehospital transport times and Level 1 trauma patient survival
Is advanced life support appropriate for victims of motor vehicle accidents: the South Carolina Highway Trauma Project
Limitation on effectiveness of rapid defibrillation by emergency medical technicians in a rural setting
Quality assessment of defribrillation and advanced life support using data from the medical control module of the defibrillator
Disaster metrics: a proposed quantitative model for benchmarking prehospital medical response in trauma-related multiple casualty events
Disaster metrics: quantitative estimation of the number of ambulances required in trauma-related multiple casualty events
The fastest route between two points is not always a straight line: An analysis of air and land transfer of nonpenetrating trauma patients
Evaluation of emergency medical services systems: a classification to assist in determination of indicators
Response time effectiveness: comparison of response time and survival in an urban emergency medical services system
Requiring on-line medical command for helicopter request prolongs computer-modeled transport time to the nearest trauma center
Emergency medical services out-of-hospital scene and transport times and their association with mortality in trauma patients presenting to an urban Level I trauma center
Emergency medical services intervals and survival in trauma: assessment of the "golden hour" in a North American prospective cohort
Electronic versus manual data processing: evaluating the use of electronic health records in out-of-hospital clinical research
Offload zones to mitigate emergency medical services (EMS) offload delay in the emergency department: a process map and hazard analysis
A Call for Consensus on Methodology and Terminology to Improve Comparability in the Study of Preventable Prehospital Trauma Deaths: A Systematic Literature Review
Ambulance Transfer in Case of Postpartum Hemorrhage after Birth in Primary Midwifery Care in The Netherlands: A Prospective Cohort Study
Evaluation of the impact of implementing the emergency medical services traumatic brain injury guidelines in Arizona: the Excellence in Prehospital Injury Care (EPIC) study methodology
Predicting ambulance time of arrival to the emergency department using global positioning system and Google maps
Ambulance diversion and emergency department offload delay: resource document for the National Association of EMS Physicians position statement
Early defibrillation by police: initial experience with measurement of critical time intervals and patient outcome
Emergency Medical Services Outcomes Project (EMSOP) II: developing the foundation and conceptual models for out-of-hospital outcomes research
The activation interval in out-of-hospital cardiac arrest response: We should be looking for time savings
The impact of first responder turnout and curb-to-care intervals on survival from out-of-hospital cardiac arrest
Comparison of clinically significant infection rates among prehospital-versus in-hospital-initiated i.v. lines
Relationship Between Emergency Medical Services Response Time and Bystander Intervention in Patients With Out-of-Hospital Cardiac Arrest
Mobile Interventional Stroke Teams Lead to Faster Treatment Times for Thrombectomy in Large Vessel Occlusion
System implications of the ambulance arrival-to-patient contact interval on response interval compliance
The association between ambulance hospital turnaround times and patient acuity, destination hospital, and time of day
An analysis of Emergency Medical Services demand: Time of day, day of the week, and location in the city
Prehospital management of burns requiring specialized burn centre evaluation: a single physician-based emergency medical service experience.
Physician in-field observation of prehospital advanced life support personnel: a statewide evaluation
Saving the On-Scene Time for Out-of-Hospital Cardiac Arrest Patients: The Registered Nurses' Role and Performance in Emergency Medical Service Teams
Time to definitive care among severely injured farmers compared to other work-related injuries in a Midwestern state.
Spatiotemporal access to emergency medical services in Wuhan, China: accounting for scene and transport time intervals.
Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.
Neural Activity: Imaging
Imaging of neural activity in vivo has developed rapidly recently with the advancement of fluorescence microscopy, including new applications using miniaturized microscopes (miniscopes). This feed follows the progress in this growing field.
The Tendon Seed Network
Tendons are rich in the extracellular matrix and are abundant throughout the body providing essential roles including structure and mobility. The transcriptome of tendons is being compiled to understand the micro-anatomical functioning of tendons. Discover the latest research pertaining to the Tendon Seed Network here.
Myocardial stunning is a mechanical dysfunction that persists after reperfusion of previously ischemic tissue in the absence of irreversible damage including myocardial necrosis. Here is the latest research.
Chronic Fatigue Syndrome
Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.
Incretins are metabolic hormones that stimulate a decrease in glucose levels in the blood and they have been implicated in glycemic regulation in the remission phase of type 1 diabetes. Here is the latest research.
Chromatin Regulation and Circadian Clocks
The circadian clock plays an important role in regulating transcriptional dynamics through changes in chromatin folding and remodelling. Discover the latest research on Chromatin Regulation and Circadian Clocks here.
“Long Covid-19” describes illness in patients who are reporting long-lasting effects of the SARS-CoV-19 infection, often long after they have recovered from acute Covid-19. Ongoing health issues often reported include low exercise tolerance and breathing difficulties, chronic tiredness, and mental health problems such as post-traumatic stress disorder and depression. This feed follows the latest research into Long Covid.
Spatio-Temporal Regulation of DNA Repair
DNA repair is a complex process regulated by several different classes of enzymes, including ligases, endonucleases, and polymerases. This feed focuses on the spatial and temporal regulation that accompanies DNA damage signaling and repair enzymes and processes.