The cost-effectiveness of upfront point-of-care testing in the emergency department: a secondary analysis of a randomised, controlled trial
Time-saving is constantly sought after in the Emergency Department (ED), and Point-of-Care (POC) testing has been shown to be an effective time-saving intervention. However, when direct costs are compared, the...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:110Impact of early intravenous amiodarone administration on neurological outcome in refractory ventricular fibrillation: retrospective analysis of prospectively collected prehospital data
The 2015 AHA guidelines recommend that amiodarone should be used for patients with refractory ventricular fibrillation (RVF). However, the optimal time interval between the incoming call and amiodarone adminis...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:109Nonoperative management of splenic injury in closely monitored patients with reduced consciousness is safe and feasible
Treatment of blunt splenic injury has changed over the past decades. Nonoperative management (NOM) is the treatment of choice. Adequate patient selection is a prerequisite for successful NOM. Impaired mental s...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:108Comment on epinephrine during resuscitation of traumatic cardiac arrest and increased mortality: a post hoc analysis of prospective observational study
The aim of this Letter to the Editor was to report some important biases in a recently published Article. We agreed with the notion by Yamamoto et al. that the effects of epinephrine regarding was limited with...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:107Outcome, quality of life and direct costs after out-of-hospital cardiac arrest in an urban region of Switzerland
Considering the significant morbidity and mortality of out-of-hospital cardiac arrest, only little data on survival or quality of life after successful resuscitation is available in Europe. Additionally, econo...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:106Impact of rewarming rate on the mortality of patients with accidental hypothermia: analysis of data from the J-Point registry
Accidental hypothermia (AH) is defined as an involuntary decrease in core body temperature to < 35 °C. The management of AH has been progressing over the last few decades, and numerous techniques for rewarming...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:105Regional hypothermia attenuates secondary-injury caused by time-out application of tourniquets following limb fragments injury combined with hemorrhagic shock
Tourniquet is the most widely used and effective first-aid equipment for controlling hemorrhage of injured limb in battlefield. However, time-out application of tourniquets leads to ischemic-necrosis of skelet...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:104Prognostic ability of the sequential organ failure assessment score in accidental hypothermia: a multi-institutional retrospective cohort study
Severe accidental hypothermia (AH) is life threatening. Thus, prognostic prediction in AH is essential to rapidly initiate intensive care. Several studies on prognostic factors for AH are known, but none have ...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:103Characteristics of patients treated by the Danish Helicopter Emergency Medical Service from 2014-2018: a nationwide population-based study
A national Helicopter Emergency Medical Service (HEMS) was introduced in Denmark in 2014 to ensure the availability of physician-led critical care for all patients regardless of location.Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:102Causes of brain dysfunction in acute coma: a cohort study of 1027 patients in the emergency department
Coma of unknown etiology (CUE) is a major challenge in emergency medicine. CUE is caused by a wide variety of pathologies that require immediate and targeted treatment. However, there is little empirical data ...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:101The Danish prehospital emergency healthcare system and research possibilities
The emergency medical healthcare system outside hospital varies greatly across the globe - even within the western world. Within the last ten years, the demand for emergency medical service systems has increas...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:100Application of NICE or SNC guidelines may reduce the need for computerized tomographies in patients with mild traumatic brain injury: a retrospective chart review and theoretical application of five guidelines
Traumatic brain injuries continue to be a significant cause of mortality and morbidity worldwide. Most traumatic brain injuries are classified as mild, with a low but not negligible risk of intracranial hemorr...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:99The impact of the Sepsis-3 definition on ICU admission of patients with infection
Sepsis is defined as a life-threatening organ dysfunction due to a dysregulated inflammation following an infection. However, the impact of this definition on patient care is not fully clear. This study invest...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:98Dispatcher-assisted cardiopulmonary resuscitation for traumatic patients with out-of-hospital cardiac arrest
Resuscitation efforts for traumatic patients with out-of-hospital cardiac arrest (OHCA) are not always futile. Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) during emergency calls could increase t...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:97- Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:96The Case report to this article has been published in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:95
Prehospital administration of surfactant to a premature neonate in respiratory distress
The population of the Kingdom of Bhutan is scattered in small villages throughout the eastern Himalaya. Infants born prematurely in villages have no access to neonatal intensive care until they are transported...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:95The Editorial to this article has been published in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:96Variation in accessibility of the population to an Emergency Medical Communication Centre: a multicentre observational study
Access to an Emergency Medical Communication Centre is essential for the population in emergency situations. Handling inbound calls without delay requires managing activity, process and outcome measures of the...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:94Ventilation feedback device for manual ventilation in simulated respiratory arrest: a crossover manikin study
Studies have shown that providing adequate ventilation during CPR is essential. While hypoventilation is often feared by most caregivers on the scene, the most critical problem remains hyperventilation. We dev...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:93Predicting acute coronary syndrome in males and females with chest pain who call an emergency medical communication centre
Chest pain is a frequent reason for calls in emergency medical communication centre (EMCC). Detecting a coronary origin by phone is a challenge. This is especially so as the presentations differ according to g...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:92A Delphi consensus study for teaching “Basic Trauma Management” to third-year medical students
The Basic-Trauma Management (BTM) course has been taught to third-year medical students in small groups for many years without substantial changes. With the introduction of a new curriculum for Swiss medical s...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:91Determining optimal needle size for decompression of tension pneumothorax in children – a CT-based study
For neonates and children requiring decompression of tension pneumothorax, specific recommendations for the choice of needle type and size are missing. The aim of this retrospective study was to determine opti...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:90Limitation of treatment in prehospital care – the experiences of helicopter emergency medical service physicians in a nationwide multicentre survey
Making ethically sound treatment limitations in prehospital care is a complex topic. Helicopter Emergency Medical Service (HEMS) physicians were surveyed on their experiences with limitations of care orders in...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:89Palliative care in the emergency department as seen by providers and users: a qualitative study
Much effort has been made to explore how patients with advanced chronic illness and their families experience care when they attend the Emergency Department, and many studies have investigated how healthcare p...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:88The management of unanticipated difficult airways in children of all age groups in anaesthetic practice - the position paper of an expert panel
Children form a specific group of patients, as there are significant differences between children and adults in both anatomy and physiology. Difficult airway may be unanticipated or anticipated. Difficulties e...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:87Presence of a pre-hospital enhanced care team reduces on scene time and improves triage compliance for stab trauma
A reduction in pre-hospital scene time for patients with penetrating trauma is associated with reduced mortality, when combined with appropriate hospital triage. This study investigated the relationship betwee...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:86Impact of traumatic events incurred by asylum-seekers on mental health and utilization of medical services
Asylum-seekers from Africa immigrate to Israel through the Sinai desert and are often exposed to traumatic events.Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:85Chest pain in the ambulance; prevalence, causes and outcome - a retrospective cohort study
Chest pain is common in acute ambulance transports. This study aims to characterize and compare ambulance-transported chest pain patients to non-chest pain patients and evaluate if patient characteristics and ...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:84Implementation of new guidelines in the prehospital services: a nationwide survey of Norway
A debate regarding the potential harmful effects of rigid neck collar and backboard usage among prehospital and hospital care providers in Norway provoked the development of an evidence-based guideline. “The N...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:83Extracorporeal membrane oxygenation mitigates myocardial injury and improves survival in porcine model of ventricular fibrillation cardiac arrest
Despite decades of improved strategy in conventional cardiopulmonary resuscitation (CCPR), survival rates of favorable neurological outcome after cardiac arrest (CA) remains poor. It is indicated that the surv...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:82Neurocritical care physicians’ doubt about whether to withdraw life-sustaining treatment the first days after devastating brain injury: an interview study
Multilevel uncertainty exists in the treatment of devastating brain injury and variation in end-of-life decision-making is a concern. Cognitive and emotional doubt linked to making challenging decisions have n...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:81Postponing intubation in spontaneously breathing major trauma patients upon emergency room admission does not impair outcome
Pre-hospital emergency anaesthesia and tracheal intubation are life-saving interventions in trauma patients. However, there is evidence suggesting that the risks associated with both procedures outweigh the be...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:80Prehospital cardiopulmonary resuscitation duration and neurological outcome after out-of-hospital cardiac arrest among children by location of arrest: a Nationwide cohort study
Little is known about the associations between the duration of prehospital cardiopulmonary resuscitation (CPR) by emergency medical services (EMS) and outcomes among paediatric patients with out-of-hospital ca...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:79Prehospital management provided by medical on-scene commanders in tunnel incidents in Oslo, Norway – an interview study
High demands are placed on the emergency medical services to handle rescue operations in challenging environments such as tunnels. In Oslo, Norway a specialised management function within the emergency medical...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:78New clinical guidelines on the spinal stabilisation of adult trauma patients – consensus and evidence based
Traumatic spinal cord injury is a relatively rare injury in Denmark but may result in serious neurological consequences. For decades, prehospital spinal stabilisation with a rigid cervical collar and a hard ba...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:77Clinical reasoning in the emergency medical services: an integrative review
Clinical reasoning is the process of gathering and understanding information conducted by clinicians in the emergency medical services (EMS) so as to make informed decisions. Research on clinical reasoning spa...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:76Single mission workload and influencing factors in German prehospital emergency medicine - a nationwide prospective survey of 1361emergency missions
Workload is a major determinant of system performance and human well-being. This study aims to evaluate workload in prehospital emergency medicine on a single mission level and investigates influencing factors...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:75Epinephrine during resuscitation of traumatic cardiac arrest and increased mortality: a post hoc analysis of prospective observational study
The beneficial effect of epinephrine during resuscitation from out-of-hospital cardiac arrest (OHCA) has been inconclusive, and potential harm has been suggested, particularly in trauma victims. Although no si...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:74- Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:73
Value of copeptin and the S-100b protein assay in ruling out the diagnosis of stroke-induced dizziness pattern in emergency departments
Dizziness is a frequent reason for visiting emergency departments (EDs). Differentiating stroke from other causes is challenging for physicians. The role of biomarkers has been poorly assessed. We evaluated wh...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:72Correlation between field triage criteria and the injury severity score of trauma patients in a French inclusive regional trauma system
In France, the pre-hospital field triage of trauma patients is currently based on the Vittel criteria algorithm. This algorithm was originally created in 2002 before the stratification of trauma centers and, a...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:71Patient experience of spinal immobilisation after trauma
Spinal immobilisation of blunt trauma victims with potential spinal cord injury is considered standard of care. The traditional management has, however, been increasingly questioned and concerns about harm hav...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:70Spinal injury in alpine winter sports: a review
Alpine winter sports have become increasingly popular over recent decades, with a similar increase in accident incidence. This review provides an overview of the most recent literature concerning spinal injury...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:69- Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27(Suppl 1):66This article is part of a Supplement: Volume 27 Supplement 1
Fluid resuscitation with preventive peritoneal dialysis attenuates crush injury-related acute kidney injury and improves survival outcome
In-hospital renal replacement therapy (RRT) is widely used for the treatments of acute kidney injury (AKI) in crush injury (CI) victims. This study was designed to investigate whether preventive peritoneal dia...Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019 27:68
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