Random thoughts of a (palliative care) surgeon by Rajesh N Gongal

“…He was the Founding President of Nepal Ambulance Service (NAS), a non- profit initiative as the first proper Emergency Medical Service (EMS) with trained EMTs and a call centre accessed by calling a three-digit number 102. …”
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Time boundaries of the three-phase time-sensitive model for ventricular fibrillation cardiac arrest by Yoshikazu Goto, Akira Funada, Tetsuo Maeda, Yumiko Goto

“…The collapse-to-shock interval was defined as the time from collapse to the first shock delivery by emergency medical service personnel. The patients were divided into the bystander cardiopulmonary resuscitation (CPR, n = 11,606) and non-bystander CPR (n = 9135) groups. …”
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Stroke systems of care in the Philippines: Addressing gaps and developing strategies by Maria Epifania Collantes, Jose Navarro, Allan Belen, Robert Gan

“…With limited resources, infrastructures for emergency medical service is lacking. The innovations done by other LMIC can be done in the Philippines including the use of technology to reach out to geographically isolated areas and use of mobile stroke units. …”
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Classification of truck-involved crash severity: Dealing with missing, imbalanced, and high dimensional safety data by Seyed Iman Mohammadpour, Majid Khedmati, Mohammad Javad Hassan Zada

“…This study also identifies the temporal and spatial (roadway) attributes, as well as crash characteristics, and Emergency Medical Service (EMS) as the most critical factors in truck crash severity.…”
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Community‐Wide Dissemination of Bystander Cardiopulmonary Resuscitation and Automated External Defibrillator Use Using a 45‐Minute Chest Compression–Only Cardiopulmonary Resuscitat... by Chika Nishiyama, Tetsuhisa Kitamura, Tomohiko Sakai, Yukiko Murakami, Tomonari Shimamoto, Takashi Kawamura, Takahiro Yonezawa, Shohei Nakai, Seishiro Marukawa, Tetsuya Sakamoto, Taku Iwami

“…Methods and Results We provided CPR training (45‐minute chest compression–only CPR plus automated external defibrillator use training or the conventional CPR training), targeting 16% of residents. All emergency medical service–treated out‐of‐hospital cardiac arrests of medical origin were included. …”
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Substance use and pre-hospital crash injury severity among U.S. older adults: A five-year national cross-sectional study. by Oluwaseun Adeyemi, Marko Bukur, Cherisse Berry, Charles DiMaggio, Corita R Grudzen, Sanjit Konda, Abidemi Adenikinju, Allison Cuthel, Jean-Baptiste Bouillon-Minois, Omotola Akinsola, Alison Moore, Ryan McCormack, Joshua Chodosh

“…<h4>Methods</h4>We pooled 2017-2021 cross-sectional data from the United States National Emergency Medical Service (EMS) Information System. We measured injury severity (low acuity, emergent, critical, and fatal) predicted by substance use, defined as self-reported or officer-reported alcohol and/or drug use. …”
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Non-medical factors in prehospital resuscitation decision-making: a mixed-methods systematic review by Louise Milling, Jeannett Kjær, Lars Grassmé Binderup, Caroline Schaffalitzky de Muckadell, Ulrik Havshøj, Helle Collatz Christensen, Erika Frischknecht Christensen, Annmarie Touborg Lassen, Søren Mikkelsen, Dorthe Nielsen

“…The prehospital resuscitation providers’ characteristics, experiences, emotions, values, and team interactions affected decision-making, as did external factors such as the emergency medical service system and the work environment, the legislation, and the cardiac arrest setting. …”
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Impact of the COVID-19 pandemic on prehospital and in-hospital treatment and outcomes of patients after out-of-hospital cardiac arrest: a Japanese multicenter cohort study by Chie Tanaka, Takashi Tagami, Junya Kaneko, Nobuya Kitamura, Hideo Yasunaga, Shotaro Aso, Munekazu Takeda, Masamune Kuno

“…The proportion of advanced airway management by emergency medical service (EMS) increased (p < 0.01), and EMS call-to-hospital time was prolonged (p < 0.01) in the post- versus pre-pandemic group. …”
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Impact of the COVID-19 pandemic on prehospital characteristics and outcomes of out-of-hospital cardiac arrest among the elderly in Japan: A nationwide study by Yoshio Tanaka, Kazuki Okumura, Shintaro Yao, Masaki Okajima, Hideo Inaba

“…Methods: In this population-based nationwide observational study in Japan, 563,100 emergency medical service-unwitnessed OHCAs in elderly (≥65 years) patients involving any prehospital resuscitation efforts were analysed (144,756, 140,741, 140,610, and 136,993 cases in 2020, 2019, 2018, and 2017, respectively). …”
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The most common causes of dyspneia in children by Marić Nikolina, Odavić Milica, Đuričin Aleksandar, Tabš Dane, Nocmartini Tamara, Radulović Milovan, Martić Nemanja, Opačić Aleksandra, Rakić Goran

“…Materials and methods: The data were analyzed retrospectively, using the electronic database of the Novi Sad Emergency Medical Service (EMSNS) in the period from July 1, 2022 to July 1, 2023. …”
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Clinical Presentation and Outcomes in Real-Life Management of Elderly Patients Aged &#8805;75 Years Presenting with Acute Myocardial Infarction by Öner Özdoğan, Meral Kayıkcıoğlu, Mustafa Kılıçkap, Cenk Ekmekçi, Murat Küçükukur, Ahmet Arif Yalçın, Mustafa Kemal Erol

“…Elderly patients were admitted to hospitals almost 1 hour later mainly due to a late call to emergency medical service. At discharge, medical therapies were significantly less prescribed to the elderly. …”
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Machine learning pre-hospital real-time cardiac arrest outcome prediction (PReCAP) using time-adaptive cohort model based on the Pan-Asian Resuscitation Outcome Study by Hansol Chang, Ji Woong Kim, Weon Jung, Sejin Heo, Se Uk Lee, Taerim Kim, Sung Yeon Hwang, Sang Do Shin, Won Chul Cha, Pan-Asian Resuscitation Outcomes Study Clinical Research Network investigators

“…The Pan-Asian Resuscitation Outcome Study (PAROS) database, which includes out-of-hospital cardiac arrest (OHCA) patients transferred by emergency medical service in Asia between 2009 and 2018, was utilized for this study. …”
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Early indicators of intensive care unit bed requirement during the COVID-19 epidemic: A retrospective study in Ile-de-France region, France by By the COVID-19 APHP-Universities-INRIA-INSERM Group, Corstiaan den Uil

“…In the Ile-de-France region, from February 20 to May 5, 2020, emergency medical service (EMS) calls and the response provided (ambulances) together the percentage of positive reverse transcriptase polymerase chain reaction (RT-PCR) tests, general practitioner (GP) and emergency department (ED) visits, and hospital admissions of COVID-19 patients were recorded daily and compared to the number of ICU patients. …”
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Early indicators of intensive care unit bed requirement during the COVID-19 epidemic: A retrospective study in Ile-de-France region, France. by By the COVID-19 APHP-Universities-INRIA-INSERM Group

“…In the Ile-de-France region, from February 20 to May 5, 2020, emergency medical service (EMS) calls and the response provided (ambulances) together the percentage of positive reverse transcriptase polymerase chain reaction (RT-PCR) tests, general practitioner (GP) and emergency department (ED) visits, and hospital admissions of COVID-19 patients were recorded daily and compared to the number of ICU patients. …”
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Identifying quality indicators for prehospital emergency care services in the low to middle income setting: The South African perspective by Ian Howard, Peter Cameron, Lee Wallis, Maaret Castrén, Veronica Lindström

“…Furthermore, both the methodology employed, and findings of this study may be used to inform the development of PEC specific QIs within other LMIC settings. Keywords: Emergency medical service, Quality indicators, Patient safety, South Africa…”
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Addressing gaps in our understanding of the drowning patient: a protocol for the retrospective development of an Utstein style database and multicentre collaboration by Amy E Peden, Ogilvie Thom, Peter A Leggat, Richard Charles Franklin, Kym Roberts, Susan Devine

“…Patients computerised health records (emergency medical service record, pathology, radiology results, medical and nursing notes for ED, inpatient units and intensive care units) will be used to extract data for entry into an USFD database. …”
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Factors which affect the application and implementation of a spinal motion restriction protocol by prehospital providers in a low resource setting: A scoping review by Charlene Geduld, Henra Muller, Colleen J. Saunders

“…The present study aimed to examine the available literature on clinical cervical spine clearance and selective SMR decision support tools to identify possible barriers to implementation, safety, and effectiveness when used by emergency medical service (EMS) practitioners. Method: We performed a focused scoping review of published literature on the prehospital use of clinical c-spine clearance and SMR decision tools in adult blunt trauma patients. …”
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Exercise‐Related Out‐of‐Hospital Cardiac Arrest Among the General Population in the Era of Public‐Access Defibrillation: A Population‐Based Observation in Japan by Kosuke Kiyohara, Chika Nishiyama, Takeyuki Kiguchi, Tatsuya Nishiuchi, Yasuyuki Hayashi, Taku Iwami, Tetsuhisa Kitamura

“…Patients with OHCA of presumed cardiac origin and occurring before emergency medical service personnel arrival were included. …”
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Telephone Triage for Emergency Patients Reduces Unnecessary Ambulance Use: A Propensity Score Analysis With Population-Based Data in Osaka City, Japan by Yusuke Katayama, Tetsuhisa Kitamura, Shunichiro Nakao, Hoshi Himura, Ryo Deguchi, Shunsuke Tai, Junya Tsujino, Yasumitsu Mizobata, Takeshi Shimazu, Yuko Nakagawa

“…BackgroundTelephone triage service in emergency care has been introduced around the world, but the impact of this service on the emergency medical service (EMS) system has not been fully revealed. …”
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Factors and Barriers on Cardiopulmonary Resuscitation and Automated External Defibrillator Willingness to Use among the Community: A 2016–2021 Systematic Review and Data Synthesis... by Amsyar Daud, Azmawati Mohammed Nawi, Azimatun Noor Aizuddin, Mohammad Fadhly Yahya

“…Younger age, men, higher level of education, employed, married, having trained in CPR and AED in the previous 5 years, having received CPR education on four or more occasions, having a positive attitude and perception toward CPR and AED, having confidence to perform CPR and to apply an AED, and legal liability protection under emergency medical service law were reasons why one would be more likely to indicate a willingness to perform CPR and use an AED. …”
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