Case report: Refractory cardiac arrest supported with veno-arterial-venous extracorporeal membrane oxygenation and left-ventricular Impella CP®–Physiological insights and pitfalls... by Tharusan Thevathasan, Tharusan Thevathasan, Tharusan Thevathasan, Tharusan Thevathasan, Lisa Füreder, Dirk W. Donker, Dirk W. Donker, Christoph Nix, Thomas H. Wurster, Thomas H. Wurster, Wulf Knie, Georg Girke, Abdulla S. Al Harbi, Ulf Landmesser, Ulf Landmesser, Ulf Landmesser, Carsten Skurk, Carsten Skurk

“…IntroductionTo the best of our knowledge, this is the first case report which provides insights into patient-specific hemodynamics during veno-arterio-venous-extracorporeal membrane oxygenation (VAV ECMO) combined with a left-ventricular (LV) Impella® micro-axial pump for therapy-refractory cardiac arrest due to acute myocardial infarction, complicated by acute lung injury (ALI).Patient presentationA 54-year-old male patient presented with ST-segment elevation acute coronary syndrome complicated by out-of-hospital cardiac arrest with ventricular fibrillation upon arrival of the emergency medical service. As cardiac arrest was refractory to advanced cardiac life support, the patient was transferred to the Cardiac Arrest Center for immediate initiation of extracorporeal cardiopulmonary resuscitation (ECPR) with peripheral VA ECMO and emergency percutaneous coronary intervention using drug eluting stents in the right coronary artery. …”
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Characteristics of medical procedures performed by firefighters. by Rafał Wiszniewski, Chiara Gorgone

“…INTRODUCTION: National Firefighting Rescue System (NFRS) often supports the Emergency Medical Service (EMS) units. If EMS is not yet at the scene, firefighters are able to perform necessary medical procedures while waiting for an ambulance. …”
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Analysis of the factors limiting reperfusion therapy in patients with ischemic strokes by Natalia N. Maslova, Maxim A. Miloserdov

“…We analyzed the data of the ambulance station in Smolensk electronic archive accounting for 17,143 phone requests for medical aid for patients with strokes, the data from the annual report of the neurological department for patients with acute cerebrovascular accident of the Clinical emergency care hospital, and 200 clinical records of patients diagnosed with acute stroke that were delivered to the in-patient facility by emergency medical service (EMS) teams in the period of the "therapeutic window" and who did not receive reperfusion therapy. …”
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Prevalence of frailty and associated factors in older adults seeking care at Swedish emergency departments by Ann-Sofie Källberg, Lena M Berg, Sara Skogli, Charlotte Bjurbo, Åsa Muntlin, Anna Ehrenberg

“…Characteristics significantly associated with frailty were living in a residential care facility, age (> 80 years), being a woman and arriving with emergency medical service (EMS). There was a significant association between frailty and admittance to in-hospital care. …”
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Pre-hospital emergent intubation in trauma patients: the influence of etomidate on mortality, morbidity and healthcare resource utilization by Michael Gäßler, Matthias Ruppert, Rolf Lefering, Bertil Bouillon, Arasch Wafaisade, TraumaRegister DGU

“…Methods This retrospective multi-centre study is based on merged data from a German Helicopter Emergency Medical Service (HEMS) database and a large trauma patient registry. …”
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Analgesia in adult trauma patients in physician-staffed Austrian helicopter rescue: a 12-year registry analysis by Christopher Rugg, Simon Woyke, Wolfgang Voelckel, Peter Paal, Mathias Ströhle

“…Thus, analgesia in the helicopter emergency medical service (HEMS) setting is challenging. Adequacy, efficacy and administration safety of potent analgesics pertaining to injured patients in HEMS were analysed. …”
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Assessing the Impact of the COVID-19 Pandemic on Pediatric Emergency Department Visits in Taiwan by Yu-Ting Lee, Yen-Wen Lai, Jiann-Hwa Chen, Wei-Lung Chen, Meng-Yu Wu, Jui-Yuan Chung

“…<i>Conclusions</i>: In preparation for future pandemics, we recommend increasing emergency medical service capacity, establishing a non-contagious route for obtaining chronic medication prescriptions, optimizing staff allocation in pediatric emergency departments, and increasing the number of hospital social workers for enhanced support.…”
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Why do ambulance employees (not) seek organisational help for mental health support? A mixed-methods systematic review protocol of organisational support available and barriers/fac... by Sasha Johnston, Jennifer Wild, Kristy Sanderson, Lucy Bowes

“…Introduction The COVID-19 pandemic is exacerbating a wide range of symptoms of poor mental health among emergency medical service (EMS) ambulance populations. Evidence suggests that using organisational support can improve employee outcomes and in turn, patient outcomes. …”
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The requirements and challenges in preventing of road traffic injury in Iran. A qualitative study by Laflamme Lucie, Khankeh Hamid Reza, Mohammadi Reza, Khorasani-Zavreh Davoud, Bikmoradi Ali, Haglund Bo JA

“…</p> <p>Methods</p> <p>Thirty-eight semi-structured interviews were conducted with informants in the field of RTI prevention including: police officers; public health professionals; experts from the road administrators; representatives from the General Governor, the car industry, firefighters; experts from Emergency Medical Service and the Red Crescent; and some motorcyclists and car drivers as well as victims of RTIs. …”
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Towards definitions of time-sensitive conditions in prehospital care by Kristoffer Wibring, Carl Magnusson, Christer Axelsson, Peter Lundgren, Johan Herlitz, Magnus Andersson Hagiwara

“…This development imposes heavy demands on the ability of emergency medical service (EMS) clinicians properly to assess the patient. …”
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What is optimal timing for trauma team alerts? A retrospective observational study of alert timing effects on the initial management of trauma patients by Lillebo B, Seim A, Vinjevoll OP, Uleberg O

“…Trauma teams should be activated prior to patient arrival.Keywords: emergency medical service communication systems, trauma centers, patient care team…”
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Lack of compensation for COVID-19-related overtime work and its association with burnout among EMS providers in Korea by Ji-Hwan Kim, Jaehong Yoon, Soo Jin Kim, Ja Young Kim, Jinwook Bahk, Seung-Sup Kim

“…OBJECTIVES This study examined the association between lack of compensation for COVID-19-related overtime work (LCCOW) and burnout among emergency medical service (EMS) providers in Seoul, Korea. …”
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A randomized clinical trial of a theory-based fentanyl overdose education and fentanyl test strip distribution intervention to reduce rates of opioid overdose: study protocol for a... by Brendan P. Jacka, Jacqueline E. Goldman, Jesse L. Yedinak, Edward Bernstein, Scott E. Hadland, Jane A. Buxton, Susan G. Sherman, Katie B. Biello, Brandon D. L. Marshall

“…Secondary outcome measures include administratively linked data regarding fatal (post-mortem investigation) and non-fatal (hospitalization or emergency medical service utilization) overdoses. Discussion If the RAPIDS intervention is found to be effective, its brief MI and fentanyl test strip training components could be easily incorporated into existing community-based overdose prevention programming to help reduce the rates of fentanyl-related opioid overdose. …”
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Increasing the shockable rhythm and survival rate by dispatcher-assisted cardiopulmonary resuscitation in Japan by Minoru Kayanuma, Ryo Sagisaka, Hideharu Tanaka, Shota Tanaka

“…We analysed the relationship of dispatcher-assisted bystander cardiopulmonary resuscitation (DA-BCPR) with favourable cerebral function, shockable rhythm rate, and emergency medical service (EMS) arrival time. Methods: This nationwide study was based on CPR statistical data of out-of-hospital cardiac arrest (OHCA) patients (n = 629,471) from 1 January 2011 to 31 December 2015, and included 107,669 patients with bystander-witnessed cardiogenic cardiac arrest.The primary outcome was good brain function prognosis after 1 month, while the secondary outcome was the rate of shockable rhythm on ECG at the time of EMS arrival.EMS arrival time at the site was stratified into 7 min, 8−10 min, and 11−20 min using tertiles. …”
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Improving door-to-reperfusion time in acute ischemic stroke during the COVID-19 pandemic: experience from a public comprehensive stroke center in Brazil by Marcelo Klu, Ana Claudia de Souza, Ana Claudia de Souza, Leonardo Augusto Carbonera, Leonardo Augusto Carbonera, Thais Leite Secchi, Thais Leite Secchi, Arthur Pille, Arthur Pille, Marcio Rodrigues, Rosane Brondani, Andrea Garcia de Almeida, Andrea Garcia de Almeida, Angélica Dal Pizzol, Angélica Dal Pizzol, Daniel Monte Freire Camelo, Daniel Monte Freire Camelo, Gabriel Paulo Mantovani, Carolina Oldoni, Marcelo Somma Tessari, Luiz Antonio Nasi, Sheila Cristina Ouriques Martins, Sheila Cristina Ouriques Martins

“…Patients who arrived by the emergency medical service (EMS) had a lower median door-to-needle time (DNT). …”
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A data-driven algorithm to support the clinical decision-making of patient extrication following a road traffic collision by Eyston Vaughan-Huxley, Joanne Griggs, Jasmit Mohindru, Malcolm Russell, Richard Lyon, Ewoud ter Avest

“…Methods A retrospective observational study was performed of all trauma patients trapped after an RTC who were attended by a Helicopter Emergency Medical Service (HEMS) in the United Kingdom between March 2013 and December 2021. …”
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Acute Coronary Syndromes and SARS-CoV-2 Infection: Results From an Observational Multicenter Registry During the Second Pandemic Spread in Lombardy by Marco Ferlini, Diego Castini, Giulia Ferrante, Giancarlo Marenzi, Matteo Montorfano, Stefano Savonitto, Maurizio D’Urbano, Corrado Lettieri, Claudio Cuccia, Marcello Marino, Luigi Oltrona Visconti, Stefano Carugo

“…Almost all patients (97%) underwent coronary angiography, with more than 60% of patients transported to a macro-hub by the Emergency Medical Service (EMS). In the whole population of STEMI patients, the median time from symptom onset to First Medical Contact (FMC) was 64 min (IQR 30-180). …”
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Association between prehospital field to emergency department delta shock index and in-hospital mortality in patients with torso and extremity trauma: A multinational, observationa... by Dae Kon Kim, Joo Jeong, Sang Do Shin, Kyoung Jun Song, Ki Jeong Hong, Young Sun Ro, Tae Han Kim, Sabariah Faizah Jamaluddin, for the PATOS Clinical Research Network

“…Patients from China, Indonesia, Japan, Philippines, Thailand, and Vietnam; those who were transferred from another facility; those who were transferred without the use of emergency medical service; those with prehospital cardiac arrest; those with unknown exposure and outcomes were excluded. …”
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Access to acute stroke care: A retrospective descriptive analysis of stroke patients’ journey to a district hospital by Ryan Mark O'Meara, Ushira Ganas, Clint Hendrikse

“…The majority of patients (31%) arrived via a primary public emergency medical service (EMS) call, while 29% presented directly to the hospital as self-referrals with private transport. …”
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Use of prehospital qSOFA in predicting in-hospital mortality in patients with suspected infection: A retrospective cohort study. by Satoshi Koyama, Yutaka Yamaguchi, Koichiro Gibo, Izumi Nakayama, Shinichiro Ueda

“…We calculated the prehospital qSOFA score using the first vital sign obtained at the scene by emergency medical service (EMS) providers. The primary outcome was in-hospital mortality. …”
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