Cardiac arrest after STEMI and importance of early cardiopulmonary resuscitation in non hospital setting-time is life/myocard by Niković Vuk, Kojić Dejan, Milenković Dušan, Bulajić Ranka, Hodžić Edvin, Boljević Aleksandra

“…While being transported to hospital, the patient was given 6 L of oxygen by nasal canula and NS 500 ml. During the patients transport an ECG showed sinus rhythm of 85 bpm with ST segment elevation of 2 mm in III and avF and ST segment depression of 2 mm in I, avL.At the hospital, the patient was transfered to CCU. …”
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Accuracy of Trauma on Scene Triage Screening Tool (Shock Index, Reverse Shock Index Glasgow Coma Scale and National Early Warning Score) to Predict the Severity of Emergency Depart... by Yuksen C, Angkoontassaneeyarat C, Thananupappaisal S, Laksanamapune T, Phontabtim M, Namsanor P

“…The optimal cut-off threshold for the best parameter was determined by selecting the value that produced the highest area under the ROC curve.Results: A total of 218 patients were traumatic patients transported by EMS to the ED, out of which 161 were classified as ESI levels 1– 2, while the remaining 57 patients were categorized as levels 3– 5 on the ESI triage scale. …”
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Characteristics and Effectiveness of Mobile- and Web-Based Tele-Emergency Consultation System between Rural and Urban Hospitals in South Korea: A National-Wide Observation Study by WooSung Choi, YongSu Lim, Tag Heo, SungMin Lee, Won Kim, Sang-Chul Kim, YeonWoo Kim, JaeHyuk Kim, Hyun Kim, HyungIl Kim, TaeHun Lee, Chol Kim

“…More RUT was associated with non-island regions (30.1% vs. 50.5%; <i>p</i> = 0.001). (4) Conclusions: The tele-emergency system had a great role in reducing unnecessary patient transportation in non-severe trauma cases and non-island rural area emergency cases. …”
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Prehospital hypoxemia, measured by pulse oximetry, predicts hospital outcomes during the New York City COVID‐19 pandemic by Elizabeth A. Lancet, Dario Gonzalez, Nikolaos A. Alexandrou, Benjamin Zabar, Pamela H. Lai, Charles B. Hall, James Braun, Rachel Zeig‐Owens, Douglas Isaacs, David Ben‐Eli, Nathan Reisman, Bradley Kaufman, Glenn Asaeda, Michael D. Weiden, Anna Nolan, Hugo Teo, Eric Wei, Shaw Natsui, Christopher Philippou, David J. Prezant

“…Methods A population‐based longitudinal study of adult patients transported by EMS to emergency departments (ED) between March 5 and April 30, 2020 (the NYC COVID‐19 peak period). …”
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Surgical ambulance referrals in sub-Saharan Africa – financial costs and coping strategies at district hospitals in Tanzania, Malawi and Zambia by Martilord Ifeanyichi, Henk Broekhuizen, Mweene Cheelo, Adinan Juma, Gerald Mwapasa, Eric Borgstein, John Kachimba, Jakub Gajewski, Ruairi Brugha, Chiara Pittalis, Leon Bijlmakers

“…The total cost of ambulance use for patient transportation ranged from I$2 k to I$58 k per year. …”
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Association between prehospital time and outcome of trauma patients in 4 Asian countries: A cross-national, multicenter cohort study. by Chi-Hsin Chen, Sang Do Shin, Jen-Tang Sun, Sabariah Faizah Jamaluddin, Hideharu Tanaka, Kyoung Jun Song, Kentaro Kajino, Akio Kimura, Edward Pei-Chuan Huang, Ming-Ju Hsieh, Matthew Huei-Ming Ma, Wen-Chu Chiang

“…<h4>Methods and findings</h4>We conducted a retrospective cohort study of trauma patients transported from the scene to hospitals by emergency medical service (EMS) from January 1, 2016, to November 30, 2018, using data from the Pan-Asia Trauma Outcomes Study (PATOS) database. …”
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End-tidal Carbon Dioxide + Return of Spontaneous Circulation After Cardiac Arrest (RACA) Score to Predict Outcomes After Out-of-hospital Cardiac Arrest by Cheng-Yi Wu, Tsung-Chien Lu, Pei-I Su, Chu-Lin Tsai, Joyce Tay, Meng-Che Wu, Yi-Hsuan Yen, Eric H Chou, Chih-Hung fcWang, Chien-Hua Huang, Wen-Jone Chen

“…We aimed to improve the performance of the RACA score by adding minimum EtCO 2 measured during CPR to develop the EtCO 2 + RACA score for OHCA patients transported to an emergency department (ED). Methods: This was a retrospective analysis using prospectively collected data for OHCA patients resuscitated at an ED during 2015–2020. …”
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Is there a need for prehospital fibrinolysis by Holcer-Vukelić Snežana Đ., Jakšić-Horvat Kornelija J., Budimski Mihaela V., Pešić Ivan S.

“…Object: The object of this paper is to analyze the possibility of providing prehospital thrombolytic therapy for STEMI patients transported to the ICVDV Sremska Kamenica, within current standard protocol. …”
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Unmet Needs and Barriers in Providing Hospital Care for Older Adults: A Qualitative Study Using the Age-Friendly Health System Framework by Yi Y, Lee Y, Kang S, Kwon YH, Seo YM, Baek JY, Jang IY, Lee E, Koh Y, Jung HW, Park CM

“…Participants included medical doctors, registered nurses, a receptionist, a patient transporter, a pharmacist, a physical therapist, and a social worker. …”
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Outcome of inter-hospital transfer of patients on extracorporeal membrane oxygenation in Switzerland by Markus J. Wilhelm, Devdas T. Inderbitzin, Diana Reser, Maximilian Halbe, Koen Van Tillburg, Roland Albrecht, Stefan M. Müller, Urs Wenger, Marco Maggiorini, Alain Rudiger, Dominique Bettex, Reto Schüpbach, Alberto Weber, Stefano Benussi, Ludwig K. Von Segesser, Andreas J. Flammer, Francesco Maisano, Frank Ruschitzka

“…METHODS Patients transported on ECMO by our mobile ECMO team to our tertiary centre between 1 September 2009 and 31 December, 2016 underwent retrospective analysis. …”
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Twelve-Year Temporal Trends in Ambulance Use for Patients Hospitalized With a Primary Diagnosis of Syncope in Canada by Arjun K. Gupta, MD, Anamaria Savu, PhD, Robert S. Sheldon, MD, Satish Raj, MD, Padma Kaul, PhD, Roopinder K. Sandhu, MD, MPH

“…Des recherches plus poussées sur la stratification des risques liés aux services médicaux d'urgence pour les patients transportés en ambulance pourraient aider à repérer les individus à faible risque n'ayant pas besoin d’un tel transport.…”
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Developing new ways of measuring the quality and impact of ambulance service care: the PhOEBE mixed-methods research programme by Janette Turner, A Niroshan Siriwardena, Joanne Coster, Richard Jacques, Andy Irving, Annabel Crum, Helen Bell Gorrod, Jon Nicholl, Viet-Hai Phung, Fiona Togher, Richard Wilson, Alicia O’Cathain, Andrew Booth, Daniel Bradbury, Steve Goodacre, Anne Spaight, Jane Shewan, Richard Pilbery, Daniel Fall, Maggie Marsh, Andrea Broadway-Parkinson, Ronan Lyons, Helen Snooks, Mike Campbell

“…From this we developed six new potential indicators using the linked data set, of which five were constructed using case-mix-adjusted predictive models: (1) mean change in pain score; (2) proportion of serious emergency conditions correctly identified at the time of the 999 call; (3) response time (unadjusted); (4) proportion of decisions to leave a patient at scene that were potentially inappropriate; (5) proportion of patients transported to the emergency department by 999 emergency ambulance who did not require treatment or investigation(s); and (6) proportion of ambulance patients with a serious emergency condition who survive to admission, and to 7 days post admission. …”
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Impact of SARS-CoV-2 pandemic on ST-elevation myocardial infarction admissions and outcomes in a Portuguese primary percutaneous coronary intervention center: Preliminary Data by André Azul Freitas, Rui Baptista, Valdirene Gonçalves, Cátia Ferreira, James Milner, Carolina Lourenço, Susana Costa, Fátima Franco, Sílvia Monteiro, Francisco Gonçalves, Lino Gonçalves

“…In the 2020 group, there was a significant decrease in the proportion of patients transported to the hospital in pre-hospital emergency medical transportation (38.2% vs. 20.4%, p=0.038), an increase in system delay (49 [30-110.25] vs. 140 [90-180] minutes, p=0.019), a higher Killip-Kimball class, with a decrease in class I (74.5% vs. 51%) and an increase in class III (1.8% vs. 8.2%) and IV (5.5% vs. 18.4%) (p=0.038), a greater incidence of vasoactive support (3.7% vs. 26.5%, p=0.001), invasive mechanic ventilation usage (3.6% vs. 14.3%, p=0.056), and an increase in severe left ventricular dysfunction at hospital discharge (3.6% vs. 16.3%, p=0.03). …”
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Prehospital early warning scores for adults with suspected sepsis: the PHEWS observational cohort and decision-analytic modelling study by Steve Goodacre, Laura Sutton, Kate Ennis, Ben Thomas, Olivia Hawksworth, Khurram Iftikhar, Susan J Croft, Gordon Fuller, Simon Waterhouse, Daniel Hind, Matt Stevenson, Mike J Bradburn, Michael Smyth, Gavin D Perkins, Mark Millins, Andy Rosser, Jon Dickson, Matthew Wilson

“…Yorkshire Ambulance Service recorded only one diagnostic impression, whereas West Midlands Ambulance Service recorded multiple unranked impressions, so strategies prioritised a greater proportion of patients transported to University Hospitals Coventry and Warwickshire. …”
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The Expansion of Turkey’s Medical Tourism Industry by Nefes Pirzada

“…These hospitals were formed for medical tourism, meeting quality levels never-before-seen in the country.[26] In 2014, the Ministry of Health began granting accreditation to medical providers for medical tourism services and supporting translation services, patient transportation, and marketing.[27] Additionally, strategic initiatives were implemented to increase the number of Turkish medical school graduates.[28] The number of private medical schools increased from five before 2013 to 24 by the end of 2015.[29] A 50 percent tax reduction was granted to healthcare institutions that provided health care to foreigners.[30] Finally, Turkey began reforming hospital systems to obtain JCI accreditation. …”
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