Nutbeam, Tim Fenwick, Rob Smith, Jason Bouamra, Omar Wallis, Lee Stassen, Willem
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
BackgroundMotor vehicle collisions (MVCs) are a common cause of major trauma and death. Following an MVC, up to 40% of patients will be trapped in their vehicle. Extrication methods are focused on the prevention of secondary spinal injury through movement minimisation and mitigation. This approach is time consuming and patients may have time-critic...
Mæhlen, Jens Otto Mikalsen, Roger Heimdal, Hans Julius Rehn, Marius Hagemo, Jostein S. Ottestad, William
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
ObjectiveDespite critical hypoxemia, Covid-19 patients may present without proportional signs of respiratory distress. We report three patients with critical respiratory failure due to Covid-19, in which all presented with severe hypoxemia refractory to supplemental oxygen therapy. We discuss possible strategies for ventilatory support in the emerg...
Lutz, Maximilian Möckel, Martin Lindner, Tobias Ploner, Christoph J. Braun, Mischa Schmidt, Wolf Ulrich
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
BackgroundManagement of patients with coma of unknown etiology (CUE) is a major challenge in most emergency departments (EDs). CUE is associated with a high mortality and a wide variety of pathologies that require differential therapies. A suspected diagnosis issued by pre-hospital emergency care providers often drives the first approach to these p...
Oulasvirta, Jelena Harve-Rytsälä, Heini Lääperi, Mitja Kuisma, Markku Salmi, Heli
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
BackgroundThe challenges encountered in emergency medical services (EMS) contacts with children are likely most pronounced in infants, but little is known about their out-of-hospital care. Our primary aim was to describe the characteristics of EMS contacts with infants. The secondary aims were to examine the symptom-based dispatch system for nonver...
Nakama, Rakuhei Yamamoto, Ryo Izawa, Yoshimitsu Tanimura, Keiichi Mato, Takashi
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
BackgroundUnnecessary whole-body computed tomography (CT) may lead to excess radiation exposure. Serum D-dimer levels have been reported to correlate with injury severity. We examined the predictive value of serum D-dimer level for identifying patients with isolated injury that can be diagnosed with selected-region CT rather than whole-body CT.Meth...
Crewdson, Kate Heywoth, Ainsley Rehn, Marius Sadek, Samy Lockey, David
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
BackgroundEfficient and timely airway management is universally recognised as a priority for major trauma patients, a proportion of whom require emergency intubation in the pre-hospital setting. Adverse events occur more commonly in emergency airway management, and hypoxia is relatively frequent. The aim of this study was to establish whether passi...
Van Yperen, Daan T. Van Lieshout, Esther M. M. Dijkshoorn, J. Niels Van der Vlies, Cornelis H. Verhofstad, Michael H. J.
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
ObjectivesThe primary aim of this study was to evaluate the number of patients reported to a hospital with injuries from consumer fireworks in the months December–January in the past 10 years, and to describe the association between the type of fireworks, injury pattern, treatment, and permanent impairment.MethodsA multicenter, retrospective, obser...
Augenstein, Tobias Schneider, Anna Wehler, Markus Weigl, Matthias
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
BackgroundMultitasking is a key skill for emergency department (ED) providers. Yet, potentially beneficial or debilitating effects for provider functioning and cognition are underexplored. We therefore aimed to investigate the role of multitasking for ED physicians’ work stress and situation awareness (SA).MethodsTwo consecutive, multi-source studi...
Spangler, Douglas Blomberg, Hans Smekal, David
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
BackgroundThe novel coronavirus disease 2019 (Covid-19) pandemic has affected prehospital care systems across the world, but the prehospital presentation of affected patients and the extent to which prehospital care providers are able to identify them is not well characterized. In this study, we describe the presentation of Covid-19 patients in a S...
Endo, Akira Kojima, Mitsuaki Uchiyama, Saya Shiraishi, Atsushi Otomo, Yasuhiro
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
BackgroundAlthough the results of previous studies suggested the effectiveness of physician-led prehospital trauma management, it has been uncertain because of the limited number of high-quality studies. Furthermore, the advantage of physician-led prehospital management might have been overestimated due to the shortened prehospital time by helicopt...
