SMJ articles in the category "emergency medical services"

Original Article

Community Socioeconomic and Urban–Rural Disparities in Prehospital Notification of Stroke by Emergency Medical Services in North Carolina

Objectives: Notification by emergency medical services (EMS) to the destination hospital of an incoming suspected stroke patient is associated with timelier in-hospital evaluation and treatment. Current data on adherence to this evidence-based best practice are limited, however. We examined the frequency of EMS stroke prenotification in North Carolina by community…

Posted in: disparities 16 emergency medical services 6 Rural 17 Stroke 16

Original Article

Differences in Motivating Factors for SARS-CoV-2 Vaccination and Perceptions of Infection Risk among Healthcare and EMS Personnel in South Carolina

Objectives: Although medical workers were prioritized to receive the coronavirus disease 2019 (COVID-19) vaccination, many have declined. Even though studies have investigated differences in COVID-19–related attitudes and vaccination for workers in hospitals and long-term care facilities, none have included emergency medical services (EMS) personnel. We investigated the association between type…

Posted in: COVID-19 55 emergency medical services 6 healthcare workers 4 SARS-CoV-2 7

Original Article

Increasing Comfort with Sensory Processing Difficulties in the Prehospital Setting: Pre-Post Study of Education and Sensory Tools in EMS Providers

Objectives: Interfacing with patients with sensory processing difficulties is challenging to healthcare providers and even more problematic for emergency medical services (EMS) personnel in the acute care setting. Sensory training may be an effective nonpharmacologic method to deal with these patient populations. The purpose of this study was to evaluate…

Posted in: emergency medical services 6

Original Article

Two Types of Prehospital Systems Interventions that Triage Low-Acuity Patients to Alternative Sites of Care

Objectives: This study retrospectively compared alternatives for navigating low-acuity patients in two emergency medical services systems. System A involved a response to every 9-1-1 request with an “evaluate, treat, and refer” process, in which paramedics decided whether patients could be treated on-scene and referred to a primary care provider or…

Posted in: emergency medical services 6 prehospital 3 primary care 64 triage 4

Original Article

Advice on Stroke Provided by Pharmacies in the United States: Implications for Treatment and Care

Objectives: Studies have found that some health lines and physician’s offices have provided treatment advice other than “call 9-1-1 for an ambulance” to patients who present with a stroke scenario. We assessed the treatment advice given by selected pharmacies in the United States regarding stroke. Methods: The investigators called 73…

Posted in: emergency medical services 6 Prevention 18

Original Article

Automatic Transport Ventilator Versus Bag Valve in the EMS Setting: A Prospective, Randomized Trial

Purpose: The primary objective of this study was to compare Emergency Medical Technicians-Paramedics (EMT-P) perceptions of the usefulness of an automatic transport ventilator (ATV) compared with bag valve (BV) ventilation for intubated patients. Methods: Cardiopulmonary resuscitation or assisted ventilation patients were randomly assigned by day to the ATV or BV…

Posted in: critical care 12 emergency medical services 6
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