Abstract：
OBJECTIVE:To identify risk factors for adverse events that occur during interfacility transfers by advanced life support (ALS). DESIGN:A four-year, retrospective, case series. SETTING:Three ALS units in a rural/suburban emergency medical services (EMS) system. PARTICIPANTS:351 transports to or from twelve acute care facilities; two patients records could not be located. INTERVENTIONS:Patients were classified by illness/injury, transporting staff, and ongoing therapy; these were correlated with frequency of ALS intervention and patient deterioration. RESULTS:During the study period, the number of transfers as a percentage of total calls (1.1%-5.2%) rose consistently. There were 11 illness/injury categories; the largest was cardiac (44%, 154 patients). Hospital staff accompanied the patient in 15% (52). Advanced life support (ALS) therapy was required in 4.9% (17): one monitored cardiac arrest was defibrillated successfully, 13 patients required unanticipated medication therapy, and three were noted to have clinical deterioration en route. The upper 95% confidence limit for cardiac arrest is 12.9/1,000 transfers or 20.8/1,000 hours. Patient deterioration and the need for ALS intervention were associated with the presence of medication infusions (p < .05), but not with hospital staff (p > .40). CONCLUSIONS:Interfacility transfers of a heterogeneous group of patients in this series involve a low risk of cardiac arrest. Patients with medication infusions are at higher risk of deterioration and more frequently require ALS intervention en route. The presence of hospital staff had no measurable effect. These findings have implications for the development of ALS transfer protocols.
journal_name
Prehosp Disaster Medjournal_title
Prehospital and disaster medicineauthors
Wuerz R,Meador Sdoi
10.1017/s1049023x0004084xkeywords:
subject
Has Abstractpub_date
1994-01-01 00:00:00pages
50-3issue
1eissn
1049-023Xissn
1945-1938journal_volume
9pub_type
杂志文章abstract：INTRODUCTION:Out-of-hospital cardiac arrest (OHCA) is a lethal health problem that affects between 236,000 and 325,000 people in the United States each year. As resuscitation attempts are unsuccessful in 70-98% of OHCA cases, Emergency Medical Services (EMS) personnel often face the needs of bereaved family members. P...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X12000167
更新日期：2012-02-01 00:00:00
abstract：INTRODUCTION:The purpose of this research was to determine the preparedness of emergency medical services (EMS) agencies in one US state to cope with a massive epidemic event. METHODS:Data were collected primarily through telephone interviews with EMS officials throughout the State. To provide a comparison, nine out-o...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x0000474x
更新日期：2007-05-01 00:00:00
abstract：:The concept of protecting civilians in armed conflict is enshrined in international humanitarian law and widely acknowledged in humanitarian norms. Making this concept operational in humanitarian service delivery is a challenge. Yet, there are many ways in which humanitarian workers could learn from local people about...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00021580
更新日期：2009-07-01 00:00:00
abstract：INTRODUCTION:The development of syndromic surveillance systems to detect bioterrorist attacks and emerging infectious diseases has become an important and challenging goal to many governmental agencies and healthcare authorities. This study utilized the sharp increase of glow product-related calls to demonstrate the ut...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00006567
更新日期：2009-01-01 00:00:00
abstract：:Introduction Earthquake-related trauma results in crush injuries and bony- and soft-tissue trauma. There are no systematic reviews analyzing the typical injury patterns and treatments in "Mega-Mass-Casualty" earthquakes. The characterization of an injury pattern specific to disaster type, be it natural or manmade, is ...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章,评审
doi：10.1017/S1049023X16001515
更新日期：2017-04-01 00:00:00
abstract：:Introduction Hospitals, including intensive care units (ICUs), can be subject to threat from fire and require urgent evacuation. Hypothesis The hypothesis was that the current preparedness for ICU evacuation for fire in the national public hospital system in a wealthy country was very good, using Sweden as model. MET...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X17000152
更新日期：2017-06-01 00:00:00
abstract：INTRODUCTION:A common chief complaint to emergency dispatch communication centers worldwide is "breathing problems". The chief complaint of breathing problems represents a wide spectrum of underlying diseases, patient conditions, and onset types. The current debate is on the potential ability of a dispatch protocol to ...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00006142
更新日期：2008-09-01 00:00:00
abstract：:On March 23, 2020, the United Nations (UN) made an Appeal for a Global Ceasefire following the Outbreak of Coronavirus. Despite this appeal, the Nagorno-Karabagh war was instigated on September 27, 2020. This Guest Editorial frames the conflict in the context of the UN appeal and by introducing a figure that plots sev...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X21000121
更新日期：2021-01-29 00:00:00
abstract：BACKGROUND:Fibrinolysis is an acceptable treatment for acute ST-segment elevation myocardial infarction (STEMI) when primary percutaneous coronary intervention (PCI) cannot be performed within 120 minutes. The American Heart Association has recommended Emergency Medical Services (EMS) interventions such as prehospital ...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X20000801
更新日期：2020-10-01 00:00:00
abstract：:A broad range of health problems are related to disasters. Insight into these health problems is needed for targeted disaster management. Disaster health outcome assessment can provide insight into the health effects of disasters. During the 15th World Congress on Disaster and Emergency Medicine in Amsterdam (2007), e...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00021257
更新日期：2008-07-01 00:00:00
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journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00003629
更新日期：2006-05-01 00:00:00
abstract：:Although the United States has been impacted by numerous devastating disasters over the last 10 years, there have been only limited efforts between the governmental and non-profit/voluntary organizations to meet the multiple disaster health and mental health needs of the community. Too often, responding organizations ...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：
更新日期：2000-10-01 00:00:00
abstract：:Adenosine (Adenocard) is an endogenous purine nucleoside that has been approved recently for intravenous treatment of paroxysmal supraventricular tachycardia. With a serum half-life of 10 seconds, reported side effects including facial flushing, dyspnea, and chest pressure are common, but very transient. An elderly wo...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00042849
更新日期：1996-04-01 00:00:00
abstract：INTRODUCTION:Using the pediatric version of the Simple Triage and Rapid Treatment (JumpSTART) algorithm for the triage of pediatric patients in a mass-casualty incident (MCI) requires assessing the results of each step and determining whether to move to the next appropriate action. Inappropriate application can lead to...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X15005002
更新日期：2015-10-01 00:00:00
abstract：INTRODUCTION:The role of the base-hospital and on-line medical control in a disaster has not been investigated previously. This study assesses the roles of base-hospitals and the value and feasibility of on-line medical control during the 1989 Loma Prieta earthquake. METHODS:The researchers studied five Bay Area count...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00040528
更新日期：1993-10-01 00:00:00
abstract：OBJECTIVES:No universally accepted methods for objective evaluation of the function of the Incident Command System (ICS) in disaster exercises currently exist. An ICS evaluation method for disaster simulations was derived and piloted. METHODS:A comprehensive variable list for ICS function was created and four distinct...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00002090
更新日期：2005-01-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to assess the risk of cardiopulmonary resuscitation (CPR) performed in out-of-hospital settings for chest injuries in patients with out-of-hospital cardiac arrest (OHCA). METHODS:This retrospective, observational study was conducted in an emergency critical care medical center in J...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X18000201
更新日期：2018-04-01 00:00:00
abstract：:The effectiveness of humanitarian response efforts has long been hampered by a lack of coordination among responding organizations. The need for increased coordination and collaboration, as well as the need to better understand experiences with coordination, were recognized by participants of a multilateral Working Gr...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00005136
更新日期：2007-09-01 00:00:00
abstract：INTRODUCTION:Traditionally, post disaster response activities have focused on immediate trauma and communicable diseases. In developed countries such as Australia, the post disaster risk for communicable disease is low. However, a "disease transition" is now recognized at the population level where noncommunicable dise...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章,评审
doi：10.1017/S1049023X1400137X
更新日期：2015-02-01 00:00:00
abstract：BACKGROUND:In the aftermath of Hurricane Katrina, widespread flooding devastated the New Orleans healthcare system. Prior studies of post-hurricane healthcare do not consistently offer evidence-based recommendations for re-establishing patient care post-disaster. The primary objective of this study is to examine associ...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00005549
更新日期：2008-01-01 00:00:00
abstract：BACKGROUND:The contamination of the environment, ambulance equipment, and staff hands consequently are major factors which create nosocomial infections in emergency patients. The contamination of equipment and devices plays an important role in nosocomial infections. OBJECTIVES:The aim of this study was to determine t...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X1800095X
更新日期：2018-12-01 00:00:00
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journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00002958
更新日期：2005-11-01 00:00:00
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journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X1500014X
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:During a mass gathering, some participants may receive health care for injuries or illnesses that occur during the event. In-event first responders provide initial assessment and management at the event. However, when further definitive care is required, municipal ambulance services provide additional assess...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X16001199
更新日期：2017-02-01 00:00:00
abstract：BACKGROUND:Tete Province, Mozambique has experienced chronic food insecurity and a dramatic fall in livestock numbers due to the cyclic problems characterized by the floods in 2000 and severe droughts in 2002 and 2003. The Province has been a beneficiary of emergency relief programs, which have assisted > 22% of the po...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00004301
更新日期：2007-01-01 00:00:00
abstract：:The detonation of a bomb in a shopping center in Vantaa, Finland, took place on 11 October 2002. Seven people died as a result and > 160 people required medical attention. Because the rescue teams were inadequately trained to respond to terrorist attacks, the event was handled according to protocol. A number of proble...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00004404
更新日期：2007-01-01 00:00:00
abstract：BACKGROUND:The global burden of cardiovascular mortality is increasing, as is the number of large-scale humanitarian emergencies. The interaction between these phenomena is not well understood. This review aims to clarify the relationship between humanitarian emergencies and cardiovascular morbidity and mortality. MET...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章,评审
doi：10.1017/S1049023X14001356
更新日期：2015-02-01 00:00:00
abstract：:The detonation of a nuclear device in a US city would be catastrophic. Enormous loss of life and injuries would characterize an incident with profound human, political, social, and economic implications. Nevertheless, most responders have not received sufficient training about ionizing radiation, principles of radiati...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X1400003X
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVES:Moshing is a violent form of dancing found world-wide at rock concerts, festivals, and electronic dance music events. It involves crowd surfing, shoving, and moving in a circular rotation. Moshing is a source of increased morbidity and mortality. The goal of this study was to report epidemiologic information...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/S1049023X17006689
更新日期：2017-12-01 00:00:00
abstract：INTRODUCTION:Expatriate healthcare professionals frequently participate in international relief operations that are initiated in response to disasters due to natural hazards or humanitarian emergencies in low resource settings. This practice environment is significantly different from the healthcare delivery environmen...
journal_title：Prehospital and disaster medicine
pub_type： 杂志文章
doi：10.1017/s1049023x00007445
更新日期：2009-11-01 00:00:00
