Abstract:
OBJECTIVE:Little is known about the overall frequency of hazardous materials (HazMat) events in the United States and the nature of prehospital care for those exposed. The purpose of the current study was to perform a descriptive analysis of Emergency Medical Services (EMS) activations reported to a national EMS database. METHODS:Analysis of the 2012 National EMS Information System (NEMSIS) Public Release Research Data Set v.2.2.1, containing EMS emergency response data submitted by 41 states, was conducted. Mandatory data elements E0207 (Type of Response Delay), E0208 (Type of Scene Delay), and E0209 (Type of Transport Delay) contained specific codes for HazMat events and were used to identify specific EMS activation records for subsequent analysis. Overlapping data elements were identified and combined in order to prevent duplicate entries. Descriptive analyses were generated from the NEMSIS Research Data Set. RESULTS:A total of 17,479,328 EMS activations were reported, of which 2,527 unique activations involved HazMat response. Mass-casualty incident was coded for 5.6% of activations. The most common level of prehospital care present on scene was Basic Life Support (BLS; 51.1%); 2.1% required aggressive Advanced Life Support (ALS) response. The most common locations for HazMat activations were homes (36.2%), streets or highways (26.3%), and health care facilities (11.6%). The primary symptoms observed by EMS personnel were pain (29.6%), breathing problems (12.2%), and change in responsiveness (9.6%). Two percent of HazMat activations involved cardiac arrest, with 21.7% occurring after EMS arrival. Delays in patient care included response delay, scene delay, and transport delay. CONCLUSION:Hazardous materials events are rare causes of EMS activation in the United States. The majority occur in non-industrial venues and involve two or fewer patients. Scene time frequently is delayed due to multiple barriers. Cardiac arrest is rare but occurred after EMS arrival in one-fifth of patients.
journal_name
Prehosp Disaster Medjournal_title
Prehospital and disaster medicineauthors
Martin AJ,Lohse CM,Sztajnkrycer MDdoi
10.1017/S1049023X1500504Xsubject
Has Abstractpub_date
2015-10-01 00:00:00pages
466-71issue
5eissn
1049-023Xissn
1945-1938pii
S1049023X1500504Xjournal_volume
30pub_type
杂志文章abstract::Airway management is at the forefront for combat medics dealing with battlefield trauma. For military service members, compromised airways are the second leading cause of potentially survivable death on the battlefield, accounting for one in ten preventable combat deaths. Effective suction is a critical component of a...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X20001065
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:Profound agitation in the prehospital setting confers substantial risk to patients and providers. Optimal chemical sedation in this setting remains unclear. OBJECTIVE:The goal of this study was to describe intubation rates among profoundly agitated patients treated with prehospital ketamine and to character...
journal_title:Prehospital and disaster medicine
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journal_title:Prehospital and disaster medicine
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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
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章,评审
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X1600090X
更新日期:2016-12-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2018-04-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract:INTRODUCTION:Few previous studies have been conducted on the prehospital management of hypotensive trauma patients in Stockholm County. The aim of this study was to describe the prehospital management of hypotensive trauma patients admitted to the largest trauma center in Sweden, and to assess whether prehospital traum...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00002582
更新日期:2005-07-01 00:00:00
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journal_title:Prehospital and disaster medicine
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journal_title:Prehospital and disaster medicine
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doi:10.1017/S1049023X17006707
更新日期:2017-12-01 00:00:00
abstract::The recent crisis in Kosovo led to nearly complete destruction of a healthcare system serving the needs of approximately 2 million people. Even prior to the crisis, the pre-existing healthcare system had inadequate provisions for the delivery of Emergency Medical Services. More than 440 diverse governmental and non-go...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00043429
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:Chemical, biological, and radiological (CBR) terrorism continues to be a global threat. Studies examining global and historical toxicological characteristics of CBR terrorism are lacking. METHODS:Global Terrorism Database (GTD) and RAND Database of Worldwide Terrorism Incidents (RDWTI) were searched for CBR...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X20000394
更新日期:2020-06-01 00:00:00
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journal_title:Prehospital and disaster medicine
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doi:10.1017/S1049023X1400003X
更新日期:2014-02-01 00:00:00
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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
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章,评审
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journal_title:Prehospital and disaster medicine
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doi:10.1017/S1049023X18000110
更新日期:2018-04-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X18000183
更新日期:2018-04-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X14000673
更新日期:2014-08-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X15005403
更新日期:2016-02-01 00:00:00
abstract:INTRODUCTION:Since the 11 September 2001 terrorist attacks in the United States, concerns have been raised regarding the threat of a radiological terrorist weapon. Although the probability of the employment of a nuclear device is remote, the potential of a radiological dispersal device (RDD) or "dirty bomb" is of conce...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00003836
更新日期:2006-07-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X16000285
更新日期:2016-06-01 00:00:00
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journal_title:Prehospital and disaster medicine
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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:
更新日期:1999-10-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X17006471
更新日期:2017-10-01 00:00:00