Abstract：
BACKGROUND:Subarachnoid hemorrhage (SAH) is associated with higher mortality in the acute phase than other stroke types. There is a particular risk of early and devastating re-bleeding. Patients therefore need urgent assessment in a neurosurgical department, and the shorter the time from symptom onset to diagnosis the better. CASE PRESENTATION:The Norwegian Acute Stroke Pre-hospital Project (NASPP) has developed a Mobile Stroke Unit (MSU) model, which is staffed with anesthesiologists also trained in pre-hospital clinical assessment of acute stroke patients and interpretation of computerized tomography (CT). The MSU was operated on-call from the local dispatch center in a rural area 45-160 km away from a neurosurgical department. Two patients presented with clinical symptoms and signs compatible with SAH. In both cases, the CT examination confirmed the diagnosis of SAH. Both were transported directly from patient location to the regional neurosurgical department, saving at least 2-2.5 h of pre-neurosurgical time. CONCLUSION:The Norwegian MSU model staffed with anesthesiologists can rapidly establish an exact diagnosis of SAH, which in a rural area significantly reduces time to neurosurgical care. TRIAL REGISTRATION:Study data are retrospectively registered in ClinicalTrail.gov. NCT03036020 Unique Protocol ID: NASPP-2 Brief Title: The Norwegian Acute Stroke Prehospital Project Overall Status: Completed Primary Completion Date: January 2016 [Actual] Verification Date: January 2017.
journal_name
Scand J Trauma Resusc Emerg Medauthors
Hov MR,Ryen A,Finsnes K,Storflor J,Lindner T,Gleditsch J,Lund CG,on behalf of the NASPP Group.doi
10.1186/s13049-017-0365-1subject
Has Abstractpub_date
2017-02-28 00:00:00pages
21issue
1issn
1757-7241pii
10.1186/s13049-017-0365-1journal_volume
25pub_type
杂志文章abstract：BACKGROUND:The objective of this investigation was to evaluate changes in intrathoracic pressure (Ppl), airway pressure (Paw) and vital organ perfusion pressures during standard and intrathoracic pressure regulation (IPR)-assisted cardiopulmonary resuscitation (CPR). METHODS:Multiple CPR interventions were assessed, i...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-015-0164-5
更新日期：2015-10-28 00:00:00
abstract：BACKGROUND:Hyperfibrinolysis (HF) is a major contributor to coagulopathy and mortality in trauma patients. This study investigated (i) the rate of HF during the pre-hospital management of patients with multiple injuries and (ii) the effects of pre-hospital tranexamic acid (TxA) administration on the coagulation system....
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-016-0314-4
更新日期：2016-10-10 00:00:00
abstract：BACKGROUND:This systematic review and meta-analysis aims to critically compare the outcomes of plate fixation (PF) versus intramedullary fixation (IF) for the treatment of mid-shaft clavicle fractures. METHODS:Relevant original studies were searched in electronic databases of Medline, Embase, Cochrane central database...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,meta分析,评审
doi：10.1186/s13049-015-0108-0
更新日期：2015-03-20 00:00:00
abstract：BACKGROUND:Acute pain is a frequent symptom, but little is known about the frequency and causes of acute pain in the prehospital population. The objectives of this study were to investigate the frequency of moderate to severe pain among prehospital patients and the underlying causes according to primary hospital diagno...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-018-0521-2
更新日期：2018-07-03 00:00:00
abstract：:There is a general decline in penetrating abdominal trauma throughout the western world. As a result of that, there is a significant loss of expertise in dealing with this type of injury particularly when the patient presents to theatre with physiological instability. A significant percentage of these patients will no...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-18-40
更新日期：2010-07-14 00:00:00
abstract：BACKGROUND:The 19 Norwegian Emergency medical communication centres (EMCCs) use Norwegian Index for medical emergency assistance (Index) as dispatch guidelines. Little is known about the use of Index, nor its validity. We aimed to document the epidemiology of contacts made to the public emergency medical phone number a...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,多中心研究
doi：10.1186/1757-7241-22-2
更新日期：2014-01-08 00:00:00
abstract：:Following the publication of the original article [1], the authors unfortunately became aware of some typesetting and resolution problems in Figs. 1 and 2. ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,已发布勘误
doi：10.1186/s13049-020-0718-z
更新日期：2020-03-18 00:00:00
abstract：BACKGROUND:In head trauma cases involving antiplatelet agent treatment, the French Society of Emergency Medicine recommends performing computed tomography (CT) scans to detect brain lesions, 90% of which are normal. The value of CT is still debatable given the scarce number of studies and controversial results. METHOD...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-018-0515-0
更新日期：2018-06-19 00:00:00
abstract：BACKGROUND:To identify the factors associated with the development of post-snakebite compartment syndrome (PSCS) in snakebite patients and to analyze the clinical prognosis of these patients. METHODS:We retrospectively reviewed the medical records of patients who presented to our institution with snakebites from March...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-015-0179-y
更新日期：2015-11-11 00:00:00
abstract：BACKGROUND:Upper gastrointestinal bleeding (UGB) is common in emergency departments (EDs) and can be caused by many eso-gastro-duodenal lesions. Most available epidemiological data and data on the management of UGB comes from specialized departments (intensive care units or gastroenterology departments), but little is ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,多中心研究
doi：10.1186/s13049-017-0425-6
更新日期：2017-08-14 00:00:00
abstract：BACKGROUND:Survival after out-of-hospital cardiac arrest is closely linked to the quality of CPR, but in real life, resuscitation during prehospital care and ambulance transport is often suboptimal. Mechanical chest compression devices deliver consistent chest compressions, are not prone to fatigue and could potentiall...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,随机对照试验
doi：10.1186/1757-7241-18-58
更新日期：2010-11-05 00:00:00
abstract：BACKGROUND:The effect of rescue breathing on neurologic prognosis after cardiopulmonary resuscitation (CPR) is controversial. Therefore, we investigated the cerebral microcirculatory and oxygen metabolism during continuous compression (CC) and 30:2 CPR (VC) in a porcine model of cardiac arrest to determine which is bet...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-21-55
更新日期：2013-07-12 00:00:00
abstract：BACKGROUND:This study prospectively assesses clinical characteristics and management of consecutive minimal, mild and moderate head injury patients referred for CT scans. Compliance with the Scandinavian head injury guidelines and possible reasons for non-compliance is explored. METHODS:From January 16th 2006 to Janua...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-20-62
更新日期：2012-09-04 00:00:00
abstract：BACKGROUND:There are three different types of ambulance systems, all of which can manage the same secondary intensive care patient transport mission: road ambulance, rotor-wing ambulance, and fixed-wing ambulance. We hypothesized that costs for specific transport distances would differ between systems. We aimed to anal...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-22-36
更新日期：2014-06-05 00:00:00
abstract：BACKGROUND:Occupational stress is an undesired factor causing discomfort for healthcare workers. Stressors in work can lead to dissatisfaction and in turn, this may affect patient care adversely. The aim of this study was to evaluate the occupational stress among residents and faculty physicians of various medical spec...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-016-0225-4
更新日期：2016-03-22 00:00:00
abstract：BACKGROUND:Bystander resuscitation plays an important role in lifesaving cardiopulmonary resuscitation (CPR). A significant reduction in the "no-flow-time", quantitatively better chest compressions and an improved quality of ventilation can be demonstrated during CPR using supraglottic airway devices (SADs). Previous s...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-20-21
更新日期：2012-03-27 00:00:00
abstract：BACKGROUND:The Utstein style for drowning (USFD) was published in 2003 with the aim of improving drowning research. To support a revision of the USFD, the current study aimed to generate an inventory of the use of the USFD parameters and compare the findings of the publications that have used the USFD. METHODS:A searc...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,评审
doi：10.1186/s13049-018-0488-z
更新日期：2018-03-22 00:00:00
abstract：BACKGROUND:The EndoFlex is a new type of tracheal tube with an adjustable distal tip that can be bent without the use of a stylet. The aim of this study was to compare a standard endotracheal tube with the EndoFlex tracheal tube for intubation in patients with simulated cervical spine injury. METHODS:A group of 60 pat...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,随机对照试验
doi：10.1186/1757-7241-21-79
更新日期：2013-11-22 00:00:00
abstract：BACKGROUND:In the initial hours after out-of-hospital cardiac arrest (OHCA), it remains difficult to estimate whether the degree of post-ischemic brain damage will be compatible with long-term good neurological outcome. We aimed to construct prognostic models able to predict good neurological outcome of OHCA patients w...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-018-0558-2
更新日期：2018-11-09 00:00:00
abstract：BACKGROUND:Some comprehensive cancer centers in industrialized countries have reported improved outcomes in their cardiopulmonary arrest (CPA) patients. Little is known about the outcomes and predictors of CPA in cancer centers in other parts of the world. The objective of this study was to examine the predictors of CP...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-21-18
更新日期：2013-03-20 00:00:00
abstract：BACKGROUND:Advances in technology have made ultrasound (US) devices smaller and portable, hence accessible for prehospital care providers. This study aims to evaluate the effect of a four-hour, hands-on US training course for physicians working in the prehospital setting. The primary outcome measure was US performance ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-016-0289-1
更新日期：2016-08-04 00:00:00
abstract：BACKGROUND:Thoracic trauma is the third most common cause of death after abdominal injury and head trauma in polytrauma patients. The purpose of this study was to investigate epidemiological data, treatment and outcome of polytrauma patients with blunt chest trauma in order to help improve management, prevent complicat...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,评审
doi：10.1186/s13049-017-0384-y
更新日期：2017-04-20 00:00:00
abstract：BACKGROUND:Patients with severe pelvic fractures represent about 3% of all skeletal fractures. Hemodynamic compromise in unstable pelvic fractures is associated with arterial hemorrhage in less than 20% of patients. Angiography is an important tool in the management of severe pelvic injury, but indications and timing f...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-17-62
更新日期：2009-11-29 00:00:00
abstract：BACKGROUND:The risk of COVID-19 transmission to healthcare professionals is likely to continue for the foreseeable future. The wearing of personal protective equipment (PPE) presents a number of potential challenges to responders that may impact upon the management of patients in a multi-casualty incident. This report ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-021-00838-w
更新日期：2021-01-27 00:00:00
abstract：BACKGROUND:Despite numerous studies on prehospital airway management, results are difficult to compare due to inconsistent or heterogeneous data. The objective of this study was to assess advanced airway management from international physician-staffed helicopter emergency medical services. METHODS:We collected airway ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,多中心研究
doi：10.1186/s13049-015-0136-9
更新日期：2015-08-07 00:00:00
abstract：BACKGROUND:In 2011, the role of Point of Care Ultrasound (POCUS) was defined as one of the top five research priorities in physician-provided prehospital critical care and future research topics were proposed; the feasibility of prehospital POCUS, changes in patient management induced by POCUS and education of provider...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,评审
doi：10.1186/s13049-018-0518-x
更新日期：2018-06-26 00:00:00
abstract：:After the Metropolitan Traffic Police, Kathmandu initiated a "No Drinking and Driving" policy in 2011 in which a major intervention for intoxicated drivers was mandatory 1-hour class to modify drunk driving behaviors, reports show that the number of road traffic accidents in the year 2012 decreased by 23 percent from ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-21-19
更新日期：2013-03-21 00:00:00
abstract：BACKGROUND:Studies have shown disparate results on the consequences of morphine use in ST-segment elevation myocardial infarction (STEMI). No study has evaluated alternative treatments that could be at least non-inferior to morphine without its potentially damaging consequences for myocardial function and platelet reac...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1186/s13049-020-00731-y
更新日期：2020-05-12 00:00:00
abstract：BACKGROUND:During early treatment of haemorrhagic shock maintenance of cerebral and end-organ oxygen supply by fluid resuscitation is mandatory. Gelatin-polysuccinat (GP) recently regained attention despite a still unclear risk profile and widely unknown effects on cerebral and peripheral microcirculation. This study i...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-018-0477-2
更新日期：2018-02-09 00:00:00
abstract：BACKGROUND:Trauma is a main cause of death among young adults worldwide. Patients experiencing a traumatic cardiac arrest (TCA) certainly have a poor prognosis but population-based studies are sparse. Primarily to describe characteristics and 30-day survival following a TCA as compared with a medical out-of-hospital ca...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-018-0500-7
更新日期：2018-04-23 00:00:00
