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Presentation of gastrointestinal bleeding in patients with antithrombotic therapy, results from a consecutive retrospective cohort - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · 4d

What are the differences in symptoms, bleeding site & treatment for patients on antithrombotic medication with GI bleeding?

"Patients with anticoagulant therapy more often present with a lower source of GI bleed than those on antiplatelet medications"
Read:

Background Antithrombotic treatment might affect bleeding symptoms, identification of bleeding source and treatment for patients with acute gastrointestinal bleeding. This study aims to investigate…

Implementing prehospital invasive arterial blood pressure monitoring in critically ill patients—a prospective observational first year analysis - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · 6d

Implementing prehospital invasive arterial blood pressure monitoring in critically ill patients—a prospective observational first year analysis

sjtrem.biomedcentral.com/articles/10....

"Prehospital IBP can be performed safely even by teams with limited exposure to critically ill patients"

Background Exposure to hypotension is linked to increased morbidity and mortality. Invasive blood pressure (IBP) measurement might be superior to non-invasive blood pressure measurement in detecting…

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · 7d

Could potassium be used as an independent predictor of 30-day survival in OHCA?

sjtrem.biomedcentral.com/articles/10....

#OHCA #prehospital #hyperkalaemia #hypokalaemia #ALS

Prioritising time-critical injuries and interventions for trapped motor vehicle collision patients: a Delphi study - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · 18d

Triage of road injury casualties - the role of bystanders: a scoping review

"Bystanders have the potential to be a critical component of the Road Injury Chain of Survival...their potential role in trauma triage remains underexplored..." read more on SJTREM

sjtrem.biomedcentral.com/articles/10....

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The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · 20d

This new #Delphi consensus #study identifies and categorises time-sensitive injuries for entrapped patients following #MVC. It also establishes foundational consensus for early intervention during entrapment. 🚗

Read now. #Free & #openaccess in #SJTREM:

Background Physically trapped patients following motor vehicle collisions are at high risk of time-critical injuries and poor outcomes. Despite this, there is limited consensus on which injuries…

Description of patients presenting with mental illness in emergency medical services: a retrospective observational study - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · 20d

sjtrem.biomedcentral.com/articles/10....

An observational study on patients presenting with mental illness to #EMS

“Patients with mental illness are frequently assessed, primarily for suicide threats/attempts & intoxication. However, few are admitted to the hospital, & many are not triaged..."

Background Mental illness is prevalent worldwide, creating a demand for Emergency Medical Service (EMS) assessments in mental illness, yet research on the epidemiology of patients with mental illness…

Prehospital critical care dispatch: a scoping review (PHASE) - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · 23d

Prehospital critical care dispatch: a scoping review (PHASE)

Link: sjtrem.biomedcentral.com/articles/10....

Read this scoping #review covering:
- The type of asset being dispatched
- Dispatch staffing and dispatch system
- Outcome measures and variables

#prehospital #CriticalCare

Introduction Prehospital critical care (PHCC) dispatch is a vital component of emergency medical services, aiming to allocate specialised resources for critically ill or injured patients in out-of-hospital...

Endotracheal intubation during cardiac arrest by critical care paramedics: a service evaluation of success rates following structured education - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · 28d

The European Resuscitation Council set a target of >95% success rate of intubation within 2 attempts during #cardiacarrest.

This service evaluation explores the impact of training & education on the #intubation performance of #CriticalCare paramedics.

LINK

Background Endotracheal intubation is an important pre-hospital intervention in critically ill patients. However, it can be a challenging skill, and previous studies have highlighted varying success…

Optimising the care of the trapped patient following a motor vehicle collision: A UK-Based Delphi consensus study - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

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The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Sep 6

Optimising the care of the trapped patient following a motor vehicle collision: A UK-Based Delphi consensus study

Read now: sjtrem.biomedcentral.com/articles/10....

#extrication #PHEM #OpenAccess #Emergency #EMS #SJTREM

Background Motor vehicle collisions (MVCs) are a leading cause of injury and death worldwide. Up to 40% of casualties may become trapped and entrapment is associated with delayed care and worse…

Reducing blood wastage through introduction of a transfusion team - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Sep 5

Should certain hospitals have dedicated transfusion teams? 🩸

"Dedicated #transfusion teams during #emergency use of #blood were associated with lower wastage and lower transfusion volumes."
LINK: sjtrem.biomedcentral.com/articles/10....

Read now on #SJTREM
#majorhaemorrhage #haemorrhage #FOAMed

Background In the intense setting of reception and resuscitation of critically bleeding patients, wastage of up to 10% of blood components occur, commonly due to prolonged breaks in the cold chain.…

Immediate post-ECPR management strategies in the prehospital and critical care transport medicine environments - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Sep 3

Immediate post #ECPR management strategies in the #prehospital & #criticalcare transport medicine environments.

This review provides suggestions for the immediate post-resuscitation management (4–6 h) of ECPR patients - read on #SJTREM today.

LINK:

Despite advancements in care, out-of-hospital cardiac arrest has a low survival rate. Extracorporeal cardiopulmonary resuscitation (ECPR) has shown improved outcomes in select cases, notably in the…

Pre-hospital blood product transfusion and calcium management in the United Kingdom: a multicentre service evaluation - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Sep 1

Pre-hospital blood product transfusion & calcium management in the United Kingdom: a multicentre service evaluation

sjtrem.biomedcentral.com/articles/10....

#transfusion #bloodproduct #majorhaemorrhage #haemorrhage #prehospital #PHEM #trauma #SJTREM #FOAMed #OpenAccess

Background Hypocalcaemia and hypercalcaemia are associated with increased morbidity and mortality in trauma patients. Although in-hospital calcium replacement protocols target normocalcaemia, UK…

Use of the HOPE score to assess survival outcome of hypothermic cardiac arrest selected by ECLS rewarming - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Aug 30

Use of the HOPE score to assess survival outcome of hypothermic #CardiacArrest selected by #ECLS rewarming

Read now on #SJTREM
sjtrem.biomedcentral.com/articles/10....

#ECMO #ECPR #CPR #hypothermia

Background We studied adult hypothermic cardiac arrest (CA) patients admitted to a University Hospital (UH) and a Regional Hospital (RH) for whom Extracorporeal Life Support (ECLS) was implemented.…

Interleukin-6 and its association with outcome in traumatic brain injury: a prospective cohort - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Aug 28

In a population of moderate-severe #TBI, levels of serum interleukin-6 within the first 24 h after injury is an independent predictor of 6-month mortality and disability

Read now on #SJTREM

Background Traumatic brain injury (TBI) continues to be a major cause of death and disability worldwide. Biomarkers for treatment and prognostication are needed for counseling and clinical…

The role of serial point-of-care ultrasound during cardiac arrest to predict termination of resuscitation - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Aug 23

The role of serial point-of-care #ultrasound during cardiac arrest to predict termination of resuscitation

"Serial #POCUS during #CPR can effectively predict futile #resuscitation, particularly when cardiac standstill persists ≥ 10 min"

sjtrem.biomedcentral.com/articles/10....

#IHCA #OHCA #US

The decision to terminate cardiopulmonary resuscitation (CPR) remains challenging, particularly for patients with non-shockable rhythms (asystole/pulseless electrical activity). This study evaluated…

Artificial Intelligence in Pre-hospital and Critical Care: Innovations, Applications, and Future Directions

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The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Aug 21

Evolving role of point-of-care ultrasound in #prehospital #emergency care.

sjtrem.biomedcentral.com/articles/10....

The article explores the #diagnostic & therapeutic utility of #POCUS in key symptom complexes, including #respiratory distress, #trauma, #cardiac & nontraumatic #shock & more

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The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Aug 16

We welcome original research, scoping reviews, methodological papers, and implementation case studies from academic and clinical perspectives.

Submit now on: www.biomedcentral.com/collections/...

#AIPHCC

Artificial Intelligence in Pre-hospital and Critical Care: Innovations, Applications, and Future Directions

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Aug 16

Topics of interest include:
• AI-based #triage tools
• Early warning systems
• Predictive analytics
• Decision support systems for #CardiacArrest & #trauma
• Wearable & ambient sensing
• Integration of AI with dispatch systems
• Ethical & regulatory considerations
• Real-world validation of #AI

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The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Aug 16

This special collection explores the rapidly evolving role of Artificial Intelligence (AI) in #prehospital and #criticalcare settings.

www.biomedcentral.com/collections/...

Artificial Intelligence in Pre-hospital and Critical Care: Innovations, Applications, and Future Directions

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Aug 16

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine is calling for submissions to our Collection on “Artificial Intelligence in Pre-hospital and Critical Care: Innovations, Applications, and Future Directions”. 1/3

https://www.biomedcentral.com/collections/AIPHCC

Undertriage in geriatric trauma: insights from a multicentre cohort study - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

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The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Aug 14

Undertriage in #geriatric #trauma: insights from a multicentre cohort study

- ”A significant undertriage rate (53.8%) was identified among geriatric trauma patients, contributing to delayed care and increased #mortality.” -

Read now:
sjtrem.biomedcentral.com/articles/10....

Background With the aging population, the number of geriatric trauma patients continues to rise, posing significant challenges for emergency care and trauma management. Structured trauma team…

Early Transfusion Strategies in Haemorrhagic Shock

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Aug 12

Read now the Early Transfusion Strategies in Haemorrhagic #Shock collection.

Link:
www.biomedcentral.com/collections/...

The collection aims to triangulate #transfusion strategies in early phases of care with both an in-hospital and a #prehospital focus.

Factors associated with a positive shock index in the prehospital setting after major trauma - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Aug 12

Factors associated with a positive #shock index in the #prehospital setting after major #trauma

sjtrem.biomedcentral.com/articles/10....

#Free & #OpenAccess on #SJTREM
#FOAMed #EM #PHEM #Emegency #ATLS #ETC

Bleeding and coagulopathy are the leading causes of potentially preventable death and multi-organ damage after injury. Trauma care in the prehospital setting focusses on three key tenets;…

Landiolol bolus application for tachycardic dysrhythmia in the prehospital EMS setting – An observational study of a novel concept - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Scandinavian Journal of Trauma, Resuscitation and Emergency @sjtrem.bsky.social · Aug 8

Landiolol bolus application for #tachycardic #dysrhythmia in the #prehospital #EMS setting – An observational study of a novel concept

Read now on #SJTREM

sjtrem.biomedcentral.com/articles/10....

#FOAMed #OpenAccess

Background Tachydysrhythmias are a challenging aspect of emergency medicine, with atrial fibrillation being the most common. Electrical cardioversion is recommended for hemodynamically unstable…