Optimizing Clinical Risk Management Through Motorcycle Emergency Response: A Three-Year Retrospective Study of the Khon Kaen International Marathon in Thailand.

Purpose: This study evaluates the effectiveness of motorcycle ambulances (motorlances) in delivering emergency medical response at the Khon Kaen International Marathon (KKIM), Thailand, over a three-year period (2023-2025).

Patients And Methods: We conducted a retrospective analysis of emergency medical service (EMS) data from three consecutive annual Khon Kaen International Marathons held on January 28-29, 2023; January 13-14, 2024; and January 11-12, 2025. Data including EMS operation intervals, clinical interventions carried out, and patient outcomes were collected from EMS patient care documents, organized by Srinagarind Hospital, Khon Kaen University, Thailand during the marathon events.

Enhancing Emergency Medical Services with Smart Glasses Technology for Optimal Ambulance Positioning in Simulated Critical Patient Care Scenarios.

Purpose: To implement smart glasses with augmented reality distance measuring technologies in conventional self-assessment techniques, to improve ambulance location accuracy during simulated emergency scenarios.

Patients And Methods: Eighty-two emergency medical services professionals participated in this simulation-based study at Srinagarind Hospital, Thailand. Participants positioned ambulances in simulated chemical, biological, radiological, nuclear, and explosives (CBRNE) and non-CBRNE scenarios using traditional self-assessment methods, followed by positioning using smart glasses technology after a 120-minute training session.

Smart Glasses with Augmented Reality Workflow; A Modern Tool for Triage in Mass Casualty Incidents.

Introduction: Smart glasses with an augmented reality workflow have emerged as a new tool for triage in mass casualty incidents (MCIs). This study aimed to investigate the accuracy and time efficiency of smart glasses in MCIs triage.

Methods: A retrospective field exercise study was conducted in November 2024 at EMS Srinagarind Hospital, Thailand.

Agreement between carotid and LVOT non-invasive cardiac output measurements in ED septic shock patients: a prospective observational study.

Sepsis significantly impacts the circulatory system and is associated with high mortality rates, particularly in patients with septic shock who require urgent treatment. Non-invasive cardiac output monitoring is a critical bedside tool for assessing fluid responsiveness. This study aimed to evaluate the agreement between cardiac output measurements obtained from the carotid artery and the left ventricular outflow tract (LVOT) in patients with septic shock in the emergency department (ED).

Enhanced Diagnostic Precision in Revisited Emergency Patients via Point-of-Care Ultrasound: A Tool for Emergency Department Quality Management.

Purpose: Unscheduled return visits to the emergency department (ED) were categorized into physician-related, illness-related, and patient-related factors, which are associated with an increased risk of adverse health outcomes, including patient dissatisfaction, infections, hospitalization, transfer to another facility, and mortality. Individuals within 48-72 hours of the initial visit are deemed at elevated risk for diagnostic or management-related errors. The Point-of-care ultrasound (POCUS) may serve as a bedside tool to reduce medical errors by enhancing diagnostic precision.

Transition of EMS workflow from radio to bell signals to shorten activation time in multiple casualty incident.

Multiple casualty incident (MCI) are critical situations mandating an immediate response. Traditionally, members of emergency medical services (EMS) are notified about MCI through radio signals. However, communication failures can lead to delays in activation time of EMS operations.

The diagnostic performance of automatic B-lines detection for evaluating pulmonary edema in the emergency department among novice point-of-care ultrasound practitioners.

Purpose: B-lines in lung ultrasound have been a critical clue for detecting pulmonary edema. However, distinguishing B-lines from other artifacts is a challenge, especially for novice point of care ultrasound (POCUS) practitioners. This study aimed to determine the efficacy of automatic detection of B-lines using artificial intelligence (Auto B-lines) for detecting pulmonary edema.

Automatic B-lines: a tool for minimizing time to diuretic administration in pulmonary edema patients in the emergency department of a developing country.

Background: Effective management of pulmonary edema in the emergency department (ED) is crucial given its significant global impact on health. This study aimed to investigate the hypothesis: "Does the utilization of Automatic B-lines via ultrasonography in patients with pulmonary edema facilitate faster diuretic administration in a developing country?"

Methods: This retrospective observational study was conducted at a tertiary academic center in Thailand. Patients with pulmonary edema admitted to the ED between January 2023 and June 2024 were enrolled.

The Impact of Global Warming on the Rise in Heat-Related Illnesses in Emergency Medical Services.

Purpose: Global warming is one of the critical problems affecting health, society, and the economy. High temperatures are linked to an increase in heat-related illnesses, which have significantly impacted the public health system, particularly emergency medical services (EMS). Analyzing the pattern of heat-related illness cases in EMS can improve resource utilization and preparedness within the public health system.

"Smart Emergency Call Point" Enhancing Emergency Medical Services on University Campuses.

Introduction: The "Smart Emergency Call Point" is a device designed for requesting assistance and facilitating rapid responses to emergencies. The functionality of smart emergency call points has evolved to include features as real-time photo transmission and communication capabilities for both staff and emergency personnel. These devices are being used to request Emergency Medical Services (EMS) on university campuses.

Characteristics and Outcomes of Patient Transport to the Hospital by Emergency Medical Services (EMS); a Cross-sectional Study.

Introduction: To enhance the efficiency, it is essential to understand the patterns of service users and develop policies that facilitate effective personnel and resource management. This study aimed to compare the characteristic and outcomes of patients who were transferred to emergency department (ED) by emergency medical services (EMS) and patients transported by other means.

Methods: This retrospective cross-sectional study was conducted at Srinagarind Hospital, Thailand, over a 5-year period from 2017-2021.

An in-Depth Examination of the Characteristics of Pre-Hospital Point-of-Care Ultrasound Training Among Emergency Medicine Residents in Laos as Part of an Overseas Elective Rotation.

Introduction: Point of Care Ultrasound (POCUS) training has been offering invaluable guidance in the diagnostic process and treatment strategies, particularly in resource-limited settings. The purpose of this study was to determine participant satisfaction with the structure and scope of POCUS training in overseas elective rotation.

Material And Methods: A retrospective observational analytical study was undertaken.

Impact of Smart Glasses on Patient Care Time in Emergency Medical Services Ambulance.

Introduction: The smart glasses were implemented as an innovative communication tool to enhance effectiveness in the field. The traditional mode of communication for Emergency Medical Services (EMS) was radio, which had significant restrictions, primarily that they were unable to transmit any visual data. To enhance efficiency, the smart glasses were used for a more accurate assessment of the condition of patients during transportation.

Smart Glasses to Facilitate Ultrasound Guided Peripheral Intravenous Access in the Simulation Setting for Thai Emergency Medical Service Providers.

Purpose: The ultrasound-guided peripheral venous access (USGPIV) was reported as difficult for novices to perform. Smart glasses equipped with teleconference systems can display real-time ultrasound images to sonographers and consultants which can increase the success rate of this procedure. The purpose of this study was to assess the effectiveness of employing smart glasses for USGPIV.

Optimizing Operation Time and Travel Distance for Motorcycle Ambulances in Emergency Medical Services.

Introduction: The motorcycle ambulance is used for quick access to patients. The response time to reach the patient takes less time than with a van ambulance. Moreover, accidents involving ambulances tend to be higher.

The Impact of Prehospital Point of Care Ultrasounds on Emergency Patients Length of Stay in Thailand.

Purpose: Globally, emergency departments (ED) are faced with an overcrowding problem. This issue is further compounded due to the multitude of contributing factors. Point of Care ultrasound (POCUS), especially when performed in prehospital care, that is before the patient is admitted to the ED has a high potential to reduce time of diagnosis and time of investigation which leads to shorter ED length of stay (LOS).

The diagnostic capabilities of the combined cardiac and lung point of care ultrasound in shocked patients at the emergency department - Resourced limited country.

Purpose: Cardiac, lung, and inferior vena cava (IVC) ultrasound are commonly performed in the care of emergency patients especially patient presented with hypotension or shock. However, the literature indicated the limitation of IVC to assess shocked patients. This study aims to determine the efficacy of combined cardiac and lung ultrasound for evaluation the etiology of shock.

Smart Glasses: A New Tool for Assessing the Number of Patients in Mass-Casualty Incidents.

Introduction: Mass-casualty incidents (MCIs) are events in which many people are injured during the same period of time. This has major implications in regards to practical concerns and planning for both personnel and medical equipment. Smart glasses are modern tools that could help Emergency Medical Services (EMS) in the estimation of the number of potential patients in an MCI.

Integrating Point of Care Ultrasound Education into Clinical Practice at the Emergency Department.

Point of care ultrasound (POCUS) competency is now required learning for emergency medicine trainees. However, there is a wide range of areas that need to be assessed when determining competence. Therefore, this study aims to evaluate competence levels of POCUS skill acquisition including the areas of image acquisition, image interpretation and clinical integration of the emergency medicine residents while on shift in real clinical practice situations.

Application of Automated External Defibrillators in Motorcycle Ambulances in Thailand's Emergency Medical Services.

Background: Access time to emergency patients is a critical factor that affects the outcomes of life-or-death situations, especially in the cases of out-of-hospital cardiac arrests (OHCA). This study focused on developing a new model of emergency medical services (EMS) using a motorcycle-based ambulance (motorlance) with an automated external defibrillator (AED). There are currently no studies regarding access time for this vehicle.

The Utilization of Handheld Ultrasound Devices in a Prehospital Setting.

Introduction: Prehospital ultrasounds can be considered a new form of diagnostic tool when taking into account their small structure and due to the fact that nowadays, they are used in the care of emergency patients. However, at present, there is no study regarding the advantage of ultrasound usage in prehospital settings in Thailand.

Study Objective: This study aims to determine the sonographic characteristics recorded by handheld ultrasounds used in prehospital care and the diagnostic accuracy of ultrasounds for prehospital patients.

Development and Remodeling of Point-of-Care Ultrasound Education for Emergency Medicine Residents in Resource Limited Countries during the COVID-19 Pandemic.

The administration of an accurate and effective POCUS course is a crucial tool in improving health education and thus the health care system in low- to middle-income countries. The development of the ultrasound curriculum in these countries during the pandemic era is a major challenge for medical educators. Therefore, this study aims to survey the learner experience after implementing the POCUS curriculum for first-year emergency medicine residents.

Polymorphisms and vascular cognitive impairment after ischemic stroke.

Environmental and genetic factors may both affect the risk of vascular cognitive impairment developing after a stroke. To identify factors affecting this risk, the cognitive status of 121 patients was examined 3 months after an ischemic stroke. In all patients and in 270 control subjects, 7 polymorphisms reported to affect risk of vascular ischemic disease were genotyped.