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Background: Infectious diseases, including COVID-19, have a severe impact on child health globally. We investigated whether emergency medical service (EMS) calls are a bellwether for future COVID-19 caseloads. We elaborated on geographical hotspots and socioeconomic risk factors. Methods: All EMS calls for suspected infectious disease in the pediatric population (under 18 years of age) in Rhode Island between 1 March 2018 and 28 February 2022 were included in this quasi-experimental ecological study. The first of March 2020 was the beginning of the COVID-19 pandemic. We used the 2020 census tract and the most recent COVID-19 data. We investigated associations between pediatric EMS calls and positive COVID-19 tests with time series analysis and identified geographical clusters using local indicators of spatial association. Economic risk factors were examined using Poisson regression. Results: We included 980 pediatric ambulance calls. Calls during the omicron wave were significantly associated with increases in positive COVID-19 tests one week later (p < 0.001). Lower median household income (IRR 0.99, 95% CI [0.99, 0.99]; p < 0.001) and a higher child poverty rate (IRR 1.02, 95% CI [1.02, 1.02]; p < 0.001) were associated with increased EMS calls. Neighborhood hotspots changed over time. Conclusion: Ambulance calls might be a predictor for major surges of COVID-19 in children.
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http://dx.doi.org/10.3390/ijerph192316152 | DOI Listing |
J Am Geriatr Soc
September 2025
Division of Pulmonary Critical Care and Sleep Medicine, University of Washington, Seattle, Washington, USA.
Background: Emergency Medical Services (EMS) providers, capable of rapidly delivering life-prolonging interventions, are often first to respond to acute health concerns for older adults in the United States. Prior work has shown a preference among many people with dementia for comfort-focused care near end-of-life. People with dementia frequently use EMS; however, little is known about communication surrounding treatment preferences during EMS response for this group.
View Article and Find Full Text PDFBr Paramed J
September 2025
Methodist University, USA ORCID iD: https://orcid.org/0000-0002-5915-4974.
Introduction: Previous investigations reveal that protracted resuscitative efforts are associated with poorer long-term patient outcomes. Aside from certain patient characteristics and interventions, such as shockable rhythms, bystander CPR and early defibrillation, little is known about factors influencing resuscitation duration and time to return of spontaneous circulation (ROSC). We hypothesised that early public safety answering point (PSAP) call-receipt-to-pressor (PSAP-to-pressor) administration would decrease the pressor-to-ROSC interval and shorten low-flow duration.
View Article and Find Full Text PDFJ Neurochem
September 2025
Translational Psychiatry Program, Faillace Department of Psychiatry and Behavioral Sciences at McGovern Medical School, The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas, USA.
Treatment-resistant depression (TRD) represents a severe and complex subtype of major depressive disorder (MDD), affecting approximately 30% of patients who fail to respond adequately to multiple standard antidepressant therapies. While the pathophysiology of TRD remains incompletely understood, emerging evidence suggests that sex-based biological differences might influence its onset, progression, and treatment response. Women are disproportionately affected by depression and are more likely to experience residual symptoms and treatment resistance, potentially due to hormonal fluctuations, immune system differences, and variations in brain circuitry and neuroplasticity.
View Article and Find Full Text PDFJ Emerg Med
July 2025
Department of Epidemiology and Biostatistics, School of Public Health, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China. Electronic address:
Background: China has implemented serial prevention-and-control policies against COVID-19 pandemic pre- and post-reopening, yet it was unclear whether these policy adjustments resulted in changes in residents' emergency medical services (EMS) demands.
Objectives: We aimed to assess the impacts of gradual loosening and reopening policies against the COVID-19 pandemic on residents' EMS demands.
Methods: We conducted an observational study using a data set of 42,909 EMS call records from Nanning Emergency Medical Center during November 2022 to January 2023.
Harm Reduct J
August 2025
Institute for Health and Humanity, Medical College of Wisconsin, Milwaukee, WI, USA.
People who use drugs (PWUD) come into frequent contact with the police including after calling for emergency medical services when witnessing an opioid overdose. Good Samaritan laws have been passed in many jurisdictions to protect people from prosecution if they call for emergency services. Other interventions have used police to connect people to harm reduction and drug treatment services.
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