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http://dx.doi.org/10.1016/j.resplu.2024.100753 | DOI Listing |
Resuscitation
August 2025
The Ohio State University, United States. Electronic address:
Background: Over 70% of patients with out-of-hospital cardiac arrest (OHCA) present with a non-shockable initial rhythm, asystole or pulseless electrical activity (PEA), which is associated with lower survival than a shockable initial rhythm. Advanced airway management and oxygen delivery are important OHCA interventions, but their impact based on different presenting rhythm groups are incompletely defined. Our objective was to determine if advanced airway strategy is associated with outcomes in shockable, PEA and asystolic OHCA.
View Article and Find Full Text PDFCureus
June 2025
Department of Emergency Medicine, Komfo Anokye Teaching Hospital, Kumasi, GHA.
Background The Cincinnati Prehospital Stroke Scale (CPSS) is a quick and easy-to-use tool that has been validated for early stroke identification, particularly in prehospital settings. Its utilization in low-resource settings, where access to imaging may be limited or costly, has not been thoroughly explored. This study sought to evaluate the diagnostic accuracy of the CPSS in a large urban emergency department (ED) in Ghana, which has a high volume of stroke admissions.
View Article and Find Full Text PDFAm J Emerg Med
July 2025
Department of Emergency Medicine, Giresun Training and Research Hospital, Giresun, Turkiye.
Background: The Peripheral Perfusion Index (PPI), derived from pulse oximetry waveforms, is a non-invasive and easily obtainable parameter that reflects peripheral microcirculation. It has gained increasing attention for its potential role in early recognition of circulatory compromise and risk stratification in emergency settings. Despite its growing clinical relevance, studies investigating the prognostic value of PPI in non-traumatic adult patients presenting to the emergency department remain limited.
View Article and Find Full Text PDFFront Public Health
July 2025
School of Basic Medicine, Capital Medical University, Beijing, China.
Purpose: This study aims to understand the major challenges facing China's rural pre-hospital emergency care in terms of coordination and cooperation. We focus particularly on the three-tier emergency care providers and their surrounding support units to explore the systematic and strategic gaps within the system. Based on these findings and general systems theory, we propose construction strategies for China's rural emergency linkage system.
View Article and Find Full Text PDFJ Patient Saf
July 2025
Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia.
Objectives: In Western Canada, British Columbia Emergency Health Services (BCEHS) aimed to enhance prehospital pain management by authorizing Primary Care Paramedics (PCP) to administer intranasal (IN) ketamine. The objective of this study is to describe patient safety implications of expanding PCP scope to include IN ketamine.
Methods: This retrospective, observational study reviewed patient care records of the first 100 consecutive patient encounters where PCPs administered IN ketamine for pain between December 2020 and September 2021.