The initial management of a critically ill burn patient sets the trajectory for their entire hospital course. Understanding standards of care is essential, but moving beyond rote formulas for airway m...

Emergency airway management in acute brain injury carries unique physiologic risks, such as hypotension, hypoxia, hypercarbia, and sympathetic surges can precipitate secondary brain injury. This revie...

Objective To identify evidence-based factors leading to the global challenge of hospital access block and inform strategies to improve emergency access performance. Methods A mixed methods approach.....

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OBJECTIVES: Although preoxygenation with a non-rebreather (NRB) mask at flush rate (≥ 50 L/min) is an effective and straightforward technique, it is not always feasible in situations where airway m...

To evaluate whether the implementation of a region-wide pit-crew cardiopulmonary resuscitation (CPR) initiative was associated with improved survival to hospital discharge with good neurological fu...

Background: Preceptorship is relatively new in paramedic education. It is intended to ease transition from theory to practice, reduce transition shock for students and support professional identity. However, it can be limited by time constraints and ...

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Background: Alcohol use is a significant public health problem. Paramedics' perceptions of patients' alcohol use and their role in alcohol-related public health need to be understood to inform practice, improve public health and potentially reduce ...

Emergency nurses routinely care for patients and families experiencing traumatic events, death, and violence. Repeated exposure to others’ trauma may contribute to secondary traumatic stress, a type o...

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In the United States, out-of-hospital cardiac arrest (OHCA) occurs in 83.4 individuals per 100,000 population annually, and only 10% of adults and children survive to hospital discharge, highlighting ...

Out-of-hospital cardiac arrest (OHCA) remains a major public health problem worldwide, with high mortality and substantial neurological morbidity among survivors.1,2 Early bystander intervention, part...

Bystander presence improves outcomes after out-of-hospital cardiac arrest (OHCA). Although bystander type is reportedly associated with neurological outcomes, the potential modifying effect of age on ...

Out-of-hospital cardiac arrest remains a time-critical emergency in which early cardiopulmonary resuscitation and defibrillation are key to survival. Smartphone Alerting Systems (SAS) mobilize communi...

Emergency cricothyroidotomy is a rare but potentially lifesaving rescue airway procedure in patients with failed conventional airway management. Comprehensive nationwide data on patient characteristic...

We evaluated the impact of a regional, year-long bystander hands-only cardiopulmonary resuscitation (CPR) education and training initiative conducted at the community level on bystander CPR rates afte...

Acute traumatic pain is common in emergency settings and inadequate analgesia can worsen physiological, psychological, and functional outcomes.

This quality improvement project was conducted in an emergency department composed of 17 beds. The unit’s bar-coded medication administration scanning compliance rate was 68%. Nursing leadership revie...

Utilization of prehospital blood transfusion (PBT) as a treatment for traumatic hemorrhagic shock (THS) has been expanding nationally, yet evidence supporting the practice in some operational envir...

Pediatric prehospital advanced airway management is high-stakes and low-frequency. Prior analyses have been limited to single-agency air medical groups or ground emergency medical services cohorts....

Paramedic services remain organized around rapid response, time-sensitive events, and hospital conveyance despite increasing 9-1-1 use for lower-acuity and undifferentiated presentations. There is ...

Sepsis is a life-threatening emergency requiring prompt recognition and timely treatment. Delayed antibiotic administration is consistently associated with increased mortality. However, evidence re...

Introduction The UK Defence Medical Services (DMS) have used the medical instant messaging application Pando (Forward Clinical, London) since 2019. This application is used to deliver a deployed telem...

Introduction Contemporary conflict-associated injuries with open fractures are challenged by infection and antimicrobial resistance (AMR), compromising empiric antimicrobials and limiting options for ...

The development and use of chemical and toxin-based weapons have evolved significantly over time, from early historical applications to modern incidents involving highly potent agents. Despite the est...

Background The establishment of an emergency medical services (EMS) pathway into a virtual emergency service—the Victorian Virtual Emergency Department (VVED)—introduced a video-enabled telehealth con...

Frequent callers and users of ambulance services represent a small but complex patient cohort who account for a disproportionate number of emergency medical service contacts. Although frequent use has...

We read with great interest the D€FI-CO$T study by Blandin et al., which reported a 1.4% therapeutic use of public-access automated external defibrillators (AEDs) in France and an estimated cost of €1...

Drones can deliver automated external defibrillators and other emergency supplies to bystanders before an ambulance arrives, but their public-health value depends on whether the public accepts, tru...

Foreign body airway obstruction (FBAO) is a time–critical emergency that can rapidly progress to cardiac arrest. Despite its clinical significance, contemporary epidemiological data describing out–of–...