2025
Comparison of discharge disposition and AHA prehospital stroke compliance among urban, suburban, and rural EMS agencies
Nicke D, Wham C, Espinoza I, Thrower B, Sillau S, Farcas A, Leppert M, Kuna E, Dylla L, Investigators T. Comparison of discharge disposition and AHA prehospital stroke compliance among urban, suburban, and rural EMS agencies. Journal Of Stroke And Cerebrovascular Diseases 2025, 34: 108402. PMID: 40684823, DOI: 10.1016/j.jstrokecerebrovasdis.2025.108402.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAmerican Heart AssociationEmergency Medical ServicesFemaleGuideline AdherenceHealthcare DisparitiesHumansIschemic Attack, TransientMaleMiddle AgedPatient DischargePractice Guidelines as TopicQuality Indicators, Health CareRetrospective StudiesRural HealthRural Health ServicesStrokeSuburban Health ServicesTime FactorsTreatment OutcomeUnited StatesUrban Health ServicesConceptsRural-Urban Commuting AreaRural EMS agenciesEMS agenciesDischarge dispositionOdds of discharge homeIn-hospital interventionsOdds of dischargeAgency typeProportion of encountersUrban agenciesCardiovascular risk factorsPrehospital agenciesAcute stroke patientsCommuting areaStroke guidelinesPatient careRural agenciesCommunity patientsDescriptive statisticsRetrospective analysisStroke patientsDischarged homeMultivariate regression analysisRetrospective analysis of patientsPatient outcomesCommunity health workers identify children requiring health center admission in Northern Uganda: prehospital risk prediction using vital signs and advanced point-of-care tests
Ebbs D, Denish O, Bongomin F, Chandna A, Haseefa F, Canarie M, Cappello M. Community health workers identify children requiring health center admission in Northern Uganda: prehospital risk prediction using vital signs and advanced point-of-care tests. Global Health Action 2025, 18: 2519704. PMID: 40569209, PMCID: PMC12203686, DOI: 10.1080/16549716.2025.2519704.Peer-Reviewed Original ResearchConceptsCommunity health workersHealth workersDanger signsPrehospital settingHealth centersCommunity health worker teamArea under the receiver operating characteristic curveHealth worker teamPoint-of-care testingSocioeconomically deprived regionsPrehospital evaluationObservational pilot studyCommunity settingsWorker teamsSerious illnessSick childrenTreatable illnessPediatric mortalityDeprived regionsLogistic regressionPrimary outcomeSub-Saharan AfricaHealthCommunity levelRisk predictionEvaluating a train-the-trainer approach for implementing obstetric life support in diverse healthcare contexts throughout Arizona: a mixed methods protocol
Cunningham S, Carandang R, Wood L, Barry M, Baker P, Murphy M, Roth C, Becker L, Thomson B, Mosesso V, Vidosh J, Phelps J, Sutton B, Grady J, Annis-Brayne K, Shields A. Evaluating a train-the-trainer approach for implementing obstetric life support in diverse healthcare contexts throughout Arizona: a mixed methods protocol. BMC Health Services Research 2025, 25: 707. PMID: 40375088, PMCID: PMC12083141, DOI: 10.1186/s12913-025-12739-0.Peer-Reviewed Original ResearchMeSH KeywordsArizonaEmergency Medical ServicesFemaleHealth PersonnelHumansObstetricsPregnancySimulation TrainingConceptsHospital-based healthcare workersTrain-the-trainer approachBirth centersIn-hospital birth centerEmergency medical services agenciesFreestanding birth centerDiverse healthcare settingsMedical services agenciesLife supportDiverse healthcare contextsMaternal cardiac arrestSimulation-based curriculumMixed-methods studyMedical emergencyPrehospital contextHealthcare qualityPatient safetyReduce disparitiesMaternal morbidityHealth systemHealthcare settingsImplementation sitesHealthcare contextHealthcare workersNational stakeholdersPrehospital Management of Adults With Traumatic Out-of-Hospital Circulatory Arrest—A Joint Position Statement
Breyre A, George N, Nelson A, Ingram C, Lardaro T, Vanderkolk W, Lyng J. Prehospital Management of Adults With Traumatic Out-of-Hospital Circulatory Arrest—A Joint Position Statement. Annals Of Emergency Medicine 2025, 85: e25-e39. PMID: 39984237, DOI: 10.1016/j.annemergmed.2024.12.015.Peer-Reviewed Original ResearchMeSH KeywordsAdultAdvanced Cardiac Life SupportCardiopulmonary ResuscitationEmergency Medical ServicesHumansOut-of-Hospital Cardiac ArrestResuscitationWounds and InjuriesConceptsNational Association of Emergency Medical Services PhysiciansAmerican College of Emergency PhysiciansJoint position statementACS-COTPosition statementEmergency Medical Services PhysiciansAmerican College of Surgeons Committee on TraumaAmerican CollegeOut-of-hospital circulatory arrestAdvanced cardiac life supportCare of patientsMedical cardiac arrestCardiac life supportService physiciansManagement of adultsPrehospital managementResuscitation attemptsEmergency physiciansClinician safetyEvidence-basedEtiology of arrestCirculatory arrestLife-threatening traumaPatient outcomesLife support
2024
Who feels safe calling 911: are prior experiences of anti-Black racial discrimination associated with hesitancy seeking emergency medical services in the event of accidental drug overdose? – a study protocol
Hall O, Trimble C, Garcia S, Grayson S, Joseph L, Entrup P, Jegede O, Martel J, Tetrault J, Mathis M, Jordan A. Who feels safe calling 911: are prior experiences of anti-Black racial discrimination associated with hesitancy seeking emergency medical services in the event of accidental drug overdose? – a study protocol. Annals Of Medicine 2024, 57: 2439540. PMID: 39697058, PMCID: PMC11660366, DOI: 10.1080/07853890.2024.2439540.Peer-Reviewed Original ResearchConceptsEmergency medical servicesExperiences of racial discriminationCross-sectional surveyMedical servicesAccidental drug overdoseGroup-Based Medical Mistrust ScaleAssociated with health disparitiesDrug overdoseGroup-based medical mistrustMedical Mistrust ScaleEveryday Discrimination ScaleBlack AmericansNon-parametric partial correlationsMedical discriminationRacial discriminationFatal drug overdosesHealth disparitiesQuestionnaire measuring perceptionsRelated Health ProblemsMedical mistrustExploratory factor analysisBlack adultsSociodemographic informationCronbach's alphaGroup-basedMapping the Ecological Terrain of Stroke Prehospital Delay: A Nationwide Registry Study
Dhand A, Reeves M, Mu Y, Rosner B, Rothfeld-Wehrwein Z, Nieves A, Dhongade V, Jarman M, Bergmark R, Semco R, Ader J, Marshall B, Goedel W, Fonarow G, Smith E, Saver J, Schwamm L, Sheth K. Mapping the Ecological Terrain of Stroke Prehospital Delay: A Nationwide Registry Study. Stroke 2024, 55: 1507-1516. PMID: 38787926, PMCID: PMC11299104, DOI: 10.1161/strokeaha.123.045521.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overEmergency Medical ServicesFemaleHumansIschemic StrokeMaleMiddle AgedRegistriesStrokeTime-to-TreatmentUnited StatesConceptsSocial Vulnerability IndexPrehospital delayHospital arrivalZip code tabulation areasEmergency medical servicesCommunity-level social vulnerabilityGuidelines-Stroke registryCommunity socioeconomic statusCommunity-level factorsPatient-level factorsNationwide registry studyAmerican Heart AssociationSocial vulnerabilityCox proportional hazards modelsSocially vulnerable areasAssociated with delaySocial determinantsProportional hazards modelAcute stroke treatmentGeospatial mappingSocioeconomic statusMedical servicesIncreased social vulnerabilityPrimary exposureQuartile 3Prehospital use of point-of-care tests by community health workers: a scoping review
Ebbs D, Taricia M, Funaro M, O’Daniel M, Cappello M. Prehospital use of point-of-care tests by community health workers: a scoping review. Frontiers In Public Health 2024, 12: 1360322. PMID: 38721545, PMCID: PMC11076783, DOI: 10.3389/fpubh.2024.1360322.Peer-Reviewed Original ResearchMeSH KeywordsCommunity Health WorkersEmergency Medical ServicesHumansMalariaPoint-of-Care SystemsPoint-of-Care TestingConceptsCommunity health workersHealth workersPoint-of-care testingPrehospital settingLocal community health workersFull-text reviewMedical Subject HeadingsPRISMA extensionPrehospital useImplementation strategiesResource settingsEarly risk stratificationMedical librariansStudy criteriaSubject headingsPoint-of-carePrehospitalRisk stratificationWorkersCommunitySetsReviewPRISMAHIVMalariaThe Role of Advanced Practice Providers in Pediatric Emergency Care Across Nine Emergency Departments
Iqbal A, Whitfill T, Tiyyagura G, Auerbach M. The Role of Advanced Practice Providers in Pediatric Emergency Care Across Nine Emergency Departments. Pediatric Emergency Care 2024, 40: 131-136. PMID: 38286004, DOI: 10.1097/pec.0000000000003120.Peer-Reviewed Original ResearchMeSH KeywordsAgedChildEmergency Medical ServicesEmergency Service, HospitalHospitalizationHumansPhysiciansRetrospective StudiesConceptsAdvanced practice providersPediatric emergency medicineLow acuity patientsPediatric emergency carePractice providersEmergency departmentAcuity patientsEmergency careImprove pediatric emergency careElectronic health recordsInternational Classification of DiseasesHigh-acuity patientsPediatric patient careClassification of diseasesProvider typeHealth recordsEmergency medicinePatient encountersLength of stayPatient careInternational ClassificationProportion of pediatric patientsAcuity levelsPediatric patientsPatient factorsA Comparison of State-Specific Pediatric Emergency Medical Facility Recognition Programs, 2020
Boggs K, Voligny E, Auerbach M, Espinola J, Samuels-Kalow M, Sullivan A, Camargo C. A Comparison of State-Specific Pediatric Emergency Medical Facility Recognition Programs, 2020. Pediatric Emergency Care 2024, 40: 141-146. PMID: 38295194, PMCID: PMC10832299, DOI: 10.1097/pec.0000000000003119.Peer-Reviewed Original ResearchMeSH KeywordsChildDisaster PlanningEmergency Medical ServicesEmergency Service, HospitalHumansUnited StatesConceptsPediatric emergency care coordinatorEmergency Medical Services for ChildrenProgram start dateEmergency departmentQuality of pediatric emergency carePediatric emergency careHigh emergency departmentRecognition programCare coordinationPediatric readinessEmergency careStart datePatient outcomesED areaProgram characteristicsProgram managersLevel of verificationProgramLevel of recognitionVerification requirementsCareVerificationParticipantsChildrenDepartmentDescription of the Public Safety Medical Response and Patient Encounters Within and During the Indianapolis (USA) Spring 2020 Civil Unrest
Arkins T, Liao M, O’Donnell D, Glober N, Faris G, Weinstein E, Supples M, Vaizer J, Hunter B, Lardaro T. Description of the Public Safety Medical Response and Patient Encounters Within and During the Indianapolis (USA) Spring 2020 Civil Unrest. Prehospital And Disaster Medicine 2024, 39: 73-77. PMID: 38269437, DOI: 10.1017/s1049023x24000025.Peer-Reviewed Original ResearchConceptsEmergency medical servicesPatient encountersEmergency medical services transportEMS responseIn-hospital stabilizationEmergency medical services contactEmergency medical service callLocal emergency medical servicesCivil unrestScene timeHospital courseIndianapolis Metropolitan Police DepartmentMetropolitan Police DepartmentPenetrating traumaTransport patientsPatientsClinician narrativesMedical servicesReceiving HospitalTransport destinationCollect demographicsHospitalBallistic injuriesGun violencePolice departmentsThe Clinical Emergency Data Registry: Structure, Use, and Limitations for Research
Lin M, Sharma D, Venkatesh A, Epstein S, Janke A, Genes N, Mehrotra A, Augustine J, Malcolm B, Goyal P, Griffey R. The Clinical Emergency Data Registry: Structure, Use, and Limitations for Research. Annals Of Emergency Medicine 2024, 83: 467-476. PMID: 38276937, PMCID: PMC11627304, DOI: 10.1016/j.annemergmed.2023.12.014.Peer-Reviewed Original ResearchMeSH KeywordsData CollectionElectronic Health RecordsEmergency Medical ServicesEmergency Service, HospitalHumansRegistriesUnited StatesConceptsEmergency departmentData elementsAmerican College of Emergency PhysiciansData registryParticipating emergency departmentsElectronic health recordsClinical data registryEmergency careHealth recordsEmergency medicineEmergency physiciansDe-identifiedBilling dataAmerican CollegeImprove data qualityCompletion of data elementsRegistryMultiple data elementsDemographic dataResearch usePatient demographicsReporting purposesData collectionCentral databaseClinical characteristics
2023
Association of Neighborhood-Level Socioeconomic Factors With Delay to Hospital Arrival in Patients With Acute Stroke
Forman R, Okumu R, Mageid R, Baker A, Neu D, Parker R, Peyravi R, Schindler J, Sansing L, Sheth K, de Havenon A, Jasne A, Narula R, Wira C, Warren J, Sharma R. Association of Neighborhood-Level Socioeconomic Factors With Delay to Hospital Arrival in Patients With Acute Stroke. Neurology 2023, 102: e207764. PMID: 38165368, PMCID: PMC10834135, DOI: 10.1212/wnl.0000000000207764.Peer-Reviewed Original ResearchMeSH KeywordsEmergency Medical ServicesHospitalsHumansIschemic StrokeSocioeconomic FactorsStrokeUnited StatesConceptsEmergency department arrival timesEmergency medical servicesLate presentationAcute ischemic stroke therapyYale-New Haven HospitalGuidelines-Stroke registryNeighborhood-level socioeconomic factorsPatient-level factorsRetrospective observational studyIschemic stroke therapyMixed-effects logistic regression modelNon-white patientsNon-white raceUnivariate logistic regressionNew Haven HospitalLogistic regression modelsHospital presentationTreatment ineligibilityStroke RegistryAcute strokeHospital arrivalStroke therapyUnivariate analysisObservational studyPatientsChanges in Older Adult Trauma Quality When Evaluated Using Longer-Term Outcomes vs In-Hospital Mortality
Zogg C, Cooper Z, Peduzzi P, Falvey J, Castillo-Angeles M, Kodadek L, Staudenmayer K, Davis K, Tinetti M, Lichtman J. Changes in Older Adult Trauma Quality When Evaluated Using Longer-Term Outcomes vs In-Hospital Mortality. JAMA Surgery 2023, 158: e234856. PMID: 37792354, PMCID: PMC10551815, DOI: 10.1001/jamasurg.2023.4856.Peer-Reviewed Original ResearchConceptsHospital-level factorsTraumatic brain injurySevere traumatic brain injuryHospital mortalityTrauma QualityOlder adultsHip fractureComposite scoreHigher risk-adjusted oddsLevel 1 trauma centerIn-Hospital MortalityRisk-adjusted oddsLong-term outcomesMultivariable logistic regressionNontrauma centersTrauma patientsTerm outcomesTrauma centerPrimary diagnosisBrain injuryTrauma systemMAIN OUTCOMEMedicare feeService claimsForms of traumaCritical Care Management of Patients After Cardiac Arrest: A Scientific Statement From the American Heart Association and Neurocritical Care Society
Hirsch K, Abella B, Amorim E, Bader M, Barletta J, Berg K, Callaway C, Friberg H, Gilmore E, Greer D, Kern K, Livesay S, May T, Neumar R, Nolan J, Oddo M, Peberdy M, Poloyac S, Seder D, Taccone F, Uzendu A, Walsh B, Zimmerman J, Geocadin R, Society O. Critical Care Management of Patients After Cardiac Arrest: A Scientific Statement From the American Heart Association and Neurocritical Care Society. Circulation 2023, 149: e168-e200. PMID: 38014539, PMCID: PMC10775969, DOI: 10.1161/cir.0000000000001163.Peer-Reviewed Original ResearchMeSH KeywordsAmerican Heart AssociationCardiopulmonary ResuscitationCritical CareEmergency Medical ServicesHeart ArrestHumansConceptsCritical care managementCardiac arrestNeurocritical Care SocietyCare managementClinical studiesAmerican Heart Association Emergency Cardiovascular Care CommitteeHigh-quality clinical studiesExpert panel consensus statementHigh-certainty evidencePractice guideline recommendationsLow-certainty evidenceAmerican Heart AssociationExpert consensus panelHigh-quality studiesMultiple medical specialtiesGuideline recommendationsHeart AssociationAbsence of guidelinesConsensus statementPractice guidelinesConsensus panelCare CommitteePatientsAreas of uncertaintyOrgan systemsEpinephrine in Cardiac Arrest: Identifying a Potential Limit for Resuscitation
Boivin Z, Duignan K, Doko D, Pugliese N, She T. Epinephrine in Cardiac Arrest: Identifying a Potential Limit for Resuscitation. Western Journal Of Emergency Medicine 2023, 0: 1025-1033. PMID: 38165183, PMCID: PMC10754196, DOI: 10.5811/westjem.60840.Peer-Reviewed Original ResearchMeSH KeywordsCardiopulmonary ResuscitationEmergency Medical ServicesEpinephrineHumansOut-of-Hospital Cardiac ArrestProspective StudiesRetrospective StudiesConceptsIntact dischargeEpinephrine dosesDose groupEpinephrine usePrimary outcomeCardiac arrestAdvanced cardiac life support algorithmRetrospective cohort studyModified Rankin ScaleFurther prospective studiesDifferent patient subgroupsMedical cardiac arrestNon-shockable rhythmEmergency department administrationEmergency medical servicesLack of evidenceCohort studyRankin ScaleSecondary outcomesIntact survivalMore dosesProspective studyShockable rhythmPatient subgroupsResuscitation efforts2023 American Heart Association and American Academy of Pediatrics Focused Update on Neonatal Resuscitation: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Yamada N, Szyld E, Strand M, Finan E, Illuzzi J, Kamath-Rayne B, Kapadia V, Niermeyer S, Schmölzer G, Williams A, Weiner G, Wyckoff M, Lee H, Academy of Pediatrics O. 2023 American Heart Association and American Academy of Pediatrics Focused Update on Neonatal Resuscitation: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2023, 149: e157-e166. PMID: 37970724, DOI: 10.1161/cir.0000000000001181.Peer-Reviewed Original ResearchMeSH KeywordsAmerican Heart AssociationCardiopulmonary ResuscitationChildEmergency Medical ServicesEmergency TreatmentHumansInfantInfant, NewbornResuscitationUnited StatesConceptsPositive pressure ventilationNewborn infantsAmerican Heart Association guidelinesUmbilical cord milkingNeonatal resuscitation guidelinesTerm newborn infantsHeart Association guidelinesAmerican Heart AssociationEmergency Cardiovascular CareUmbilical cord managementInternational Liaison CommitteeCord milkingLate pretermCord managementTask ForceHeart AssociationAssociation guidelinesResuscitation guidelinesCardiopulmonary resuscitationNeonatal resuscitationCardiovascular careSystematic reviewAmerican AcademyResuscitationPretermEmergency Department Use Among Recently Homeless Adults in a Nationally Representative Sample
Ryus C, Stefanovics E, Tsai J, Rhee T, Rosenheck R. Emergency Department Use Among Recently Homeless Adults in a Nationally Representative Sample. Western Journal Of Emergency Medicine 2023, 0: 894-905. PMID: 37788030, PMCID: PMC10527843, DOI: 10.5811/westjem.59054.Peer-Reviewed Original ResearchAdultEmergency Medical ServicesEmergency Service, HospitalEthanolHumansIll-Housed PersonsMental HealthThe Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies.
Saidinejad M, Duffy S, Wallin D, Hoffmann J, Joseph M, Uhlenbrock J, Brown K, Waseem M, Snow S, Andrew M, Kuo A, Sulton C, Chun T, Lee L, Conners G, Callahan J, Gross T, Joseph M, Lee L, Mack E, Marin J, Mazor S, Paul R, Timm N, Cicero M, Dietrich A, Eisenberg A, Fallat M, Tellez S, Dietrich A, Alade K, Amato C, Atanelov Z, Auerbach M, Barata I, Benjamin L, Berg K, Chang C, Chow J, Chumpitazi C, Claudius I, Easter J, Foster A, Fox S, Gausche-Hill M, Gerardi M, Goodloe J, Heniff M, Homme J, Ishimine P, John S, Joseph M, Hiu-Fung Lam S, Lawson S, Lee M, Li J, Lin S, Martini D, Mellick L, Mendez D, Petrack E, Rice L, Rose E, Ruttan T, Saidinejad M, Santillanes G, Simpson J, Sivasankar S, Slubowski D, Sorrentino A, Stoner M, Sulton C, Valente J, Vora S, Wall J, Wallin D, Walls T, Waseem M, Woolridge D, Shahid S, Miller R, Wood E, Lowery T, Cohen J, VanStanton R, Hill L, Stone E, Johnson D. The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies. 2023, 152 PMID: 37584147, DOI: 10.1542/peds.2023-063255.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildEmergenciesEmergency Medical ServicesEmergency Service, HospitalHumansMental DisordersMental HealthConceptsEmergency departmentHealth care safety netEmergency care deliveryCoordination of careEmergency medical servicesBehavioral health emergenciesProlonged ED staysMental health professionalsPost-discharge resourcesCare deliveryPrehospital servicesED environmentImprove careHealth professionalsDischarge resourcesInadequate communityLack of personnelPatient careMedical servicesED stayOptimal careManagement of childrenCareED operationsHealth emergencyResults of a Quality Improvement Initiative to Increase the Completion Rate of Electronic Health Records for Patient Encounters at a Large Urban Fire-Based Non-Transporting EMS Agency
Allgood R, Faris G, Supples M, Lardaro T, Crowe R. Results of a Quality Improvement Initiative to Increase the Completion Rate of Electronic Health Records for Patient Encounters at a Large Urban Fire-Based Non-Transporting EMS Agency. Prehospital Emergency Care 2023, 28: 696-702. PMID: 37363879, DOI: 10.1080/10903127.2023.2227980.Peer-Reviewed Original ResearchMeSH KeywordsDocumentationElectronic Health RecordsEmergency Medical ServicesFirefightersHumansQuality ImprovementConceptsElectronic health recordsPlan-Do-Study-ActEMS agenciesHealth recordsDocumentation complianceRate of electronic health recordsIncreased electronic health recordImprovement projectDocumentation of patient careElectronic health record recordsInformant interviewsPatient care reportsPatient care documentationQuality improvement initiativesQuality improvement projectOut-of-hospitalStatistical process control chartsMultiple PDSA cyclesUrban fire departmentPerformance reportsFire departmentsProcess control chartsCare documentationCare reportsPDSA cyclesSociodemographic Disparities in Queue Jumping for Emergency Department Care
Sangal R, Su H, Khidir H, Parwani V, Liebhardt B, Pinker E, Meng L, Venkatesh A, Ulrich A. Sociodemographic Disparities in Queue Jumping for Emergency Department Care. JAMA Network Open 2023, 6: e2326338. PMID: 37505495, PMCID: PMC10383013, DOI: 10.1001/jamanetworkopen.2023.26338.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesEmergency Medical ServicesEmergency Service, HospitalFemaleHumansMaleMedicareMiddle AgedRetrospective StudiesUnited StatesConceptsCross-sectional studyHigh acuityPatient demographicsSame acuityLatino ethnicityNon-Hispanic raceEmergency department careBed placementTime of triageNon-Hispanic blacksNon-Hispanic whitesED visitsPrimary outcomeED arrivalED patientsMedicaid insuranceMean ageTriage acuityStudy visitAcuity patientsSociodemographic disparitiesED outcomesHigher oddsMAIN OUTCOMECare access
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