2025
High-Risk Patient Refusals in the Prehospital Setting—Clinical and Legal Considerations
McNeilly B, Maggiore W, Goebel M, O’Brien M, Cozzi N, Ariyaprakai N, Lardaro T, Weinstock M. High-Risk Patient Refusals in the Prehospital Setting—Clinical and Legal Considerations. Journal Of The American College Of Emergency Physicians Open 2025, 6: 100083. PMID: 40125342, PMCID: PMC11927591, DOI: 10.1016/j.acepjo.2025.100083.Peer-Reviewed Original ResearchEmergency medical servicesEmergency medical services medical directorsMedical directorsEmergency Medical Services ProfessionsEmergency medical services systemIn-hospital physiciansDecline careQuality assessment effortsMedical oversightMedical servicesEmergency departmentQuality improvementRisk of morbidityLife-threatening emergencyHigh-risk procedureDeclined treatmentHigh riskPatient refusalDeliberate trainingLegal counselState statutesLegal considerationsLegal risksRiskStandard policyPrehospital Trauma Compendium: Pediatric Severe and Inflicted Trauma – A Position Statement and Resource Document of NAEMSP
Cicero M, Adelgais K, Funaro M, Schissler K, Doswell A, Harris M, Jones R, Lester J, Martin-Gill C. Prehospital Trauma Compendium: Pediatric Severe and Inflicted Trauma – A Position Statement and Resource Document of NAEMSP. Prehospital Emergency Care 2025, ahead-of-print: 1-11. PMID: 39889234, DOI: 10.1080/10903127.2025.2457141.Peer-Reviewed Original ResearchEmergency medical servicesPrehospital evaluationOverall quality of careQuality of carePediatric trauma patientsPatterns of injuryMedical directorsMedical servicesInflicted traumaTrauma guidelinesPatient outcomesPosition statementTrauma patientsPrehospitalOverall qualityUnique physiologyPatientsTraumaSeverityCareNAEMSPPediatricCliniciansGuidelinesCharacteristics and healthcare utilization among aging veterans in supported housing: A comparison with independently housed age-matched veterans
Beydoun H, Szymkowiak D, Kinney R, Jones A, Tsai J. Characteristics and healthcare utilization among aging veterans in supported housing: A comparison with independently housed age-matched veterans. The Gerontologist 2025, gnaf001. PMID: 39758051, DOI: 10.1093/geront/gnaf001.Peer-Reviewed Original ResearchHealthcare utilizationHealthcare needsHoused veteransSupportive housingU.S. Department of Veterans Affairs (VA) healthcare systemDepartment of Veterans Affairs (VA) healthcare systemVeterans Affairs (VA) healthcare systemPatterns of healthcare utilizationHoused counterpartsMental health morbidityInpatient care servicesInpatient healthcare utilizationOutpatient medical servicesPermanent supportive housingCorporate Data WarehouseCross-sectional analysisLogistic regression modelsOlder veteransCare servicesHealth morbidityAging veteransHealthcare servicesSubstance use disordersMedical servicesReduce barriers
2024
Factors Associated with Pediatric Drowning-Associated Lung Injury
Shenoi R, Crowe J, Dorfman S, Bergmann K, Mistry R, Hariharan S, Tavarez M, Wai S, Jones J, Langhan M, Ward C, McCallin T, Sethuraman U, Shah N, Mendez D, Wolpert K, Santos-Malave C, Ruttan T, Quayle K, Okada P, Bubolz B, Buscher J, McKee R, Mangold K, Wendt W, Thompson A, Hom J, Brayer A, Blackstone M, Brennan C, Russell W, Agarwal M, Khanna K, Louie J, Sheridan D, Camp E, Committee P. Factors Associated with Pediatric Drowning-Associated Lung Injury. The Journal Of Pediatrics 2024, 279: 114459. PMID: 39736377, DOI: 10.1016/j.jpeds.2024.114459.Peer-Reviewed Original ResearchConceptsRisk factorsEmergency departmentCross-sectional study of childrenEmergency medical servicesPediatric emergency departmentCross-sectional studyAbnormal respiratory rateLung injuryPrehospital dataSpine injuriesAbnormal chest radiographic findingsED presentationsDrowning deathsMedical servicesPatient dispositionStudy of childrenChest radiographic findingsED courseAbnormal heart rateLogistic regressionShort-term outcomesAbnormal lung auscultationChest radiograph reportsRadiographic reportsOlder ageWho 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-basedA Prehospital Quality Improvement Framework to Reduce Mortality and Other Harms Associated with Opioid Use Disorder
Glenn M, Crowe R, Dorsett M, Taigman M, Herring A, Mercer M, Joiner A, Venkatesh A, Davis C, Hawk K, Hern H, Carroll G, Cabañas J, D’Onofrio G, Samuels E. A Prehospital Quality Improvement Framework to Reduce Mortality and Other Harms Associated with Opioid Use Disorder. Prehospital Emergency Care 2024, ahead-of-print: 1-9. PMID: 39671519, DOI: 10.1080/10903127.2024.2428671.Peer-Reviewed Original ResearchEmergency medical servicesOpioid use disorderQI frameworkQuality improvementHarm reductionQuality improvement frameworkHarms associated with opioid useEvidence-based practiceReduce mortalityReduce overdose deathsEscalating overdose crisisImproved frameworkMedical servicesMultidisciplinary teamOverdose crisisAddiction medicinePublic healthOverdose deathsSubject matter expertsPrehospitalOpioid useQuality measuresAdverse outcomesUse disorderHarmPrehospital Trauma Compendium: Fluid Resuscitation in Trauma – a Position Statement and Resource Document of NAEMSP
McMullan J, Curry B, Calhoun D, Forde F, Gray J, Lardaro T, Larrimore A, LeBlanc D, Li J, Morgan S, Neth M, Sams W, Lyng J. Prehospital Trauma Compendium: Fluid Resuscitation in Trauma – a Position Statement and Resource Document of NAEMSP. Prehospital Emergency Care 2024, ahead-of-print: 1-11. PMID: 39576138, DOI: 10.1080/10903127.2024.2433146.Peer-Reviewed Original ResearchEmergency medical servicesPrehospital trauma careTraumatic brain injuryTrauma carePrehospital trauma managementFluid usePrehospital providersIV fluidsVolume crystalloid resuscitationMedical servicesClinical careCrystalloid solutionTrauma resuscitationPosition statementCareWithholding fluidsBlood product administrationIndividual riskPolytrauma patientsTrauma managementMedical compatibilityIsotonic crystalloid solutionsResuscitationFluid resuscitationCrystalloid resuscitationMobile Stroke Unit Management in Patients With Acute Ischemic Stroke Eligible for Intravenous Thrombolysis
Mac Grory B, Sun J, Alhanti B, Lusk J, Li F, Adeoye O, Furie K, Hasan D, Messe S, Sheth K, Schwamm L, Smith E, Bhatt D, Fonarow G, Saver J, Xian Y, Grotta J. Mobile Stroke Unit Management in Patients With Acute Ischemic Stroke Eligible for Intravenous Thrombolysis. JAMA Neurology 2024, 81: 1250-1262. PMID: 39466286, PMCID: PMC11581552, DOI: 10.1001/jamaneurol.2024.3659.Peer-Reviewed Original ResearchEmergency medical servicesEmergency medical service managementMobile stroke unitPrehospital managementSymptomatic intracranial hemorrhageHospital dischargeGlobal disabilityIn-hospital mortalityEfficacy end pointUtility-weighted modified Rankin scaleStroke unit managementAcute ischemic strokeIschemic strokePrimary analytic cohortDiagnosis of ischemic strokeIntravenous thrombolysisAmerican Heart AssociationEnd pointsGuidelines-StrokeUW-mRSSecondary efficacy end pointsMain OutcomesMedical servicesStroke unitAmbulation statusMultidisciplinary Lessons from Palliative Extubations at Home
Breyre A, Grammatico M, Policastro A, Ingram C, Prsic E, Sussman L, Couturier K. Multidisciplinary Lessons from Palliative Extubations at Home. Prehospital Emergency Care 2024, ahead-of-print: 1-4. PMID: 39475704, DOI: 10.1080/10903127.2024.2420198.Peer-Reviewed Original ResearchCare Quality and Outcomes of Ischemic Stroke in Patients With Premorbid Dementia: Get With The Guidelines-Stroke Registry
Ganesh A, Wang M, Schwamm L, Fonarow G, Messé S, Xian Y, Saver J, Smith E. Care Quality and Outcomes of Ischemic Stroke in Patients With Premorbid Dementia: Get With The Guidelines-Stroke Registry. Stroke 2024, 55: 2901-2905. PMID: 39503052, DOI: 10.1161/strokeaha.124.049027.Peer-Reviewed Original ResearchQuality of stroke carePremorbid dementiaGuidelines-Stroke registryStroke careGuidelines-StrokeDoor-to-needle timeImprove care qualityNational quality measuresQuality of careEmergency medical servicesQuality measuresHospice admissionPrestroke dementiaCare qualityDementia diagnosisIschemic strokeAcute stroke interventionHospital characteristicsIntravenous thrombolysisDischarge destinationPoststroke outcomesMedical servicesIn-hospital mortalityIschemic stroke patientsComprehensive stroke centerAsynchronous education improves emergency medical services clinician confidence and knowledge in caring for patients near the end‐of‐life
Wang D, Dunn C, Brooten J, Gacioch B, Taigman M, He Z, Dziura J, Breyre A. Asynchronous education improves emergency medical services clinician confidence and knowledge in caring for patients near the end‐of‐life. Journal Of The American College Of Emergency Physicians Open 2024, 5: e13331. PMID: 39449818, PMCID: PMC11499566, DOI: 10.1002/emp2.13331.Peer-Reviewed Original ResearchEmergency medical services cliniciansEmergency medical servicesEmergency medical services agenciesYears of experienceYears of EMS experienceClinician confidencePalliative care expertiseCommunication skillsEnd-of-lifeDelivering bad newsDistrict of ColumbiaHospice knowledgeCare expertiseLinear regressionModule completionClinician knowledgeMedical servicesHospiceBad newsEM experimentsImprove confidenceLikert-scaleCliniciansOnline curriculumLevel of certificationMapping 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 ResearchConceptsSocial 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 3Emergency medical services in Armenia: national call trends and future directions
Arzoumanian A, Agopian A, Hovhannisyan M, Chekijian S, Baghdassarian A. Emergency medical services in Armenia: national call trends and future directions. International Journal Of Emergency Medicine 2024, 17: 65. PMID: 38755551, PMCID: PMC11097514, DOI: 10.1186/s12245-024-00644-y.Peer-Reviewed Original ResearchLower-middle income countriesHigh blood pressureMedical servicesEMS systemExacerbation of chronic conditionsPopulation health needsEffectiveness of public health interventionsAcute conditionsPredominant complaintBackgroundEmergency medical servicesEmergency medical servicesBlood pressurePublic health interventionsSystem improvement effortsAcute exacerbations of chronic conditionsEMS utilizationIn-hospital treatmentHealth interventionsHealth needsChronic conditionsImprovement effortsRural provincesIncome countriesAcute exacerbationHealth indexInterventions to promote readiness for advance care planning: A systematic review and meta-analysis
Tan M, Tang S, Feder S, Xiao J, Huang C, Cook A, Johnson C, Ding J. Interventions to promote readiness for advance care planning: A systematic review and meta-analysis. International Journal Of Nursing Studies 2024, 156: 104778. PMID: 38761437, DOI: 10.1016/j.ijnurstu.2024.104778.Peer-Reviewed Original ResearchAdvance care planningAdvance care planning interventionCare planning interventionCare planningStatistically significant effect of interventionMeta-analysisJoanna Briggs Institute critical appraisal toolsPlanning interventionsBackground Advance care planningSignificant effect of interventionMeta-analysesStages of behavior changeFuture health policyCritical appraisal toolsStandard medical servicesEffectiveness of interventionsPooled effect sizeRandomized controlled trialsMeta-analysis of randomized controlled trialsAppraisal ToolIntervention designHealth policyMedical servicesPromote readinessSystematic reviewUse of a SimBox, a Video-Augmented, Newborn Resuscitation Simulation for Prehospital Providers to Measure Clinical Performance and Educational Experience
Athanasopoulou S, Cicero M, Sanseau E, Kou M, Auerbach M. Use of a SimBox, a Video-Augmented, Newborn Resuscitation Simulation for Prehospital Providers to Measure Clinical Performance and Educational Experience. Cureus 2024, 16: e57925. PMID: 38725757, PMCID: PMC11081711, DOI: 10.7759/cureus.57925.Peer-Reviewed Original ResearchEmergency medical servicesPrehospital providersResuscitation simulationEmergency medical services educationEmergency medical service providersMeasure clinical performanceClinical performance measuresSelf-reported improvementSelf-reported knowledgePromoter ScorePrehospital settingSimulation interventionNeonatal Resuscitation Program guidelinesMedical servicesMeasure satisfactionNewborn resuscitationClinical guidelinesIncorrect doseNewborn resuscitation guidelinesResuscitation guidelinesChest compressionsDextrose-containing fluidsPractice deviationsSatisfaction measuresPositive pressure ventilationSociodemographic correlates of late HIV diagnosis among men who have sex with men (MSM) in Ghana
Aidoo-Frimpong G, Tong G, Akyirem S, Abwoye D, Nwanaji-Enwerem U, López D, Wilton L, Nelson L. Sociodemographic correlates of late HIV diagnosis among men who have sex with men (MSM) in Ghana. AIDS Care 2024, 36: 807-815. PMID: 38460152, DOI: 10.1080/09540121.2024.2325071.Peer-Reviewed Original ResearchLate HIV diagnosisHIV diagnosisOlder age groupsFactors associated with late HIV diagnosisIncreased risk of late diagnosisAge groupsRisk of late diagnosisImprove public health outcomesBurden of HIVAge-related disparitiesSame-gender sexual contactPublic health outcomesViral load suppressionExposure to HIVMedical engagementTailored interventionsHealth outcomesSociodemographic correlatesMedical servicesTargeted interventionsGhanaian menMSMDemographic variablesIncreased riskInterventionDescription 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 departments
2023
A Novel Intubation Technique: Bougie Introduction Via Ducanto Suction Catheter
Cochran-Caggiano N, Holliday J, Howard C. A Novel Intubation Technique: Bougie Introduction Via Ducanto Suction Catheter. Journal Of Emergency Medicine 2023, 66: 221-224. PMID: 38296765, DOI: 10.1016/j.jemermed.2023.11.001.Peer-Reviewed Original ResearchConceptsPhysiologically difficult airwayTraumatic diaphragmatic herniaDiaphragmatic herniaAirway decontaminationAirway managementDifficult airwaySuction catheterEmergency medical servicesAirway emergenciesChest X-ray studyAirway management approachMotor vehicle collisionsLeft-sided injuriesDefinitive airway managementCuffed endotracheal tubeCervical collarMedical servicesEmergency physiciansSupplemental oxygenMortality riskDiminished breathVehicle collisionsEndotracheal tubeAirwayAnatomical variationsEvaluation of Pediatric Readiness Using Simulation in General Emergency Departments in a Medically Underserved Region
Rutledge C, Waddell K, Gaither S, Whitfill T, Auerbach M, Tofil N. Evaluation of Pediatric Readiness Using Simulation in General Emergency Departments in a Medically Underserved Region. Pediatric Emergency Care 2023, 40: 335-340. PMID: 37973039, DOI: 10.1097/pec.0000000000003056.Peer-Reviewed Original ResearchPediatric readiness scoreGeneral emergency departmentsPediatric patient volumeComposite quality scorePediatric patientsPediatric emergenciesEmergency departmentHigher composite quality scorePatient volumeNational Pediatric Readiness ProjectIll pediatric patientsUnderserved areasClinical care processesEmergency medical servicesPediatric readinessSimulated paediatric emergencyPediatric carePatientsCare processesHospital locationPediatric resourcesED locationMedical servicesUnderserved regionsSignificant differencesSex differences in acute ischemic stroke presentation are a matter of infarct location
Higgins H, Chen L, Ravare B, Jeppson K, Bina H, Herson P, Monte A, Poisson S, Dylla L. Sex differences in acute ischemic stroke presentation are a matter of infarct location. The American Journal Of Emergency Medicine 2023, 74: 95-99. PMID: 37802001, PMCID: PMC10843056, DOI: 10.1016/j.ajem.2023.09.046.Peer-Reviewed Original ResearchConceptsEmergency medical servicesMultivariate logistic regressionStroke symptomsFrequency of patient presentationLogistic regressionStroke screening toolElectronic health recordsRecognition of strokeAcute ischemic strokeInfarct locationClassic symptomsEmergency department treatmentDistribution of strokeIschemic strokeIschemic stroke presentingHealth recordsRetrospective cohort studyMedical servicesUnilateral weaknessAnterior circulation infarctionCohort studyScreening toolStroke presentationEtiology of strokePosterior circulation infarction
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