Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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To describe one urban trauma transport system to clarify the impact of transport by nonmedical personnel on patient outcome. ⋯ NP transport of assaulted patients is generally associated with equivalent outcomes in comparison with FM transport in this urban environment. However, these data also provide evidence of an on-scene implicit triage with more severely injured patients generally transported by FMs.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Evaluation of a prototype esophageal detection device.
To determine the ability of a prototype esophageal detection device (EDD) to identify esophageal misplacement of an endotracheal (ET) tube. ⋯ This prototype EDD is a useful method of identifying esophageal misplacement of an ET tube in anesthetized adult surgical patients.
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Multicenter Study
Impact of interventions for patients refusing emergency medical services transport.
To evaluate the effect of a documentation checklist and on-line medical control contact on ambulance transport of out-of-hospital patients refusing medical assistance. ⋯ Contact with on-line medical control increased the likelihood of transport of high-risk patients who initially refused medical assistance. The appropriateness of the decreased transport rate of patients not meeting high-risk criteria needs further evaluation.
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To better understand the perceptions, needs, and responses of family members after an out-of-hospital death. ⋯ In this small sample, survivors of out-of-hospital death were generally satisfied with the care their loved ones had received. None of the survivors believed their loved ones should have been transported to the hospital. They also believed the paramedics had been supportive and met their needs at the time of death. It appears that paramedics may be able to meet the needs of a patient's survivors by terminating out-of-hospital resuscitation efforts on the patient.