Scand J Trauma Resus
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Scand J Trauma Resus · Jan 2025
Letter ReviewTeaching triage in disaster medicine - same subject, but different approach.
Disaster management is an inter-, intra-, and cross-disciplinary task in which different specialties partake. Triage is a crucial part of disaster education. A synchronized approach and mutual understanding of triaging and agreement on priorities are essential for saving lives. ⋯ The impacts of environmental factors are usually not discussed in disaster medicine education, resulting in professionals having difficulties understanding the limitations of implementing routine triage algorithms during disaster response.
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Scand J Trauma Resus · Jan 2025
Observational StudyPeripheral oxygen saturation levels as a guide to avoid hyperoxia: an observational study.
As iatrogenic hyperoxia has been related to adverse outcomes in critically ill patients, guidelines advise to titrate oxygen to physiological levels. In the prehospital setting where partial arterial oxygen (PaO2) values are often not readily available, titration of oxygen is based on peripheral oxygen saturations (SpO2). In this study we aimed to investigate the efficacy of SpO2 guided oxygen titration in the prevention of hyperoxia. ⋯ When oxygen is titrated based on SpO2 levels, this results in hyperoxemia in a significant proportion of the patients. Health care providers should especially be reluctant to administer (low flow) oxygen as a standard of care to patients who do not have clear respiratory compromise, as these patients are at a high risk of developing (occult) hyperoxia.
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Scand J Trauma Resus · Jan 2025
LetterDefinition and developmental goals for Nordic emergency medicine.
Although Emergency Medicine is now globally an established specialty, the Nordic countries have been relatively slow to implement it into their health care systems. To facilitate the development of EM in the Nordic area, a working group was formed with representation from all national EM societies; DASEM (Danish Society for Emergency Medicine), FiSEM (Finnish Society of Emergency Medicine), ISEM (Icelandic Society for Emergency Medicine), NCEM (Norwegian College of Emergency Medicine), and SWESEM (Swedish Society for Emergency Medicine). This group was tasked with creating a Nordic EM manifesto-to create a definition and developmental goals for Nordic Emergency Medicine. The commentary provides an overview of the current status and challenges facing EM in the Nordic countries.
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Scand J Trauma Resus · Jan 2025
Observational StudyFactors affecting communication time in an emergency medical communication centers.
Emergency Medical Communication Centres (EMCCs) play a crucial role in emergency care by ensuring timely responses through telephone triage. However, extended communication times can impede accessibility, patient triage, and decision-making. Identifying the factors influencing communication duration is essential for improving EMCC efficiency. ⋯ Several factors influence communication times in EMCCs, including patient demographics, reason for the call, and time of day.