Articles: emergency-medical-services.
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Anesth Pain Control Dent · Jan 1993
Practice Guideline GuidelineChanges in guidelines for cardiopulmonary resuscitation and emergency cardiac care.
At the Fifth National Conference on Cardiopulmonary Resuscitation and Emergency Cardiac Care held in Dallas in February 1992, changes in the guidelines for basic life support and advanced cardiac life support were recommended. These changes are defined and explained in this article.
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This case demonstrates the necessity of adequate emergency management during dental treatment. A 57-year-old man loses consciousness immediately after the injection of a dental local anesthetic. For medical assistance, a neighboring general practitioner is first telephoned without success. ⋯ Finally, an emergency doctor is dispatched and arrives approximately 35 minutes after the emergency situation began. The electrocardiogram shows a supraventricular tachycardia which, after an immediate cardioversion, converts to a sinus rhythm connected with a restoration of the circulatory function. This case exemplifies the consequences of an inadequate response to a sudden emergency.
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Prehosp Disaster Med · Jan 1993
Multicenter StudyThe prehospital use of nitroglycerin according to standing medical orders in an urban EMS system.
The purposes of this study are to quantify the use of nitroglycerin (NTG) in prehospital care, to detect deviations from the Standing Medical Orders (SMO), to determine the effectiveness of its administration, and the incidence of clinically significant adverse reactions (hypotension, bradycardia). ⋯ In this EMS system, NTG is under-utilized based on the indications delineated by this system's SMOs. Reassessment is documented infrequently, but when completed, clinically significant adverse reactions are rare. Since the incidence of hypotension and bradycardia are rare, the inability to establish an IV line should not preclude the administration of NTG.
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Review Comparative Study
The complexity of comparing different EMS systems--a survey of EMS systems in Europe.
In Europe, emergency medical care has developed since the Middle Ages in each country, even within regions of a country, resulting in a patchwork of definitions, legislations, and systems. As a consequence, emergency medical care was implemented differently according to sociocultural, geographic, political, and religious differences between and within individual European countries. The objective of this survey was to describe the emergency medical services (EMS) systems in place throughout Europe, the type and qualification of the personnel, citizen-CPR knowledge, and experiences with automated external defibrillator programs. ⋯ To describe the EMS system, a uniform nomenclature is required. The Utstein "template" style could be proposed as the guideline to describe individual systems. The European Resuscitation Council could contribute in coordinating and standardizing the various aspects of emergency medical care in Europe, with detailed registration, medical coordination, and medical regulation being the principal working rules.