Articles

Prehospital cooling in cardiac arrest - the next frontier?

Therapeutic hypothermia (TH) in unconscious survivors of out-of-hospital cardiac arrest (OHCA) is now a well-documented part of post-resuscitation care. Implementation of TH into daily clinical practice has be...

Authors: Eldar Søreide

Prehospital therapeutic hypothermia after cardiac arrest - from current concepts to a future standard

Therapeutic hypothermia has been shown to improve survival and neurological outcome after prehospital cardiac arrest. Existing experimental and clinical evidence supports the notion that delayed cooling result...

Authors: Antti Kämäräinen, Sanna Hoppu, Tom Silfvast and Ilkka Virkkunen

Out-of-hospital therapeutic hypothermia in cardiac arrest victims

Despite many years of research, outcome after cardiac arrest is dismal. Since 2005, the European Resuscitation Council recommends in its guidelines the use of mild therapeutic hypothermia (32-34°) for 12 to 24...

Authors: Wilhelm Behringer, Jasmin Arrich, Michael Holzer and Fritz Sterz

Infection control in burn patients: are fungal infections underestimated?

With great interest, I read the paper of David J. Dries about recent developments, infection control and outcomes research in the management of burn injuries [1]. I have some comments about an important, however ...

Authors: Manuel F Struck

Management of a massive thoracoabdominal impalement: a case report

A 26 year old male was impaled through his chest and upper abdomen with an iron angle, one and half meter long and five centimeters thick. The iron angle entered the chest, through the epigastrium and exited p...

Authors: Chhavi Sawhney, Nita D'souza, Biplab Mishra, Babita Gupta and Subir Das

IL-6 predicts organ dysfunction and mortality in patients with multiple injuries

Although therapeutic concepts of patients with major trauma have improved during recent years, organ dysfunction still remains a frequent complication during clinical course in intensive care units. It has pre...

Authors: Michael Frink, Martijn van Griensven, Philipp Kobbe, Thomas Brin, Christian Zeckey, Bernhard Vaske, Christian Krettek and Frank Hildebrand

Leadership is the essential non-technical skill in the trauma team - results of a qualitative study

Trauma is the leading cause of death for young people in Norway. Studies indicate that several of these deaths are avoidable if the patient receives correct initial treatment. The trauma team is responsible fo...

Authors: Magnus Hjortdahl, Amund H Ringen, Anne-Cathrine Naess and Torben Wisborg

Critical Care in the Emergency Department: An assessment of the length of stay and invasive procedures performed on critically ill ED patients

Critically ill patients commonly present to the ED and require aggressive resuscitation. Patient transfer to an ICU environment in an expedient manner is considered optimal care. However, this patient populati...

Authors: Robert S Green and Janet K MacIntyre

Right-sided "trapdoor" incision provides necessary exposure of complex cervicothoracic vascular injury: a case report

Combined cervicothoracical vascular traumas are very uncommon, mostly resulting from penetrating injuries. These injuries are accompanied with very high morbidity and mortality rates. In this manuscript we pre...

Authors: Boris Kessel, Itamar Ashkenazi, Isaak Portnoy, Dan Hebron, Dani Eilam and Ricardo Alfici

Thrombelastography and tromboelastometry in assessing coagulopathy in trauma

Death due to trauma is the leading cause of lost life years worldwide, with haemorrhage being responsible for 30-40% of trauma mortality and accounting for almost 50% of the deaths the initial 24 h. On admissi...

Authors: Pär I Johansson, Trine Stissing, Louise Bochsen and Sisse R Ostrowski

Why Do We Put Cervical Collars On Conscious Trauma Patients?

In this commentary we argue that fully alert, stable and co-operative trauma patients do not require the application of a semi-rigid cervical collar, even if they are suspected of underlying cervical spine fra...

Authors: Jonathan Benger and Julian Blackham

Pathophysiology of the systemic inflammatory response after major accidental trauma

The purpose of the present study was to describe the pathophysiology of the systemic inflammatory response after major trauma and the timing of final reconstructive surgery.

Authors: Anne Craveiro Brøchner and Palle Toft

Vascular injuries after blunt chest trauma: diagnosis and management

Although relatively rare, blunt injury to thoracic great vessels is the second most common cause of trauma related death after head injury. Over the last twenty years, the paradigm for management of these deva...

Authors: James V O'Connor, Christopher Byrne, Thomas M Scalea, Bartley P Griffith and David G Neschis

Personal experience with whole-body, low-dosage, digital X-ray scanning (LODOX-Statscan) in trauma

Lodox-Statscan is a whole-body, skeletal and soft-tissue, low-dose X-ray scanner Anterior-posterior and lateral thoraco-abdominal studies are obtained in 3-5 minutes with only about one-third of the radiation ...

Authors: Dimitrios S Evangelopoulos, Simone Deyle, Heinz Zimmermann and Aristomenis K Exadaktylos

Emergency presentation and management of acute severe asthma in children

Acute severe asthma is one of the most common medical emergency situations in childhood, and physicians caring for acutely ill children are regularly faced with this condition. In this article we present a sum...

Authors: Knut Øymar and Thomas Halvorsen

Knowledge of Glasgow coma scale by air-rescue physicians

To assess the theoretical and practical knowledge of the Glasgow Coma Scale (GCS) by trained Air-rescue physicians in Switzerland.

Authors: Catherine Heim, Patrick Schoettker, Nicolas Gilliard and Donat R Spahn

Errors in acute surgery: a statewide hospital survey

Authors: David J Dries, DM Langness and D Rydrych

Is the sky the limit? Trends in ambulance usage in Sør-Trøndelag County, Norway, from 1997–2007

Authors: Andreas J Krüger, Erlend Sundland and Sindre Mellesmo

Trauma systems and early management of severe injuries in Scandinavia: review and current status

Authors: Thomas Kristiansen, Kjetil Søreide, Kjetil Ringdal, Marius Rehn, Andreas J Krüger, Andreas Reite, Terje Meling, Pål Aksel Næss and Hans Morten Lossius

Air ambulance missions to patients at locations not accessible by road – pleasant way to evacuate or advanced medicine in the field?

Authors: Andreas J Krüger and Sindre Mellesmo

Presence of the local general practitioner on-call in medical emergencies – a 10 year analysis of data from the Dombås HEMS base

Authors: Sindre Mellesmo and Andreas J Krüger

A pre-hospital emergency anaesthesia pre-procedure checklist

Authors: R Mackenzie, J French, S Lewis and A Steel

Laerdal MiniAnne with a counting device: does it improve performance?

Authors: Conrad A Bjørshol, Eldar Søreide, Leif Moen and Kjetil Sunde

Leadership is the essential human factor in the trauma team – results of a qualitative study

Authors: Magnus Hjortdahl, Amund H Ringen, Anne-Cathrine Næss and Torben Wisborg

Out of hospital cardiac arrest (OHCA) patients without return of spontaneous circulation (ROSC) – should they be transported with ongoing resuscitation to the hospital?

Authors: TW Lindner, SA Hapnes and E Søreide

Is the observation unit a proper place to observe a trauma patient with minor injuries?

Authors: O-P Vinjevoll, Ruth Øfsti, U Eriksson, O Uleberg and E Rødevand

Interhospital transport of critically ill patient with dedicated ICU ventilator

Authors: R Vacchi, E Santoro, A Giugni and P Cavallo

Making simulations more real: experiences from an advanced resuscitation provider course

Authors: H Landsdalen, M Berge and G Brattebø

Are patients fulfilling MET criteria recognized?

Authors: R Hesselfeldt, L Fuhrmann, A Lippert, A Perner and D Oestergaard

Bubblewrap for hypothermia prevention – the ultimate solution or yet another fancy gadget?

Authors: Gunnar Vangberg, Robert Brennested and Andreas J Krüger

Collet-Sicard-syndrome with spinal epidural hematoma due to occipital condyle fracture – a case report

Authors: Nils Christian Utheim, Roger Josefsen, Per Nakstad and Olav Røise

Cardiopulmonary response to reamed intramedullary nailing of the femur with a traditional reaming system and a one-step reamer-irrigator-aspirator reaming system; an experimental study in pigs

Authors: Elisabeth Ellingsen Husebye, Torstein Lyberg, Helge Opdahl, Helene Laurvik and Olav Røise

Incidence of traumatic long-bone fractures requiring inhospital management: a prospective age- and gender-specific analysis in 4,890 fractures

Authors: Terje Meling, Knut Harboe and Kjetil Søreide

Post-traumatic stress symptoms two years after severe multiple injuries – self-reported disability and psychosocial functioning

Authors: Helene L Soberg, Olav Røise, Erik Bautz-Holter and Arnstein Finset

The European Project SIDARTHA using emergency care data for public health surveillance and health threat preparedness

Authors: F Lippert, G Brattebø, T Kettunen, L Myrmel, J Kurola, A Ziemann, T Krafft, L Garcia-Castrillo Riesgo, M Fischer, A Kraemer, G Vergeiner, M Baer, A Ozguler, A Meulemans, JB Gillet, H Brand…

Performance of automated external defibrillator in moving ambulance vehicles

Authors: Kyung Woon Jeung, Jong Geun Yun, Yong Il Min and Tag Heo

Laryngeal Tube as airway rescue device from prehospital to tracheostomy: case report

Authors: Aimone Giugni, Piergiorgio Cavallo and Carlo Coniglio

Continued cardiopulmonary resuscitation during transport in a physician-based Emergency Medical System

Authors: Elín E Sigurðardóttir, Søren L Nielsen and Freddy K Lippert

Cardiovascular effects of inhaled oxygen assessed with magnetic resonance imaging

Authors: Stefan Bodetoft, Marcus Carlsson, Håkan Arheden and Ulf Ekelund

Incidence of unexpected out-of-hospital death in Norway

Authors: Erik Zakariassen and Steinar Hunskaar

Adrenalin significantly increases intracranial pressure in hypovolemic cardiac arrest model in male piglets

Authors: E Semenas and L Wiklund

Improved communication between ambulance personnel and supervising doctors. A quality improvement project in central Norway

Authors: Trine Landsem and Sven E Gisvold

Quality of CPR has little impact on cerebral oximetry during in-hospital cardiac arrest – preliminary data from three case reports

Authors: M Sainio, S Hoppu, KT Olkkola and J Tenhunen

Feedback on emergency medical dispatching – the ambulance crew experience of a computer based feedback system

Authors: Veronica Lindström, Ann-Charlotte Falk and Maaret Castrén

Secondary neurological deficits after a conservatively treated U-shaped sacral fracture

Authors: A Adelved, A Tötterman, JE Madsen and O Røise

Which factors influence the use of e-learning programs?

Authors: Frederik Mondrup, Morten Lind Jensen and Charlotte Ringsted

Severity of injury does not have any impact on posttraumatic stress symptoms in severely injured patients

Authors: Anette Johansen Quale, Anne Kristine Schanke, Kathrine Frey Frøslie and Olav Røise

Reliability and validity of triage systems in paediatric emergency care

Triage in paediatric emergency care is an important tool to prioritize seriously ill children. Triage can also be used to identify patients who do not need urgent care and who can safely wait. The aim of this ...

Authors: Mirjam van Veen and Henriette A Moll

The role of emergency medicine physicians in trauma care in North America: evolution of a specialty

The role of Emergency Medicine Physicians (EMP) in the care of trauma patients in North America has evolved since the advent of the specialty in the late 1980's. The evolution of this role in the context of th...

Authors: Michael D Grossman

Emergency management and resuscitation of poisoned patients: perspectives from "down under"

Authors: Mark Little