David Hostler

..04 to 1.17). Elevated troponin levels did not reliably predict short-term outcome. Because troponin increases hours after the onset of ischemia, these data reveal that about 40% of OOHCA cases can undergo intervention before collapse...

..This group of professionals may be at risk for occupational injury and should be targeted for interventions to improve strength and flexibility...

..01) or transport (Spearman's rho = -0.06) times. CONCLUSIONS: Out-of-hospital ETI, an important and difficult resuscitation intervention, is an uncommon event for most rescuers...

..04). CONCLUSIONS: Chest compression and ventilation quality of CPR performed on the floor was superior to that of CPR performed on a moving stretcher in this manikin model. The quality of CPR while moving was significantly compromised...

..We evaluated a protocol change from the recommended C:V ratio of 15:2-30:2 during CPR in our municipal emergency medical system...

..However, TPC is associated with physiologic derangements that may have adverse cardiovascular consequences. These derangements should be treated during on-scene rehabilitation periods...

..We examined EMS witnessed OHCA from the Resuscitation Outcomes Consortium (ROC) to determine the effect of EMS witnessed vs. bystander witnessed and unwitnessed OHCA...

..To investigate whether real-time audio and visual feedback during cardiopulmonary resuscitation outside hospital increases the proportion of subjects who achieved prehospital return of spontaneous circulation...

..Previous studies have shown that a real-time, voice assist manikin (VAM) system may improve CPR performance...

..We examined human performance of two-rescuer CPR using various C:V...

..Intravenous hyperhydration did not reduce physiological stress, increase exercise, or influence perceptual strain time when compared to the euhydrated condition in moderately fit individuals...

..We characterized the prevalence of thrombogenesis during OOHCA by measuring plasma levels of thrombin-antithrombin complexes (TAT)...

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..Performing fire suppression activities results in cardiovascular stress, hyperthermia, and hypohydration. Fireground rehabilitation (rehab) is recommended to blunt the deleterious effects of these conditions...

..Fifty minutes of treadmill exercise in TPC resulted in near maximal physiologic strain but alterations in neurocognitive performance were not noted until an hour or more following exercise in TPC...

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..Multiple devices for estimating T(c) have been adopted by EMS providers, with little understanding of the agreement between these devices and T(c)...

..Survival duration for subjects admitted to the hospital did not differ between groups. In conclusion, vasopressin administered with epinephrine does not increase the rate of return of spontaneous circulation...

..To employ a battery of previously validated surveys and neuropsychological tests to compare changes in fatigue and cognitive abilities of air medical providers after 12- and 24-hour shifts...

..The additional physiological burden imparted by the level C PPE during high-intensity work is unknown...

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..Determine the time difference obtaining intraosseous (IO) versus intravenous (IV) access while wearing personal protective equipment (PPE) in simulated HazMat scenarios...

..We hypothesize that prehospital tissue oximetric values and vascular occlusion test response can predict the need for in-hospital lifesaving interventions (LSI)...

..To determine the association between poor sleep quality, fatigue, and self-reported safety outcomes among emergency medical services (EMS) workers...

..We evaluate the association between emergency medical services (EMS) intervals and mortality among trauma patients with field-based physiologic abnormality...

..We assessed whether more restrictive physiologic criteria would improve the specificity of this triage step without missing high-risk patients...

..Further decrements might occur when ALS skills enter into resuscitation. These results suggest a need to automate and/or prompt the performance of BLS to optimize resuscitation...

..Future studies in patients who receive lower levels and a longer duration of hypothermia are warranted...

..We compared the effects of TI versus esophageal tracheal combitube (ETC) insertion on the accomplishment of other interventions during simulated cardiopulmonary resuscitation...

..Objective. To determine the types and severity of injuries encountered by public safety personnel during routine work conditions within a single urban population...

..9% saline solution during 30 minutes to healthy subjects (aged 27 [standard deviation (SD) 4] years) will reduce core body temperature to the therapeutic range of 33 degrees C to 35 degrees C (91.4 degrees F to 95 degrees F)...

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..The effect of the additional exertion required to deliver more chest compressions may present a considerable physical burden on the provider...

..We sought to determine the inter-rater reliability for different methods of ascertaining and defining witnessed collapse and performance of bystander CPR...

..We sought to evaluate the feasibility of training EMT-B providers to provide additional cardiac resuscitation procedures using the laryngeal mask airway (LMA) and intraosseous (IO) access...

..We measured changes in cognition and sleep disturbance in attending emergency physicians (EPs) before and after day and overnight shifts...

..Future studies are needed to confirm the potential relationship between fatigue and gait variability and to investigate the possible influence of individual variation...

..Previous studies have suggested that the use of an ITD during CPR may improve survival rates after cardiac arrest...

..Fatigue is common among medical professionals and has been linked to poor performance and medical error. Objective. To characterize sleep quality and its association with severe fatigue in emergency medical services (EMS) providers...

..The purpose of this study is to describe rescue shock outcomes in a single system using a specific defibrillation protocol...

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..85; 1.71, 8.65) than subjects treated with epinephrine alone. CONCLUSIONS: There is an association between using vasopressin in combination with epinephrine and restoration of circulation after out-of-hospital cardiac arrest...

..While the National Standard Paramedic Curriculum recommends that paramedic students (PSs) perform at least five live ETIs, these training opportunities are limited...

..Seizure patients are frequently encountered in the prehospital environment and have the potential to need advanced interventions, though the utility of advanced life support (ALS) interventions in many of these patients has not been proven...

..This result was most prominent in the group reporting no physical training...

..To investigate the relationship between tissue oxygen saturation during a vascular occlusion test with systemic hemodynamics, central and peripheral skin temperature in patients resuscitated from cardiac arrest...

..The algorithm may be valuable as a tool for ensuring patient safety and reducing errors as well as for training rescuers in airway management...

..We compared the stabilization properties of a novel rigid, cervical immobilization collar (XCollar) with those of one-piece and two-piece rigid collars commonly used in the prehospital setting...

..There is still considerable work to be done to determine the optimal cooling strategies for firefighters and hazardous materials operators during work...

..The Resuscitation Outcomes Consortium (ROC) is a United States-Canada research network that organized EMS agencies from 11 different systems to perform controlled trials in cardiac arrest and life-threatening trauma resuscitation...

..The efficacy, availability, and use recommendations for the vaccine are described within this report. Finally, the benefits and possible implementation strategies for EMS delivery are detailed...

..With the spine board properly secured to the stretcher, this technique potentially offers improved intubation time without additional cost or equipment...

..This study examined if there is a relationship between completion of an accredited paramedic education program and achieving a passing score on the National Registry Paramedic Certification Examination...

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