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A study published by Deanna Colburn, MPT, and colleagues found a slightly higher cooling rate for forearm immersion cooling and no apparent benefit to ice water-perfused cooling vests when compared with cooling in an air-conditioned medical trailer for 30 minutes.1 A previous laboratory study of firefighters working in thermal protective clothing found that active cooling […]

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A Dutch study published at www.annemergmed.com on Jan. 31 indicates EMS and other health providers have some community public access defibrillation (PAD) education work ahead of them.1 The investigators conducted a standardized survey of visitors to the Central Railway Station in Amsterdam, which is outfitted with AEDs and attracts large numbers of visitors from around […]

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In a retrospective study of data from an EMS system in Mecklenburg, N.C., investigators sought to determine whether prehospital endotracheal intubation attempts were associated with return of spontaneous circulation and survival to discharge in out-of-hospital cardiac arrest patients.1 A total of 1,142 cardiac arrest patients between July 2006 and December 2008 were included in the […]

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Seriously injured patients transported by helicopter from the scene are more likely to survive than those transported to trauma centers by ground ambulance, according to a study published in January in the Journal of Trauma: Injury, Infection, and Critical Care.1 According to the authors, it is the first study to examine the role of helicopter transport […]

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A study out of the University of Pennsylvania School of Medicine that was presented at the American Heart Association’s annual Scientific Sessions this past November found that chest compression rates varied more at night, often dropping well below the rate-per-minute necessary to properly circulate blood, as compared to daytime in-hospital CPR.1 It also found that […]

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A study published in December in the Annals of Surgery sought to determine if trauma patients who received prehospital IV fluids had higher mortality than those who didn’t receive fluids in the prehospital setting.1 The investigators performed a retrospective cohort study of patients from the National Trauma Bank, studying a total of 776,734 patients. Approximately […]

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The main objective of one study published in the December issue of the American Journal of Industrial Medicine was to report the incidence of “sarcoid-like” granulomatous pulmonary disease in World Trade Center (WTC) responders other than firefighters.1 (Studies on pre-9/11 Fire Department New York firefighters showed an average yearly rate of 15 sarcoidosis cases per […]

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A study published in November in Academic Emergency Medicine sought to evaluate the impact on survival among patients initially presented to non-tertiary trauma centers and subsequently transferred to tertiary trauma centers versus those who remained at non-tertiary trauma centers.1 The retrospective cohort study included 6,229 trauma patients presenting to 104 non-tertiary centers in Oklahoma; 2,669 […]

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Published Nov. 17, 2010, in the Journal of the American Medical Association, this study sought to evaluate the association between automated external defibrillator (AED) use and survival for in-hospital cardiac arrest.1 The cohort study of 11,695 hospitalized patients at 204 U.S. hospitals measured survival to discharge, adjusting for patient factors and hospital site. Of the 11,695 […]

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Research presented at the annual meeting of the Committee on Trauma of the American College of Surgeons and published online Nov. 1 in the Journal of the American College of Surgeons supports the direct transport of severely injured patients to a trauma center. The study, titled “Survival of the Fittest: The hidden cost of undertriage […]

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