Scandinavian Journal of Trauma Resuscitation and Emergency Medicine

Device suitability for prehospital telemedicine depends on balancing technical performance with usability. The smartphone-based application provides practical solution for early implementation, while head-mounted devices may be preferable when hands-free operation and video quality are critical. Future research should assess their clinical and operational impact to enable safe and scalable implem…

Abstract Background Solo responding unit (SRU) paramedics at Oslo University Hospital (OUH) can administer either morphine or fentanyl for prehospital pain management. Although both opioids are available, the choice between them is made by individual clinicians in time-critical situations, often with limited information, variable transport conditions, and minimal organisational feedback. Existing…

Abstract Background Patients with a transient loss of consciousness (T-LOC) present a complex clinical situation for ambulance professionals. The challenge arises from the complexity of the diverse aetiologies associated with T-LOC and the demanding nature of the pre-hospital work environment. Insights into the experiences, dilemmas, and challenges faced by ambulance professionals in the risk ass…

Abstract Background In the event of a major incident, collaboration between the ambulance service, fire brigade and police is common. Effective collaboration requires teamwork, with communication between the three organisations being crucial. Leadership functions should be integrated in a way that leverages organisation-specific capabilities, enabling interprofessional collaboration where diverse…

To compare the time efficiency and clinical outcomes of helicopter emergency medical services (HEMS) versus ground emergency medical services (GROUND) for severe trauma in the mountainous Qinba region, with a focus on achieving the "golden hour" and its impact on patient prognosis. This single-center retrospective cohort study included severe trauma patients (Injury Severity Score [ISS] ≥ 16) tra…

Paramedic-performed prehospital POCUS is feasible after structured training and can be integrated into routine prehospital care. Prospective studies should further assess the diagnostic accuracy, reliability, and clinical impact of paramedic-performed POCUS in the prehospital setting.

A higher BMI was independently associated with ARDS, sepsis and MOF, but no independent association with mortality was detected in this cohort of adult trauma patients. This suggests that BMI may function as a clinically relevant risk marker.

ClinicalTrials.gov identifier NCT05742412.

In this nationwide study aimed at investigating the correlation between prehospital time and survival among hypotensive trauma patients in Sweden, a longer total prehospital time was found to be associated with increased odds of mortality for undifferentiated hypotensive trauma patients, with the odds of mortality increasing by 5.1% per 10-min increase in total prehospital time.

This simulation study demonstrated that the TST is a rapid and accurate early scene triage method that enables the timely delivery of key lifesaving interventions. It facilitates the administration of these LSIs faster than existing physiological triage methods. These findings support the NHS England endorsement of the TST.

This study provides the first evidence of the high reliability of the EBS in real-life prehospital settings, confirming that the EBS can be applied consistently when assessing prehospital missions in a HEMS context. Physicians and nurses both achieved substantial agreement, supporting the tool's use across professional groups. Further research should extend to other types of prehospital emergency…

In this observational HEMS cohort selected for a trial of IMF, just over half of patients with acute traumatic limb injuries underwent prehospital manipulation and reduction without escalation to intravenous procedural sedation. Older age, pre-reduction analgesia, and patella injury were associated with success, but these findings are non-causal and should be interpreted cautiously.

This international consensus study underscores the need for coordinated policy, robust AED registries, widespread training and multi-tier response models to improve PAD implementation. The identified priorities and innovative deployment strategies offer an agenda for future system development.

The outcomes of the ECPR program in Ostrava are comparable with long-standing ECPR centers. Considering the interval collapse to ECMO was 75 min, the results were favorable, with good overall quality of life.

Our findings showed a strong correlation between the performance of the Milan EMDC during simulated MCIs and staff CRM skills.

Not applicable (retrospective observational study).