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                <text>Air medical transport services play a significant role in emergency situations by providing timely transfers of critically ill patients to medical facilities. This study aimed to investigate the mission characteristics of helicopter emergency medical services (HEMS) and the associated time intervals in a geographically remote region of eastern Iran. We also compared the prehospital times of HEMS and ground transportation to determine whether dispatching a helicopter is time-efficient.</text>
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                <text>https://link.springer.com/article/10.1186/s12873-024-01151-2</text>
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                <text>Advancing a machine learning-based decision support tool for pre-hospital assessment of dyspnoea by emergency medical service clinicians: a retrospective observational study</text>
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                <text>In Sweden with about 10 million inhabitants, there are about one million primary ambulance missions every year. Among them, around 10% are assessed by Emergency Medical Service (EMS) clinicians with the primary symptom of dyspnoea. The risk of death among these patients has been reported to be remarkably high, at 11,1% and 13,2%. The aim was to develop a Machine Learning (ML) model to provide support in assessing patients in pre-hospital settings and to compare them with established triage tools.</text>
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                <text>Wivica Kauppi, Henrik Imberg, Johan Herlitz, Oskar Molin, Christer Axelsson &amp; Carl Magnusson </text>
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                <text>Overcrowding in emergency departments (ED) is a major public health issue, leading to increased workload and exhaustion for the teams, resulting poor outcomes. It seems interesting to be able to predict the admissions of patients in the ED.</text>
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                <text>Cyrielle Brossard, Christophe Goetz, Pierre Catoire, Lauriane Cipolat, Christophe Guyeux, Cédric Gil Jardine, Mahuna Akplogan &amp; Laure Abensur Vuillaume </text>
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                <text>The use of emergency tourniquets among military personnel has helped to dramatically reduce battlefield deaths and has recently gained popularity in the civilian sector. Yet, even well-trained individuals can find it difficult to assess proper tourniquet application. Emergency tourniquets are typically deemed sufficiently tightened through cursory visual confirmation or pulse assessment. These indicators are not always accurate and are difficult to assess during chaotic events where fast and effective tourniquet application by both trained and untrained personnel can contribute significantly to saving lives. Towards addressing these issues, we have developed the Tourniquet Integrated Monitor (TiMON) as an easy-to-use real-time pressure sensing device designed to seamlessly integrate with pre-existing emergency tourniquets. Here, we present the results of two studies in which the TiMON was tested among a group of soldiers participating in the Army Expeditionary Warrior Experiments (AEWE) as well as in a group of untrained civilians from Massachusetts General Hospital.</text>
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                <text>John Quan Nguyen, Avery Goss, Helen Keshishian, Francis Berchard, Jonathan Parks &amp; Conor Evans </text>
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                <text>https://link.springer.com/article/10.1186/s12873-024-01169-6</text>
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                <text>The ongoing opioid epidemic in the United States has reinforced the need to provide multimodal and non-opioid pain management interventions. The PAMI-ED ALT program employed a multifaceted approach in the Emergency Department (ED) developing electronic health record (EHR) pain management order panels and discharge panels, as well as educating patients, clinicians, and ED staff on opioid alternatives, including non-pharmacologic interventions. The primary objective of this analysis was to compare changes in opioid and non-opioid analgesic administrations and prescribing in ED patients with select pain conditions (renal colic, headache, low back, and non-low back musculoskeletal pain) before and after implementation of PAMI ED-ALT. Secondary outcomes included characterizing changes in 30-day ED all-cause recidivism and hospital all-cause admissions within these pain populations.</text>
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                <text>Magda Montague, Charlotte Hopson, Claire Layton, Jennifer Fishe, Ashley Norse, L. Kendall Webb, Petra Duran-Gehring, Andrew Bertrand, Jennifer Brailsford, Taylor Munson, Rui Wang, Nolan Menze, Katelyn Perl, Phyllis Hendry &amp; Sophia Sheikh </text>
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                <text>Globally, healthcare institutions have seen a marked rise in workplace violence (WPV), especially since the Covid-19 pandemic began, affecting primarily acute care and emergency departments (EDs). At the University Health Network (UHN) in Toronto, Canada, WPV incidents in EDs jumped 169% from 0.43 to 1.15 events per 1000 visits (p &lt; 0.0001). In response, UHN launched a comprehensive, systems-based quality improvement (QI) project to ameliorate WPV. This study details the development of the project’s design and key takeaways, with a focus on presenting trauma-informed strategies for addressing WPV in healthcare through the lens of health systems innovation.</text>
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                <text>Christian Schulz-Quach, Brendan Lyver, Charlene Reynolds, Trevor Hanagan, Jennifer Haines, John Shannon, Laura Danielle Pozzobon, Yasemin Sarraf, Sam Sabbah, Sahand Ensafi, Natasha Bloomberg, Jaswanth Gorla, Brendan Singh, Lucas B. Chartier, Marnie Escaf, Diana Elder, Marc Toppings, Brian Hodges &amp; Rickinder Sethi </text>
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                <text>In the 21st century, disasters (particularly earthquakes, which remain the leading cause of death) continue to be among the foremost issues requiring global emergency response. While the impact of advancing technologies on the environmental and human damage caused by earthquakes is still a subject of debate, search and rescue (SAR) teams and emergency departments (ED), specifically emergency physicians (EPs), play a crucial role in the most acute management of the effects of these earthquakes on human life. This study aims to examine the injury dynamics of two catastrophic earthquakes that occurred in Turkey 24 years apart from the perspective of EPs, utilizing archival records from the SAR teams in which EPs served.</text>
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                <text>Mustafa Ferudun Celikmen, Gülbin Aydoğdu Umaç, Melih Imamoglu, Mümin Murat Yazici, Elif Çiğdem Keleş &amp; Sarper Yilmaz </text>
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                <text>Anita Saigal, Songyuan Xiao, Owais Siddique, Prasheena Naran, Heba M Bintalib, Camila Nagoda Niklewicz, George Seligmann, Sindhu Bhaarrati Naidu, Amar J Shah, Chibueze Ogbonnaya, John R Hurst, Marc Ci Lipman &amp; Swapna Mandal </text>
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