Tag: Ann Emerg Med

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Young Woman With Paraplegia Following a Motor Vehicle Crash.
Ann Emerg Med. 2016 Dec;68(6):e91-e92
Authors: de Agustin JA, Gomez de Diego JJ, Olivares Morello DC, Perez de Isla L
PMID: 2789…

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Repeated Emergency Medical Services Use by Older Adults: Analysis of a Comprehensive Statewide Database.

Ann Emerg Med. 2017 Oct;70(4):506-515.e3

Authors: Evans CS, Platts-Mills TF, Fernandez AR, Grover JM, Cabanas JG, Patel MD, Vilke GM, Brice JH

Abstract
STUDY OBJECTIVE: The objective of this study is to characterize repeated emergency medical services (EMS) transports among older adults across a large and socioeconomically diverse region.
METHODS: Using the North Carolina Prehospital Medical Information System, we analyzed the frequency of repeated EMS transports within 30 days of an index EMS transport among adults aged 65 years and older from 2010 to 2015. We used multivariable logistic regressions to determine characteristics associated with repeated EMS transport.
RESULTS: During the 6-year period, EMS performed 1,711,669 transports for 689,664 unique older adults in North Carolina. Of these, 303,099 transports (17.7%) were followed by another transport of the same patient within 30 days. The key characteristics associated with an increased adjusted odds ratio of repeated transport within 30 days include transport from an institutionalized setting (odds ratio [OR] 1.42; 95% confidence interval [CI] 1.38 to 1.47), blacks compared with whites (OR 1.29; 95% CI 1.24 to 1.33), a dispatch complaint of psychiatric problems (OR 1.38; 95% CI 1.25 to 1.52), back pain (OR 1.35; 95% CI 1.26 to 1.45), breathing problems (OR 1.21; 95% CI 1.15 to 1.30), and diabetic problems (OR 1.14; 95% CI 1.06 to 1.22). Falls accounted for 15.6% of all transports and had a modest association with repeated transports (OR 1.07; 95% CI 1.00 to 1.14).
CONCLUSION: More than 1 in 6 EMS transports of older adults in North Carolina are followed by a repeated transport of the same patient within 30 days. Patient characteristics and chief complaints may identify increased risk for repeated transport and suggest the potential for targeted interventions to improve outcomes and manage EMS use.

PMID: 28559037 [PubMed – indexed for MEDLINE]

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Woman With Lower Back Pain.
Ann Emerg Med. 2016 Dec;68(6):695-728
Authors: Schrepel CP, Condino AE, Vrablik MC, Linnau KF
PMID: 27894625 [PubMed – indexed for MEDLINE]

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Male With Pain in His Neck.
Ann Emerg Med. 2016 Nov;68(5):545-561
Authors: Gold M, Fenig M
PMID: 27772673 [PubMed – indexed for MEDLINE]

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Young Child With Abdominal and Back Pain.
Ann Emerg Med. 2016 Dec;68(6):780-792
Authors: Lipsett SC, Neuman MI
PMID: 27894633 [PubMed – indexed for MEDLINE]

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Penetrating Neck Injury: What’s In and What’s Out?
Ann Emerg Med. 2016 May;67(5):578-80
Authors: Roepke C, Benjamin E, Jhun P, Herbert M
PMID: 27106367 [PubMed – indexed for MEDLINE]

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A Man With Severe Back Pain.
Ann Emerg Med. 2017 Apr;69(4):513-526
Authors: Mytinger A, Kraai EP
PMID: 28335919 [PubMed – indexed for MEDLINE]

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A Multicenter Program to Implement the Canadian C-Spine Rule by Emergency Department Triage Nurses.
Ann Emerg Med. 2018 May 02;:
Authors: Stiell IG, Clement CM, Lowe M, Sheehan C, Miller J, Armstron…

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Young Girl With Shoulder and Chest Pain.
Ann Emerg Med. 2016 May;67(5):577-80
Authors: Soares BP, Golden ET
PMID: 27106366 [PubMed – indexed for MEDLINE]