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1.
Resuscitation ; 193: 109995, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37813148

RESUMO

BACKGROUND: Advances in vertical take-off and landing (VTOL) technologies may enable drone-like crewed air ambulances to rapidly respond to out-of-hospital cardiac arrest (OHCA) in urban areas. We estimated the impact of incorporating VTOL air ambulances on OHCA response intervals in two large urban centres in France and Canada. METHODS: We included adult OHCAs occurring between Jan. 2017-Dec. 2018 within Greater Paris in France and Metro Vancouver in Canada. Both regions utilize tiered OHCA response with basic (BLS)- and advanced life support (ALS)-capable units. We simulated incorporating 1-2 ALS-capable VTOL air ambulances dedicated to OHCA response in each study region, and computed time intervals from call reception by emergency medical services (EMS) to arrival of the: (1) first ALS unit ("call-to-ALS arrival interval"); and (2) first EMS unit ("call-to-first EMS arrival interval"). RESULTS: There were 6,217 OHCAs included during the study period (3,760 in Greater Paris and 2,457 in Metro Vancouver). Historical median call-to-ALS arrival intervals were 21 min [IQR 16-29] in Greater Paris and 12 min [IQR 9-17] in Metro Vancouver, while median call-to-first EMS arrival intervals were 11 min [IQR 8-14] and 7 min [IQR 5-8] respectively. Incorporating 1-2 VTOL air ambulances improved median call-to-ALS arrival intervals to 7-9 min and call-to-first EMS arrival intervals to 6-8 min in both study regions (all P < 0.001). CONCLUSION: VTOL air ambulances dedicated to OHCA response may improve EMS response intervals, with substantial improvements in ALS response metrics.


Assuntos
Resgate Aéreo , Reanimação Cardiopulmonar , Serviços Médicos de Emergência , Parada Cardíaca Extra-Hospitalar , Adulto , Humanos , Estudos de Coortes , Parada Cardíaca Extra-Hospitalar/terapia , Tempo de Reação , Dispositivos Aéreos não Tripulados
2.
Soins Gerontol ; 28(159): 31-35, 2023.
Artigo em Francês | MEDLINE | ID: mdl-36717175

RESUMO

End of life is a common situation in emergency medicine. However, the training of nursing staff seems to be lacking in this area. We studied the impact of dedicated training on the management of end-of-life patients admitted to the adult emergency department of the Ambroise-Paré University Hospital.


Assuntos
Serviço Hospitalar de Emergência , Recursos Humanos de Enfermagem , Humanos , Hospitais Universitários , Morte , Cuidados Paliativos
3.
Soins Gerontol ; 26(151): 19-23, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34462107

RESUMO

Acute coronary syndrome (ACS) is a pathology frequently encountered in emergency rooms, especially in the elderly. Caregivers must know how to recognize an ACS despite an often heterogeneous and atypical presentation. Management should include an overall assessment of the patient in order to decide on the best management for the patient.


Assuntos
Síndrome Coronariana Aguda , Síndrome Coronariana Aguda/diagnóstico , Síndrome Coronariana Aguda/terapia , Idoso , Serviço Hospitalar de Emergência , Humanos
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