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Medicina
Special Issues
Advances and Perspectives in Prehospital Emergency Medicine
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Advances and Perspectives in Prehospital Emergency Medicine

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Emergency Medicine".

Deadline for manuscript submissions: closed (31 March 2023) | Viewed by 530

Special Issue Information

Dear Colleagues,

Prehospital emergency medicine has considerably evolved in recent decades. Tremendous progress has been made in many areas such as airway management and circulatory support. These advances and the perspectives they entail deserve to be described in the scientific literature and have therefore prompted the creation of this Special Issue.

In addition, the organization of prehospital emergency services differs markedly from one region of the world to another. The professional background, specific training and level of experience of prehospital providers vary greatly according to regional resources and constraints. These parameters can markedly influence the outcome of critically ill patients, and their study deserves special attention.

Further adding to the complexity of the prehospital domain, different countries have widely disparate policies regarding first aid education for laypersons and their involvement in first responder networks. Because the vital and neurological prognoses of cardiac arrest victims significantly depend on the rapid initiation of basic life support maneuvers, all interventions that could improve the number of first responders and the geographic coverage of these networks should be described and evaluated.

We therefore welcome all manuscripts covering any of the aforementioned areas.

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • prehospital emergency medicine
  • airway management
  • medical education
  • basic life support
  • advanced life support
  • evidence-based medicine
  • emergency medical services

Published Papers (2 papers)

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Research

9 pages, 296 KiB  
Article
Attitudes towards the Utilization of Intraosseous Access in Prehospital and Emergency Medicine Nursing Personnel
by Matjaž Žunkovič, Andrej Markota and Amadeus Lešnik
Medicina 2022, 58(8), 1086; https://doi.org/10.3390/medicina58081086 - 12 Aug 2022
Cited by 2 | Viewed by 1851
Abstract
Background and Objectives: Insertion of an intraosseous access device enables intravascular access for critically ill patients in a prehospital and emergency department setting even when intravenous access is not possible. The aim of our study was to assess the attitudes of prehospital [...] Read more.
Background and Objectives: Insertion of an intraosseous access device enables intravascular access for critically ill patients in a prehospital and emergency department setting even when intravenous access is not possible. The aim of our study was to assess the attitudes of prehospital and emergency department nursing staff towards the utilization of intraosseous access devices. Materials and Methods: We performed quantitative research using a closed-ended structured questionnaire distributed to prehospital unit and associated emergency department nursing staff serving a population of around 200,000 inhabitants. Results: We distributed 140 questionnaires, and 106 were returned and completed. Of these, 69 (65.1%) respondents needed more than three attempts to achieve peripheral intravenous access at least once in the last year and 29 (27.4%) required central venous access because of impossible intravenous access. In the last five years, 8 (7.5%) respondents used endotracheal route for administration of medications. Despite this, only 48 (45.3%) of respondents have ever used the intraosseous route. Also, 79 (74.5%) respondents received at least some training in obtaining IO access; however, 46 (43.4%) answered that education regarding intraosseous access is not sufficient, and 92 (86.8%) answered that they wanted additional training regarding intraosseous access. Conclusions: Prehospital and emergency department nursing staff are aware of the importance of intraosseous access and understand the need for additional education and certification in this field. Full article
(This article belongs to the Special Issue Advances and Perspectives in Prehospital Emergency Medicine)
9 pages, 621 KiB  
Article
Basic Life Support Knowledge among Junior Medical and Dental Students, Communication Channels, and the COVID-19 Pandemic
by Gaëtan Ricci, Tara Herren, Victor Taramarcaz, Nicolas Schnetzler, François Dupuis, Eduardo Schiffer, Mélanie Suppan and Laurent Suppan
Medicina 2022, 58(8), 1073; https://doi.org/10.3390/medicina58081073 - 10 Aug 2022
Cited by 2 | Viewed by 1957
Abstract
Background and objective: The prognosis of cardiac arrest victims strongly depends on the prompt provision of Basic Life Support (BLS) maneuvers. Medical students should therefore be proficient in this area, but many lack essential BLS knowledge. The goal of this prospective, closed [...] Read more.
Background and objective: The prognosis of cardiac arrest victims strongly depends on the prompt provision of Basic Life Support (BLS) maneuvers. Medical students should therefore be proficient in this area, but many lack essential BLS knowledge. The goal of this prospective, closed web-based study was to determine whether a short intervention designed to motivate first-year medical students to follow a blended BLS course could lead to a significant improvement in BLS knowledge in the following year. Materials and Methods: A fully automated web-based questionnaire was administered to second-year medical students one year after they had been given the opportunity of following a blended BLS course (e-learning and practice session). The primary outcome was the difference, on a 6-question score assessing essential BLS knowledge, between these students and those from the 2020 promotion since the latter had not been offered the optional BLS course. Results: The score was similar between the two study periods (3.3 ± 0.8 in 2022 vs. 3.0 ± 1.0 in 2020, p = 0.114), but no firm conclusion could be drawn since participation was much lower than expected (17.9% in 2022 vs. 43.7% in 2020, p < 0.001). Therefore, a second questionnaire was created and administered to understand the reasons underlying this low participation. Conclusions: There was a lack of improvement in BLS knowledge in second-year medical students after the introduction of an optional introductory BLS course in the first-year curriculum, but the limited participation rate precludes drawing definitive conclusions. Ineffective communication appears to be the cause of this low participation rate, but a lack of motivation in the aftermath of the COVID-19 pandemic cannot be ruled out. Corrective actions should be considered to enhance communication, restore motivation, and ultimately improve BLS knowledge among medical and dental students. Full article
(This article belongs to the Special Issue Advances and Perspectives in Prehospital Emergency Medicine)
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