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The Resus Room

August 2022; papers of the month

Aug 1, 2022
This month in Emergency Care, the podcast covers papers on outcomes for non-conveyed patients by EMS, prevalence of midline C-spine tenderness in non-trauma population, and the risk of laryngospasm in pediatric sedation.
29:42

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Quick takeaways

  • Non-conveyed patients by emergency medical services in Sweden had a significant rate of reattendance, hospitalization, and mortality, emphasizing the need for careful evaluation and follow-up care.
  • Non-trauma patients have a high prevalence of midline C-spine tenderness, indicating potential bias in assessing neck injuries and the importance of standardized examination techniques.

Deep dives

Ambulance Non-Conveyance: Study Finds Outcomes for Patients Not Conveyed to Hospital

A study published in the Scandinavian Journal of Trauma, Emergency Medicine revealed the outcomes for patients who were not conveyed by emergency medical services in Sweden's Oribro County. The study analyzed nearly 31,000 cases over a one-year period and found that 17% of non-conveyed patients visited the emergency department within seven days. Furthermore, 5% of patients were hospitalized and 18% died within that timeframe. The study also identified older age as a risk factor for hospitalization and death. The findings highlight the importance of carefully evaluating non-conveyance decisions and providing appropriate follow-up care and resources to ensure patient safety.

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