Paramedic Differentiation of Asthma and COPD in the Prehospital Setting Is Difficult

Williams, Teresa A.; Finn, Judith; Fatovich, Daniel M; Perkins, Gavin D.; Summers, Quentin; Jacobs, Ian

doi:10.3109/10903127.2014.995841

Cited by 16 publications

(14 citation statements)

References 16 publications

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“…14 More focus should also be put on training EMS personnel to recognize different causes of critical illness, as some are difficult to identify due to a variability in clinical presentation. 15,16 Aside from EMS staff, general practitioners could also benefit from extra education.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Sepsis and Its Recognition by Emergency Medical Services Personnel in the Netherlands

Wekken¹,

Alam²,

Holleman³

et al. 2015

Prehospital Emergency Care

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Little is known about the epidemiology of sepsis in the Netherlands. In addition, information regarding the ability of emergency medical services (EMS) personnel to recognize sepsis is lacking. The aim of this study is to determine epidemiological characteristics of sepsis and the recognition of sepsis by EMS personnel in an urban area in the Netherlands. We conducted a retrospective cohort study using transport information from EMS Amsterdam and admission diagnoses at the emergency department gathered through discharge data from two academic hospitals in Amsterdam for the year 2012. A total of 253 patients with sepsis were evaluated, of which 131 were transported by ambulance. The in-hospital mortality rate of the total population was 21% and a mean length of hospital stay was of 13.5 days. Sixty-seven patients (26.5%) were admitted to the intensive care unit. Almost half of the patients were assigned to the internal medicine ward (117; 46.2%). The most common site of infection was the urinary tract (30%). E. coli was the most frequent cause of infections. EMS staff recognized 18/131 (13.7%) transported patients with (severe) sepsis or septic shock. In 52 cases (39.7%) sepsis went unrecognized, probably due to an incomplete primary survey. In 60 cases (45.8%) sepsis went unrecognized, although enough systemic inflammatory response syndrome criteria were present at initial presentation. Recognition of sepsis by EMS staff in the Netherlands is low, probably due to a lack of awareness of the syndrome and infrequent measurement of temperature and respiratory rate. As early initiation of treatment is crucial, the EMS staff, general practitioners, and other specialties could benefit from more education on this critical illness.

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Section: Discussionmentioning

confidence: 99%

Epidemiology of Sepsis and Its Recognition by Emergency Medical Services Personnel in the Netherlands

Wekken¹,

Alam²,

Holleman³

et al. 2015

Prehospital Emergency Care

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show abstract

“…For example, COPD and asthma can be especially difficult to distinguish by paramedics and doctors who do not have access to pulmonary function testing. 51,52 Inconsistencies can also arise when patients have coexisting conditions, but one must be recorded as the primary assessment.…”

Section: Discussionmentioning

confidence: 99%

Ambient Particulate Matter and Paramedic Assessments of Acute Diabetic, Cardiovascular, and Respiratory Conditions

et al. 2019

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“…Hypoxaemia during GI endoscopy may be more frequently observed in individuals with pre-existing cardiorespiratory disease or those undergoing complicated therapeutic procedures, especially if heavily sedated 292 293 295 296 300 301. Although the use of oxygen therapy on a prophylactic basis is suggested in all those patients receiving conscious sedation in the current guidelines of the British Society of Gastroenterology,301 there are, however, no recognised studies analysing whether routine use of prophylactic oxygen decreases or increases the risks of GI endoscopy even in at-risk patients.…”

Section: Section 8: Emergency Oxygen Use In Hospital Settingsmentioning

confidence: 99%

BTS guideline for oxygen use in adults in healthcare and emergency settings

O’Driscoll

Howard

Earis

et al. 2017

Thorax

488

376

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Paramedic Differentiation of Asthma and COPD in the Prehospital Setting Is Difficult

Abstract: Introduction Separate Clinical Practice Guidelines (CPG) for asthma and chronic obstructive

Cited by 16 publications

References 16 publications

Epidemiology of Sepsis and Its Recognition by Emergency Medical Services Personnel in the Netherlands

Epidemiology of Sepsis and Its Recognition by Emergency Medical Services Personnel in the Netherlands

Ambient Particulate Matter and Paramedic Assessments of Acute Diabetic, Cardiovascular, and Respiratory Conditions

BTS guideline for oxygen use in adults in healthcare and emergency settings

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