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Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Planning Nursing Care I01:21

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Cardiopulmonary Resuscitation IV: Pharmacological Management01:25

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Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
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Acute Coronary Syndrome V: Nursing Management01:26

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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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Prehospital critical care dispatch: a scoping review (PHASE).

Peter Owen1,2,3, Kim Kirby4,5, Julian Hannah6

  • 1University of West of England, Bristol, United Kingdom. peter2.owen@live.uwe.ac.uk.

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
|August 15, 2025
PubMed
Summary

Optimizing prehospital critical care (PHCC) dispatch requires better criteria and technology integration. Current methods show variability, highlighting the need for prospective research to improve patient outcomes and resource allocation.

Keywords:
AmbulanceCritical careDispatchHelicopter emergency medical servicesPre-hospital

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Area of Science:

  • Emergency Medicine
  • Critical Care
  • Health Services Research

Background:

  • Prehospital critical care (PHCC) dispatch is crucial for allocating specialized resources to critically ill or injured patients.
  • Existing evidence on optimizing PHCC dispatch needs examination to identify research gaps and future priorities.

Purpose of the Study:

  • To conduct a scoping review of existing evidence on optimizing prehospital critical care dispatch.
  • To identify research gaps and propose priorities for future investigation in PHCC dispatch.

Main Methods:

  • Systematic search of CINAHL, PubMed, EMBASE, and CENTRAL databases (January 2004 - October 2024).
  • Inclusion of all study types focusing on global PHCC asset dispatch.

Main Results:

  • 39 studies were included, exhibiting diverse designs, settings, and focuses (e.g., trauma vs. medical).
  • Outcomes assessed dispatch factors, physiological and temporal variables, using advanced interventions and survival metrics.
  • Helicopter Emergency Medical Services (HEMS) and Physician-based HEMS (P-HEMS) were commonly studied, with inconsistent predictive accuracy for dispatch criteria, particularly in older trauma patients.

Conclusions:

  • Variability exists in PHCC dispatch models, staffing, and outcome measures.
  • Clinician involvement enhances dispatch accuracy, but the role of cognitive tools requires further study.
  • Future research should focus on prospective studies, addressing ethical/logistical challenges, expanding research in low- and middle-income countries, and validating new technologies like automated crash notifications.