Emergency Medical Services: a resource for victims of domestic violence?

From the Emergency Medicine Journal:

Background Domestic violence (DV), also known as intimate partner violence (IPV), is one of the leading causes of serious injury among women of childbearing age. As first responders on the scene during DV calls where personal injuries have occurred, Emergency Medical Services (EMS) could routinely identify, report and assist victims of violence. Yet, little is known of the prevalence of DV calls in EMS practice, Emergency Medical Technicians’ (EMT) knowledge and comfort in responding to such calls, or how they care for victims.

Method The objectives of this study were to assess EMTs’ knowledge of and experience with providing care to victims of DV in the province of Ontario, Canada. Data were gathered through an online, short-answer survey. Survey data were analysed using basic frequency displays, and descriptive statistics are reported.

Results Almost 500 EMTs participated in this study, the vast majority of whom (90%) attended at least one DV call in the preceding year, with 65% attending between 10 and 20 DV calls. The majority of respondents (84.5%) wished for more education and training on the issue.

Conclusion EMTs have frequent contact with victims of DV yet have received little education about the issue. The majority of those surveyed would like specific education and training on DV.

$390 million marked for emergency response

From Modern Healthcare:

HHS said it will issue $390.5 million in Hospital Preparedness and Emergency Response grants to states, U.S. territories and large metropolitan areas.

The grants will help hospitals and other healthcare organizations improve their medical surge capacities during natural Advertisement | View Media Kit

disasters, disease outbreaks or a terrorist attack.

Comparison of three types of laryngoscope for tracheal intubation during rhythmic chest compressions: A manikin study

From Resuscitation:

Background:  If tracheal intubation can be performed during uninterrupted chest compressions, this will sustain circulation during the procedure of intubation and may lead to successful resuscitation. We compared three types of laryngoscope on a manikin as to whether they enabled tracheal intubation while the manikin’s chest was rhythmically compressed.

Methods:  A total of 35 persons who had little or no experience in intubation served as examinees. The laryngoscopes employed were a conventional Macintosh laryngoscope (MAC), a new video laryngoscope, Pentax-AWS (AWS) and an optic laryngoscope Airtraq (ATQ). During chest compression on the manikin by an assistant, the examinee attempted to perform intubation. The success rate and the time for successful intubation were measured.

Results:  During rhythmic chest compressions, nine examinees failed in tracheal intubation with the MAC, seven failed with the ATQ, and no one failed with the AWS. The success rates with the AWS were significantly higher than those with the MAC (P<0.01) or ATQ (P<0.05). The time needed for intubation was significantly shorter with the Pentax-AWS than with the others.

Conclusions: These results suggest that the use of the Pentax-AWS enables tracheal intubation while the patient’s chest is rhythmically compressed, and would more often lead to successful intubation, which in turn may lead to more successful resuscitation.