Replacing Needle Decompression with Simple Thoracostomy: A Paradigm Shift in EMS Chest Trauma Management

Trauma is a leading cause of death across various age groups, accounting for a substantial number of fatalities annually. Chest injuries, in particular, significantly contribute to this toll and are…

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The Fatigue Epidemic in Air Medical Transport: Understanding the Physiological and Psychological Toll on Helicopter Flight Crews

Helicopter Emergency Medical Services (HEMS) provide rapid transport for critically ill and injured patients, often operating under extreme environmental and psychological conditions. The nature of their work—long shifts, unpredictable call…

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The Misuse of NIBP Pressures for Titration of Blood Pressure Medications in ICUs and Pre-Hospital Settings

In both ICU and pre-hospital settings, non-invasive blood pressure (NIBP) monitoring has become a cornerstone of patient management. However, a common and concerning practice has emerged: using NIBP-derived systolic and…

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