Disclaimer:This article is not a call for paramedics to ignore or override written protocols. Protocols are critical tools that guide safe, evidence-based care. Providers must always follow the clinical guidelines…
Introduction Hemorrhagic shock is a life-threatening condition that remains a leading cause of preventable deaths in trauma patients, particularly in the prehospital setting (1). Defined by a critical loss of…
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…
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…
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…
Introduction When a helicopter lands at the scene of an accident, the environment is often chaotic and unpredictable. Unlike pre-established landing zones, these temporary landing sites lack prior inspection, presenting…
Introduction Mechanical ventilation has seen significant advancements over the years, with the introduction of various modes tailored to meet the diverse needs of patients. One such innovative mode that has…
Introduction The advent of video laryngoscopy has revolutionized airway management in both pre-hospital and hospital settings, providing unparalleled visualization and improving intubation success rates【1】. However, the traditional Macintosh (Mac) blade,…
Introduction Mechanical ventilation is a critical intervention for patients in respiratory distress, but the process of weaning off the ventilator can present numerous challenges. One aspect that is often overlooked…
Introduction Mechanical ventilation is a critical life-saving intervention used in various medical settings to support patients who are unable to breathe adequately on their own. Central to its effectiveness are…