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10.1016/j.ajem.2020.09.022 http://scihub22266oqcxt.onion/10.1016/j.ajem.2020.09.022 33036861!7489263!33036861     free     free     free Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Am+J+Emerg+Med 2021 ; 45 (ä): 410-414 Nephropedia Template TP {{tp|p=33036861|t=2021. Prehospital management of acute respiratory distress in suspected COVID-19 patients |pdf=|usr=}}{{33036861}} gab.com Text Prehospital management of acute respiratory distress in suspected COVID-19 patients JO: Am J Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=33036861 #FOAvip BACKGROUND: In December 2019, coronavirus disease (COVID-19) emerged in China and became a world-wide pandemic in March 2020. Emergency services and intensive care units (ICUs) were faced with a novel disease with unknown clinical characteristics and presentations. Acute respiratory distress (ARD) was often the chief complaint for an EMS call. This retrospective study evaluated prehospital ARD management and identified factors associated with the need of prehospital mechanical ventilation (PMV) for suspected COVID-19 patients. METHODS: We included 256 consecutive patients with suspected COVID-19-related ARD that received prehospital care from a Paris Fire Brigade BLS or ALS team, from March 08 to April 18, 2020. We performed multivariate regression to identify factors predisposing to PMV. RESULTS: Of 256 patients (mean age 60 +/- 18 years; 82 (32%) males), 77 (30%) had previous hypertension, 31 (12%) were obese, and 49 (19%) had diabetes mellitus. Nineteen patients (7%) required PMV. Logistic regression observed that a low initial pulse oximetry was associated with prehospital PMV (ORa = 0.86, 95%CI: 0.73-0.92; p = 0.004). CONCLUSIONS: This study showed that pulse oximetry might be a valuable marker for rapidly determining suspected COVID-19-patients requiring prehospital mechanical ventilation. Nevertheless, the impact of prehospital mechanical ventilation on COVID-19 patients outcome require further investigations. Twit Text FOAVip Prehospital management of acute respiratory distress in suspected COVID-19 patients ????Am J Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=33036861 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33036861 #FOAvip English Wikipedia <ref>{{Cite pmid|33036861}}</ref> Prehospital management of acute respiratory distress in suspected COVID-19 patients #MMPMID33036861 Jouffroy R; Lemoine S; Derkenne C; Kedzierewicz R; Scannavino M; Bertho K; Frattini B; Lemoine F; Jost D; Prunet B Am J Emerg Med 2021[Jul]; 45 (ä): 410-414 PMID33036861show ga BACKGROUND: In December 2019, coronavirus disease (COVID-19) emerged in China and became a world-wide pandemic in March 2020. Emergency services and intensive care units (ICUs) were faced with a novel disease with unknown clinical characteristics and presentations. Acute respiratory distress (ARD) was often the chief complaint for an EMS call. This retrospective study evaluated prehospital ARD management and identified factors associated with the need of prehospital mechanical ventilation (PMV) for suspected COVID-19 patients. METHODS: We included 256 consecutive patients with suspected COVID-19-related ARD that received prehospital care from a Paris Fire Brigade BLS or ALS team, from March 08 to April 18, 2020. We performed multivariate regression to identify factors predisposing to PMV. RESULTS: Of 256 patients (mean age 60 +/- 18 years; 82 (32%) males), 77 (30%) had previous hypertension, 31 (12%) were obese, and 49 (19%) had diabetes mellitus. Nineteen patients (7%) required PMV. Logistic regression observed that a low initial pulse oximetry was associated with prehospital PMV (ORa = 0.86, 95%CI: 0.73-0.92; p = 0.004). CONCLUSIONS: This study showed that pulse oximetry might be a valuable marker for rapidly determining suspected COVID-19-patients requiring prehospital mechanical ventilation. Nevertheless, the impact of prehospital mechanical ventilation on COVID-19 patients outcome require further investigations. |*Disease Management[MESH] |*Emergency Medical Services[MESH] |*Pandemics[MESH] |Ambulatory Care/*methods[MESH] |COVID-19/complications/*epidemiology[MESH] |Follow-Up Studies[MESH] |France/epidemiology[MESH] |Respiration, Artificial/*methods[MESH] |Respiratory Distress Syndrome/etiology/*therapy[MESH] |Retrospective Studies[MESH]Prehospital management of acute respiratory distress in suspected COVI(epmc).pdf DeepDyve Pubget Overpricing