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  1. Article ; Online: Green HEMS in mountain and remote areas: reduction of carbon footprint through drones?

    van Veelen, Michiel J / Strapazzon, Giacomo

    Scandinavian journal of trauma, resuscitation and emergency medicine

    2023  Volume 31, Issue 1, Page(s) 36

    MeSH term(s) Humans ; Unmanned Aerial Devices ; Carbon Footprint ; Aircraft ; Air Ambulances
    Language English
    Publishing date 2023-07-18
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 2455990-8
    ISSN 1757-7241 ; 1757-7241
    ISSN (online) 1757-7241
    ISSN 1757-7241
    DOI 10.1186/s13049-023-01099-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Chest compressions at altitude are of decreased quality, require more effort and cannot reliably be self-evaluated.

    van Veelen, Michiel J / Brugger, Hermann / Falla, Marika / Strapazzon, Giacomo

    Scandinavian journal of trauma, resuscitation and emergency medicine

    2023  Volume 31, Issue 1, Page(s) 92

    MeSH term(s) Humans ; Altitude ; Cardiopulmonary Resuscitation ; Heart Arrest ; Pressure
    Language English
    Publishing date 2023-12-04
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 2455990-8
    ISSN 1757-7241 ; 1757-7241
    ISSN (online) 1757-7241
    ISSN 1757-7241
    DOI 10.1186/s13049-023-01149-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Personal Protective Equipment Protocols Lead to a Delayed Initiation of Patient Assessment in Mountain Rescue Operations.

    van Veelen, Michiel J / Roveri, Giulia / Regli, Ivo B / Dal Cappello, Tomas / Vögele, Anna / Masè, Michela / Falla, Marika / Strapazzon, Giacomo

    High altitude medicine & biology

    2023  Volume 24, Issue 2, Page(s) 127–131

    Abstract: van Veelen, Michiel J., Giulia Roveri, Ivo B. Regli, Tomas Dal Cappello, Anna Vögele, Michela Masè ...

    Abstract van Veelen, Michiel J., Giulia Roveri, Ivo B. Regli, Tomas Dal Cappello, Anna Vögele, Michela Masè, Marika Falla, and Giacomo Strapazzon. Personal protective equipment protocols lead to a delayed initiation of patient assessment in mountain rescue operations.
    MeSH term(s) Humans ; Cross-Over Studies ; Health Personnel ; Masks ; Pandemics/prevention & control ; Personal Protective Equipment ; Rescue Work ; Time Factors
    Language English
    Publishing date 2023-06-01
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2076262-8
    ISSN 1557-8682 ; 1527-0297
    ISSN (online) 1557-8682
    ISSN 1527-0297
    DOI 10.1089/ham.2022.0145
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Hypothermia in Trauma.

    van Veelen, Michiel J / Brodmann Maeder, Monika

    International journal of environmental research and public health

    2021  Volume 18, Issue 16

    Abstract: Hypothermia in trauma patients is a common condition. It is aggravated by traumatic hemorrhage, which leads to hypovolemic shock. This hypovolemic shock results in a lethal triad of hypothermia, coagulopathy, and acidosis, leading to ongoing bleeding. ... ...

    Abstract Hypothermia in trauma patients is a common condition. It is aggravated by traumatic hemorrhage, which leads to hypovolemic shock. This hypovolemic shock results in a lethal triad of hypothermia, coagulopathy, and acidosis, leading to ongoing bleeding. Additionally, hypothermia in trauma patients can deepen through environmental exposure on the scene or during transport and medical procedures such as infusions and airway management. This vicious circle has a detrimental effect on the outcome of major trauma patients. This narrative review describes the main factors to consider in the co-existing condition of trauma and hypothermia from a prehospital and emergency medical perspective. Early prehospital recognition and staging of hypothermia are crucial to triage to proper care to improve survival. Treatment of hypothermia should start in an early stage, especially the prevention of further cooling in the prehospital setting and during the primary assessment. On the one hand, active rewarming is the treatment of choice of hypothermia-induced coagulation disorder in trauma patients; on the other hand, accidental or clinically induced hypothermia might improve outcomes by protecting against the effects of hypoperfusion and hypoxic injury in selected cases such as patients suffering from traumatic brain injury (TBI) or traumatic cardiac arrest.
    MeSH term(s) Blood Coagulation Disorders/etiology ; Blood Coagulation Disorders/therapy ; Heart Arrest/therapy ; Hemorrhage ; Humans ; Hypothermia/complications ; Hypothermia/therapy ; Rewarming ; Wounds and Injuries/complications ; Wounds and Injuries/therapy
    Language English
    Publishing date 2021-08-18
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph18168719
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: COVID-19 Pandemic in Mountainous Areas: Impact, Mitigation Strategies, and New Technologies in Search and Rescue Operations.

    van Veelen, Michiel J / Voegele, Anna / Rauch, Simon / Kaufmann, Marc / Brugger, Hermann / Strapazzon, Giacomo

    High altitude medicine & biology

    2021  Volume 22, Issue 3, Page(s) 335–341

    Abstract: van Veelen, Michiel J., Anna Voegele, Simon Rauch, Marc Kaufmann, Hermann Brugger, and Giacomo ...

    Abstract van Veelen, Michiel J., Anna Voegele, Simon Rauch, Marc Kaufmann, Hermann Brugger, and Giacomo Strapazzon. COVID-19 pandemic in mountainous areas: impact, mitigation strategies, and new technologies in search and rescue operations.
    MeSH term(s) COVID-19 ; Humans ; Pandemics/prevention & control ; Personal Protective Equipment ; Rescue Work ; SARS-CoV-2
    Language English
    Publishing date 2021-07-28
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2076262-8
    ISSN 1557-8682 ; 1527-0297
    ISSN (online) 1557-8682
    ISSN 1527-0297
    DOI 10.1089/ham.2020.0216
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Drone delivery of AED's and personal protective equipment in the era of SARS-CoV-2.

    van Veelen, Michiel J / Kaufmann, Marc / Brugger, Hermann / Strapazzon, Giacomo

    Resuscitation

    2020  Volume 152, Page(s) 1–2

    MeSH term(s) Betacoronavirus ; COVID-19 ; Cardiopulmonary Resuscitation ; Coronavirus ; Coronavirus Infections ; Fear ; Humans ; Pandemics ; Personal Protective Equipment ; Pneumonia, Viral ; SARS Virus ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-05
    Publishing country Ireland
    Document type Letter ; Comment
    ZDB-ID 189901-6
    ISSN 1873-1570 ; 0300-9572
    ISSN (online) 1873-1570
    ISSN 0300-9572
    DOI 10.1016/j.resuscitation.2020.04.038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Drone delivery of AED's and personal protective equipment in the era of SARS-CoV-2

    van Veelen, Michiel J. / Kaufmann, Marc / Brugger, Hermann / Strapazzon, Giacomo

    Resuscitation

    2020  Volume 152, Page(s) 1–2

    Keywords Emergency ; Emergency Medicine ; Cardiology and Cardiovascular Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 189901-6
    ISSN 1873-1570 ; 0300-9572
    ISSN (online) 1873-1570
    ISSN 0300-9572
    DOI 10.1016/j.resuscitation.2020.04.038
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: The use of an 'acclimatisation' heatwave measure to compare temperature-related demand for emergency services in Australia, Botswana, Netherlands, Pakistan, and USA.

    van der Linden, Naomi / Longden, Thomas / Richards, John R / Khursheed, Munawar / Goddijn, Wilhelmina M T / van Veelen, Michiel J / Khan, Uzma Rahim / van der Linden, M Christien

    PloS one

    2019  Volume 14, Issue 3, Page(s) e0214242

    Abstract: Background: Heatwaves have been linked to increased risk of mortality and morbidity and are projected to increase in frequency and intensity due to climate change. The current study uses emergency department (ED) data from Australia, Botswana, ... ...

    Abstract Background: Heatwaves have been linked to increased risk of mortality and morbidity and are projected to increase in frequency and intensity due to climate change. The current study uses emergency department (ED) data from Australia, Botswana, Netherlands, Pakistan, and the United States of America to evaluate the impact of heatwaves on ED attendances, admissions and mortality.
    Methods: Routinely collected time series data were obtained from 18 hospitals. Two separate thresholds (≥4 and ≥7) of the acclimatisation excess heat index (EHIaccl) were used to define "hot days". Analyses included descriptive statistics, independent samples T-tests to determine differences in case mix between hot days and other days, and threshold regression to determine which temperature thresholds correspond to large increases in ED attendances.
    Findings: In all regions, increases in temperature that did not coincide with time to acclimatise resulted in increases in ED attendances, and the EHIaccl performed in a similar manner. During hot days in California and The Netherlands, significantly more children ended up in the ED, while in Pakistan more elderly people attended. Hot days were associated with more patient admissions in the ages 5-11 in California, 65-74 in Karachi, and 75-84 in The Hague. During hot days in The Hague, patients with psychiatric symptoms were more likely to die. The current study did not identify a threshold temperature associated with particularly large increases in ED demand.
    Interpretation: The association between heat and ED demand differs between regions. A limitation of the current study is that it does not consider delayed effects or influences of other environmental factors. Given the association between heat and ED use, hospitals and governmental authorities should recognise the demands that heat can place on local health care systems. These demands differ substantially between regions, with Pakistan being the most heavily affected within our study sample.
    MeSH term(s) Acclimatization ; Adolescent ; Aged ; Aged, 80 and over ; Australia/epidemiology ; Botswana/epidemiology ; California/epidemiology ; Child ; Child, Preschool ; Climate Change ; Emergency Medical Services ; Emergency Service, Hospital ; Extreme Heat/adverse effects ; Female ; Heat Stress Disorders/mortality ; Humans ; Male ; Netherlands/epidemiology ; Pakistan/epidemiology ; Seasons
    Language English
    Publishing date 2019-03-28
    Publishing country United States
    Document type Clinical Trial ; Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0214242
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The use of an 'acclimatisation' heatwave measure to compare temperature-related demand for emergency services in Australia, Botswana, Netherlands, Pakistan, and USA.

    Naomi van der Linden / Thomas Longden / John R Richards / Munawar Khursheed / Wilhelmina M T Goddijn / Michiel J van Veelen / Uzma Rahim Khan / M Christien van der Linden

    PLoS ONE, Vol 14, Iss 3, p e

    2019  Volume 0214242

    Abstract: BACKGROUND:Heatwaves have been linked to increased risk of mortality and morbidity and are projected to increase in frequency and intensity due to climate change. The current study uses emergency department (ED) data from Australia, Botswana, Netherlands, ...

    Abstract BACKGROUND:Heatwaves have been linked to increased risk of mortality and morbidity and are projected to increase in frequency and intensity due to climate change. The current study uses emergency department (ED) data from Australia, Botswana, Netherlands, Pakistan, and the United States of America to evaluate the impact of heatwaves on ED attendances, admissions and mortality. METHODS:Routinely collected time series data were obtained from 18 hospitals. Two separate thresholds (≥4 and ≥7) of the acclimatisation excess heat index (EHIaccl) were used to define "hot days". Analyses included descriptive statistics, independent samples T-tests to determine differences in case mix between hot days and other days, and threshold regression to determine which temperature thresholds correspond to large increases in ED attendances. FINDINGS:In all regions, increases in temperature that did not coincide with time to acclimatise resulted in increases in ED attendances, and the EHIaccl performed in a similar manner. During hot days in California and The Netherlands, significantly more children ended up in the ED, while in Pakistan more elderly people attended. Hot days were associated with more patient admissions in the ages 5-11 in California, 65-74 in Karachi, and 75-84 in The Hague. During hot days in The Hague, patients with psychiatric symptoms were more likely to die. The current study did not identify a threshold temperature associated with particularly large increases in ED demand. INTERPRETATION:The association between heat and ED demand differs between regions. A limitation of the current study is that it does not consider delayed effects or influences of other environmental factors. Given the association between heat and ED use, hospitals and governmental authorities should recognise the demands that heat can place on local health care systems. These demands differ substantially between regions, with Pakistan being the most heavily affected within our study sample.
    Keywords Medicine ; R ; Science ; Q
    Subject code 310 ; 360
    Language English
    Publishing date 2019-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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