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  1. AU="Crowe, Remle"
  2. AU="El-Yazbi, Amira F"
  3. AU=Wong Kai Yau AU=Wong Kai Yau
  4. AU="Wais, Verena"
  5. AU=Barbieri Lavinia AU=Barbieri Lavinia
  6. AU=McKay Jennifer S
  7. AU="Frohn, Marina"
  8. AU="Blaksley, C"
  9. AU="Heri Hermasyah"
  10. AU="Charlier, Filip"
  11. AU="Mihalopoulos, N"
  12. AU="Fernandez, S Gomez"

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  1. Artikel ; Online: A Letter from the Editors: Pearls and Pitfalls for Writing a Methods Section.

    Crowe, Remle P / Cash, Rebecca E

    Prehospital emergency care

    2023  Band 27, Heft 2, Seite(n) 117–120

    Abstract: The Methods section is the core of any research manuscript, yet writing this section may feel like a daunting task. In this letter, two of our methods and statistics editors provide some guidance on common pitfalls to avoid and pearls for writing the ... ...

    Abstract The Methods section is the core of any research manuscript, yet writing this section may feel like a daunting task. In this letter, two of our methods and statistics editors provide some guidance on common pitfalls to avoid and pearls for writing the Methods section. From study design to analytic approach, this letter gives a high-level look at keys to success.
    Mesh-Begriff(e) Humans ; Emergency Medical Services ; Writing ; Research Design
    Sprache Englisch
    Erscheinungsdatum 2023-02-03
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2023.2166177
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  2. Artikel ; Online: Editorial: Responding in crisis: Experiences of compassion, stigma, and professionalism among emergency personnel during the opioid epidemic.

    Donnelly, Elizabeth A / Crowe, Remle P

    Journal of the American College of Emergency Physicians open

    2022  Band 3, Heft 1, Seite(n) e12642

    Sprache Englisch
    Erscheinungsdatum 2022-01-18
    Erscheinungsland United States
    Dokumenttyp Editorial
    ISSN 2688-1152
    ISSN (online) 2688-1152
    DOI 10.1002/emp2.12642
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  3. Artikel ; Online: Retrospective Comparison of Upper and Lower Extremity Intraosseous Access During Out-of-Hospital Cardiac Arrest Resuscitation.

    Smida, Tanner / Crowe, Remle / Jarvis, Jeffrey / Ratcliff, Taylor / Goebel, Mat

    Prehospital emergency care

    2024  , Seite(n) 1–8

    Abstract: Objective: Intraosseous (IO) access is frequently utilized during the resuscitation of out-of-hospital cardiac arrest (OHCA) patients. Due to proximity to the heart and differential flow rates, the anatomical site of IO access may impact patient ... ...

    Abstract Objective: Intraosseous (IO) access is frequently utilized during the resuscitation of out-of-hospital cardiac arrest (OHCA) patients. Due to proximity to the heart and differential flow rates, the anatomical site of IO access may impact patient outcomes. Using a large dataset, we aimed to compare the outcomes of OHCA patients who received upper or lower extremity IO access during resuscitation.
    Methods: The ESO Data Collaborative public use research datasets were used for this retrospective study. All adult (≥18 years of age) OHCA patients with successful IO access in an upper or lower extremity were evaluated for inclusion. Patients were excluded if they had intravenous (IV) access prior to IO access, or if they had a Do Not Resuscitate order documented. Our primary outcome was return of spontaneous circulation (ROSC). Secondary outcomes included survival to discharge and survival to discharge to home. Mixed-effects multivariable logistic regression models adjusted for age, sex, etiology, witnessed status, pre-first responder cardiopulmonary resuscitation (CPR), initial electrocardiogram (ECG) rhythm, location [private/residential, public, or assisted living/institutional], and response time in addition to the primary airway management strategy (endotracheal intubation, supraglottic device, surgical airway, no advanced airway) were used to compare the outcomes of patients with upper extremity IO access to the outcomes of patients with lower extremity IO access.
    Results: After application of exclusion criteria, 155,884 patients who received IO access during resuscitation remained (76% lower extremity, 24% upper extremity). Upper extremity IO access was associated with greater adjusted odds of ROSC (1.11 [1.08, 1.15]), and this finding was consistent across multiple patient subgroups. Secondary analyses suggested that upper extremity access was associated with increased survival to discharge (1.18 [1.00, 1.39]) and survival to discharge to home (1.23 [1.02, 1.48]) in comparison to lower extremity IO access.
    Conclusion: In this large prehospital dataset, upper extremity IO access was associated with a small increase in the odds of ROSC in comparison to lower extremity IO access. These data support the need for prospective investigation of the ideal IO access site during OHCA resuscitation.
    Sprache Englisch
    Erscheinungsdatum 2024-03-26
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2024.2321285
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  4. Artikel ; Online: Racial, Ethnic, and Socioeconomic Disparities in Prehospital Encounters for Children with Asthma.

    Owusu-Ansah, Sylvia / Crowe, Remle P / Ramgopal, Sriram

    Prehospital emergency care

    2023  Band 27, Heft 8, Seite(n) 1107–1114

    Abstract: Objective: Asthma represents one of the most common medical conditions among children encountered by emergency medical services (EMS). While care disparities for children with asthma have been observed in other healthcare settings, limited data exist ... ...

    Abstract Objective: Asthma represents one of the most common medical conditions among children encountered by emergency medical services (EMS). While care disparities for children with asthma have been observed in other healthcare settings, limited data exist characterizing disparities in prehospital care. We sought to characterize differences in prehospital treatment and transport of children with suspected asthma exacerbations by race and ethnicity, within the context of community socioeconomic status.
    Methods: We conducted a multi-agency retrospective study of EMS encounters in 2019 for children (2-17 years) with asthma and wheezing using a national prehospital database. Our primary outcomes included EMS transport and prehospital bronchodilator or systemic corticosteroid administration. Scene socioeconomic status was evaluated using the social vulnerability index. We used generalized estimating equations to estimate adjusted odds ratios (aOR) and 95% confidence intervals (95%CI) for prehospital bronchodilator use or steroid use by race and ethnicity, adjusting for age, presence of abnormal vital signs, community size, bronchodilator use prior to EMS arrival, and transport disposition.
    Results: We analyzed 5,266 EMS encounters (median age 8 years). Approximately half (53%) were Black non-Hispanic and 34% were White non-Hispanic. Overall, 77% were transported by EMS. In an adjusted model, Black non-Hispanic children were 25% less likely to be transported compared to White non-Hispanic children (aOR: 0.75, 95%CI: 0.58-0.96). EMS administered at least one bronchodilator to 81% of Black non-Hispanic patients, 73% of Hispanic patients, and 68% of White, non-Hispanic patients. Relative to White non-Hispanic children, EMS bronchodilator administration was greater for Black non-Hispanic children, (aOR: 1.55, 95%CI: 1.25-1.93), after controlling for scene socioeconomic status and potential confounding variables. Systemic corticosteroids were administered in 3% of all encounters. Odds of prehospital systemic corticosteroid administration did not differ significantly by race and ethnicity.
    Conclusion: Black non-Hispanic children comprised a larger proportion of EMS encounters for asthma and were more likely to receive a bronchodilator in adjusted analyses accounting for community socioeconomic status. However, these children were less likely to be transported by EMS. These findings may reflect disease severity not manifested by abnormal vital signs, management, and other social factors that warrant further investigation.
    Mesh-Begriff(e) Humans ; Child ; Retrospective Studies ; Emergency Medical Services ; Socioeconomic Disparities in Health ; Bronchodilator Agents ; Asthma/drug therapy ; Asthma/epidemiology ; Adrenal Cortex Hormones ; Healthcare Disparities
    Chemische Substanzen Bronchodilator Agents ; Adrenal Cortex Hormones
    Sprache Englisch
    Erscheinungsdatum 2023-11-01
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2023.2260471
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  5. Artikel ; Online: A National Study on the Comparative Burden of Pedestrian Injuries from Falls Relative to Pedestrian Injuries from Motor Vehicle Collisions.

    Rundle, Andrew G / Crowe, Remle P / Wang, Henry E / Beard, John R / Lo, Alexander X

    Journal of urban health : bulletin of the New York Academy of Medicine

    2024  Band 101, Heft 1, Seite(n) 181–192

    Abstract: Pedestrian injuries from falls are an understudied cause of morbidity. Here, we compare the burden of pedestrian injuries from falls occurring on streets and sidewalks with that from motor vehicle collisions. Data on injurious falls on streets and ... ...

    Abstract Pedestrian injuries from falls are an understudied cause of morbidity. Here, we compare the burden of pedestrian injuries from falls occurring on streets and sidewalks with that from motor vehicle collisions. Data on injurious falls on streets and sidewalks, and pedestrian-motor vehicle collisions, to which Emergency Medical Services responded, along with pedestrian and incident characteristics, were identified in the 2019 National Emergency Medical Services Information System database. In total, 118,520 injurious pedestrian falls and 33,915 pedestrians-motor vehicle collisions were identified, with 89% of the incidents occurring in urban areas. Thirty-two percent of pedestrians struck by motor vehicles were coded as Emergent or Critical by Emergency Medical Services, while 19% of pedestrians injured by falls were similarly coded. However, the number of pedestrians whose acuity was coded as Emergent or Critical was 2.1 times as high for injurious falls as compared with pedestrians-motor vehicle collisions. This ratio was 3.9 for individuals 50 years and older and 6.1 for those 65 years and older. In conclusion, there has been substantial and appropriate policy attention given to preventing pedestrian injuries from motor vehicles, but disproportionately little to pedestrian falls. However, the population burden of injurious pedestrian falls is significantly greater and justifies an increased focus on outdoor falls prevention, in addition to urban design, policy, and built environment interventions to reduce injurious falls on streets and sidewalks, than currently exists across the USA.
    Mesh-Begriff(e) Humans ; Pedestrians ; Walking ; Accidents, Traffic ; Motor Vehicles ; Built Environment ; Wounds and Injuries/epidemiology
    Sprache Englisch
    Erscheinungsdatum 2024-01-18
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1435288-6
    ISSN 1468-2869 ; 1099-3460
    ISSN (online) 1468-2869
    ISSN 1099-3460
    DOI 10.1007/s11524-023-00815-x
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  6. Artikel ; Online: "Head Up CPR" Is Not Ready for Widespread Adoption.

    Jarvis, Jeffrey L / Sayre, Michael R / Crowe, Remle P / Menegazzi, James J / Wang, Henry E

    Prehospital emergency care

    2024  , Seite(n) 1–3

    Sprache Englisch
    Erscheinungsdatum 2024-02-28
    Erscheinungsland England
    Dokumenttyp Editorial
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2024.2319697
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  7. Artikel ; Online: Measures of Patient Acuity Among Children Encountered by Emergency Medical Services by the Child Opportunity Index.

    Ramgopal, Sriram / Crowe, Remle P / Jaeger, Lindsay / Fishe, Jennifer / Macy, Michelle L / Martin-Gill, Christian

    Prehospital emergency care

    2024  , Seite(n) 1–9

    Abstract: Background: ...

    Abstract Background:
    Sprache Englisch
    Erscheinungsdatum 2024-04-10
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2024.2333493
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  8. Artikel ; Online: Association of midazolam route of administration and need for recurrent dosing among children with seizures cared for by emergency medical services.

    Ramgopal, Sriram / Owusu-Ansah, Sylvia / Crowe, Remle P / Okubo, Masashi / Martin-Gill, Christian

    Epilepsia

    2024  Band 65, Heft 5, Seite(n) 1294–1303

    Abstract: Objective: National guidelines in the United States recommend the intramuscular and intranasal routes for midazolam for the management of seizures in the prehospital setting. We evaluated the association of route of midazolam administration with the use ...

    Abstract Objective: National guidelines in the United States recommend the intramuscular and intranasal routes for midazolam for the management of seizures in the prehospital setting. We evaluated the association of route of midazolam administration with the use of additional benzodiazepine doses for children with seizures cared for by emergency medical services (EMS).
    Methods: We conducted a retrospective cohort study from a US multiagency EMS dataset for the years 2018-2022, including children transported to the hospital with a clinician impression of seizures, convulsions, or status epilepticus, and who received an initial correct weight-based dose of midazolam (.2 mg/kg intramuscular, .1 mg/kg intravenous, .2 mg/kg intranasal). We evaluated the association of route of initial midazolam administration with provision of additional benzodiazepine dose in logistic regression models adjusted for age, vital signs, pulse oximetry, level of consciousness, and time spent with the patient.
    Results: We included 2923 encounters with patients who received an appropriate weight-based dose of midazolam for seizures (46.3% intramuscular, 21.8% intranasal, 31.9% intravenous). The median time to the first dose of midazolam from EMS arrival was similar between children who received intramuscular (7.3 min, interquartile range [IQR] = 4.6-12.5) and intranasal midazolam (7.8 min, IQR = 4.5-13.4) and longer for intravenous midazolam (13.1 min, IQR = 8.2-19.4). At least one additional dose of midazolam was given to 21.4%. In multivariable models, intranasal midazolam was associated with higher odds (odds ratio [OR] = 1.39, 95% confidence interval [CI] = 1.10-1.76) and intravenous midazolam was associated with similar odds (OR = 1.00, 95% CI = .80-1.26) of requiring additional doses of benzodiazepines relative to intramuscular midazolam.
    Significance: Intranasal midazolam was associated with greater odds of repeated benzodiazepine dosing relative to initial intramuscular administration, but confounding factors could have affected this finding. Further study of the dosing and/or the prioritization of the intranasal route for pediatric seizures by EMS clinicians is warranted.
    Mesh-Begriff(e) Humans ; Midazolam/administration & dosage ; Seizures/drug therapy ; Female ; Male ; Child, Preschool ; Child ; Emergency Medical Services/methods ; Retrospective Studies ; Administration, Intranasal ; Injections, Intramuscular ; Infant ; Cohort Studies ; Anticonvulsants/administration & dosage ; Anticonvulsants/therapeutic use ; Adolescent ; Administration, Intravenous
    Chemische Substanzen Midazolam (R60L0SM5BC) ; Anticonvulsants
    Sprache Englisch
    Erscheinungsdatum 2024-03-12
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 216382-2
    ISSN 1528-1167 ; 0013-9580
    ISSN (online) 1528-1167
    ISSN 0013-9580
    DOI 10.1111/epi.17940
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  9. Artikel: Correction: A methodology for the public health surveillance and epidemiologic analysis of outdoor falls that require an emergency medical services response.

    Rundle, Andrew G / Crowe, Remle P / Wang, Henry E / Lo, Alexander X

    Injury epidemiology

    2023  Band 10, Heft 1, Seite(n) 56

    Sprache Englisch
    Erscheinungsdatum 2023-11-03
    Erscheinungsland England
    Dokumenttyp Published Erratum
    ZDB-ID 2764253-7
    ISSN 2197-1714
    ISSN 2197-1714
    DOI 10.1186/s40621-023-00469-y
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  10. Artikel ; Online: Age-based centiles for diastolic blood pressure among children in the out-of-hospital emergency setting.

    Ramgopal, Sriram / Sepanski, Robert J / Crowe, Remle P / Martin-Gill, Christian

    Journal of the American College of Emergency Physicians open

    2023  Band 4, Heft 2, Seite(n) e12915

    Abstract: Objective: To compare Pediatric Advanced Life Support (PALS) diastolic blood pressure (DBP) criteria to empirically derived DBP criteria for the prediction of out-of-hospital interventions in children.: Methods: We performed a retrospective study of ... ...

    Abstract Objective: To compare Pediatric Advanced Life Support (PALS) diastolic blood pressure (DBP) criteria to empirically derived DBP criteria for the prediction of out-of-hospital interventions in children.
    Methods: We performed a retrospective study of pediatric (<18 years) encounters from the ESO Data Collaborative, which includes approximately 2000 Emergency Medical Services agencies in the United States. We developed age-based centile curves for DBP using generalized additive models for location, scale, and shape. We compared the proportion of encounters with a low DBP when using empirically derived and PALS criteria and calculated their associations with the delivery of out-of-hospital interventions (advanced airway management, cardiopulmonary resuscitation, cardiac epinephrine, any systemic epinephrine, defibrillation, and bolus intravenous fluids).
    Results: We included 343,129 encounters. When using PALS criteria, 155,564 (45.3%) were classified as having  abnormal DBP, including 120,624 (35.2%) with high DBP and 34,940 (10.2%) with low DBP. When using empirically-derived criteria, 18.6% had an abnormal DBP (ie, a DBP <10th or >90th centile). The accuracy of low DBP for out-of-hospital interventions between the two criteria was similar.
    Conclusion: PALS criteria for DBP classified a high proportion of children as having abnormal vital signs, particularly with diastolic hypertension. Empirically derived DBP thresholds more accurately predict the delivery of key out-of-hospital interventions. If externally validated, correlated to in-hospital outcomes, and combined with thresholds for other vital signs, these may better predict the need for out-of-hospital interventions.
    Sprache Englisch
    Erscheinungsdatum 2023-02-25
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ISSN 2688-1152
    ISSN (online) 2688-1152
    DOI 10.1002/emp2.12915
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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