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  1. Article ; Online: Response to Letter by G. McEachen: "Receiving patients with vital signs absent from paramedics".

    Verbeek, P Richard

    CJEM

    2021  Volume 23, Issue 3, Page(s) 413

    MeSH term(s) Allied Health Personnel ; Humans ; Vital Signs
    Language English
    Publishing date 2021-01-04
    Publishing country England
    Document type Letter ; Comment
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-020-00001-x
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  2. Article ; Online: Low-dose ketamine in the prehospital setting.

    Yuhalogarasan, Alvin / Barclay, Chris / Verbeek, P Richard

    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

    2022  Volume 194, Issue 5, Page(s) E171

    MeSH term(s) Emergency Medical Services ; Humans ; Ketamine ; Pain Measurement
    Chemical Substances Ketamine (690G0D6V8H)
    Language English
    Publishing date 2022-01-29
    Publishing country Canada
    Document type Letter ; Comment
    ZDB-ID 215506-0
    ISSN 1488-2329 ; 0008-4409 ; 0820-3946
    ISSN (online) 1488-2329
    ISSN 0008-4409 ; 0820-3946
    DOI 10.1503/cmaj.80599
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ua VI Zs.136: Show issues Location:
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  3. Article: Does intranasal naloxone administration increase the risk of 2019 coronavirus disease transmission?

    Leong, Yuen Chin / Verbeek, P Richard

    CJEM

    2020  Volume 22, Issue 6, Page(s) e20

    MeSH term(s) Administration, Intranasal ; COVID-19/transmission ; Canada ; Drug Overdose/drug therapy ; Emergency Medical Services ; Humans ; Naloxone/administration & dosage ; Narcotic Antagonists/administration & dosage ; Pandemics ; Risk ; SARS-CoV-2
    Chemical Substances Narcotic Antagonists ; Naloxone (36B82AMQ7N)
    Keywords covid19
    Language English
    Publishing date 2020-05-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 2059217-6
    ISSN 1481-8035 ; 1481-8035 ; 1488-1543
    ISSN (online) 1481-8035
    ISSN 1481-8035 ; 1488-1543
    DOI 10.1017/cem.2020.395
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Catecholaminergic Polymorphic Ventricular Tachycardia: An Unusual Case of Fright-Induced Prehospital Cardiac Arrest in a Healthy 6-Year-Old Child.

    Wilson, Michael / Schwartz, Steven / Verbeek, P Richard

    Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors

    2019  Volume 24, Issue 1, Page(s) 94–99

    Abstract: Catecholaminergic Polymorphic Ventricular Tachycardia is a rare but often lethal genetic disorder that affects approximately 1 in 10,000 people. It often first manifests as stress or exercise-related syncope or sudden unexplained cardiac death, primarily ...

    Abstract Catecholaminergic Polymorphic Ventricular Tachycardia is a rare but often lethal genetic disorder that affects approximately 1 in 10,000 people. It often first manifests as stress or exercise-related syncope or sudden unexplained cardiac death, primarily in the pediatric and young adult population. We present a case of a 6-year-old male who had a sudden unexplained prehospital cardiac arrest after being scared by a domestic animal and who presented in ventricular fibrillation. The patient was subsequently defibrillated with a return of spontaneous circulation. During the course of care, medications with beta-1 and -2 agonist properties were administered, followed by multiple further episodes of polymorphic ventricular tachycardia (PVT)/ventricular fibrillation (VF). Once these medications were discontinued and beta blockers were administered, the patient had no further episodes of PVT/VF and was subsequently discharged from hospital 7 days later, completely neurologically intact. This case suggests the need for caution when considering administering beta agonists in a pediatric cardiac arrest patient with no known history of heart disease who presents in VF or PVT after an incident of extreme stress or strenuous physical activity.
    MeSH term(s) Child ; Electric Countershock ; Emergency Medical Services ; Fear ; Heart Arrest/diagnosis ; Heart Arrest/etiology ; Heart Arrest/therapy ; Humans ; Male ; Tachycardia, Ventricular/complications ; Tachycardia, Ventricular/diagnosis ; Tachycardia, Ventricular/therapy
    Language English
    Publishing date 2019-05-28
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2019.1612972
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4762: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Safety and Adverse Events During Primary Care Paramedic Interfacility Transfer of Stable STEMI Patients.

    Feldman, Michael / Bahaidarah, Fahad / Rahimi, Mahbod / Howaidi, Sara / Turner, Linda / Verbeek, P Richard / Cantor, Warren / Cheskes, Sheldon / Drennan, Ian / Gilmartin, Kristen

    Prehospital emergency care

    2024  , Page(s) 1–6

    Abstract: Objective: Current guidelines recommend that patients presenting with ST-elevation myocardial infarction (STEMI) to hospitals not capable of performing primary percutaneous coronary intervention (PCI) be transferred to a PCI-capable hospital if ... ...

    Abstract Objective: Current guidelines recommend that patients presenting with ST-elevation myocardial infarction (STEMI) to hospitals not capable of performing primary percutaneous coronary intervention (PCI) be transferred to a PCI-capable hospital if reperfusion can be accomplished within 120 min. Most STEMI patients are accompanied by an advanced care paramedic (ACP, equivalent to EMT-P), nurse, or physician who can manage complications should they arise. In our region, stable STEMI patients are transported by primary care paramedics (PCPs, similar scope of practice to advanced EMT) in cases where a nurse, physician, or ACP paramedic is not available. Our goal was to describe adverse events and need for advanced interventions among initially stable STEMI patients during interfacility transfer by PCPs.
    Methods: We reviewed ambulance and hospital records of initially stable STEMI patients (as determined by first set of vital signs documented by paramedics) transferred to a PCI-capable hospital by PCPs between March 1, 2014, and December 31, 2019. We identified whether pre-determined adverse clinical events occurred during the transport as well as the potential need for advanced care interventions not within the PCP scope of practice. Adverse events upon arrival in the PCI lab were also identified.
    Results: Of 346 STEMI patients transferred, 179 met inclusion criteria. The mean age of included patients was 61 years (SD 12.1) and 74.9% (134/179) were male. Median transport interval was 36 min (IQR 3.0). During transport, 47/179 (26.0%) patients experienced pre-defined adverse events; for 16/47 (34%), one or more adverse events was major. Three patients met criteria for ACP interventions. One patient suffered a cardiac arrest and was promptly resuscitated with defibrillation by the PCPs.
    Conclusions: We found PCP-interfacility transport of initially stable STEMI patients was safe and associated with a moderate proportion of adverse events, the majority of which did not require an advanced care intervention. These findings may help decision-making to avoid delays transferring stable patients to PCI-capable centers.
    Language English
    Publishing date 2024-04-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2024.2342569
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4762: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  7. Article: The Role of EMS in Regionalized Systems of Care.

    Drennan, Ian R / Verbeek, P Richard

    CJEM

    2015  Volume 17, Issue 4, Page(s) 468–474

    Abstract: The parallel advancement of prehospital and in-hospital patient care has provided impetus for the development and implementation of regionalized systems of health care for patients suffering from acute, life-threatening injury and illness. Regardless of ... ...

    Abstract The parallel advancement of prehospital and in-hospital patient care has provided impetus for the development and implementation of regionalized systems of health care for patients suffering from acute, life-threatening injury and illness. Regardless of the patient's clinical condition, regionalized systems of care revolve around the premise of providing the right care to the right patient at the right time. Current regionalization strategies have shown improvements in the time to patient treatment and in patient outcome, with the incorporation of emergency medical services (EMS) bypass as a key component of the system of care. This article discusses the emerging role of EMS as a critical component of regionalized systems essential to ensure effective and efficient use of resources to improve patient outcome. We also examine some of the benefits and barriers to implementation of regionalized systems of care and avenues for future research.
    MeSH term(s) Emergency Medical Services/organization & administration ; Emergency Medical Technicians/organization & administration ; Emergency Medicine/organization & administration ; Guidelines as Topic ; Health Priorities/organization & administration ; Humans ; Needs Assessment/organization & administration ; Organizational Objectives
    Language English
    Publishing date 2015-07
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2059217-6
    ISSN 1481-8035 ; 1481-8035 ; 1488-1543
    ISSN (online) 1481-8035
    ISSN 1481-8035 ; 1488-1543
    DOI 10.1017/cem.2015.38
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Recommendations for emergency departments receiving patients with vital signs absent from paramedics during COVID-19.

    Nolan, Brodie / Chartier, Lucas B / Verbeek, P Richard / Huyer, Dirk / Mazurik, Laurie

    CJEM

    2020  Volume 22, Issue 5, Page(s) 571–575

    MeSH term(s) Allied Health Personnel/organization & administration ; COVID-19 ; Canada ; Cardiopulmonary Resuscitation/methods ; Communicable Diseases, Emerging/prevention & control ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Disease Transmission, Infectious/prevention & control ; Emergency Medical Services/organization & administration ; Emergency Service, Hospital/standards ; Female ; Humans ; Infection Control/methods ; Male ; Occupational Health ; Pandemics/prevention & control ; Pandemics/statistics & numerical data ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Severe Acute Respiratory Syndrome/diagnosis ; Severe Acute Respiratory Syndrome/mortality ; Severe Acute Respiratory Syndrome/therapy
    Keywords covid19
    Language English
    Publishing date 2020-05-04
    Publishing country England
    Document type Journal Article ; Review
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1017/cem.2020.389
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: CPR Induced Consciousness During Out-of-Hospital Cardiac Arrest: A Case Report on an Emerging Phenomenon.

    Pound, Joshua / Verbeek, P Richard / Cheskes, Sheldon

    Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors

    2017  Volume 21, Issue 2, Page(s) 252–256

    Abstract: Background: High quality cardiopulmonary resuscitation (CPR) has produced a relatively new phenomenon of consciousness in patients with vital signs absent. Further research is necessary to produce a viable treatment strategy during and post ... ...

    Abstract Background: High quality cardiopulmonary resuscitation (CPR) has produced a relatively new phenomenon of consciousness in patients with vital signs absent. Further research is necessary to produce a viable treatment strategy during and post resuscitation.
    Objective: To provide a case study done by paramedics in the field illustrating the need for sedation in a patient whose presentation was consistent with CPR induced consciousness. Resuscitative challenges are provided as well as potential future treatment options to minimize harm to both patients and prehospital providers.
    Case report: A 52-year-old male presented as a witnessed out-of-hospital cardiac arrest (OHCA). During CPR the patient began to exhibit signs of life including severe agitation and thrashing of his limbs while CPR was ongoing for ventricular fibrillation prior to defibrillation. Resuscitation became considerably more complicated due to the violent and counterintuitive motions done by the patient during their own resuscitation. Despite the atypical presentation of cardiac arrest the patient was successfully resuscitated employing high quality CPR, standard advanced life support (ALS) care as well as two double sequential external defibrillation shocks. The patient underwent emergency percutaneous coronary intervention (PCI) for a 100% occlusion of his left anterior descending artery (LAD). The patient returned home 3 days later fully recovered with a Cerebral Performance Score of 1.
    Conclusion: CPR induced consciousness is emerging as a new phenomenon challenging providers of high quality CPR during cardiac arrest resuscitation. Our case report describes the manifestations of CPR induced consciousness as well as the resuscitative challenges which occur during resuscitation. Further research is required to determine the true frequency of this condition as well as treatment algorithms that would allow for appropriate and safe management for both the patient and EMS providers.
    MeSH term(s) Algorithms ; Cardiopulmonary Resuscitation/methods ; Consciousness/physiology ; Delirium/therapy ; Humans ; Male ; Middle Aged ; Out-of-Hospital Cardiac Arrest/physiopathology ; Out-of-Hospital Cardiac Arrest/psychology ; Out-of-Hospital Cardiac Arrest/therapy ; Ventricular Fibrillation/therapy ; Vital Signs/physiology
    Language English
    Publishing date 2017-03
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2016.1229823
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4762: Show issues Location:
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  10. Article: Collaboration, not stagnation, defines Ontario EMS.

    Bigham, Blair / Welsford, Michelle / Verbeek, P Richard

    CJEM

    2016  Volume 18, Issue 1, Page(s) 74–75

    MeSH term(s) Emergency Medical Services ; Humans ; Ontario ; Time Factors
    Language English
    Publishing date 2016-01
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 2059217-6
    ISSN 1481-8035 ; 1481-8035 ; 1488-1543
    ISSN (online) 1481-8035
    ISSN 1481-8035 ; 1488-1543
    DOI 10.1017/cem.2015.108
    Database MEDical Literature Analysis and Retrieval System OnLINE

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