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Ensemble species distribution models combine the strengths of several species environmental matching models, while minimizing the weakness of any one model. Ensemble models may be particularly useful in risk analysis of recently arrived, harmful invasive species because species may not yet have spread to all suitable habitats, leaving species-environment(More)
BACKGROUND Fingerstick blood glucose measurement has become widespread in both hospital and prehospital settings. OBJECTIVE To determine the accuracy of fingerstick blood glucose measurement in patients with poor peripheral perfusion (shock). METHOD Results obtained during three methods of glucose analysis (fingerstick blood glucose measurement; bedside(More)
OBJECTIVE To determine the extent to which prehospital patient care protocols incorporate the findings of the peer-reviewed scientific EMS literature. METHODS Using a computerized literature search, articles published from eight institutions known to be active in prehospital care research were identified and obtained from the local health sciences(More)
This study assessed the capabilities of a traditional and an amplified stethoscope used by flight nurses to assess breath sound during air medical transport in an MBB BO-105 helicopter. We developed a normal breath sound model using a prerecorded tape of breath sounds interspersed with segments without breath sounds; the recorder had been placed in the(More)
Recent demonstration of the dangers of hyperglycemia in the setting of cerebral hypoperfusion has resulted in recommendations to abandon the long-standing practice of empiric administration of dextrose to patients with altered mental status. Patients receiving basic cardiopulmonary resuscitation (CPR) have been identified as being at particular risk from(More)
Recognizing that prehospital thrombolytic therapy may provide benefit to certain subsets of patients, the routine prehospital use of thrombolytic agents should be discouraged pending further scientific delineation and documentation of those subgroups. ACEP encourages further investigation to document feasibility, efficacy, cost-effectiveness, and safety of(More)
Rural trauma presents unique problems for surgical care. While military surgeons are prepared to provide care at or near the scene of battle, civilian literature is devoid of reports for care provided by surgeons at sites of injury occurrences. Although these injuries are infrequent, they are more likely to occur in rural trauma settings. This article(More)
Triage skills are requisite for all providers of prehospital care. Methods of assessing the acquisition of triage skills vary in complexity and expense. In this study, 61 prehospital care providers classified 20 cases, divided into four groups of five cases each: moulaged live trauma victims, nonmoulaged live trauma victims, nonmoulaged manikin trauma(More)