Skip to main content

.

Aims and scope

The primary topics of interest in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (SJTREM) are the pre-hospital and early in-hospital diagnostic and therapeutic aspects of emergency medicine, trauma, and resuscitation. Contributions focusing on dispatch, major incidents, etiology, pathophysiology, rehabilitation, epidemiology, prevention, education, training, implementation, work environment, as well as ethical and socio-economic aspects may also be assessed for publication.

Editors' note

The editors wish to acknowledge, with sincere appreciation, the assistance of the many reviewers who have generously contributed their time and efforts during the past year in the appraisal of manuscripts submitted to the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.

COVID-19 UPDATES

Air ambulance services are facing several challenges when dealing with highly infectious patients. We collect here all most recent research updates on COVID-19 emergency procedures published in the journal to make them easily discoverable to the research community

GCS ≤ 8: IS INTUBATION THE FIRST CHOICE?

Despite the relationship between the level of consciousness and intubation need is not yet sufficiently subject to evidence-based medicine, it is customary to believe that a patient with GCS ≤ 8 should be intubated to avoid aspiration, or aspiration pneumonia/pneumonitis, and consequently, reduce mortality. Does the coma's state etiology have a word on this?  Read more in D. Orso et al. study.


WHAT'S PRIMARILY TO CARE IN PATIENTS TRAPPED IN MOTOR VEHICLE COLLISIONS?

Prolonged entrapment and/or intrusion into a vehicle after a collision is considered high risk for significant injury. Extrication methods are focused on the prevention of secondary spinal injury through movement minimisation and mitigation .....but which types and in what rate other time-critical injuries occur?
T. Nutbeam et al. analysed data from 63,625 injured patients to help guide meaningful patient-focused interventions and future extrication strategies.

THE QUALITY OF EARLY ULTRASOUND EXAMINATION IS CRUCIAL TO CLINICAL DECISION MAKING

Cardiac arrest, severe trauma, chest pain, stroke, and respiratory difficulties are life-threatening and defined as the “First Hour Quintet”. Ultrasound available for the EMTs and PMs may support the clinical assessment of critical patients in a prehospital setting. However, a correct technical execution and image interpretation remain prerequisites for a high diagnostic accuracy.
P.I. Pietersen et al. investigate the quality of thoracic ultrasound examinations performed by emergency medical technicians and paramedics in a prehospital, clinical setting.

EFFICIENT AND TIMELY AIRWAY MANAGEMENT FOR TRAUMA PATIENTS

Hypoxia and adverse events associated with intubation occur frequently during emergency airway management particularly when repeated attempts at laryngoscopy are required.
K. Crewdson et al. investigate whether the introduction of apnoeic oxygenation would reduce the frequency of desaturation in a population of trauma patients undergoing PHEA

OUT-OF-HOSPITAL RESUSCITATION: USE OF NEAR INFRARED SPECTROSCOPY TO MONITOR BRAIN OXIGENATION

Brain is a vital organ with high metabolic activity and low energy storages and vulnerable to circulatory arrest. Even if return of spontaneous circulation (ROSC) is obtained, brain injury remains as the leading cause of death after ROSC. However, there are no specific and reliable indicators to assess the cerebral blood flow directly to the response of cardiopulmonary  quality. J. Tsukuda et al. evaluate the tissue oxygenation index using the near infrared spectroscopy as a suitable indicator of tissue oxygenation during out-of-hospital cardiac arrest resuscitation.

PROS & CONS OF SMARTPHONE-BASED ACTIVATION OF COMMUNITY FIRST RESPONDERS FOR OUT OF HOSPITAL CARDIAC ARREST

A Community First Responder (CFR) is a local volunteer who agrees to undertake training in Basic Life Support. Over the past decade Smartphone-based activation (SBA) of Community First Responders (CFR) to out-of-hospital cardiac arrests (OHCA) has gained much attention and popularity throughout Europe. C. Metelmann et al. review the current state of SBA of CFR in five European countries, reveal pros & cons, and presents consensus statements to support public decision making on future strategies.

COVID-19 and impact on peer review

As a result of the significant disruption that is being caused by the COVID-19 pandemic we are very aware that many researchers will have difficulty in meeting the timelines associated with our peer review process during normal times.  Please do let us know if you need additional time. Our systems will continue to remind you of the original timelines but we intend to be highly flexible at this time.

Articles

  1. Authors: Tobias Koller, Nadia Kinast, Andres Guilarte Castellanos, Sergio Perez Garcia, Pilar Paniagua Iglesias, Xavi León Vintro, Jose Mateo Arranz, Noelia Vilalta Seto, Ma. Victòria Moral García, Ana Belén Moreno-Castaño, Jose Aznar-Salatti, Gines Escolar Albaladejo and Maribel Diaz-Ricart

    Content type: Original research

The Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine strongly encourages Authors to submit a Graphical Abstract.

A graphical abstract is a figure that clearly and succinctly conveys the main message of your research (paper). 

The goal of a graphical abstract is to attract readers' attention to the article and encourage them to read the whole paper, but also promote interdisciplinary scholarship and help readers quickly identify which papers are most relevant to their research interests.
This will appear underneath to the Abstract on the website.
TECHNICAL SPECIFICATIONS: The Graphical Abstract image should be 920x300 pixels and a maximum of 150KB, and should be submitted with your contribution as a separate file in a JPG,  PNG, or SVG electronic format. Please name the picture file "Graphical Abstract".
KEEP IT SIMPLE: Emphasize the new findings, highlight one process or make one point clear, use text sparingly and simple labels. Be also aware that effective use of color can enhance the graphical abstract both aesthetically and by directing the reader's attention to focal points of interest. 

CHALLENGES IN MOUNTAIN RESCUE

Multiple trauma management in mountain environments can be demanding. Safety of the rescuers and the victim has priority and time for on-site medical treatment must be balanced against the need for rapid transfer to a trauma centre and should be as short as possible. Read the Evidence based guidelines of the International Commission for Mountain Emergency Medicine (ICAR MedCom) for physicians and other advanced life support personnel.

CARDIOPULMONARY RESUSCITATION: INTRAOSSEOUS OR INTRAVENOUS VASCULAR ACCESS?

In US, there are more than 300,000 out-of-hospital cardiac arrests (OHCA) every year, and the survival rate at hospital discharge is around 10%. Resuscitation guidelines suggest epinephrine should be timely administered since each minute from arrival of emergency medical services  to epinephrine administration is associated with a 4% decrease in odds of survival. Although intravenous administration is typically recommended, establishing IV access is not always fast or practical and an alternative route may be preferable. 
Yu-Lin Hsieh et al., in this study, advise on best ptractices.

OPPORTUITIES AND CHALLENGES OF VIDEOLARYNGOSCOPY FOR TRACHEAL INTUBATION

Tracheal intubation remains the gold standard in emergency airway management and stabilization of critically ill or injured patients, although it is known to be challenging in the out-of-hospital setting. Improving safety and intubation success is imperative and videolaryngoscopy (VL) may support this achievement. J Knapp et al. determine success rates, time needed, technical difficulties and training opportunities of out-of-hospital tracheal intubations using VL. 

REBOA: WHERE ARE WE & WHERE DO WE GO?

The role of the Resuscitative Endovascular Occlusion of the Aorta (REBOA) has been recently rediscovered and many trauma centres and some pre-hospital services are considering whether endovascular resuscitation should have a place in their services. M.A. Thrailkill et al. from the Uniformed Services University of the Health Sciences in Bethesda give a comprehensive and balanced description of the techniques, the evidence to date and where the immediate future is likely to take us.

The Resus Room Podcast

The officially partnered podcast of SJTREM, each month featuring a discussion of one of our recently published papers. 

We would like to acknowledge THE RESUS ROOM  throughout 2020 for their support with the Podcast. 
Looking forward to much more in 2021!

Correspondence

Letters to the Editor and Commentaries

Major Incident Reporting provides an open access template that focuses on reporting medical management in the pre-hospital phase of major incident responses. The webpage will disseminate knowledge from major incidents with the overall goal to improve future medical response to major incidents.

Latest Tweets

Your browser needs to have JavaScript enabled to view this timeline

Official journal of

Annual Journal Metrics

\