{"entity": "journal", "iuid": "8dbd8b1199e640aab7a15b6c28113c1e", "timestamp": "2026-09-26T23:03:26.385Z", "links": {"self": {"href": "https://publications-affiliated.scilifelab.se/journal/Am%20J%20Emerg%20Med.json"}, "display": {"href": "https://publications-affiliated.scilifelab.se/journal/Am%20J%20Emerg%20Med"}}, "title": "Am J Emerg Med", "issn": "1532-8171", "issn-l": null, "publications_count": 2, "publications": [{"entity": "publication", "iuid": "c4b56ef344cd4f449e7c62e2b8e2ff42", "links": {"self": {"href": "https://publications-affiliated.scilifelab.se/publication/c4b56ef344cd4f449e7c62e2b8e2ff42.json"}, "display": {"href": "https://publications-affiliated.scilifelab.se/publication/c4b56ef344cd4f449e7c62e2b8e2ff42"}}, "title": "Perceived exertion using two different EMS stretcher systems, report from a Swedish study.", "authors": [{"family": "Hulldin", "given": "Martin", "initials": "M"}, {"family": "K\u00e4ngstr\u00f6m", "given": "Jonas", "initials": "J"}, {"family": "Andersson Hagiwara", "given": "Magnus", "initials": "M"}, {"family": "Claesson", "given": "Andreas", "initials": "A"}], "type": "journal article", "published": "2018-06-00", "journal": {"title": "Am J Emerg Med", "issn": "1532-8171", "volume": "36", "issue": "6", "pages": "1040-1044", "issn-l": null}, "abstract": "Emergency medical services (EMS) facilitate out of hospital care in a wide variety of settings on a daily basis. Stretcher-related adverse events and long term musculoskeletal injuries are commonly reported. Novel stretcher mechanisms may facilitate enhanced movement of patients and reduce workload for EMS personnel.\n\nTo describe EMS personnel's perceived exertion using two different stretcher systems.\n\nThe methodology of this explorative simulation study included enrolling twenty (n=20) registered nurses and paramedics who worked in ten pairs (n=10) to transport a conscious, 165lb. (75kg) patient using two different EMS stretcher systems: the Pensi stretcher labeled A and the ALLFA stretcher labeled B. The ten pairs (n=10) were randomized to use either an A stretcher or a B stretcher with subsequent crossover. The pairs performed six identical tasks with each stretcher, including conveying stretchers from an ambulance up to the first floor of a building via a staircase, loading a patient on to the stretcher, and using the stretcher to transport the patient back to the ambulance. The subjective Rating of Perceived Exertion (RPE) survey (Borg scale) was used to measure perceived exertion at predefined intervals during transport.\n\nNo significant differences in workload were seen between stretcher groups A and B regarding unloading the stretcher (7.4 vs 8.2 p=0.3), transporting up a stairway (13.7 vs 12.5 p=0.06), lateral lift (12.1 vs 11.2 p=0.5), or flat ground transportation (10.4 vs 11.1 p=0.13). Pairs using stretcher A showed significantly less workload with regards to transporting down a stairway (11.0 vs 14.5 p<0.001) and loading into ambulance (11.1 vs 13.0 p<0.001).\n\nA structured methodology may be used for testing the exertion levels experienced while using different stretcher systems. The use of supporting stretcher system mechanisms may reduce perceived exertion in EMS personnel mainly during transports down stairs and during loading into ambulance vehicles.", "doi": "10.1016/j.ajem.2018.02.023", "pmid": "29510910", "labels": [], "xrefs": [{"db": "pii", "key": "S0735-6757(18)30157-8"}], "notes": [], "created": "2026-09-23T13:05:29.345Z", "modified": "2026-09-23T13:05:29.359Z"}, {"entity": "publication", "iuid": "546d18659e60482385e089e4306b72bd", "links": {"self": {"href": "https://publications-affiliated.scilifelab.se/publication/546d18659e60482385e089e4306b72bd.json"}, "display": {"href": "https://publications-affiliated.scilifelab.se/publication/546d18659e60482385e089e4306b72bd"}}, "title": "Defibrillation before EMS arrival in western Sweden.", "authors": [{"family": "Claesson", "given": "A", "initials": "A"}, {"family": "Herlitz", "given": "J", "initials": "J"}, {"family": "Svensson", "given": "L", "initials": "L"}, {"family": "Ottosson", "given": "L", "initials": "L"}, {"family": "Bergfeldt", "given": "L", "initials": "L"}, {"family": "Engdahl", "given": "J", "initials": "J"}, {"family": "Ericson", "given": "C", "initials": "C"}, {"family": "Sand\u00e9n", "given": "P", "initials": "P"}, {"family": "Axelsson", "given": "C", "initials": "C"}, {"family": "Bremer", "given": "A", "initials": "A"}], "type": "journal article", "published": "2017-08-00", "journal": {"title": "Am J Emerg Med", "issn": "1532-8171", "volume": "35", "issue": "8", "pages": "1043-1048", "issn-l": null}, "abstract": "Bystanders play a vital role in public access defibrillation (PAD) in out-of-hospital cardiac arrest (OHCA). Dual dispatch of first responders (FR) alongside emergency medical services (EMS) can reduce time to first defibrillation. The aim of this study was to describe the use of automated external defibrillators (AEDs) in OHCAs before EMS arrival.\n\nAll OHCA cases with a shockable rhythm in which an AED was used prior to the arrival of EMS between 2008 and 2015 in western Sweden were eligible for inclusion. Data from the Swedish Register for Cardiopulmonary Resuscitation (SRCR) were used for analysis, on-site bystander and FR defibrillation were compared with EMS defibrillation in the final analysis.\n\nOf the reported 6675 cases, 24% suffered ventricular fibrillation (VF), 162 patients (15%) of all VF cases were defibrillated before EMS arrival, 46% with a public AED on site. The proportion of cases defibrillated before EMS arrival increased from 5% in 2008 to 20% in 2015 (p<0.001). During this period, 30-day survival increased in patients with VF from 22% to 28% (p=0.04) and was highest when an AED was used on site (68%), with a median delay of 6.5min from collapse to defibrillation. Adjusted odds ratio for on-site defibrillation versus dispatched defibrillation for 30-day survival was 2.45 (95% CI: 1.02-5.95).\n\nThe use of AEDs before the arrival of EMS increased over time. This was associated with an increased 30-day survival among patients with VF. Thirty-day survival was highest when an AED was used on site before EMS arrival.", "doi": "10.1016/j.ajem.2017.02.030", "pmid": "28238537", "labels": [], "xrefs": [{"db": "pii", "key": "S0735-6757(17)30117-1"}], "notes": [], "created": "2026-09-23T09:45:19.277Z", "modified": "2026-09-23T10:19:33.311Z"}], "created": "2026-09-23T09:45:19.290Z", "modified": "2026-09-23T09:45:19.290Z"}