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All Journal Universa Medicina Journal of Current Health Sciences
Alsamhari, Abdullah
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Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Emergency Medical Services and Stroke Management: A Review of Current Guidelines and Practices Alsamhari, Abdullah; Gilkaramenthi, Rafiulla; Alamer, Bader Hussain; M. Mushawwah, Saad; Abdulbari, Hamdi Hasan; Altaezi, Lara; Jebreel, Albaraa
Journal of Current Health Sciences Vol. 5 No. 1: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2025102

Abstract

The worldwide occurrence of strokes reaches around 15 million cases per year while these conditions persist in more than 100 million patients at once. Worldwide stroke stands as the second main cause of mortalities since 88% of all stroke deaths occur within low- and middle-income countries (LMICs). Emergency Medical Services establish critical intervention paths because they detect strokes early while providing immediate on-scene treatment and quick response times that directly affect patient recovery. The effectiveness of proposed quality indicators to improve prehospital stroke treatment remains unknown independently from other indicators. The research tackles the developing EMS functions in stroke management through an analysis which shows how prehospital triage tools together with telehealth integration and mobile stroke services shorten the door-to-needle period and improve patient treatment results. The potential of point-of-care diagnostic tools for stroke subtype identification gets investigated to identify their contribution to optimizing prehospital decision-making processes. The text examines crucial issues within prehospital stroke care such as restricted EMS service accessibility and minimal training support and inadequate evidence-based protocol data. The reduction of stroke mortality and improvement of patient recovery requires future research to focus on EMS collaboration with multilevel stakeholders through technology innovation and policy equality to optimize stroke management in underserved healthcare environments.
Optimizing prehospital care: a comprehensive review of evidence-based protocols for tension pneumothorax management Alsamhari, Abdullah; Gilkaramenthi, Rafiulla; Alamer, Bader Hussain; Jebreel, Albaraa; Abdulbari, Hamdi Hasan; Mushawwah, Saad M.; Altaezi, Lara
Universa Medicina Vol. 44 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2025.v44.113-128

Abstract

It is of the utmost importance to diagnose and treat tension pneumothorax (TPX) as soon as possible, because if not recognized and treated, it may swiftly cause collapse of the respiratory and circulatory systems.  An estimated 5% of people with serious thoracic injuries may die from this avoidable cause, making it a leading cause of death in trauma and prehospital situations.  Methods for diagnosis, procedures for intervention, and strategies for training are the primary foci of this study, which aims to provide a synthesis of evidence-based protocols for the prehospital treatment of TPX. A literature search was done on Pubmed and Google Scholars databases to identify the relevant literature from 2015 to 2025. This review focuses on the use of point-of-care ultrasonography to improve diagnosis accuracy and assesses the effectiveness of needle decompression and finger thoracostomy as first-line therapies.  We will go over the main research that back these methods, how they differ between regions, and the difficulties of implementing them in prehospital care.  Standardized training methods and further studies on appropriate intervention strategies are two of the significant gaps in the literature that are pointed out in this review.  These results provide suggestions for improving prehospital care, increasing survival rates, and enhancing clinical practice. This review highlights current evidence-based strategies for diagnosing and managing tension pneumothorax (TPX) in prehospital settings. It emphasizes advancements such as point-of-care ultrasound (POCUS) and interventions such as needle decompression and finger thoracostomy. The review also addresses challenges in protocol implementation, especially in developing EMS systems such as in Saudi Arabia, citing issues such as training disparities, limited resources, and system readiness.
Co-Authors Abdulbari, Hamdi Hasan Alamer, Bader Hussain Altaezi, Lara Gilkaramenthi, Rafiulla Jebreel, Albaraa M. Mushawwah, Saad Mushawwah, Saad M.