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It was found that inhospital mortality risk in patients with concurrent high NLR and CAR values CAR123 NLR71 was 987 times more than the patients with concurrent low NLR and CAR values CAR123 NLR71 NLR and CAR values of the patients hospitalized in intensive care and service NLR 721 4071336 577 3451122 CAR 1265 279368 956 1743397 were found to be statistically significantly higher than those who were discharged NLR 364 226702 CAR 288 091059 According to our results the concurrent high levels of NLR and CAR values were found to be more effective in predicting inhospital mortality compared to a separate evaluation According to our results the concurrent high levels of NLR and CAR values were found to be more effective in predicting inhospital mortality compared to a separate evaluation COVID19 created lifestyle changes and induced a fear of contagion affecting peoples decisions regarding seeking medical assistance Concern surrounding contagion and the pandemic has been found to affect the number and type of medical emergencies to which Emergency Medical Services EMS have responded To identify categorize and analyze Magen David Adom MDA Israels national EMS prehospital activities including patients refusal to hospital transport during the COVID19 pandemic crises A comparative before and after design study of MDA incidents during MarchApril 2019 and MarchApril 2020 Medical type frequency demographic location and transport refusal proportions and outcomes were analyzed A decrease of 26 in the total volume of incidents was observed during March and April 2020 compared with the equivalent period in 2019 This contrasted with the retrospective trend of annually increase observed through 20162019 Medical categories showing increase in 2020 were infectious disic times will allow EMS to assist patients safely either by reducing truly unnecessary ED visits minimizing contagion or by increasing hospital transports for patients in urgent or emergent conditions Many victims of drowning fatalities are laypeople attempting to rescue another This review aims to identify the safest techniques and equipment improved or purpose made for an untrained bystander to use when attempting a water rescue A sample of 249 papers were included after the bibliographic search in which 19 were finally selected following PRISMA methodology and 3 peer review proceeding presented at international conferences A total of 22 documents were added to qualitative synthesis Geographical location economic level physical fitness or experience may vary the profile of the layrescuers and how to safely perform a water rescue Four layrescuers profiles were identified 1 Children rescuing children in low and middleincome countries LMICs 2 Adults rescuing adults or children 3 Laypeople with some experience and rescue training 4 Laypeople with cultural or professional motivations Three types of techniques used by those layrescuers profiles a noncontact techniques for rto a safer rescue Training strategies for laypeople should be considered Longer prehospital times were associated with increased odds for survival in trauma patients The purpose of this study was to determine how the COVID19 pandemic affected emergency medical services EMS prehospital times for trauma patients This retrospective cohort study compared trauma patients transported via EMS to six US level I trauma centers admitted 1119123119 2019 and 3162063020 COVID19 Outcomes included total EMS prehospital time dispatch to hospital arrival injury to dispatch time response time dispatch to scene arrival onscene time scene arrival to scene departure and transportation time scene departure to hospital arrival Fishers exact chisquared or KruskalWallis tests were used alpha005 All times are presented as median IQR minutes There were 9400 trauma patients transported by EMS 79 in 2019 and 21 during the COVID19 pandemic check details Patients were similar in demographics and transportation mode Emergency room deaths were also similar between 2019 and COVID19 06 vs 09 p013There were no differences between 2019 and during COVID19 for total EMS prehospital time 44 33 63 vs 43 33 62 p012 time from injury to dispatch 16 6 55 vs 16 7 77 p041 response time 7 5 12 for both groups p027 or onscene time 16 1222 vs 17 1222 p031 Compared to 2019 transportation time was significantly shorter during COVID19 18 13 28 vs 17 12 26 p001 The median transportation time for trauma patients was marginally significantly shorter during COVID19 otherwise EMS prehospital times were not significantly affected by the COVID19 pandemic The median transportation time for trauma patients was marginally significantly shorter during COVID19 otherwise EMS prehospital times were not significantly affected by the COVID19 pandemic Video call based dispatcherassisted cardiopulmonary resuscitation VDACPR has been suggested to improve the quality of bystander cardiopulmonary resuscitation In the current system dispatchers must convert the audio calls to video calls to provide VDACPR We aimed to develop new audio calltovideo call transition protocols and test its efficacy and safety compared to conventional DACPRCDACPR This was a randomized controlled simulation trial that compared the quality of bystander chest compression that was performed under three different DACPR protocols CDACPR VDACPR with rapid transition and VDACPR with delayed transition Adult volunteers excluding healthcare providers were recruited for the trial The primary outcome of the study was the mean proportion of adequate hand positioning during chest compression Simulation results of 131 volunteers were analyzed The mean proportion of adequate hand positioning was highest in VDACPR with rapid transition VDACPR with rapid transition vs CDACPR 927 vs 824 p003 The mean chest compression depth was deeper in both VDACPR groups than in the CDACPR group VDACPR with rapid transition vs CDACPR 407mm vs 359mm p001 VDACPR with delayed transition vs C DACPR 409mm vs 359mm p001 Improvement in the proportion of adequate hand positioning was observed in the VDACPR groups r025 p001 for rapid transition and r019 p001 for delayed transition Participants in the VDACPR groups performed higher quality chest compression with higher appropriate hand positioning and deeper compression depth compared to the CDACPR group Participants in the VDACPR groups performed higher quality chest compression with higher appropriate hand positioning and deeper compression depth compared to the CDACPR group