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.

Latest Tweets

Your browser needs to have JavaScript enabled to view this timeline

Articles

  1. Authors: Ulf Ekelund, Bodil Ohlsson, Olle Melander, Jonas Björk, Mattias Ohlsson, Jakob Lundager Forberg, Pontus Olsson de Capretz, Axel Nyström and Anders Björkelund

MENTAL HEALTH-, POSTTRAUMATIC STRESS AND POST EXPOSURE CHANGES IN AMBULANCE PERSONNEL

Emergency service personnel are exposed to an array of potentially traumatic events, which may influence their physical or psychological wellbeing. Exposure to traumatic events entail increased risk of developing posttraumatic stress symptoms, as well as other forms of psychological distress. Bjørn Ole Reid et al. report the prevalence of depression, anxiety, posttraumatic development, and posttraumatic stress disorders in Norwegian ambulance personnel. 

WHAT'S THE BEST APPROACH TO PATIENTS EXPOSED TO ELECTRICAL INJURY?

The damage caused by electrical injuries can range from minor skin burns to life-threatening damage to vital organs. Current evidence suggests that patients exposed to electrical injury who have a normal ECG on admission after a low-voltage injury, with no loss of consciousness or initial cardiac arrest may be discharged home after a short observation time (usually 24h). But.... is this the best approach?
J. Ahmed et al. analysed the characteristics of 465 patients exposed to electrical injury and their outcomes after hospital discharge. 

THE IMPORTANCE OF MAJOR INCIDENT PREPAREDNESS: THE GREAT BELT TRAIN ACCIDENT

On January 2nd, 2019, a high-speed passenger train collided with a trailer falling from a freight train on the Great Belt Bridge near Nyborg, Denmark. The incident turned out to be the most severe major incident in Denmark for thirty years.
Despite harsh weather conditions and complex logistics, the massive and prompt prehospital response allowed a successful management of the incident although some difficulties arose.
What did we learn and what could be improved? Read the detailed analysis by P.M. Hansen et al.

PREHOSPITAL EMERGENCY MANAGEMENT OF GERIATRIC TRAUMA PATIENTS: THE 6 BIGGEST CHALLENGES!

Trauma happens regularly to older people (≥65 years) - a rapidly growing patient group, especially in the prehospital field. Because of altered physiology, covert mechanisms of injury, non-linear presentations and co-morbidities, it increasingly challenges prehospital teams.
This Scoping Review by Eichinger et al. summarises the six biggest challenges for prehospital providers of a patient's journey, from the dispatch to the outcome.

MAIN ISSUES ASSOCIATED WITH PRE-HOSPITAL THORACOSTOMY

Open thoracostomies have become the standard of care in pre-hospital critical care in patients with chest injuries receiving positive pressure ventilation. Nevertheless, the thoracic cavity contains several life-sustaining structures, whose injury can place a person at immediate threat of severe disability or death, thus it may be appropriate to withhold intervention in the absence of clinical features. Clinicians should also consider the environment where the patient will be monitored during care and transfer, and chest ultrasound can be used as an adjunct to assessment. Read S. Mohrsen et al.'s review to get  more insights on this important clinical issue.

WHAT'S OPTIMAL CPR DURATION FOR FAVORABLE NEUROLOGICAL OUTCOME?

Longer cardiopulmonary resuscitation duration in cases of out-of-hospital cardiac arrest is associated with reduced favorable neurological outcomes, thus determining the upper limit of CPR duration is essential for stopping futile resuscitation efforts. Despite of this, to date, consensus is lacking on the optimal total CPR duration. This study by SungJoon Park et al. aims to identify the upper limit of total CPR duration and optimal cut-off for pre- or in-hospital total CPR duration to achieve favorable neurological outcomes.

ENTRAPMENT INJURIES, OUTCOMES AND AGE: ANY CORRELATION?

Older road users represent 12% of car driving license holders and 9% of road miles travelled. Older casualties may be at increased risk of entrapment through decreased baseline mobility, a propensity to frailty and vulnerability to certain types of injury, although it is unknown if prolonged entrapment may represent an increased risk of poor outcome. Tim Nutbeam et al., in this study, describe the injuries, trapped status, outcomes, and potential for self-extrication for patients following an MVC across a range of age groups.

Related contents from the same authors: (1) Assessing spinal movements during extrication methods (2) Travel movements; (3) Role of cervical collars; (4) Trapped vs not trapped

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.


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.

Official journal of

Annual Journal Metrics

  • 2022 Citation Impact
    3.3 - 2-year Impact Factor
    3.5 - 5-year Impact Factor
    1.596 - SNIP (Source Normalized Impact per Paper)
    1.091 - SJR (SCImago Journal Rank)

    2023 Speed
    16 days submission to first editorial decision for all manuscripts (Median)
    93 days submission to accept (Median)

    2023 Usage 
    1,293,885 downloads
    2,248 Altmetric mentions