Training interaction in primary care emergency teams: the role of the patient. En studie fra NSDM, Tromsø, der et aksjonsforskningsprojekt tar for seg teamtreningsmiodellen Kommune-BEST slik den praktiseres i Alta. I artikkelen ser man spesielt på hvordan deltagerne lokalt reflekterer rundt pasientens bidrag, som spilles av et helsepersonell. International Journal of Person Centered Medicine, Dec 2012

'Access to difficult airway equipment and training for rural GP-anaesthetists in Australia: results of a 2012 survey' Australian rural GPs often provide emergency and inpatient services. Whether accredited GP-Anaesthetists or 'occasional intubators' for emergency patients, most can expect to encounter 'difficult airways' that require specific equipment and procedures. As a first of its kind, this recent online survey sought to understand rural preparedness for such a clinical situation, including access to equipment and training, and awareness of the guidance available in established algorithms and local protocols. Rural and Remote helath Journal, Oct 2012

Avoidable emergency admissions? Samhandlingsreformen innebærer at kommunehelsetjenesten skal avlaste spesialisthelsetjenesten. En studie av innleggelser fra legevakt tyder på at det kan være mulig: Studien ble gjennomført ved Værnesregionen legevakt, som er en interkommunal legevakt med et befolkningsgrunnlag på ca. 29 000 mennesker. Datainnsamlingen fant sted første halvår av 2011 og omfattet 1 083 legevaktkonsultasjoner, som resulterte i 152 innleggelser (14 %). 32 av innleggelsene (21 %) ble angitt som unngåelige. Innleggelse i distriktsmedisinsk senter, time ved spesialistpoliklinikk neste dag eller innleggelse i sykehjem var de mest aktuelle alternativene. De pasientene dette var aktuelt for, hadde i hovedsak sykdommer fra luftveiene eller mage-tarm-systemet.. Emergency Medicine Journal, Sept 2012

 

'Available hemostatic measures for postpartum hemorrhage in rural settings' Postpartum haemorrhage can be life threatening in rural maternity clinics without the resources of a major hospital. This letter describes two relatively simple intrauterine tamponade techniques which may be life-saving in resource low environments. Rural and Remote Health Journal, Sept 2012

'The challenges confronting clinicians in rural acute care settings: a participatory research project' This 3 phase Australian participatory research study provides insight into the working world of acute care rural clinicians. The participants from New South Wales identify challenges to rural practice but also make a positive contribution with practical solutions and strategies unique to the rural sphere of practice. Rural and Remote Health Journal, July 2012

'Thrombolysis for acute ST elevation myocardial infarction: a pilot study comparing results from GP led small rural health emergency departments with results from a physician led sub-regional emergency department' As urgent cardiac reperfusion is lifesaving in ST elevation myocardial infarction, how does the frequency and outcome of rural GPs' initiation of thrombolysis in small EDs compare with that of larger regional centres? While this small study from south-eastern Australia is encouraging for the prognosis of rural patients, it also raises questions about delays in presentation. Rural and Remote Health, June 2012

Rural High North: A High Rate of Fatal Injury and Prehospital Death Finnmark County is the northernmost county in Norway. For several decades, the rate of mortality after injury in this sparsely inhabited region has remained above the national average. All injury-associated fatalities in Finnmark from 1995–2004 were identified retrospectively from the National Registry of Death and reviewed. Low-energy trauma in elderly individuals and poisonings were excluded. The rate is still above the nationa average.  World J Surg. July 2011

Is centralization in emergency rural medicine always right? Lessons learned from two cases of decompression sickness' Two case reports of patients with decompression sickness in remote Japan highlight the wider rural health issue of the centralization of health care with air-medical transport support. Is it always the best policy in island emergency medicine - or could there be a better local model? This concise report provides compelling reading - and evidence. Rural and Remote Health Journal, May 2011

'Pre-hospital care of spinal cord injury in a rural Indian setting' Falls, occupational injuries or MVAs... the statistics speak for those unfortunate enough to suffer a traumatic spinal cord injury in rural India. The authors of this letter argue for pre-hospital care reforms. Rural and Remote Health Journal, May 2011

 A ride to care - a non-emergency medical transportation service in rural British Columbia' The tyranny of distance and terrain is a significant barrier to health care for rural populations the world over. Three years after its inception, service users of the unique Canadian 'Connections' medical transportation customised bus service were surveyed to assess whether the service reached those in social and medical need.
Rural and Remote Health Journal, March 2011

Earthquake, tsunami, radiation leak, and crisis in rural health in Japan In this heartfelt Editorial, Professor Kazuo Inoue (Teikyo University School of Medicine, Tokyo) and the Rural and Remote Health Asian Regional Editor, Associate Professor Masatoshi Matsumoto (Faculty of Medicine, Hiroshima University) salute the Japanese rural health professionals who have stayed in their regions and are struggling to provide care and comfort to rural communities suffering the effects of earthquake, tsunami and radiation. Rural and Remote Helath, March 2011

Town-level comparisons may be an effective alternative in comparing rural and urban differences: a look at accidental traumatic brain injuries in North Texas children When comparing rural versus urban, which is better: comparison at the town or at the county level? These authors analyzed previously collected town-level data on pediatric brain trauma to find out.
 Rural and Remote helath Journal, febr 2011

Pleie- og omsorgspersonell i akuttmedisinske team. I distriktene er ansatte i pleie- og omsorgstjenesten en ressurs i akuttmedisinsk sammenheng. Potensialet i denne yrkesgruppen kan utnyttes bedre og være et viktig supplement ved akuttmedisinske hendelser. Tverrfaglig akuttmedisinsk samhandling krever tydelig organisatorisk og økonomisk struktur, lokal forankring og ledelse. Tidsskr nor legeforen, jan 11

Resuscitation by video in northern communities
Conclusion. Oversight of life support via videoconferencing with the right set-up and training can lead to successful resuscitation in remote communities. Int Journ Circumpolat Health, Nr 5. 2010

Motivations and Barriers for Recruitment of New Emergency Medicine Residency Graduates to Rural Emergency Departments Promising strategies for recruiting new emergency medicine residency graduates to rural EDs are emergency medicine residency selection of individuals with a rural upbringing and higher salaries. Increasing the availability of rural rotations during emergency medicine residency also may help to motivate and prepare some new graduates to practice in rural EDs. Annals of Emergency Medicine, sept 2010

A comparison of emergency medicine resident clinical experience in a rural versus urban emergency department' Rural versus urban is always an interesting perspective. Training in rural sites and urban sites does result in a different experiences for emergency medicine residents. However, rural plus urban training may complement the training of emergency physicians, equipping them to address a broader array of emergency care needs. Rural and Remote Health Journal, juni 2010 

Delays incurred during acute myocardial infarction: a comparative study of rural and urban populations in Greece' What is the role of rural residence in treatment delay during myocardial infarction? The answer may seem obvious, but this small study from the Greek island of Crete had some unexpected findings. Rural and Remote Health Journal, juni 2010 

Rural trauma in Iran: are the data reliable?' This letter from Norway continues a conversation on pre-hospital trauma data. Rural and Remote Health Journal, april 2010 

Mind you, there's no anaesthetist on the road': women's experiences of labouring en route' Women in over 130 small Australian rural communities can no longer deliver their baby in their home town. Instead they face the hazards of many hours road travel to their planned birthing centre while in labour. This qualitative study shows the profound impact of this change on many. Rural and Remote Health Journal, april 2010

Mechanisms of paediatric trauma at a rural hospital in Uganda. Trauma has been a neglected cause of child mortality in resource-poor rural settings due to the burden of infectious diseases such as HIV. However this letter from rural Uganda suggests that simple preventative measures could reduce the number of injured children. Rural and Remote Helath Journal, mars 2010 

Prehospital trombolysebehandling - god behandling med varierende GP-interesse også i Skottland Rural and Remote Health Journal har mars 2009 publisert artikkelen: Identification of barriers to the implementation of evidence-based practice for pre-hospital thrombolysis. Les om allmennlegers holdninger til denne tidlige behandlingen for hjerteinfarkt i et landskap med mange likheter med Norge
 

 Luftambulansens pålitelighet  Luftambulansen er et viktig element i arbeidet med å gjøre forskjellene i helsetilbud mellom sentrale og perifere strøk minst mulig. En studies tall dokumenterer at deler av landet har dårlig luftambulansedekning store deler av året. Forfatterne mener det bør få konsekvenser for drift og organisering av helsetjenesten. Tidsskr Nor Legeforening, mai 2009

Akuttmedisinsk handsaming i ein utkantkommune Sverre Rørtveit og Steinar Hunskår, Tidskrift for Den norske legeforening, april 2009

Akuttmedisinske hendingar i ein utkantkommune Sverre Rørtveit og Steinar Hunskår, Tidskrift for Den norske legeforening, april 2009

Tverrfaglig akuttmedisinsk teamtrening i kommunehelsetjenesten Risten Utsi, Helen Brandstorp, Kenneth Johansen, Torben Wisborg. Tidsskrift for Den norske legeforening, mai 2008 

Rural Mobile Simulation-Based Trauma Team Training —An Innovative Educational Platform Om akuttmedisinsk teamtrening i Australia. International TraumaCare (ITACCS), Vol 16, No.1, 2006

Skader fra bruk av snøscootere i Vest-Finnmark. Jeppesen E, Wisborg T. Tidsskr Nor Legeforen. 2005 Dec
 

 

 

OversiktsartikkelUtplassering av hjartestartarar – nyttar det? Sverre Rørtveit og Eivind Meland, Tidsskrift for Den norske legeforening, febr 2004

Hjartestartargrupper med lekfolk i spreiddbygde område Sverre Rørtveit og Eivind Meland, Tidsskrift for Den norske legeforening, febr 2004

Prehospital thrombolysis in acute myocardial infarction in a very sparsely inhabited area in northern Norway. Bredmose PP, Høybjør S, Sjöborg KA, Wisborg T. Eur J Emerg Med. Sept 2003
 

Respiratory rate as a prehospital triage tool in rural trauma. Husum H, Gilbert M, Wisborg T, Van Heng Y, Murad M. J Trauma. Sept 2003
 

 

 

 

 

 

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