• Airway management by physician-staffed Helicopter Emergency Medical Services – a prospective, multicentre, observational study of 2,327 patients 

      Sunde, Geir Arne; Heltne, Jon-Kenneth; Lockey, David; Burns, Brian; Sandberg, Mårten; Fredriksen, Knut; Hufthammer, Karl Ove; Soti, Akos; Lyon, Richard; Jäntti, Helena; Kämäräinen, Antti; Reid, Bjørn Ole; Silfvast, Tom; Harm, Falko; Sollid, Stephen J. M. (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-08-07)
      <p>Background: Despite numerous studies on prehospital airway management, results are difficult to compare due to inconsistent or heterogeneous data. The objective of this study was to assess advanced airway management from international physician-staffed helicopter emergency medical services. <p>Methods: We collected airway data from 21 helicopter emergency medical services in Australia, England, ...
    • Ambulance helicopter contribution to search and rescue in North Norway 

      Glomseth, Ragnar; Gulbrandsen, Fritz I.; Fredriksen, Knut (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-09-13)
      Background: Search and rescue (SAR) operations constitute a significant proportion of Norwegian ambulance helicopter missions, and they may limit the service’s capacity for medical operations. We compared the relative contribution of the different helicopter resources using a common definition of SAR-operation in order to investigate how the SAR workload had changed over the last years. Methods: We ...
    • Barriers to body temperature monitoring among prehospital personnel: A qualitative study using the modified nominal group technique 

      Scott, Remi William; Fredriksen, Knut (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-06-22)
      Objectives - To identify and explore barriers that healthcare professionals working as prehospital care (PHC) providers at the University Hospital of North Norway experience with temperature monitoring and discover solutions to these problems.<p> <p>Study design - Qualitative study using the modified nominal group technique.<p> <p>Materials and methods - 14 experienced healthcare professionals ...
    • Cabin temperature during prehospital patient transport – a prospective observational study 

      Svendsen, Tuva; Lund-Kordahl, Inger; Fredriksen, Knut (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-07-13)
      <i>Background</i> - Few studies have investigated the patient compartment temperatures during ambulance missions or its relation to admission hypothermia. Still hypothermia is a known risk factor for increased mortality and morbidity in both trauma and disease. This has special relevance to our sub-arctic region’s pre-hospital services, and we prospectively studied the environmental temperature in ...
    • CPR knowledge and attitude to performing bystander CPR among secondary school students in Norway 

      Kanstad, Bjørn Knævelsrud; Nilsen, S. Aa.; Fredriksen, Knut (Journal article; Tidsskriftartikkel; Peer reviewed, 2011-04-13)
      Background:<br>Early bystander cardiopulmonary resuscitation (CPR) is essential for survival from out-of-hospital cardiac arrest (OHCA). Young people are potentially important bystander CPR providers, as basic life support (BLS) training can be distributed widely as part of the school curriculum.<br> Methods:<br>Questionnaires were distributed to nine secondary schools in North Norway, and 376 ...
    • Do pre-hospital anaesthesiologists reliably predict mortality using the NACA severity score? A retrospective cohort study 

      Raatiniemi, Lasse; Mikkelsen, Kim; Fredriksen, Knut; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2013-10-17)
      Introduction: The National Advisory Committee on Aeronautics’ (NACA) severity score is widely used in pre-hospital emergency medicine to grade the severity of illness or trauma in patient groups but is scarcely validated. The aim of this study was to assess the score’s ability to predict mortality and need for advanced in-hospital interventions in a cohort from one anaesthesiologistmanned helicopter ...
    • Evaluation of a trauma team activation protocol revision: A prospective cohort study 

      Dehli, Trond; Monsen, Svein Arne; Fredriksen, Knut; Bartnes, Kristian (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-08-25)
      <b>Background:</b> Correct triage based on prehospital information contributes to a better outcome for potentially seriously injured patients. In 2011 we changed the trauma team activation (TTA) criteria in our center in order to improve the high over- and undertriage properties of the protocol. Five criteria that were unable to predict severe injury were removed. In the present study, we evaluated ...
    • Evaluation of a university hospital trauma team activation protocol 

      Dehli, Trond; Fredriksen, Knut; Osbakk, Svein Are; Bartnes, Kristian (Journal article; Tidsskriftartikkel; Peer reviewed, 2011)
      Background: Admission with a multidisciplinary trauma team may be vital for the severely injured patient, as this facilitates rapid diagnosis and treatment. On the other hand, patients with minor injuries do not need the trauma team for adequate care. Correct triage is important for optimal resource utilization. The aim of the study was to evaluate our criteria for activating the trauma team, and ...
    • Extracurricular work experience and its association with training and confidence in emergency medicine procedures among medical students: a cross-sectional study from a Norwegian medical school 

      Scott, Remi William; Fredriksen, Knut (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-09-27)
      <p><b> Objective </b> Proficiency in basic emergency procedures is important for junior doctors, but the amount of practical exposure may vary. We studied the association between students’ extracurricular healthcare-related (ECHR) work experience and self-reported practical training and confidence in selected emergency medicine procedures. <p><b> Study design</b> Cross-sectional ...
    • Hypoxia and hypotension in patients intubated by physician staffed helicopter emergency medical services - a prospective observational multi-centre study 

      Sunde, Geir Arne; Sandberg, Mårten; Lyon, Richard; Fredriksen, Knut; Burns, Brian; Hufthammer, Karl Ove; Røislien, Jo; Sóti, Ákos; Jäntti, Helena; Lockey, David; Heltne, Jon-Kenneth; Sollid, Stephen J. M. (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-07-11)
      The effective treatment of airway compromise in trauma and non-trauma patients is important. Hypoxia and hypotension are predictors of negative patient outcomes and increased mortality, and may be important quality indicators of care provided by emergency medical services. Excluding cardiac arrests, critical trauma and non-trauma patients remain the two major groups to which helicopter emergency ...
    • Medical school and self-reported practical skills: How do the UiT medical students acquire practical competence in emergency medicine skills? 

      Scott, Remi William; Sørensen, Frode; Fredriksen, Knut (Master thesis; Mastergradsoppgave, 2021-05-28)
      Abstract Aims: To investigate how extracurricular healthcare-related (ECHR) work experience influenced University of Tromsø – The Arctic University of Norway’s medical students’ and graduates’ achieved level of practical training and their self-perceived confidence in selected practical skills believed to be important for emergency medicine. Materials and methods: Medical students and graduates ...
    • Relationship between level of CPR training, self-reported skills, and actual manikin test performance—an observational study 

      Lund-Kordahl, Inger; Mathiassen, Maria; Melau, Jørgen; Olasveengen, Theresa M.; Sunde, Kjetil; Fredriksen, Knut (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-01-10)
      <p><i>Background - </i>Quality of bystander cardiopulmonary resuscitation (CPR) skills may influence out of hospital cardiac arrest (OHCA) outcomes. We analyzed how the level of CPR training related to indicators of good CPR quality and also the relationship between self-reported skills and actual CPR performance. <p><i>Methods - </i>Two hundred thirty-seven persons trained in standardized BLS ...
    • Reporting Helicopter Emergency Medical Services in major incidents: A Delphi study 

      Fattah, Sabina; Johnsen, Anne Siri; Sollid, Stephen J. M.; Wisborg, Torben; Rehn, Marius; Sóti, Ákos; Truhlář, Anatolij; Krüger, Andreas; Gunnarsson, Björn; Gryth, Dan; Ohlén, David; Fevang, Espen; Sunde, Geir Arne; Breitenmoser, Ivo; Kurola, Jouni; Nurmi, Jouni; Fredriksen, Knut; Rognås, Leif; Temesvari, Peter; Mikkelsen, Søren; Magnússon, Vidar; Voelckel, Wolfgang (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-11)
      Objective:<br> Research on helicopter emergency medical services (HEMS) in major incidents is predominately based on case descriptions reported in a heterogeneous fashion. Uniform data reported with a consensus-based template could facilitate the collection, analysis, and exchange of experiences. This type of database presently exists for major incident reporting at www.majorincidentreporting.net. ...
    • Usage of documented pre-hospital observations in secondary care: a questionnaire study and retrospective comparison of records 

      Knutsen, Geir Olav; Fredriksen, Knut (Journal article; Tidsskriftartikkel; Peer reviewed, 2013)
      Background: The patient handover is important for the safe transition from the pre-hospital setting to secondary care. The loss of critical information about the pre-hospital phase may impact upon the clinical course of the patient. Methods: University Hospital Emergency Care registrars answered a questionnaire about how they perceive clinical documentation from the ambulance services. We also ...