• Bystander first aid in trauma – prevalence and quality: a prospective observational study 

      Bakke, Håkon Kvåle; Steinvik, Tine; Eidissen, Silje-Iren; Gilbert, Mads; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-06-19)
      Background: Bystander first aid and basic life support can likely improve victim survival in trauma. In contrast to bystander first aid and out-of-hospital cardiac arrest, little is known about the role of bystanders in trauma response. Our aim was to determine how frequently first aid is given to trauma victims by bystanders, the quality of this aid, the professional background of first-aid ...
    • Do pre-hospital poisoning deaths differ from in-hospital deaths? A retrospective analysis 

      Koskela, Lauri; Raatiniemi, Lasse; Bakke, Håkon Kvåle; Ala-Kokko, Tero; Liisanantti, Janne (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-05-08)
      Background: Most fatal poisonings occur outside the hospital and the victims found dead. The purpose of this study was to determine the general pattern and patient demographics of fatal poisonings in Northern Finland. In particular, we wanted to analyze differences between pre-hospital and in-hospital deaths.<p> Methods: All fatal poisonings that occurred in Northern Finland in 2007–2011 were ...
    • Effect and accuracy of emergency dispatch telephone guidance to bystanders in trauma: post-hoc analysis of a prospective observational study 

      Bakke, Håkon Kvåle; Steinvik, Tine; Ruud, Håkon; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-03-07)
      Background:<br>Emergency medical communication centres (EMCCs) dispatch and allocate ambulance resources, and provide first-aid guidance to on-scene bystanders. We aimed to 1) evaluate whether dispatcher guidance improved bystander first aid in trauma, and 2) to evaluate whether dispatchers and on-scene emergency medical services (EMS) crews identified the same first aid measures as indicated.<br> ...
    • Fatal injuries in rural and urban areas in northern Finland: a 5-year retrospective study 

      Raatiniemi, Lasse; Steinvik, Tine; Liisanantti, Janne; Ohtonen, Pasi; Martikainen, Matti; Alahuhta, Seppo; Dehli, Trond; Wisborg, Torben; Bakke, Håkon Kvåle (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-01-08)
      Background: Finland has the fourth highest injury mortality rate in the European Union. To better understand the causes of the high injury rate, and prevent these fatal injuries, studies are needed. Therefore, we set out to complete an analysis of the epidemiology of fatal trauma, and any contributory role for alcohol, long suspected to promote fatal injuries. As a study area, we chose the ...
    • Fatal injury as a function of rurality- A tale of two Norwegian counties 

      Bakke, Håkon Kvåle; Hansen, Ingrid Schrøder; Bendixen, Anette Bakkane; Morild, Inge; Lilleng, Peer Kåre; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2013)
      Background Many studies indicate rural location as a separate risk for dying from injuries. For decades, Finnmark, the northernmost and most rural county in Norway, has topped the injury mortality statistics in Norway. The present study is an exploration of the impact of rurality, using a point-by-point comparison to another Norwegian county. Methods We identified all fatalities following ...
    • Fatal injury caused by low-energy trauma – a 10-year rural cohort 

      Bakke, Håkon Kvåle; Dehli, Trond; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2014)
      Background: Death after injury with low energy has gained increasing focus lately, and seems to constitute a significant amount of trauma-related death. The aim of this study was to describe the epidemiology of deaths from low-energy trauma in a rural Norwegian cohort. Methods: All deaths from external causes in Finnmark County, Norway, from 1995 to 2004 were identified retrospectively through ...
    • First-aid training in school: amount, content and hindrances 

      Bakke, Håkon Kvåle; Bakke, Harald Kvåle; Bjørlo Schwebs, Runa (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-08-17)
      <p><i>Background</i>: To increase knowledge and competence about first aid in the population, first‐aid instruction is included in primary and secondary school curricula. This study aimed to establish how much time is spent on first‐aid training, which first‐aid measures are taught, and which factors prevent teachers from providing the quantity and quality of first‐aid training that they wish to ...
    • Førstehjelp ved skader - klart du kan! 

      Bakke, Håkon Kvåle (Chronicle; Kronikk, 2013-07-11)
      Radioen synger og sola skinner der du kjører bekymringsfritt langs riksveien en vakker sommerdag. Ingen biler foran deg, ingen biler bak. Plutselig ser du den, en sølvgrå Audi som står i grøfta lenger fram. Fronten er trykket inn av en stor stein. Du slår på nødblinken, og setter opp varseltrekant. Frykten for hva som kan møte deg inne i Audien slår i mellomgulvet. I førersetet sitter en ...
    • Intramuscular uptake of tranexamic acid during haemorrhagic shock in a swine model 

      Bakke, Håkon Kvåle; Fuskevåg, Ole Martin; Nielsen, Erik Waage; Dietrichs, Erik Sveberg (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-12-18)
      Background: Tranexamic acid (TXA) reduce mortality in bleeding trauma patients, with greater efect if administered early. Serum concentrations above 10 µg/mL are considered sufcient to inhibit fbrinolysis. Normally administered intravenously (i.v.), TXA can also be administered intramuscularly (i.m.). This could be advantageous in low resource and military settings, if sufcient serum concentrations ...
    • A nationwide survey of first aid training and encounters in Norway 

      Bakke, Håkon Kvåle; Steinvik, Tine; Angell, Johan; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-02-23)
      Background: <br> Bystander first aid can improve survival following out-of-hospital cardiac arrest or trauma. Thus, providing first aid education to laypersons may lead to better outcomes. In this study, we aimed to establish the prevalence and distribution of first aid training in the populace, how often first aid skills are needed, and selfreported helping behaviour. <br> Methods: <br> We ...
    • Rural High North : A High Rate of Fatal Injury and Prehospital Death 

      Bakke, Håkon Kvåle; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2011)
      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. Following documentation of this discrepancy for the period 1991–1995, improvements to the trauma system were implemented. The present study aims to assess whether trauma-related mortality rates have subsequently ...