Anjni Patel Joiner

Journal Article International Journal of Disaster Risk Reduction · June 15, 2026 Anthropogenic global change is intensifying natural hazards necessitating urgent, just and sustainable solutions that mitigate risks without compromising the Earth systems crucial for human survival. Advances in the field of Disaster Risk Reduction (DRR) h ... Full text Cite

An Analysis of Medications for Opioid Use Disorder (MOUD) Prehospital Programs Across North Carolina.

Journal Article Prehosp Emerg Care · March 20, 2026 OBJECTIVES: Prehospital programs for Medications for Opioid Use Disorder (MOUD) have gained significant traction over the past few years. Data describing statewide implementation of MOUD programs are limited. Our objective was to describe the current pract ... Full text Link to item Cite

Factors Associated with EMS Clinician Preparedness to Provide Care for Patients with Limited English Proficiency.

Journal Article Prehosp Emerg Care · 2026 OBJECTIVES: Emergency medical services (EMS) clinicians report challenges in providing care to patients with limited English proficiency (LEP); however, associated factors are not well defined. The objective of this study was to examine EMS clinicians' sel ... Full text Link to item Cite

Barriers to bystander interventions in suspected opioid-associated out-of-hospital cardiac arrests: A multiple methods study of 9-1-1 calls.

Journal Article Resuscitation · October 2025 INTRODUCTION: Opioid-associated out-of-hospital cardiac arrests (OA-OHCA) is a significant problem in the United States. Layperson interventions, including bystander CPR and naloxone may improve survival, but barriers may differ compared to other OHCA. Thi ... Full text Link to item Cite

Caring for Transgender and Gender Diverse Prehospital Patients: A NAEMSP Position Statement and Resource Document.

Journal Article Prehosp Emerg Care · 2025 Transgender and gender diverse (TGD) people have long faced significant barriers to safely accessing medical care-especially gender-affirming care, which has been shown to strikingly improve health outcomes like suicidality and depression. In the prehospit ... Full text Link to item Cite

A Prehospital Quality Improvement Framework to Reduce Mortality and Other Harms Associated with Opioid Use Disorder.

Journal Article Prehosp Emerg Care · 2025 OBJECTIVES: In response to the escalating overdose crisis there is an urgent need for innovative strategies to reduce overdose death. Emergency Medical Services (EMS) is uniquely poised to reduce mortality and other harms associated with opioid use through ... Full text Link to item Cite

Establishing Core Elements for a Prehospital Emergency Care Systems Evaluation Tool (PECSET) for Systems in Early Stages of Development: A Delphi Consensus.

Journal Article Prehosp Emerg Care · 2025 OBJECTIVES: International Prehospital Emergency Care (PEC) standards have been primarily developed by and for high resource settings. Most PEC systems in Asia, which are still in the early stages of development, struggle to achieve these standards. There i ... Full text Link to item Cite

A Scoping Review and Consensus Recommendations for Emergency Medical Services Buprenorphine (EMS-Bupe) Programs.

Journal Article Prehosp Emerg Care · 2025 OBJECTIVES: Emergency Medical Services (EMS) agencies are beginning to provide low-barrier access to treatment for opioid use disorder (OUD) through the development of EMS buprenorphine (EMS-Bupe) programs. However, evidence-based practices for these progr ... Full text Link to item Cite

Emergency care knowledge, utilization, and barriers in Northern Tanzania: A community-based survey.

Journal Article PLOS Glob Public Health · 2025 BACKGROUND: Emergency care systems are critical to improving care for time-sensitive emergency conditions. The growth and development of these systems in Sub-Saharan Africa is becoming a priority. Layperson knowledge and recognition of emergency symptoms a ... Full text Link to item Cite

Combinations of First Responder and Drone Delivery to Achieve 5-Minute AED Deployment in OHCA.

Journal Article JACC Adv · July 2024 BACKGROUND: Defibrillation in the critical first minutes of out-of-hospital cardiac arrest (OHCA) can significantly improve survival. However, timely access to automated external defibrillators (AEDs) remains a barrier. OBJECTIVES: The authors estimated th ... Full text Link to item Cite

Incorporation of Drone Technology Into the Chain of Survival for OHCA: Estimation of Time Needed for Bystander Treatment of OHCA and CPR Performance.

Journal Article Circ Cardiovasc Qual Outcomes · April 2024 BACKGROUND: Drone-delivered automated external defibrillators (AEDs) hold promises in the treatment of out-of-hospital cardiac arrest. Our objective was to estimate the time needed to perform resuscitation with a drone-delivered AED and to measure cardiopu ... Full text Link to item Cite

Designing, development and validation of an app to reduce the response time of the emergency medical services.

Journal Article PLoS One · 2024 INTRODUCTION: Delays in prehospital care attributable to the call-taking process can often be traced back to miscommunication, including uncertainty around the call location. Geolocation applications have the potential to streamline the call-taking process ... Full text Link to item Cite

Achieving Equity in EMS Care and Patient Outcomes Through Quality Management Systems: A Position Statement.

Journal Article Prehosp Emerg Care · 2024 Improving health and safety in our communities requires deliberate focus and commitment to equity. Inequities are differences in access, treatment, and outcomes between individuals and across populations that are systemic, avoidable, and unjust. Within hea ... Full text Link to item Cite

Confronting mobile phone signal coverage and helicopter emergency medical service travel time: A geospatial analysis in the northwest macro-region of Paraná State, Brazil.

Journal Article Traffic Inj Prev · 2024 OBJECTIVE: The aim of this study was to conduct a detailed geospatial analysis of mobile phone signal coverage in the northwest macro-region of Paraná State, Brazil, seeking to identify areas where limitations in coverage may be related to lengthy travel t ... Full text Link to item Cite

Financial toxicity and acute injury in the Kilimanjaro region: An application of the Three Delays Model.

Journal Article PLoS One · 2024 BACKGROUND: Trauma and injury present a significant global burden-one that is exacerbated in low- and middle-income settings like Tanzania. Our study aimed to describe the landscape of acute injury care and financial toxicity in the Kilimanjaro region by l ... Full text Link to item Cite

Barriers and facilitators for developing a prehospital emergency care system evaluation tool (PEC-SET) for low-resource settings: a qualitative analysis.

Journal Article BMJ Open · December 9, 2023 OBJECTIVES: Strengthening of emergency care systems, including prehospital systems, can reduce death and disability. We aimed to identify perspectives on barriers and facilitators relating to the development and implementation of a prehospital emergency ca ... Full text Link to item Cite

AI-based approach for transcribing and classifying unstructured emergency call data: A methodological proposal.

Journal Article PLOS Digit Health · December 2023 Emergency care-sensitive conditions (ECSCs) require rapid identification and treatment and are responsible for over half of all deaths worldwide. Prehospital emergency care (PEC) can provide rapid treatment and access to definitive care for many ECSCs and ... Full text Link to item Cite

Built environment influence on the incidence of elderly pedestrian collisions in a medium-large city in southern Brazil: a spatial analysis.

Journal Article Int J Inj Contr Saf Promot · September 2023 Trauma disproportionately affects vulnerable road users, especially the elderly. We analyzed the spatial distribution of elderly pedestrians struck by vehicles in the urban area of Maringa city, from 2014 to 2018. Hotspots were obtained by kernel density e ... Full text Link to item Cite

A qualitative assessment of stakeholder perspectives on barriers and facilitators to emergency care delays in Northern Tanzania through the Three Delays.

Journal Article Afr J Emerg Med · September 2023 INTRODUCTION: Emergency conditions cause a significant burden of death and disability, particularly in developing countries. Prehospital and Emergency Medical Services (EMS) are largely nonexistent throughout Tanzania and little is known about the communit ... Full text Link to item Cite

Emergency unit capacity in Northern Tanzania: a cross-sectional survey.

Journal Article BMJ Open · February 22, 2023 INTRODUCTION: Emergency medicine (EM) is a growing field in Sub-Saharan Africa. Characterising the current capacity of hospitals to provide emergency care is important in identifying gaps and future directions of growth. This study aimed to characterise th ... Full text Link to item Cite

Shame and Guilt in EMS: A Qualitative Analysis of Culture and Attitudes in Prehospital Emergency Care.

Journal Article Prehosp Emerg Care · 2023 STUDY OBJECTIVES: The shame reaction is a highly negative emotional reaction shown to have long-term deleterious effects on the mental health of clinicians. Prior studies have focused on in-hospital personnel, but very little is known about what drives sha ... Full text Link to item Cite

Diversity, Equity, and Inclusion in the United States Emergency Medical Services Workforce: A Scoping Review.

Journal Article Prehosp Emerg Care · 2023 OBJECTIVE: Emergency medical services (EMS) workforce demographics in the United States do not reflect the diversity of the population served. Despite some efforts by professional organizations to create a more representative workforce, little has changed ... Full text Open Access Link to item Cite

Predictors of Non-Transport for Older Adult EMS Patients Encountered for Falls.

Journal Article Prehosp Emerg Care · 2023 BACKGROUND: Emergency medical services (EMS) encounters for falls among older adults have been linked to poor outcomes when the patient is not transported by EMS to a hospital. However, little is known regarding characteristics of this patient population. ... Full text Link to item Cite

Disparities in Emergency Medical Services Care Delivery in the United States: A Scoping Review.

Journal Article Prehosp Emerg Care · 2023 BACKGROUND: Emergency medical services (EMS) often serve as the first medical contact for ill or injured patients, representing a critical access point to the health care delivery continuum. While a growing body of literature suggests inequities in care wi ... Full text Link to item Cite

The association of indoor heat exposure with diabetes and respiratory 9-1-1 calls through emergency medical dispatch and services documentation.

Journal Article Environ Res · September 2022 BACKGROUND: People with pre-existing medical conditions, who spend a large proportion of their time indoors, are at risk of emergent morbidities from elevated indoor heat exposures. In this study, indoor heat of structures wherein exposed people received G ... Full text Link to item Cite

Evaluation of telephone-assisted cardiopulmonary resuscitation recommendations for out-of-hospital cardiac arrest.

Journal Article Resuscitation · September 2022 AIM OF THE STUDY: While out-of-hospital cardiac arrest (OHCA) is associated with poor survival, early bystander CPR (B-CPR) and telephone CPR (T-CPR) improves survival from OHCA. American Heart Association (AHA) Scientific Statements outline recommendation ... Full text Link to item Cite

Emergency medical services-witnessed out-of-hospital cardiac arrest: Global variation and opportunities for future investigation.

Journal Article Resuscitation · June 2022 Full text Link to item Cite

Medical transport-associated infection: Review and commentary making a case for its legitimacy.

Journal Article Infect Control Hosp Epidemiol · April 2022 The purpose of this article is to summarize existing literature about healthcare-associated infection (HAI) in the medical transport environment and to define the term medical transport-associated infection (MTAI) to unify all previous work under a single ... Full text Link to item Cite

Barriers to accessing follow up care in post-hospitalized trauma patients in Moshi, Tanzania: A mixed methods study.

Journal Article PLOS Glob Public Health · 2022 Disproportionately high injury rates in Sub-Saharan Africa combined with limited access to care in both the acute injury phase and for injury patients requiring continued care after hospital discharge remains a challenge. We aimed to characterize barriers ... Full text Link to item Cite

Emergency Care Sensitive Conditions in Brazil: A Geographic Information System Approach to Timely Hospital Access.

Journal Article Lancet Reg Health Am · December 2021 BACKGROUND: The benefits of treatment for many conditions are time dependent. The burden of these emergency care sensitive conditions (ECSCs) is especially high in low- and middle-income countries. Our objective was to analyze geospatial trends in ECSCs an ... Full text Link to item Cite

Global emergency medicine: A scoping review of the literature from 2020.

Journal Article Acad Emerg Med · November 2021 OBJECTIVE: The objective was to identify, screen, highlight, review, and summarize some of the most rigorously conducted and impactful original research (OR) and review articles (RE) in global emergency medicine (EM) published in 2020 in the peer-reviewed ... Full text Link to item Cite

Traumatic brain injury

Chapter · August 18, 2021 Traumatic brain injury (TBI) is a common cause of death and disability. Primary prevention is focused on injury prevention programs, education, and policies. Prehospital care is focused on rapid identification and prevention of secondary brain injury throu ... Full text Cite

A hypothetical implementation of 'Termination of Resuscitation' protocol for out-of-hospital cardiac arrest.

Journal Article Resusc Plus · June 2021 BACKGROUND: Out-of-hospital cardiac arrests with negligible chance of survival are routinely transported to hospital and many are pronounced dead thereafter. This leads to some potentially avoidable costs. The 'Termination of Resuscitation' protocol allows ... Full text Open Access Link to item Cite

The Role of Emergency Medical Services in the Opioid Epidemic.

Journal Article Prehosp Emerg Care · 2021 The opioid crisis is an ongoing public health concern and EMS agencies are in a critical position to reach at-risk populations. The traditional role of EMS in treating acute opioid overdoses has expanded to include preventative strategies as well as long-t ... Full text Link to item Cite

Helicopter Transportation of Brazilian Trauma Patients: A Comparison of Times to Care.

Journal Article Air Med J · 2021 OBJECTIVE: The purpose of this study was to analyze helicopter emergency medical service (HEMS) transport with secondary land ambulance transfer, comparing landings performed inside and outside the hospital complex to the emergency department. METHODS: Thi ... Full text Link to item Cite

Access to care solutions in healthcare for obstetric care in Africa: A systematic review.

Journal Article PLoS One · 2021 BACKGROUND: Emergency Medical Services (EMS) systems exist to reduce death and disability from life-threatening medical emergencies. Less than 9% of the African population is serviced by an emergency medical services transportation system, and nearly two-t ... Full text Link to item Cite

Predictors of ambulance transport to first health facility among injured patients in southern Sri Lanka.

Journal Article PLoS One · 2021 BACKGROUND: Injuries account for about 13% of all registered deaths in Sri Lanka and are the leading cause of admission to public hospitals. Prehospital trauma care is new to Sri Lanka, and in 2016, a free ambulance service was launched in the Western and ... Full text Link to item Cite

Global Emergency Medicine: A Review of the Literature From 2019.

Journal Article Acad Emerg Med · January 2021 OBJECTIVE: The annual systematic search of the peer-reviewed and gray literature relevant to global emergency medicine (EM) was conducted by the Global Emergency Medicine Literature Review (GEMLR) to screen, evaluate, and review the most rigorously conduct ... Full text Link to item Cite

Evaluating capacity at three government referral hospital emergency units in the kingdom of Eswatini using the WHO Hospital Emergency Unit Assessment Tool.

Journal Article BMC Emerg Med · May 6, 2020 BACKGROUND: The Kingdom of Eswatini, a lower-middle income nation of 1.45 million in southern Africa, has recently identified emergency care as a key strategy to respond to the national disease burden. We aimed to evaluate the current capacity of hospital ... Full text Link to item Cite

Qualitative evaluation of trauma delays in road traffic injury patients in Maringá, Brazil.

Journal Article BMC Health Serv Res · December 2, 2017 BACKGROUND: Road traffic injuries (RTIs) are the eighth leading cause of death worldwide, with an estimated 90% of RTIs occurring in low- and middle-income countries (LMICs) like Brazil. There has been minimal research in evaluation of delays in transport ... Full text Link to item Cite

Prehospital sepsis care: Understanding provider knowledge, behaviors, and attitudes.

Journal Article Am J Emerg Med · February 2017 Full text Link to item Cite

The epidemiology of road traffic injury hotspots in Kigali, Rwanda from police data.

Journal Article BMC Public Health · August 2, 2016 BACKGROUND: Road traffic injuries (RTIs) are the eighth-leading cause of death worldwide, with low- and middle-income countries sharing a disproportionate number of fatalities. African countries, like Rwanda, carry a higher burden of these fatalities and w ... Full text Link to item Cite

Quality of the Development of Traumatic Brain Injury Clinical Practice Guidelines: A Systematic Review.

Journal Article PLoS One · 2016 Traumatic brain injury (TBI) is a leading cause of death worldwide and is increasing exponentially particularly in low and middle income countries (LMIC). To inform the development of a standard Clinical Practice Guideline (CPG) for the acute management of ... Full text Link to item Cite

Validation of the modified Sgarbossa criteria for acute coronary occlusion in the setting of left bundle branch block: A retrospective case-control study.

Journal Article Am Heart J · December 2015 BACKGROUND: The modified Sgarbossa criteria were proposed in a derivation study to be superior to the original criteria for diagnosing acute coronary occlusion (ACO) in left bundle branch block (LBBB). The new rule replaces the third criterion (5 mm of exc ... Full text Open Access Link to item Cite