{"id":"https://openalex.org/W101936002","doi":null,"title":"Prehospital guidelines for use of hypertonic saline are not followed systematically.","display_name":"Prehospital guidelines for use of hypertonic saline are not followed systematically.","publication_year":2012,"publication_date":"2012-04-01","ids":{"openalex":"https://openalex.org/W101936002","mag":"101936002","pmid":"https://pubmed.ncbi.nlm.nih.gov/22459722"},"language":"en","primary_location":{"id":"pmid:22459722","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22459722","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Danish medical journal","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5074892946","display_name":"Julie Hejselb\u00e6k","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802709434","display_name":"Rigshospitalet","ror":"https://ror.org/03mchdq19","country_code":"DK","type":"healthcare","lineage":["https://openalex.org/I2802567020","https://openalex.org/I2802709434","https://openalex.org/I4210145385"]}],"countries":["DK"],"is_corresponding":false,"raw_author_name":"Julie Hejselbaek","raw_affiliation_strings":["Department of Anaesthesia, Centre of Head and Orthopaedics, Rigshospitalet, Denmark. ndq420@alumni.ku.dk"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anaesthesia, Centre of Head and Orthopaedics, Rigshospitalet, Denmark. ndq420@alumni.ku.dk","institution_ids":["https://openalex.org/I2802709434"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026686061","display_name":"Jacob Steinmetz","orcid":"https://orcid.org/0000-0001-9620-8911","observed_orcids":["https://orcid.org/0000-0001-9620-8911"]},"institutions":[{"id":"https://openalex.org/I124055696","display_name":"University of Copenhagen","ror":"https://ror.org/035b05819","country_code":"DK","type":"education","lineage":["https://openalex.org/I124055696"]}],"countries":["DK"],"is_corresponding":false,"raw_author_name":"Jacob Steinmetz","raw_affiliation_strings":["Department of Clinical Medicine, Department of Clinical Medicine, Faculty of Health and Medical Sciences, K\u00f8benhavns Universitet"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Medicine, Department of Clinical Medicine, Faculty of Health and Medical Sciences, K\u00f8benhavns Universitet","institution_ids":["https://openalex.org/I124055696"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5037087068","display_name":"Lars Simon Rasmussen","orcid":"https://orcid.org/0000-0002-7480-3004","observed_orcids":["https://orcid.org/0000-0002-7480-3004"]},"institutions":[{"id":"https://openalex.org/I124055696","display_name":"University of Copenhagen","ror":"https://ror.org/035b05819","country_code":"DK","type":"education","lineage":["https://openalex.org/I124055696"]}],"countries":["DK"],"is_corresponding":false,"raw_author_name":"Lars Simon Rasmussen","raw_affiliation_strings":["Department of Clinical Medicine, Department of Clinical Medicine, Faculty of Health and Medical Sciences, K\u00f8benhavns Universitet"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Medicine, Department of Clinical Medicine, Faculty of Health and Medical Sciences, K\u00f8benhavns Universitet","institution_ids":["https://openalex.org/I124055696"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.6239,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.72588344,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":95},"biblio":{"volume":"59","issue":"4","first_page":"A4417","last_page":"A4417"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.4961000084877014,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.4961000084877014,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10706","display_name":"Traumatic Brain Injury and Neurovascular Disturbances","score":0.2224999964237213,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.13950000703334808,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hypertonic-saline","display_name":"hypertonic saline","score":1.0},{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.6830000281333923},{"id":"https://openalex.org/keywords/implementation-barriers","display_name":"implementation barriers","score":0.7770000100135803},{"id":"https://openalex.org/keywords/prehospital-care","display_name":"prehospital care","score":0.7919999957084656},{"id":"https://openalex.org/keywords/traumatic-brain-injury","display_name":"traumatic brain injury","score":0.8370000123977661},{"id":"https://openalex.org/keywords/hypotension","display_name":"hypotension","score":0.9879999756813049},{"id":"https://openalex.org/keywords/anesthesiologists","display_name":"anesthesiologists","score":0.8349999785423279},{"id":"https://openalex.org/keywords/evidence-based-practice","display_name":"evidence-based practice","score":0.44600000977516174}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9471138715744019},{"id":"https://openalex.org/C3017567848","wikidata":"https://www.wikidata.org/wiki/Q275792","display_name":"Hypertonic saline","level":2,"score":0.7101503610610962},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4570877254009247},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.447297602891922},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.404263973236084},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003718","descriptor_name":"Denmark","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004632","descriptor_name":"Emergency Medical Services","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004632","descriptor_name":"Emergency Medical Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006305","descriptor_name":"Health Status Indicators","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007722","descriptor_name":"Health Knowledge, Attitudes, Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012462","descriptor_name":"Saline Solution, Hypertonic","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D019538","descriptor_name":"Health Care Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"pmid:22459722","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22459722","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Danish medical journal","raw_type":"Journal Article"},{"id":"pmh:oai:pure.atira.dk:openaire_cris_publications/8a05b77a-c67d-4d11-a038-5c7db5aa81ff","doi":null,"is_oa":false,"landing_page_url":"https://researchprofiles.ku.dk/da/publications/8a05b77a-c67d-4d11-a038-5c7db5aa81ff","pdf_url":null,"source":{"id":"https://openalex.org/S4306401983","display_name":"Research at the University of Copenhagen (University of Copenhagen)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I124055696","host_organization_name":"University of Copenhagen","host_organization_lineage":["https://openalex.org/I124055696"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Hejselbaek, J, Steinmetz, J & Rasmussen, L S 2012, 'Prehospital guidelines for use of hypertonic saline are not followed systematically', Danish Medical Bulletin (Online), vol. 59, no. 4, pp. A4417. < http://www.danmedj.dk/portal/page/portal/danmedj.dk/dmj_forside/PAST_ISSUE/2012/DMJ_2012_04/A4417 >","raw_type":"info:eu-repo/semantics/article"},{"id":"mag:101936002","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22459722","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":17,"referenced_works":["https://openalex.org/W1656816330","https://openalex.org/W1990742854","https://openalex.org/W1994307831","https://openalex.org/W2030704903","https://openalex.org/W2039466331","https://openalex.org/W2048828214","https://openalex.org/W2054273968","https://openalex.org/W2068703520","https://openalex.org/W2097730276","https://openalex.org/W2099903944","https://openalex.org/W2105501846","https://openalex.org/W2135347707","https://openalex.org/W2142590599","https://openalex.org/W2143981995","https://openalex.org/W2163814039","https://openalex.org/W2164315467","https://openalex.org/W2415516180"],"related_works":["https://openalex.org/W2012641575","https://openalex.org/W2016378643","https://openalex.org/W7099543784","https://openalex.org/W4286377458","https://openalex.org/W1925931900","https://openalex.org/W2001619433","https://openalex.org/W7140179533","https://openalex.org/W2519305717","https://openalex.org/W4281788158","https://openalex.org/W4220778705"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Hypertonic":[1],"saline":[2],"(HS)":[3],"was":[4],"introduced":[5],"in":[6,14,61],"our":[7],"physician-based":[8],"mobile":[9],"emergency":[10],"care":[11],"unit":[12],"(MECU)":[13],"September":[15],"2006":[16],"for":[17,92],"patients":[18],"with":[19,109,165],"severe":[20],"traumatic":[21],"brain":[22],"injury":[23],"and":[24,32,97,110,149,168,185],"hypotension.":[25],"HS":[26,95,124,160],"has,":[27],"however,":[28],"rarely":[29],"been":[30],"used":[31],"we":[33],"sought":[34],"to":[35,38,53,122,131,156,178],"identify":[36],"barriers":[37,105],"its":[39,174],"implementation.":[40],"MATERIAL":[41],"AND":[42],"METHODS:":[43],"We":[44],"conducted":[45],"a":[46,50],"survey":[47],"based":[48],"on":[49],"questionnaire":[51],"administered":[52],"all":[54],"40":[55],"anaesthesiologists":[56,72],"employed":[57],"at":[58,142],"the":[59,75,87,90,113,126,134,143,157,166,171],"MECU":[60,144,187],"Copenhagen":[62],"as":[63],"per":[64],"August":[65],"2010.":[66],"RESULTS:":[67],"A":[68],"total":[69],"of":[70,82,86,94,112,159,163],"31":[71],"(84%)":[73],"returned":[74],"questionnaire.":[76],"Three":[77],"physicians":[78,88,138],"were":[79,102,106,152,161],"excluded":[80],"because":[81,125],"leave.":[83],"Almost":[84],"half":[85],"considered":[89],"evidence":[91,172],"use":[93,123],"insufficient,":[96],"29%":[98],"found":[99],"that":[100,117,140,150],"guidelines":[101],"lacking.":[103],"Noticeable":[104],"inadequate":[107],"familiarity":[108,164],"unawareness":[111],"guideline.":[114],"Some":[115],"believed":[116],"they":[118],"may":[119],"have":[120],"failed":[121],"option":[127],"did":[128],"not":[129,190,194],"occur":[130],"them":[132],"during":[133],"relevant":[135],"incidents.":[136],"Many":[137],"stated":[139],"training":[141],"should":[145],"be":[146],"more":[147],"thorough":[148],"instructions":[151,184],"missing.":[153],"CONCLUSION:":[154],"Barriers":[155],"implementation":[158,180],"lack":[162],"guideline":[167],"disagreement":[169],"regarding":[170],"supporting":[173],"use.":[175],"Possible":[176],"solutions":[177],"these":[179],"issues":[181],"include":[182],"additional":[183],"internal":[186],"meetings":[188],"FUNDING:":[189],"relevant.":[191,195],"TRIAL":[192],"REGISTRATION:":[193]},"counts_by_year":[{"year":2013,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
