Jan L Jensen, Fahd Al-Dhalaan, Jennifer Rose, Alix Carter, Jennifer McVey, Francine Butts, Terence Hawco, Peter Rose, Andrew H Travers
OBJECTIVES: In many emergency medical services (EMS) systems, a direct medical oversight physician is available to paramedics for mandatory and/or elective consultations. At the time of this study, a clinical support desk (CSD) was being implemented within the medical communications centre of a provincial EMS system in addition to the physician resource. The CSD was initially staffed with a registered nurse or an advanced care paramedic. The objective of the current study was to compare CSD "peer to peer" consults versus physician consults with regards to consultation patterns, transport dispositions, and patient safety measures...
November 28, 2022: Prehospital Emergency Care
Katherine Pemberton, Richard C Franklin, Emma Bosley, Kerrianne Watt
OBJECTIVE: To identify predictors of longer-term outcomes from adult out-of-hospital cardiac arrest of presumed cardiac aetiology. METHODS: In this retrospective cohort study, three large routinely collected databases were linked: 1)QAS Out-of-Hospital Cardiac (OHCA) Registry; 2)Queensland Hospital Admitted Patient Data Collection; and 3)Queensland Registrar General Death Registry. Participants were adult (18years+) residents of Queensland, who suffered an OHCA of presumed cardiac aetiology and had resuscitation attempted by QAS paramedics between 2002 and 2014...
November 24, 2022: Australasian emergency care
Jun Liu, Ningzhe Xu, Yangming Shi, Timothy Barnett, Steven Jones
Transitioning to electric vehicles (EVs) will create both opportunities and challenges. Although some programs and resources related to EVs have been made available to first responders, it remains unknown whether our first responders are well prepared for traffic incidents that involve EVs and whether there are any organizational and geographic disparities in preparedness. To answer these questions, a national survey was conducted to collect feedback on responders' incident management knowledge and training experiences related to EVs, as well as their attitudes and concerns towards EVs...
November 24, 2022: Accident; Analysis and Prevention
Tegan Mansouri, George Ghanatios, Lori Hatzinger, Rachel Barich, Ebriama Dampha, Jennifer L Temple, Brian M Clemency, David Hostler
Emergency medical service (EMS) providers experience demanding work conditions in addition to shift work, which increases risk for nutrition related chronic disease such as metabolic syndrome, diabetes, obesity, and cardiovascular disease. The high stress, emergent, and unpredictable nature of EMS may interfere with healthy eating patterns on and off shift, however little is known about how these conditions impact dietary patterns among EMS providers. This study aimed to understand factors impacting dietary patterns through semi-structured interviews with 40 EMS providers throughout the United States...
November 18, 2022: Nutrients
Katie L Andrews, Laleh Jamshidi, Jolan Nisbet, Taylor A Teckchandani, Jill A B Price, Rosemary Ricciardelli, Gregory S Anderson, R Nicholas Carleton
Canadian Public Safety Personnel (PSP) (i.e., municipal/provincial police, firefighters, paramedics, Royal Canadian Mounted Police, correctional workers, dispatchers) report frequent and varied exposures to potentially psychologically traumatic events (PPTEs). Exposure to PPTEs may be one explanation for the symptoms of mental health disorders prevalent among PSP. The objective of the current study was to provide estimates of lifetime PPTE exposures among Canadian Coast Guard (CCG) and Conservation and Protection (C&P) Officers and to assess for associations between PPTEs, mental health disorders, and sociodemographic variables...
November 16, 2022: International Journal of Environmental Research and Public Health
Malcolm P Bevan, Sally J Priest, Ruth C Plume, Emma E Wilson
UNLABELLED: Emergency first responders (EFRs) such as police officers, firefighters, paramedics and logistics personnel often suffer high turnover due to work-related stress, high workloads, fatigue, and declining professional wellbeing. As attempts to counter this through resilience programmes tend to have limited success, there is a need for further research into how organisational policies could change to improve EFRs' professional wellbeing. AIM: To identify the factors that may contribute to or affect EFRs' professional wellbeing...
November 8, 2022: International Journal of Environmental Research and Public Health
Zainab Alqudah, Karen Smith, Michael Stephenson, Tony Walker, Dion Stub, Ziad Nehme
AIM: In this study, we examine the effect of a high-performance cardiopulmonary resuscitation (HP-CPR) protocol on patient outcomes following out-of-hospital cardiac arrests (OHCA) witnessed by emergency medical services (EMS) personnel. METHODS: We performed a retrospective cohort study of adult, EMS witnessed OHCA patients of medical aetiology in Victoria, Australia. Patients treated after the introduction of a HP-CPR protocol and training programme between February 2019 and January 2020 were compared to historical controls between January 2015 and January 2019...
December 2022: Resuscitation plus
Gaëtan Moukoumbi Lipenguet, Edgard-Brice Ngoungou, Tamara Roberts, Euloge Ibinga, Prudence Amani Gnamien, Jean Engohang-Ndong, Jérôme Wittwer
INTRODUCTION: Health systems in several countries have integrated information and communication technologies into their operations. Electronic medical records (EMRs) are at the core of patient care. The working of these EMRs requires their acceptance and use by medical and paramedical personnel. The objective of this study was to empirically evaluate the intention of health professionals to use these EMRs. MATERIALS AND METHODS: A questionnaire on the intention of health professionals to use the EMR was developed following a Likert scale...
December 2022: JAMIA Open
Ting Huang, Jingming Wang, Yuanyao Chen, Zhen Ye, Yiwei Fang, Yuze Xia
BACKGROUND: Fast track surgery has shown its effectiveness to accelerate recovery and gained acceptance in many operations. However, data for paramedics using fast track surgery are limited in China. The aims of our study are to evaluate the knowledge, attitude and application status of fast track surgery in paramedics and to provide suggestions for the better application of fast track surgery. METHODS: Two Hundred Ninety-one operating room paramedics were investigated by simple random sampling from October 20 to December 20, 2019 time...
November 23, 2022: BMC Health Services Research
Eric Mener, Anne-Claude Mener
The E2R (Emotion, Regression, Repair) method is a pragmatic and innovative technique for treating psychological complaints. It is the result of the professional experience of two caregivers two caregivers who have been training medical and paramedical colleagues since 2016 in this method. There is always an Emotion in the symptom that a patient presents. During the trance, the hypnotherapist uses it as a thread for age Regressions, often up to 3 years old. The patient can then identify a situation that triggered an identical experience...
November 15, 2022: Complementary Therapies in Clinical Practice
Pawel Wieczorek, Lukasz Szarpak, Agata Dabrowska, Michal Pruc, Alla Navolokina, Andrzej Raczynski, Jacek Smereka
This study aimed to compare the intubation effectiveness of the bébé Vie Scope™ (VieScope) and direct laryngoscopy for emergency intubation in a pediatric manikin model performed by paramedics with and without personal protective equipment for aerosol generating procedures (PPE-AGP). Participants performed endotracheal intubation using VieScope and standard Macintosh laryngoscope (MAC) in two research scenarios: (1) without PPE-AGP, and (2) with PPE-AGP. Fifty-one paramedics without any previous experience with the VieScope participated in this study...
November 18, 2022: Children
Nigel Rees, Julia Williams, Chloe Hogan, Lauren Smyth, Thomas Archer
OBJECTIVES: We aimed to identify, appraise, and synthesise the qualitative literature to develop theory on heroism and paramedic practice. HYPOTHESIS/RESEARCH QUESTION: What does published literature tell us about heroism and paramedic practice? SETTING: Paramedics and other healthcare workers (HCWs) faced an outpouring of public support for them early in the COVID-19 pandemic which brought into focus the relationship between them and society, where they are portrayed as heroes...
2022: Frontiers in Psychology
Helen Nicholson, Sarah Voss, Sarah Black, Hazel Taylor, David Williams, Jonathan Benger
BACKGROUND: Head injury (HI) in older adults due to low-energy falls result in a substantial number of emergency department (ED) attendances. However, mortality associated with minor HI is very low. Reducing conveyance to hospital is important for older adults and is a priority for the National Health Service (NHS). Therefore, paramedics are required to make accurate decisions regarding conveyance to the ED. This study used routine data and semi-structured interviews to explore the factors that influence paramedic decision-making when considering whether to convey an adult aged 65 years and over with a minor HI to the ED...
November 23, 2022: BMC Emergency Medicine
Ann Hutchinson, Victoria Allgar, Judith Cohen, David C Currow, Susan Griffin, Simon Hart, Kelly Hird, Andrew Hodge, Suzanne Mason, Matthew Northgraves, Joanne Reeve, Flavia Swan, Miriam J Johnson
INTRODUCTION: One-fifth of emergency department presentations by ambulance are due to acute-on-chronic breathlessness. We explored the feasibility of an evaluation-phase, cluster randomised controlled trial (cRCT) of the effectiveness and cost-effectiveness of a paramedic-administered, non-pharmacological breathlessness intervention for people with acute-on-chronic breathlessness at ambulance call-out (BREATHE) regarding breathlessness intensity and conveyance to hospital. METHODS: This mixed-methods, feasibility cRCT (ISRCTN80330546) randomised paramedics to usual care or intervention plus usual care...
October 2022: ERJ Open Research
Muhammad Asif Zeb, Usman Mahboob, Neelofar Shaheen
OBJECTIVES: To determine the effect of Team-based learning (TBL) on the critical thinking of health professions students. METHODS: This quasi-experimental study, was done in paramedical and nursing sciences institutes using the convenience sampling technique. Students included were enrolled in the haematology course of paramedic institute from January to December 2020 and adult health course of the nursing institute of Khyber Medical University. Six dimensions of critical thinking (CT) of the students before and after TBL were determined using the critical thinking disposition inventory...
2022: Pakistan Journal of Medical Sciences Quarterly
Nancy K Glober, Tyler Fulks, Michael Supples, Peter Panagos, David Kim
The emergence of thrombectomy for large vessel occlusions has increased the importance of accurate prehospital identification and triage of acute ischemic stroke (AIS). Despite available clinical scores, prehospital identification is suboptimal. Our objective was to improve the sensitivity of prehospital AIS identification by combining dispatch information with paramedic impression. We performed a retrospective cohort review of emergency medical services and hospital records of all patients for whom a stroke alert was activated in 1 urban, academic emergency department from January 1, 2018, to December 31, 2019...
December 1, 2022: Critical Pathways in Cardiology
J Irani, D Legeais, F-X Madec, S Doizi, C-K Bensalah, R Mathieu, V Phé, G Pignot, C Lebacle
The objective of this article was to summarize the means and tools of prevention and safety of care to reduce non-random surgical complications in urology, related to the care environment and the patient. The prevention of complications is an essential strategy to be applied in a standardized way in urological surgery, as in the world of aeronautics, from which we can draw valuable lessons. This prevention is multifactorial and concerns interventions, systems and human factors. The essential points listed below must be traceable: the quality of the assessment of the patient and his co-morbidities...
November 2022: Progrès en Urologie
Mark Dixon, Jason P Appleton, Polly Scutt, Lisa J Woodhouse, Lee J Haywood, Diane Havard, Julia Williams, Aloysius Niroshan Siriwardena, Philip M Bath
OBJECTIVES: Ambulances offer the first opportunity to evaluate hyperacute stroke treatments. In this study, we investigated the conduct of a hyperacute stroke study in the ambulance-based setting with a particular focus on timings and logistics of trial delivery. DESIGN: Multicentre prospective, single-blind, parallel group randomised controlled trial. SETTING: Eight National Health Service ambulance services in England and Wales; 54 acute stroke centres...
November 21, 2022: BMJ Open
Kathy T LeSaint, Juan Carlos C Montoy, Eric C Silverman, Maria C Raven, Samuel L Schow, Phillip O Coffin, John F Brown, Mary P Mercer
INTRODUCTION: In response to the ongoing opioid overdose crisis, US officials urged the expansion of access to naloxone for opioid overdose reversal. Since then, emergency medical services' (EMS) dispensing of naloxone kits has become an emerging harm reduction strategy. METHODS: We created a naloxone training and low-barrier distribution program in San Francisco: Project FRIEND (First Responder Increased Education and Naloxone Distribution). The team assembled an advisory committee of stakeholders and subject-matter experts, worked with local and state EMS agencies to augment existing protocols, created training curricula, and developed a naloxone-distribution data collection system...
October 31, 2022: Western Journal of Emergency Medicine
Josh Seim
Medical sociologists argue that diagnosis is a critical component of medicine and that diagnosis is most obviously exercised by doctors. This scholarship, however, largely ignores other medical workers. I extend the concept of working diagnosis to help solve this problem. These are partial and preliminary medical classifications of suffering that are imposed between informal experiences of illness and formal classifications of disease. In a complex division of medical labour where doctoring is a minority practice, working diagnoses are critical forces that shape, and are shaped by, the relational conditions of medical production...
November 20, 2022: Sociology of Health & Illness
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