Alison Day, Sophie Staniszewska, Ian Bullock
OBJECTIVE: Emergency preparedness is a developing specialty with a limited evidence base. Published literature primarily offers a retrospective view of experience, with few studies examining and understanding the individual lived experience of practitioners prospectively. This study explores paramedics' lived experience of emergency preparedness and applies that learning. METHODS: Thirteen paramedics were recruited through purposive sampling. Face-to-face semi-structured interviews explored their individual experiences of emergency preparedness, in line with the idiographic focus of Interpretative Phenomenological Analysis...
April 5, 2021: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Sophie Levresse-Toussaint
To be part of a protocol of cooperation between health professionals aims to meet the needs of the population. The interlinking of medical and paramedical skills is based on an approach in which trust and expertise combine to guarantee quality and safety thanks to a defined framework. This cooperation system supports the need for coherent and sometimes innovative collective work. Renovated in 2019, it is now organized around two models of national or local experimental protocols.
April 2021: Revue de L'infirmière
Reihaneh Moeini, Seyyed Ali Mozaffarpur, Morteza Mojahedi, Seyed Davoud Nasrolahpour Shirvani, Narjes Gorji, Roshanak Saghebi, Farid Abolhassani Shahreza, Hoda Shirafkan
BACKGROUND: Complementary and Alternative Medicine (CAM) have recently become more popular and accepted worldwide. One principal step to identify the status and organize strategies of CAM is evaluating the manner and the prevalence of its usage among people. This study aimed to investigate the prevalence of CAM modalities usage by the people of Babol, a central city in the North of Iran, in 2018. METHODS: Using the original International CAM Questionnaire (I-CAM-Q), a questionnaire was redesigned in Persian (Farsi) with some changes such as adding special modalities in Iran and its validity and reliability were assessed...
April 8, 2021: BMC complementary medicine and therapies
Georgette Eaton, Ian Happs, Rob Tanner
BACKGROUND: Rotational working has been offered as a solution to bridge the retention crises faced by ambulance services in the United Kingdom due to the inception of paramedics working in primary care. One project in North Wales examines the viability of rotating Advanced Paramedic Practitioners employed by Welsh Ambulance Services NHS Trust into primary care. As part of this project, an educational framework was developed to prepare and support Advanced Paramedic Practitioners in the provision of clinical care in primary care settings...
April 8, 2021: Education for Primary Care
Michael Neeki, Stephen DuMontier, Jake Toy, Benjamin Archambeau, Eric Goralnick, Troy Pennington, Kenji Inaba, Rick Hammesfahr, David Wong, David S Plurad
Current mass casualty incident (MCI) response in the United States calls for rapid deployment of first responders, such as law enforcement, fire, and emergency medical services personnel, to the incident and simultaneous activation of trauma center disaster protocols. Past investigations demonstrated that the incorporation of advanced trauma-trained physicians and paramedics into prehospital teams resulted in improved mortality during routine emergency medical care in Europe and in the combat setting. To date, limited research exists on the incorporation of advanced trauma-trained physicians and paramedics into prehospital teams for civilian MCIs...
March 2, 2021: Curēus
Romeo R Fairley, Sophia Ahmed, Steven G Schauer, David A Wampler, Kaori Tanaka, Bryan Everitt, Mark K Sparkman, Ramon Casanova, Justin Sifuentes, Christopher J Winckler
BACKGROUND: Cricothyrotomy and chest needle decompression (NDC) have a high failure and complication rate. This article sought to determine whether paramedics can correctly identify the anatomical landmarks for cricothyrotomy and chest NDC. METHODS: A prospective study using human models was performed. Paramedics were partnered and requested to identify the location for cricothyrotomy and chest NDC (both mid-clavicular and anterior axillary sites) on each other...
April 7, 2021: Prehospital and Disaster Medicine
Ben Meadley, Ella Horton, David B Pyne, Luke Perraton, Karen Smith, Kelly-Ann Bowles, Joanne Caldwell
Swimming is a critical task for helicopter rescue paramedics and aerobic capacity is assessed in this occupation to determine job suitability. We evaluated one treadmill-based and one pool-based assessment of maximal aerobic capacity (V̇O2peak ) in 14 helicopter rescue paramedics. There was a small absolute difference (p = 0.11, d = 0.46) between V̇O2peak in the swim (45.5 ± 7.8 .min- 1) compared to the run (48.5 ± 5.5 .min-1 ), with a moderate relationship noted (r = 0...
April 6, 2021: Ergonomics
Alexander Olaussen, Bronwyn Beovich, Brett Williams
OBJECTIVE: Understanding the impact different journal articles have in any academic field is important - particularly in emerging professions. A bibliometric analysis like this does not yet exist for paramedicine, despite the rapid increase in its primary literature. The objective of the present study was to identify and analyse the 100 top-cited articles about paramedicine. METHODS: We searched the Scopus database in August 2020 for studies relating to paramedicine...
April 5, 2021: Emergency Medicine Australasia: EMA
Brett Williams, Christine King, Brendan Shannon, Cameron Gosling
BACKGROUND: Viral epidemics have negative and sometimes extreme impacts on psychological well-being, particularly in health care workers. Studies have reported higher levels of depression, anxiety, insomnia, stress, distress, fear, burnout, and post-traumatic symptoms. OBJECTIVE: This research aimed to explore the psychological impacts of COVID 19 on paramedicine students. METHODS: A convergent mixed method design study was undertaken using self-reporting instruments and qualitative interviews...
March 9, 2021: International Emergency Nursing
Jennifer A Newberry, Marc Gautreau, Katherine Staats, Eli Carrillo, William Mulkerin, Samuel Yang, Michael A Kohn, Loretta Matheson, Scott D Boyd, Benjamin A Pinsky, Andra L Blomkalns, Matthew C Strehlow, Peter A D'Souza
Objective: Firefighter first responders and other emergency medical services (EMS) personnel have been among the highest risk healthcare workers for illness during the SARS-CoV-2 pandemic. We sought to determine the rate of seropositivity for SARS-CoV-2 IgG antibodies and of acute asymptomatic infection among firefighter first responders in a single county with early exposure in the pandemic. Methods: We conducted a cross-sectional study of clinically active firefighters cross-trained as paramedics or EMTs in the fire departments of Santa Clara County, California...
April 5, 2021: Prehospital Emergency Care
Matthew Northgraves, Judith Cohen, Victoria Allgar, David Currow, Simon Hart, Kelly Hird, Andrew Hodge, Miriam Johnson, Suzanne Mason, Flavia Swan, Ann Hutchinson
Chronic breathlessness, persistent and disabling despite optimal treatment of underlying causes, is a prevalent and frightening symptom and is associated with many emergency presentations and admission to hospital. Breathlessness management techniques used by paramedics may reduce the need for conveyance to hospital. The Breathlessness RElief AT HomE study (BREATHE) aims to explore the feasibility of conducting a definitive cluster randomised controlled trial (cRCT) for people with acute-on-chronic breathlessness who have called an ambulance, to evaluate the effectiveness and cost-effectiveness of a paramedic-administered non-pharmacological breathlessness intervention...
January 2021: ERJ Open Research
Michaël R Laurent, Jean De Schepper, Dominique Trouet, Nathalie Godefroid, Emese Boros, Claudine Heinrichs, Bert Bravenboer, Brigitte Velkeniers, Johan Lammens, Pol Harvengt, Etienne Cavalier, Jean-François Kaux, Jacques Lombet, Kathleen De Waele, Charlotte Verroken, Koenraad van Hoeck, Geert R Mortier, Elena Levtchenko, Johan Vande Walle
X-linked hypophosphatemia (XLH) is the most common genetic form of hypophosphatemic rickets and osteomalacia. In this disease, mutations in the PHEX gene lead to elevated levels of the hormone fibroblast growth factor 23 (FGF23), resulting in renal phosphate wasting and impaired skeletal and dental mineralization. Recently, international guidelines for the diagnosis and treatment of this condition have been published. However, more specific recommendations are needed to provide guidance at the national level, considering resource availability and health economic aspects...
2021: Frontiers in Endocrinology
Abdullah Alshibani, Jay Banerjee, Fiona Lecky, Timothy J Coats, Meshal Alharbi, Simon Conroy
Caring for older people is an important part of prehospital practice, including appropriate triage and transportation decisions. However, prehospital triage criteria are designed to predominantly assess injury severity or high-energy mechanism which is not the case for older people who often have injuries compounded by multimorbidity and frailty. This has led to high rates of under-triage in this population. This narrative review aimed to assess aspects other than triage criteria to better understand and improve prehospital triage decisions for older trauma patients...
2021: Open Access Emergency Medicine: OAEM
Matthew Warren-James, Julie Hanson, Belinda Flanagan, Mary Katsikitis, Bill Lord
Work integrated learning (WIL) in the ambulance setting is an essential part of the paramedic curriculum. However, qualified ambulance personnel are reported to experience higher suicide rates and mental stress disorders due to high pressure work environments, and there is growing concern for the wellbeing of students entering this setting. The aim of this integrative review was to explore how studies have reported paramedic students' experience of stress whilst undertaking WIL. Five studies met the inclusion criteria and were evaluated for quality according to validated tools from the Critical Appraisal Skills Program, then ranked on the level of evidence used...
April 1, 2021: Australasian emergency care
Faraz A Khan, Camille Gd Apple, Kenneth J Caldwell, Shawn D Larson, Saleem Islam
PURPOSE: Trauma team activation is essential to provide rapid assessment of injured patients, however excessive utilization can overburden systems. We aimed to identify predictors of over triage and evaluate impact of prehospital personal discretion trauma activations on the over triage rate. METHODS: Retrospective comparative study of pediatric trauma patients (<18 years) evaluated after activation of the trauma team to those evaluated as a trauma consult treated between 2010 and 2013...
March 17, 2021: Journal of Pediatric Surgery
Marie Elhachem, Philippe Cayot, Maher Abboud, Nicolas Louka, Richard G Maroun, Elias Bou-Maroun
This review aims to pin out the importance of developing a technique for rapid detection of antioxidants, based on molecular imprinting techniques. It covers three major areas that have made great progress over the years in the field of research, namely: antioxidants characterization, molecular imprinting and electrochemistry, alone or combined. It also reveals the importance of bringing these three areas together for a good evaluation of antioxidants in a simple or complex medium, based on selectivity and specificity...
March 4, 2021: Antioxidants (Basel, Switzerland)
Loric Stuby, Laurent Jampen, Julien Sierro, Erik Paus, Thierry Spichiger, Laurent Suppan, David Thurre
The optimal airway management strategy during cardiopulmonary resuscitation is uncertain. In the case of out-of-hospital cardiac arrest, a high chest compression fraction is paramount to obtain the return of spontaneous circulation and improve survival and neurological outcomes. To improve this fraction, providing continuous chest compressions should be more effective than using the conventional 30:2 ratio. Airway management should, however, be adapted, since face-mask ventilation can hardly be carried out while continuous compressions are administered...
March 20, 2021: Healthcare (Basel, Switzerland)
Kornél Mák, Krisztián Kapus, Gábor Tóth, Dávid Hesszenberger, Marietta Pohl, Gabriella Pusch, Éva Fejes, Gergely Fehér, Antal Tibold
Burnout is an increasingly prevalent syndrome mainly involving those working in human services. Although it is categorized as an occupational phenomenon and not as a medical condition, it seems to be strongly associated with several diseases such as pain syndromes. However, no studies examined the association between neuropathic low back pain and burnout. This questionnaire-based study was carried out between April 2019 and March 2020 in three main sites among teachers, social workers and healthcare workers...
March 7, 2021: International Journal of Environmental Research and Public Health
Süreyya Gümüşsoy, Sevgül Dönmez, Ali Ekşi, Nursel Alp Dal
BACKGROUND: Domestic violence, specifically, violence against women, is prevalent in all segments of society regardless of social class, ethnicity, culture or country. In other words, domestic violence is a global concern. AIM: The study aims to investigate the relationship between the attitude and knowledge of the health staff in pre-hospital emergency medical services about violence against women and their recognition of such form of violence. METHODS: This descriptive study was conducted on 1023 paramedics and emergency medicine technicians who work in the pre-hospital emergency health setting and are members of the Paramedic and Pre-hospital Emergency Medicine Association...
March 31, 2021: International Emergency Nursing
Nichapha Chongthavonsatit, Chayanich Kovavinthaweewat, Chaiyaporn Yuksen, Yuwares Sittichanbuncha, Chuenruthai Angkoontassaneeyarat, Pongsakorn Atiksawedparit, Phatthranit Phattharapornjaroen
Pediatric emergency care is prone to medication errors in many aspects including prescriptions, administrations, and monitoring. This study was designed to assess the effects of computer-assisted calculation on reducing error rates and time to prescription of specific emergency drugs. We conducted a randomized crossover experimental study involving emergency medicine residents and paramedics in the Department of Emergency Medicine at Ramathibodi Hospital. Participants calculated and prescribed medications using both the conventional method and a computer-assisted method...
2021: Global Pediatric Health
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