Rikki Jones, Cindy Woods, Kim Usher
No abstract text is available yet for this article.
October 24, 2020: Nursing & Health Sciences
Wahaj Anwar A Khan, Russell Conduit, Gerard A Kennedy, Ahmed Abdullah Alslamah, Mohammad Ahmad Alsuwayeh, Melinda L Jackson
Paramedics face many challenges while on duty, one of which is working different types of shifts. Shift work has been linked to a number of health issues such as insomnia, depression, and anxiety. Besides shift work, Saudi paramedics, a group that has not been investigated for sleep or mental health issues previously, may be facing more demands than Australian paramedics due to lower numbers of paramedics in comparison to the general population. The aim of this study was to investigate the prevalence of sleep and mental health disorders among paramedics in Saudi Arabia and Australia...
June 2020: Clocks & Sleep
Karn Suttapanit, Chaiyaporn Yuksen, Kasamon Aramvanitch, Thitapohn Meemongkol, Arnon Chandech, Benjamat Songkathee, Promphet Nuanprom
OBJECTIVES: Endotracheal tube (ETT) displacement occurs by improper fixation. To fix an ETT, many types of fixation tools are employed. Thomas tube holder is one of the fixation tools widely used in many countries. This study aims to compare the ETT fixation using the Thomas tube holder with the conventional method (adhesive tape) in a mannequin model. METHODS: The fixation tools were random, using the box of six randomizes to Thomas tube holder and conventional method...
October 2020: Turkish Journal of Emergency Medicine
Colin Laverty, Homer Tien, Andrew Beckett, Avery Nathens, J P Rivest-Caissy, Luis Teodoro da Luz
OBJECTIVES: Military Forward Aeromedical Evacuation and civilian Helicopter Emergency Medical Services are widely used to conduct Primary Aeromedical Retrieval. Crew composition in Primary Aeromedical Retrieval missions varies considerably. The ideal composition is unknown. Thus, we conducted a descriptive systematic review on mortality and other outcomes for different Primary Aeromedical Retrieval crew compositions. METHODS: Medline, Embase, and Cochrane Controlled Trials Register were searched up to January 2020...
September 2020: CJEM
Justin Godbout, Sean W Moore, Bruce Sawadsky, Andy Pan, Christian Vaillancourt
OBJECTIVES: We aimed to determine the rate of adverse events during interfacility transport of cardiac patients identified as low risk by a consensus-derived screening tool and transported by primary care flight paramedics (PCP(f)). METHODS: We conducted a health records review of adult patients diagnosed with a cardiac condition who were identified as low risk by the screening tool and transported by PCP(f). We excluded patients transported by an advanced care crew, those accompanied by a clinical escort from hospital, and those transported from a scene call, by rotary wing or ground vehicle...
September 2020: CJEM
Andrew Quirion, Mahvareh Ahghari, Brodie Nolan
OBJECTIVE: Timely access to definitive care is associated with improved outcomes in trauma patients. The goal of this study is to identify patient, institutional and paramedic risk factors for non-optimal resource utilization for interfacility transfers of injured adult patients transported by air ambulance to a LTC. METHODS: This is a retrospective cohort study of adult emergent interfacility transports via Ornge with data collected on patient demographics, clinical status, sending facilities, transport details and paramedic qualifications...
September 2020: CJEM
Bradley Waterman, Kristine Van Aarsen, Michael Lewell, Homer Tien, Frank Myslik, Michael Peddle, Sean Doran
BACKGROUND: The Focused Assessment with Sonography in Trauma (FAST) exam is a rapid ultrasound test to identify evidence of hemorrhage within the abdomen. Few studies examine the accuracy of paramedic performed FAST examinations. The duration of an ultrasound training program remains controversial. This study's purpose was to assess the accuracy of paramedic FAST exam interpretation following a one hour didactic training session. METHODS: The interpretation of paramedic performed FAST exams was compared to the interpretation of physician performed FAST examinations on a mannequin model containing 300ml of free fluid following a one hour didactic training course...
September 2020: CJEM
Bradley Waterman, Kristine Van Aarsen, Michael Lewell, Frank Myslik, Michael Peddle, Sean Doran
BACKGROUND: Point of care ultrasound (POCUS) is an essential tool for physicians to guide treatment decisions in both hospital and prehospital settings. Despite the potential patient care and system utilization benefits of prehospital ultrasound, the financial burden of a "hands-on" training program for large numbers of paramedics remains a barrier to implementation. In this study, we conducted a prospective, observational, double-blinded study comparing paramedics to emergency physicians in their ability to generate usable abdominal ultrasound images after a 1-hour didactic training session...
September 2020: CJEM
Rivi Friedenberg, Leonid Kalichman, David Ezra, Oren Wacht, Deborah Alperovitch-Najenson
The aim of this article was to review the current knowledge relating to work-related musculoskeletal disorders (WRMDs) and non-fatal injuries in emergency medical technicians and paramedics (EMTs-Ps). A literature search was conducted in PubMed, Google Scholar, and Clinical Key. The annual prevalence of back pain ranged from 30% to 66%, and back injuries and contusions from 4% to 43%. Falls, slips, trips, and overexertion while lifting or carrying patients or instruments ranged from 10% to 56%, with overexertion being the most common injury...
October 19, 2020: Archives of Environmental & Occupational Health
Elisabeth Mahase
No abstract text is available yet for this article.
October 16, 2020: BMJ: British Medical Journal
Boris Tolg, Juergen Lorenz
Background: Mass casualty incidents (MCI) such as train or bus crashes, explosions, collapses of buildings, or terrorist attacks result in rescue teams facing many victims and in huge challenges for hospitals. Simulations are performed to optimize preparedness for MCI. To maximize the benefits of MCI simulations, it is important to collect large amounts of information. However, a clear concept and standardization of a data-driven post-exercise evaluation and debriefing are currently lacking...
2020: Advances in Simulation
Krzysztof Sobczak, Katarzyna Leoniuk, Agata Rudnik
Purpose: Discrimination and stigmatization of patients with obesity are a commonly occurring social problem. The purpose of our research was to analyze the scale of the experience including medical staff's improper behaviours towards patients with obesity in Poland. Patients and Methods: In a completed national study, we studied the statements of 621 adult patients who suffer from obesity. An original closed question survey was used as a tool to collect the data...
2020: Patient Preference and Adherence
Kathleen Adelgais, Martin Pusic, Denise Abdoo, Sean Caffrey, Katherine Snyder, Michelle Alletag, Ashley Balakas, Timothy Givens, Ian Kane, Maria Mandt, Kelley Roswell, Mary Saunders, Kathy Boutis
Background In most states, prehospital Professionals (PHPs) are mandated reporters of suspected abuse but cite a lack of training as a challenge to recognizing and reporting physical abuse. We developed a learning platform for the visual diagnosis of pediatric abusive versus non-abusive burn and bruise injuries and examined the amount and rate of skill acquisition. Methods This was a prospective cross-sectional study of PHPs participating in an online educational intervention containing 114 case vignettes. PHPs indicated whether they believed a case was concerning for abuse and would report a case to child protection services...
October 15, 2020: Prehospital Emergency Care
Marek Małysz, Jacek Smereka, Miłosz Jaguszewski, Marek Dąbrowski, Klaudiusz Nadolny, Kurt Ruetzler, Jerzy R Ładny, Maciej Sterliński, Krzysztof J Filipiak, Łukasz Szarpak
BACKGROUND: Cardiopulmonary resuscitation (CPR) with the use of personal protective equipment (PPE) for aerosol generating procedures (AGP) in patients with suspected/confirmed COVID-19 remains challenging. AIM: The aim of this study was to compare three chest compression methods applied by paramedics wearing PPE. METHODS: The single-blinded, multi-centre, randomized, cross-over simulation study involved 67 paramedics wearing PPE AGP. They performed 2-minute continuous chest compressions (CCs) in an adult patient with suspected/confirmed COVID-19 in three scenarios: (a) manual CCs; (b) CCs with a TrueCPR feedback device; (c) CCs with a LUCAS3 mechanical CC device...
October 12, 2020: Kardiologia Polska
Matthew Lee Hansen, Adam Wagner, Ashley Schnapp, Amber Lin, Nancy Le, Sarah Deverman, Elizabeth Pedigo, Andrea Johnson, Jordan Cusick, Heike Gries, Meredith Kato
OBJECTIVES: The objective of this study was to compare paediatric emergency airway management strategies in the simulation lab and operating room environments. METHODS: This was a two-part cluster cross-over randomised trial including simulation lab and operating room environments conducted between January 2017 and June 2018 in Portland, Oregon, USA. In simulated infant cardiac arrests, paramedic students placed an endotracheal tube, an i-gel or a laryngeal mask airway in random order...
October 12, 2020: Emergency Medicine Journal: EMJ
G Jansen, E Latka, F Behrens, S Zeiser, S Scholz, S Janus, K Kinzel, D Thaemel, H-W Kottkamp, S Rehberg, R Borgstedt
BACKGROUND: The COVID-19 pandemic necessitated a time-critical expansion of medical staff in intensive care units (ICU) and emergency rooms (ER). OBJECTIVE: This article describes the development, performance and first results of an interprofessional blended learning concept called hospital paramedics, qualifying paramedics and additional medical personnel to support ICUs and ERs. MATERIAL AND METHODS: The Protestant Hospital of the Bethel Foundation (EvKB), University Hospital OWL, University of Bielefeld in cooperation with the Study Institute Westfalen-Lippe, developed a 2-stage blended learning concept (stage 1 e‑learning with online tutorials, stage 2 practical deployment) comprising 3 modules: ICU, ER and in-hospital emergency medicine...
October 9, 2020: Der Anaesthesist
Polly Christine Ford-Jones, Tamara Daly
Paramedics respond to acute medical and trauma emergencies in the community and transport patients to emergency departments (ED). In some cases, paramedics are not only attending calls for mental health and psychosocial care but are also connecting individuals with more appropriate services to address their needs. This study qualitatively explores to what extent there are promising practices to be learned from paramedic services that are connecting patients to mental health and psychosocial programming. The study is organised as follows...
October 9, 2020: Health & Social Care in the Community
Simona Colasanti, Vincenzo Piemonte, Emmanuel Devolder, Krzysztof Zieliński, Bart Meyns, Libera Fresiello
BACKGROUND: In the recent years, the use of ECMO has grown substantially, posing the need of having specialized medical and paramedical personnel dedicated to it. Optimization of the therapy, definition of new therapeutic strategies, and ECMO interaction with the cardiorespiratory system require numerous specific skills and pre-clinical models for patient successful management. The aim of the present work is to develop and validate a computational model of ECMO and connect it to an already existing lumped parameter model of the cardiorespiratory system...
October 8, 2020: Artificial Organs
Caleb Hanson Gage, Heike Geduld, Willem Stassen
BACKGROUND: Palliative care is typically performed in-hospital. However, Emergency Medical Service (EMS) providers are uniquely positioned to deliver early palliative care as they are often the first point of medical contact. The aim of this study was to gather the perspectives of advanced life support (ALS) providers within the South African private EMS sector regarding pre-hospital palliative care in terms of its importance, feasibility and barriers to its practice. METHODS: A qualitative study design employing semi-structured one-on-one interviews was used...
October 8, 2020: BMC Palliative Care
Matthew R Neth, Justin L Benoit, Uwe Stolz, Jason McMullan
OBJECTIVE: The American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care recommend ventilation rates of eight to ten breaths per minute or two ventilations every 30 compressions, and tidal volumes between 500-600 ml. However, compliance with these guidelines is mainly unknown. The objective of this study is to estimate the proportion of simulated adult OHCA cases that meet guideline-based ventilation targets. METHODS: We conducted a blinded prospective observational study of standardized simulated cases of EMS-witnessed adult OHCA...
October 6, 2020: Prehospital Emergency Care
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