Victor Nathan Chappuis, Hélène Deham, Philippe Cottet, Birgit Andrea Gartner, François Pierre Sarasin, Marc Niquille, Laurent Suppan, Robert Larribau
BACKGROUND: Some emergency medical systems (EMS) use a dispatch centre where nurses or paramedics assess emergency calls and dispatch ambulances. Paramedics may also provide the first tier of care "in the field", with the second tier being an Emergency Physician (EP). In these systems, the appropriateness of the decision to dispatch an EP to the first line at the same time as the ambulance has not often been measured. The main objective of this study was to compare dispatching an EP as part of the first line emergency service with the severity of the patient's condition...
February 9, 2021: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Anita Majchrowska, Jakub Pawlikowski, Mariusz Jojczuk, Adam Nogalski, Renata Bogusz, Luiza Nowakowska, Michał Wiechetek
BACKGROUND: There is a lack of research on social image, prestige, and the position of the paramedic profession in the social structure. The main objective of the study was to determine the place of the paramedic profession in the hierarchy of prestige of professions as viewed by the public. In operationalizing the term 'prestige', we deemed the word 'respect' to best fit the sense of the subjective evaluation of prestige with regard to a profession. MATERIAL AND METHODS: The data comes from cross-sectional survey-based research...
February 5, 2021: International Journal of Environmental Research and Public Health
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 8, 2020: Clocks & Sleep
Martin Sedlár
Aim: This study examines relationships between work-related factors-stress and fatigue, cognitive skills-situation awareness and cognitive flexibility, unsafe behavior and safety incident involvement among emergency medical services (EMS) crew members, and whether cognitive skills and unsafe behavior together indirectly affect the relationship between work-related factors and safety incident involvement. Methods: A sample of 131 EMS crew members working in ground ambulances (physicians, paramedics, ambulance drivers) completed self-report questionnaires...
February 9, 2021: International Journal of Occupational Safety and Ergonomics: JOSE
John Lyng, Kathleen Adelgais, Rachael Alter, Justin Beal, Bruce Chung, Toni Gross, Marc Minkler, Brian Moore, Tim Stebbins, Sam Vance, Ken Williams, Allen Yee
In continued support of establishing and maintaining a foundation for standards of care, our organizations remain committed to periodic review and revision of this position statement. This latest revision was created based on a structured review of the National Model Clinical Guidelines for EMS in order to identify the equipment items necessary to deliver the care defined by those guidelines. In addition, in order to ensure congruity with national definitions of provider scope of practice, the list is differentiated into BLS and ALS levels of service utilizing the National Scope of Practice-defined levels of Emergency Medical Responder (EMR) and Emergency Medical Technician (EMT) as BLS, and Advanced EMT (AEMT) and Paramedic as ALS...
February 8, 2021: Prehospital Emergency Care
Kenneth D Katz, Andrew Koons, Gregory Makar, Amy Wier
A 94-year-old woman was found unresponsive in her room at an independent living facility. Upon paramedic arrival, the patient had a Glasgow Coma Scale of 3, and she was transported to the emergency department (ED). In the ED, she was unresponsive but spontaneously breathing, bradycardia, and hypothermia. Serum concentrations of both secobarbital (3.3µg/mL; therapeutic 1.0-2.0µg/mL) and pentobarbital (9.5µg/mL; therapeutic < 5.0µg/mL) were detected and elevated. This type of poisoning is quite rare and should be considered in patients presenting with hypothermia and coma, even in patients showing brain death signs...
January 3, 2021: Curēus
Israt Jahan, Irfan Ullah, Mark D Griffiths, Mohammed A Mamun
PURPOSE: Recent research has demonstrated the psychological impact of the coronavirus disease 2019 (COVID-19) pandemic among the general population. However, COVID-19-related suicides among healthcare professionals (HCPs) have yet to be investigated. FINDINGS: The present study utilized retrospective press media suicide reports and identified a total of 26 worldwide HCP COVID-19-related suicide cases (aged 22-60 years; 14 females; most of the cases from India). The cases comprised doctors (n = 11), nurses (n = 9), paramedics (n = 5), and one medical student...
February 5, 2021: Perspectives in Psychiatric Care
D Brahim, H Snene, R Rafrafi, N B Salah, H Blibech, N Mehiri, B Louzir
INTRODUCTION: Shift work can cause health problems and sleep disorders and therefore affect mental health. These psycho-affective disorders can, in return, worsen sleep disorders and thus establish a vicious circle. The aims of our study were to assess the frequency of sleep and psycho-affective disorders among paramedical personnel doing shift work and to screen them for obstructive sleep apnoea-hypopnoea syndrome (OSA). METHODS: It was a cross-sectional study carried out among paramedical staff at the University Hospital Center Mongi Slim La Marsa in Tunis...
February 2, 2021: Revue des Maladies Respiratoires
Ben Meadley, Kelly-Ann Bowles, Karen Smith, Luke Perraton, Joanne Caldwell
Helicopter emergency medical service search and rescue (HEMS SAR) paramedics perform physically demanding winch rescues. Rescue organisations require valid physical employment standards (PES) to ensure personnel can adequately perform duties. There are no studies describing validated PES for HEMS SAR. We convened a subject matter expert (SME) focus group to review historical case data and generate task descriptions for land and water winch rescue as the basis for development of task simulations to assess physiological workload...
February 1, 2021: Applied Ergonomics
Shao Hng Lim, Poh Kiat Ng
A stretcher is a lightweight and portable apparatus used to facilitate the movement of patients who require medical care. While its design and functions have been known to man for over 600 years, there is still much room for improvement with regard to comfortability, mobility and ergonomics aspects. This study aims to synthesise design features from patents, journals and products for the conceptualisation of multifunctional stretchers. Based on the conceptual synthesis of this study, if a stretcher is redesigned to be foldable, then less storage space would be required, thus allowing the paramedic or medical person to store more stretchers and attend to multiple patients at a time...
February 4, 2021: Journal of Medical Engineering & Technology
Anthony Mézière, Nadia Oubaya, Valérie Michel-Pellegrino, Bertrand Boudin, Marine Neau, Hervé Robert, Isabelle Cara, Laura Salgado Sanchez, Samia Baloul, François Piette, Eric Pautas, Yannick Picou, Valentine Curtis, Claire Schonheit, Florence Canouï-Poitrine, Caroline Moreau
BACKGROUND AND PURPOSE: Older adults at risk for falls live independently in the community in their own home and have rehabilitation needs. However, little is known about whether home coaching of older adults can decrease falls at home. We sought to determine whether a novel program for preventing falls and a loss of exercise capacity, the T4H program, in which home helpers act as exercise coaches by using an information technology (IT) device, was acceptable and feasible. METHODS: Between February 2015 and October 2015, we performed a cluster randomized controlled trial in which home helpers either assisted older adults 75 years and over, to participate in the T4H program, or provided standard home help over 3 months...
January 27, 2021: Journal of Geriatric Physical Therapy
Ewa Zawiślak, Rafał Nowak
The aim of this study was to comprehensively review our experience with odontogenic infections in the head and neck region requiring treatment at a national referral center. We retrospectively reviewed 85 patients treated at the Chair and Clinic of Maxillofacial Surgery of the University Hospital in Wrocław between January 2018 and June 2019. We excluded patients with nonondontogenic infections or other than purulent clinical forms of dentivitis in the head and neck region. Several demographic, clinicopathological, and treatment variables were assessed...
2021: BioMed Research International
Upendra Hansda, Sangeeta Sahoo, Sankalan Biswas, Chitta Ranjan Mohanty, Sadananda Barik, Prajna Paramita Giri
Background: Basic life support (BLS) is an important component of emergency medical management. Ambulance personnel play a key role in resuscitation to save a life before reaching the hospital. We do not have any published data about the level of knowledge on BLS among the ambulance personnel. Objective: This study was done with the objective to assess the level of knowledge on BLS among the ambulance personnel. Materials and Methods: A cross-sectional study was done in the emergency department (ED) of a tertiary care hospital...
November 2020: Journal of Family Medicine and Primary Care
Kapil Goel, Amit Arora, Tanveer Rehman, Phuntsog Angchuk, Rigzin Samphel, Tanvi Kiran, Bijaya K Padhi, Vineeth Rajagopal, Jarnail S Thakur
Objectives: A three-member central Rapid Response Team (RRT) was deputed to Union Territory of Ladakh on 26th March 2020, to assess the situation and support the preparedness measures including implementation of cluster containment plan and social distancing measures for coronavirus disease 2019 (COVID-19). Methods: Central RRT addressed the panchayat sarpanch and religious leaders, sensitized doctors and paramedical staff on COVID-19 situation; conducted situational analysis, review of records and logistics, key informant interviews of senior administrative and healthcare officials, focus group discussions with local community people and field visits to various hospitals, isolation centers, quarantine facilities, and containment zones...
November 2020: Journal of Family Medicine and Primary Care
David Morris, Giuseppe Fierravanti, Adam Schrieber, Sarah Johnson, Damien Bartolo, Kate Hipsley, Tanya Somani, Robin Pap, Kingsley Agho, Liz Thyer, Paul M Simpson
Objectives Environmental cleanliness of emergency ambulances may be associated with increased risk of healthcare acquired infection (HAI). Surface cleanliness, measured using adenosine triphosphate (ATP) testing, has been demonstrated to correlate with potentially harmful levels of microbial pathogens. In most ambulance services, environmental cleanliness of ambulances and the equipment within them is the responsibility of paramedics. In 2016 NSW Ambulance introduced the Make Ready Model (MRM), in which ambulances are systematically cleaned by non-clinical support staff at the end of each shift...
February 2, 2021: Prehospital Emergency Care
Francesco Ruben Giardino, Roberto Cuomo, Andrea Sisti, Jingjian Han, Nisi Giuseppe, Luca Grimaldi
BACKGROUND: The massive use of personal protective equipment is required by the medical and paramedical staff of the COVID-19 dedicated departments. This often causes painful pressure injuries. The aim of this study is to value the use of anesthetic cream and collagen veil masks for the treatment of pain. We also evaluated the possible psychological impact on healthcare workers involved in the emergency, which is currently a hot topic in the worldwide literature. MATERIALS AND METHODS: We applied lidocaine idrochloride 5% cream and a collagen veil mask respectively  before and after each work shift...
November 10, 2020: Acta Bio-medica: Atenei Parmensis
Kurt Ruetzler, Anna Drozd, Aleksandra Gasecka, Karol Bielski, Wojciech Wieczorek, Mahdi Al-Jeabory, Jacek Hernik, Lukasz Szarpak
No abstract text is available yet for this article.
March 2021: Resuscitation plus
Sarah McLachlan, Hilary Bungay
BACKGROUND: Consensus methods such as the Delphi technique have been used widely for research priority setting in health care. Within pre-hospital emergency medicine, such approaches have helped to establish national and international research priorities. However, in a dynamic field such as pre-hospital critical care, it is necessary to regularly review the continued relevance of findings. Further, considering the variability between pre-hospital critical care providers, it is also important to determine priorities at the local level...
January 29, 2021: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Ibrahem Abbas, Bassam Z Shakhreet, Aseel Alghamdi, Basmah Wali, Bashayer Alelyani, Teef Alshehri
BACKGROUND: In developed countries, the economic feasibility of using ultrasound in ambulances before arriving at the hospital has been achieved through comprehensive studies, and this of course does not apply to Arab countries, as there are no current studies to support this. Therefore, this study is a preliminary measure of the economic feasibility of using ultrasound in ambulances in Saudi Arabia. AIM: To measure the demand for ultrasound equipment in ambulances in Saudi Arabia...
December 28, 2020: World Journal of Radiology
Abdullah Alshibani, Boris Singler, Simon Conroy
BACKGROUND: The proportion of older adults with major trauma is increasing. High-quality care for this population requires accurate and effective prehospital trauma triage decisions. OBJECTIVE: Anatomical and physiological changes with age, comorbidities, and medication use for older adults may affect the accuracy of prehospital trauma triage. MATERIAL AND METHODS: This narrative review focusses on age-related anatomical and physiological changes, comorbidities, and medication use for older adults with an emphasis on their impact on the accuracy of prehospital trauma triage tools...
January 28, 2021: Zeitschrift Für Gerontologie und Geriatrie
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