Jennifer Jones, Jamie Sewan Johnston, Ngouille Yabsa Ndiaye, Anna Tokar, Saumya Singla, Nadine Ann Skinner, Matthew Strehlow, Heini Utunen
BACKGROUND: Massive open online courses (MOOCs) are increasingly used to educate health care workers during public health emergencies. In early 2020, the World Health Organization (WHO) developed a series of MOOCs for COVID-19, introducing the disease and strategies to control its outbreak, with 6 courses specifically targeting health care workers as learners. In 2020, Stanford University also launched a MOOC designed to deliver accurate and timely education on COVID-19, equipping health care workers across the globe to provide health care safely and effectively to patients with the novel infectious disease...
June 19, 2024: JMIR Medical Education
Hong-Wei Lee, Ying-Chih Ko, Sung-Chun Tang, Ming-Ju Hsieh, Li-Kai Tsai, Wen-Chu Chiang, Jiann-Shing Jeng, Matthew Huei-Ming Ma
BACKGROUND: Ambulance-based telestroke may be a promising solution to improving stroke care. We assessed the technical feasibility and reliability of prehospital evaluations using commercial mobile phones with fifth-generation wireless communication technology. METHODS: Six standardized patients portrayed scripted stroke scenarios during ambulance transport in an urban city and were remotely evaluated by independent raters using tablets (three neurologists and three emergency physicians) in a hospital, assisted by paramedics (trained in National Institute of Health Stroke Scale [NIHSS] assessment) in the ambulance; commercial cellular networks were utilized for videoconferencing transmission...
June 19, 2024: Journal of the Formosan Medical Association
Lauren M Maloney, Jason Hoffman, Edder Peralta, Rudolph Princi, Henry C Thode, Christopher DiDonato, Anthony LaBarbera, Sarah Williams
OBJECTIVE: Emergency medical services (EMS) Code Lavender was developed to support EMS clinicians after stressful events via consistent recognition of events, informal peer support, and intentional acts of kindness. This study evaluated changes in burnout screening tool responses of EMS clinicians in response to program implementation and the coincidental start of coronavirus disease 2019. METHODS: Anonymous surveys with demographic questions and 2 burnout screening tools were distributed before program implementation (spring 2020) and 20 months later (fall 2021)...
2024: Air Medical Journal
Victoria Myers, Meagan Slack, Mahvareh Ahghari, Brodie Nolan
OBJECTIVE: Simulation education and assessment are increasingly used in prehospital curriculums. The objective of this study was to assess the challenges and feasibility of correlating evaluation data from an airway management simulation assessment with clinical performance. METHODS: This study was undertaken in Ontario, the most populous province in Canada, where 13 bases are distributed in geographically diverse areas, from urban to rural and remote locations...
2024: Air Medical Journal
Helen Pocock, Nigel Rees, Imogen Gunson, Mark Docherty, Karl Charlton, Michelle Jackson, Charlotte Scomparin, Ed England, Rachael Fothergill
BACKGROUND: PARAMEDIC2 was a medicines trial comparing adrenaline with placebo in out-of-hospital cardiac arrest (OHCA). At the time, United Kingdom (UK) Emergency Medical Systems (EMS) were inexperienced in delivering such research. AIM: To identify barriers and facilitators to delivery of the PARAMEDIC2 (Adrenaline) trial by five UK NHS EMS. METHODS: This qualitative study took a grounded theory approach to thematic analysis of workshop data...
June 2024: Resuscitation plus
Samer Al Haliq, Talal AlShammari
In this study, we investigated the motivations of paramedic staff serving in rural and remote communities, given the consistent shortage of healthcare workers in these areas. Using a modified Global Motivation Scale (GMS) questionnaire, we surveyed 450 paramedics in Saudi Arabia, analyzing data from 379 respondents (response rate: 84.2%) with SPSS 29. Chi-square tests explored demographic links to motivation, and ANOVA compared mean scores across groups ( p < 0.05). The results showed a moderate overall motivation (M = 3...
May 23, 2024: Healthcare (Basel, Switzerland)
Grace Firestone
No abstract text is available yet for this article.
June 2024: Circulation. Cardiovascular Quality and Outcomes
Melanie Villani, Emily Nehme, Shelley Cox, David Anderson, Nicola Reinders, Ziad Nehme
BACKGROUND: The outcomes of patients who call an ambulance but are discharged at scene reflect the safety and quality of emergency medical service (EMS) care. While previous studies have examined the outcomes of patients discharged at scene, none have specifically focused on paramedic-initiated discharge. This study aims to describe the outcomes of adult patients discharged at scene by paramedics and identify factors associated with 72-hour outcomes. METHODS: This was a retrospective data linkage study on consecutive adult EMS patients discharged at scene by paramedics in Victoria, Australia, between 1 January 2015 and 30 June 2019...
June 17, 2024: Emergency Medicine Journal: EMJ
Maher Alsulami, Yasir Almukhlifi, Adnan Alsulami, Ziyad F Al Nufaiei, Abdullah Alruwaili, Ahmed Alanazy
OBJECTIVE: This study examines the inherent barriers to implementing prehospital ultrasound within the Saudi Red Crescent Authority (SRCA) in Saudi Arabia. METHODS: A qualitative study was conducted to explore the perceived barriers, mode of transportation, ultrasound familiarity, and self-efficacy level of relevant stakeholders in implementing the prehospital ultrasound in SRCA. Data was collected via surveys and interviews with 24 SRCA paramedics/EMTs, 4 SRCA station administrators, and two hospital physicians to further examine the inherent barriers of implementing the prehospital ultrasound...
2024: Journal of Multidisciplinary Healthcare
Abdullah Alruwaili, Ahmed Ramdan M Alanazy
PURPOSE: Shift work poses significant sleep health challenges for paramedics, affecting their ability to respond effectively in emergencies. This study aimed to evaluate the impact of shift work on sleep parameters among paramedics in Saudi Arabia, identifying key factors influencing insomnia. PATIENTS AND METHODS: A cross-sectional, online survey was conducted, gathering data on sociodemographic characteristics, work-related factors, sleep duration, and insomnia among paramedics in Saudi Arabia...
2024: Journal of Multidisciplinary Healthcare
Ikuya Sasaki, Takanori Imai, Aiko Honda, Yuki Okada, Kaori Yamaguchi, Mariko Sonobe, Toru Nagaoka
BACKGROUND: Although paramedics can use adrenaline autoinjectors (AAIs) during their duties, the actual conditions of their use and the challenges faced remain unclear. We investigated the actual situation and issues pertaining to creating an environment in which paramedics can operate AAIs more effectively. METHODS: A web-based survey was conducted among paramedics who participated in a web-based training session related to their latest knowledge on food allergies and emergency responses in 2022...
2024: Arerugī, [Allergy]
Nayssem Khessairi, Dhouha Bacha, Rania Aouadi, Rym Ennaifer, Ahlem Lahmar, Sana Ben Slama
PURPOSE: End-of-life (EOL) care is a vulnerable period in an individual's life. Healthcare professionals (HPs) strive to balance the preservation of human life with respect for the patient's wishes. The aims of our study were to assess HPs' knowledge and perceptions of EOL care and to propose areas of improvement to improve the quality of care. METHODS: We conducted a single-center, cross-sectional study involving HPs from a university hospital who encountered EOL care situations...
June 1, 2024: J Hosp Palliat Care
Emma Bourke-Matas, Tan Doan, Kelly-Ann Bowles, Emma Bosley
BACKGROUND: Various prognosticative approaches to assist in recognizing clinical deterioration have been proposed. To date, early warning scores (EWSs) have been evaluated in hospital with limited research investigating their suitability in the prehospital setting. This study evaluated the predictive ability of established EWSs and other clinical factors for prehospital clinical deterioration. METHODS: A retrospective cohort study investigating adult patients of all etiologies attended by Queensland Ambulance Service paramedics between January 1, 2018, and December 31, 2020, was conducted...
June 11, 2024: Academic Emergency Medicine
Tai-Hwan Uhm, Heakyung Choi, Seok Hwan Hong, Hyungsub Kim, Minju Kang, Keunyoung Kim, Hyejin Seo, Eunyoung Ki, Hyeryeong Lee, Heejeong Ahn, Uk-Jin Choi, Sang Woong Park
PURPOSE: The duties of paramedics and emergency medical technicians (P&EMTs) are continuously changing due to developments in medical systems. This study presents evaluation goals for P&EMTs by analyzing their work, especially the tasks that new P&EMTs (with less than 3 years' experience) find difficult, to foster the training of P&EMTs who could adapt to emergency situations after graduation. METHODS: A questionnaire was created based on prior job analyses of P&EMTs...
2024: Journal of Educational Evaluation for Health Professions
Naif Alqurashi, Steve Bell, Simon D Carley, Fiona Lecky, Richard Body
INTRODUCTION: Traumatic brain injury (TBI) is a common presentation in the prehospital environment. At present, paramedics do not routinely use tools to identify low-risk patients who could be left at scene or taken to a local hospital rather than a major trauma centre. The Canadian CT Head Rule (CCHR) was developed to guide the use of CT imaging in hospital. It has not been evaluated in the prehospital setting. We aim to address this gap by evaluating the feasibility and acceptability of implementing the CCHR to patients and paramedics, and the feasibility of conducting a full-scale clinical trial of its use...
June 11, 2024: BMJ Open
Jonathan L Kwong, Scott Bourn, Morgan Hillier, Mike Merko, A J Grass, Tim Ednie, P Richard Verbeek
OBJECTIVES: Rates of prehospital unplanned extubation (UE) range from 0-25% and are the result of many factors, including patient movement. Transfer of care of intubated patients to the emergency department (ED) involves significant patient movement and represents a high-risk event for UE. Frequent confirmation of endotracheal tube (ETT) placement is imperative for early recognition of UE and to minimize patient harm. METHODS: Local Practice - Our baseline rate of verbal ETT position confirmation with a member of the ED team during ED transfer of care was 74%...
June 11, 2024: Prehospital Emergency Care
Adnan Ahmad, Fawad Inayat, Noor Ullah, Shaista Rasul, Shehnaz Bakhtiar, Zar Shad, Zakir Ahmad
BACKGROUND: Rabies, caused by the rhabdovirus, is a fatal zoonotic disease with over 59,000 annual deaths globally. Asia and Africa account for 95%, with India leading, followed by China. In Pakistan, where it's endemic, over 50,000 cases are reported yearly. Controlling rabid dog populations through vaccination is crucial in curbing mortality. This research aimed to evaluate healthcare professionals' knowledge, attitudes, and practices concerning rabies in Peshawar, Pakistan. METHODS: The study was conducted at different tertiary care hospitals in Peshawar, Pakistan from 16 August 2021 to 15 February 2022...
June 10, 2024: PLoS Neglected Tropical Diseases
Ishan Verma, Rashmi Bajpai, Vibha Arjaria, Lekhraj Garg, Ayushi Mungad, Devendra Singh, Jai Gavli, Apurva Khare
Background Cervical cancer ranks among the top five cancers in India, with human papillomavirus (HPV) types 16 and 18 causing up to 70% of related lesions. HPV infection, acquired through various routes, poses risks for both men and women, especially in the age group of 16 to 25 years. Effective prevention is possible through HPV vaccination, with Cervarix and Gardasil approved for use in India. Despite its proven efficacy, HPV vaccine use remains minimal. This study aims to evaluate awareness, willingness, and barriers among female healthcare students while assessing the impact of a health education program on their knowledge and attitude...
May 2024: Curēus
Larissa Stella Prothero, Thomas Strudwick, Theresa Foster, Andrea Kathleen Lake, Adrian Boyle, Allan Clark, Julia Williams, Gerry Rayman, Ketan Dhatariya
AIM: To determine whether it was feasible, safe and acceptable for ambulance clinicians to use capillary blood ketone meters for 'high-risk' diabetic ketoacidosis (DKA) recognition and fluid initiation, to inform the need for a full-powered, multi-centre trial. METHODS: Adopting a stepped-wedge controlled design, participants with hyperglycaemia (capillary blood glucose >11.0 mmol/L) or diabetes and unwell were recruited. 'High-risk' DKA intervention participants (capillary blood ketones ≥3...
June 9, 2024: Diabetic Medicine: a Journal of the British Diabetic Association
Ahcène Zehnati, Adel Sidi-Yakhlef
BACKGROUND AND RATIONALE: Breastfeeding is considered the best nutrition for infants and plays a significant role in a child's growth and development. In this regard, the World Health Organization (WHO) strongly recommends exclusive breastfeeding for the first 6 months of life, as well as continued breastfeeding when safe and appropriate complementary foods are introduced, up to 2 years of age or beyond. Nonetheless, breastfeeding practices remain sub-optimal in many parts of the world...
March 31, 2024: Med Trop Sante Int
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