James Thompson, Claire Verrall, Hans Bogaardt, Abi Thirumanickam, Charles Marley, Malcolm Boyle
INTRODUCTION: The retention of resuscitation skills is a widespread concern, with a rapid decay in competence frequently following training. Meanwhile, training programmes continue to be disconnected with real-world expectations and assessment designs remain in conflict with the evidence for sustainable learning. This study aimed to evaluate a programmatic assessment pedagogy which employed entrustment decision and the principles of authentic and sustainable assessment (SA). METHODS: We conducted a prospective sequential explanatory mixed methods study to understand and address the sustainable learning challenges faced by final-year undergraduate paramedic students...
May 7, 2024: Journal of Evaluation in Clinical Practice
Laurel O'Connor, Sepahrad Zamani, Xinyi Ding, Nicolette McGeorge, Susan Latiff, Cindy Liu, Jorge Acevedo Herman, Matthew LoConte, Andrew Milsten, Michael Weiner, Timothy Boardman, Martin Reznek, Michael Hall, John P Broach
INTRODUCTION: Medical resuscitations in rugged prehospital settings require emergency personnel to perform high-risk procedures in low-resource conditions. Just-in-Time Guidance (JITG) utilizing augmented reality (AR) guidance may be a solution. There is little literature on the utility of AR-mediated JITG tools for facilitating the performance of emergent field care. STUDY OBJECTIVE: The objective of this study was to investigate the feasibility and efficacy of a novel AR-mediated JITG tool for emergency field procedures...
May 7, 2024: Prehospital and Disaster Medicine
Malte Ottenhausen, Mirjam Renovanz, Isabell Bartz, Alicia Poplawski, Darius Kalasauskas, Harald Krenzlin, Naureen Keric, Florian Ringel
PURPOSE: Patients with intracranial gliomas frequently seek for complementary and alternative medicine (CAM), in addition to guideline-directed therapy. In this study, we therefore assessed patients' information needs regarding treatment and support, and evaluated their attitudes toward experimental trials and alternative therapies. METHODS: A prospective, cross-sectional, descriptive survey was conducted in our center. We developed an interview focusing on how patients obtain further information about therapy and the use of alternative/complementary therapies...
May 6, 2024: Journal of Neuro-oncology
Anna Seeley, Margaret Glogowska, Gail Hayward
BACKGROUND: Around 15% of adults aged over 65 live with moderate or severe frailty. Contractual requirements for management of frailty are minimal and neither incentivised nor reinforced. Previous research has shown frailty identification in primary care is ad hoc and opportunistic, but there has been little focus on the challenges of frailty management, particularly within the context of recent introduction of primary care networks and an expanding allied health professional workforce...
May 1, 2024: Age and Ageing
Simeon Mitchell, Rhiannan Pinnell, Eric McMahon, Jeffrey J Perry, Marie-Joe Nemnom, Benjamin de Mendonca, Grant Stotts, Michael A Austin
INTRODUCTION: Prehospital stroke endovascular therapy bypass transports patients with suspected large vessel occlusion directly to an endovascular therapy capable center. Our objective was to determine if an endovascular therapy bypass protocol improved access to stroke treatments. Secondary objectives were to determine safety, effectiveness, and rate of subsequent interfacility transfers. METHODS: Endovascular therapy bypass in 2018 was implemented in Eastern Ontario, for patients with a Los-Angeles-Motor-Scale ≥ 4 (positive large vessel occlusion screen) with a 90-min transport time if < 6 h from last seen well...
May 3, 2024: CJEM
Farzana Ashraf, Shahnila Tariq, Rabia Farooqi, Masha Asad Khan, Mark D Griffiths, Faramarz Asanjarani
BACKGROUND: Medical health practitioners, particularly those working in cancer units, are vulnerable to poor psychological outcomes. The present study was designed to examine the influence of workplace bullying on the mental health of medical and paramedical staff by testing workplace burnout as a mediating factor. METHODS: Utilizing a cross-sectional survey, 220 Muslim medical staff officers from the cancer units of three hospitals in Lahore, Pakistan, were assessed for workplace bullying, mental health, and workplace burnout using the standardized psychometric measures (i...
January 2024: Iranian Journal of Public Health
Mansooreh Azzizadeh Forouzi, Mozhgan Taebi, Atena Samarehfekri, Niloofar Rashidipour
BACKGROUND: Based on evidences, there has been no study conducted on the effects of emotional freedom techniques on Iranian medical students. Therefore, the present study aims to investigate the impact of emotional freedom techniques on examination anxiety in Iranian nursing and allied students. METHODS: This randomized controlled clinical trial study was conducted in 2021. The sample included students from the School of Nursing and Midwifery and the School of Paramedical Sciences enroled from the second to eighth semesters...
May 2024: Annals of Medicine and Surgery
Guilherme C Oliveira, Quoc C Ngo, Leandro A Passos, Leonardo S Oliveira, João P Papa, Dinesh Kumar
BACKGROUND AND OBJECTIVE: Timely stroke treatment can limit brain damage and improve outcomes, which depends on early recognition of the symptoms. However, stroke cases are often missed by the first respondent paramedics. One of the earliest external symptoms of stroke is based on facial expressions. METHODS: We propose a computerized analysis of facial expressions using action units to distinguish between Post-Stroke and healthy people. Action units enable analysis of subtle and specific facial movements and are interpretable to the facial expressions...
April 24, 2024: Computer Methods and Programs in Biomedicine
Anna Alexandrov, Nóra Román, Petra Kovács, Anna Ritz, Mónika Kissné Viszket, Zsuzsa Kaló
This survey study aimed to contribute to the extensive debate on the dimensionality of the Posttraumatic Stress Disorder Checklist for the DSM-5 (PCL-5) questionnaire by examining the psychometric properties and construct validity of its Hungarian version and relying on the inspection of a conceptual network of related variables, that is, perceived stress, hostility, and resilience. Confirmatory factor analysis (CFA), exploratory structural equation modelling (ESEM) and path analysis were applied on data collected from 177 paramedics and 66 professionals from the social field (58...
May 1, 2024: Stress and Health: Journal of the International Society for the Investigation of Stress
Michael Berkenbush, Nicholas Sherman, Nikhil Jain, Peter Cosmi
Objective: The prehospital treatment for stable patients with atrial fibrillation with rapid ventricular response is rate-controlling agents such as calcium channel blockers, often diltiazem given as a bolus. At our agency we encourage the use of a bolus given via the infusion pump over two to four minutes immediately followed by maintenance infusion, given concerns of recurrent tachycardia or hypotension secondary to rapid bolus administration. We examined if administering a bolus and infusion via an infusion pump shows better heart rate (HR) control at arrival to the emergency department (ED) compared with administration of a bolus only, while maintaining hemodynamic stability during transport...
April 30, 2024: Prehospital Emergency Care
Cliff Evans, Adebayo Da'Costa
Ambulance handover delays arise when emergency departments become overcrowded as patients waiting prolonged periods for admission occupy clinical cubicles designed to facilitate the assessment and treatment of emergency arrivals. In response, many organisations become reliant on temporarily lodging acutely unwell patients awaiting admission in undesignated areas for care such as corridors, to provide additional space. This results in a significant risk of avoidable harm, indignity and psychological trauma for patients and has a negative effect on the well-being of healthcare professionals, since unacceptable standards of care become normalised...
April 30, 2024: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
Sonali Munot, Janet E Bray, Julie Redfern, Adrian Bauman, Simone Marschner, Christopher Semsarian, Alan Robert Denniss, Andrew Coggins, Paul M Middleton, Garry Jennings, Blake Angell, Saurabh Kumar, Pramesh Kovoor, Matthew Vukasovic, Jason C Bendall, T Evens, Clara K Chow
PURPOSE: To assess whether bystander cardiopulmonary resuscitation (CPR) differed by patient sex among bystander-witnessed out-of-hospital cardiac arrests (OHCA). METHODS: This study is a retrospective analysis of paramedic-attended OHCA in New South Wales (NSW) between January 2017 to December 2019 (restricted to bystander-witnessed cases). Exclusions included OHCA in aged care, medical facilities, with advance care directives, from non-medical causes. Multivariate logistic regression examined the association of patient sex with bystander CPR...
April 27, 2024: Resuscitation
Eemil Pesonen, Pauli Vuorinen, Leena Surakka, Juho T Lehto, Sanna Hoppu
BACKGROUND: Paramedics are often involved in treating palliative care patients with difficulties regarding symptom control. They report minimal training in palliative care and find decision-making difficult. This often leads to overtreatment and unnecessary transportation to the emergency department. The study's objective is to determine how much palliative patients use emergency services, how well are they recognized by paramedics and how paramedics choose care in terms of treatment and transportation...
April 29, 2024: BMC Health Services Research
F Chirico, G Nucera, L Szarpak, B Nowrouzi-Kia
In this Letter to the Editor, the authors point out occupational health and safety risks for paramedics, and highlight the relevant role carried out by multidisciplinary occupational health services in the prevention of occupational risks and the promotion of physical and mental well-being of these workers.
September 2023: Annals of Burns and Fire Disasters
F C Sampson, J Hughes, J Long, P Buykx, S W Goodacre, H Snooks, A Edwards, Bridie Evans, Jenna Jones, Chris Moore, Sasha Johnston
OBJECTIVE: Distribution of take-home naloxone (THN) by emergency services may increase access to THN and reduce deaths and morbidity from opioid overdose. As part of a feasibility study for a randomised controlled trial (RCT) of distribution of THN kits and education within ambulance services and Emergency Departments (EDs), we used qualitative methods to explore key stakeholders' perceptions of feasibility and acceptability of delivering the trial. METHODS: We undertook semi-structured interviews and focus groups with 26 people who use opioids and with 20 paramedics and ED staff from two intervention sites between 2019 and 2021...
April 29, 2024: BMC Emergency Medicine
Liel Hadida, Oren Wacht, Ilana Livshiz Riven, Orli Grinstein-Cohen
BACKGROUND: Security prisoners in Israel are those imprisoned due to offenses involving harming state security or from nationalistic motivations. On the one hand, they are accused of a serious criminal offense that harmed state security, while on the other hand they have a right to healthcare like any human being. According to the Theory of Planned Behavior, an attitude is one of three components that predict a behavior intention. The study aims to evaluate the attitudes of nurses, paramedics, and medics toward security prisoners, and to identify factors that could be related to their attitudes...
April 27, 2024: Health & Justice
Pascal Gräff, Lisa Bolduan, Christian Macke, Jan-Dierk Clausen, Stephan Sehmisch, Marcel Winkelmann
Background : Cervical collars (CC) are routinely used in prehospital trauma treatment. However, over the past years, their application was discussed more critically since they increase intravenous pressure due to reduced venous drainage and the possibility of secondary cervical spine injury. Guidelines have been adjusted accordingly. The question is how efficient has this been put into practice, and how good, as well as up to date, is the knowledge of prehospital emergency medicine personnel about indications on cervical spine immobilisation? Methods : A 15-item questionnaire regarding the self-evaluation and result checking of the right indications for the use of a cervical collar in the prehospital setting was sent to paramedics and emergency doctors in Germany...
April 17, 2024: Journal of Clinical Medicine
Justin Mausz, Joel D'Eath, Nicholas A Jackson, Mandy Johnston, Alan M Batt, Elizabeth A Donnelly
Violence against paramedics is widely recognized as a serious, but underreported, problem. While injurious physical attacks on paramedics are generally reported, non-physical violence is less likely to be documented. Verbal abuse can be very distressing, particularly if the harassment targets personal or cultural identities, such as race, ethnicity, gender, or sexual orientation. Leveraging a novel, point-of-event reporting process, our objective was to estimate the prevalence of harassment on identity grounds against paramedics in a single paramedic service in Ontario, Canada, and assess its potentially differential impact on emotional distress...
April 19, 2024: International Journal of Environmental Research and Public Health
Michael Hannides, Rameez Tariq, Mark Holland, Polykarpos Angelos Nomikos, Rory McKelvin, Michelle Powell
OBJECTIVES: Interprofessional education is recognized for its potential for collaboration and teamwork, reflecting clinical practice; however, existing literature for simulation-based interprofessional education does not include Physician Associate (PA) students. This initiative aimed to explore the students' perception of interprofessional clinical simulation for PA students and allied health professional (AHP) students as part of our program development. METHODS: A high-fidelity simulation session was designed and conducted for volunteering students from the PA, paramedic science, and physiotherapy courses...
2024: Journal of Medical Education and Curricular Development
Joe Copson, Georgette Eaton, Kamal R Mahtani
No abstract text is available yet for this article.
May 2024: British Journal of General Practice
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