Josina Gebhard, Joachim Graf, Harald Abele, Jan Pauluschke-Fröhlich
No abstract text is available yet for this article.
January 2, 2024: Das Gesundheitswesen
Anne Kristine Bergem, Nina Øye Thorvaldsen, Kristin Häikiö, Heming Olsen-Bergem
BACKGROUND: More than 70% of respondents in a previous survey among paramedics reported use of coercion or physical force towards patients. Coercion outside hospital is not permitted, and neither routines nor equipment intended for physical restraint is available in the Norwegian ambulance services. Paramedics carry out assignments involving use of force and coercion on unclear legal grounds, with no training in techniques or proper equipment. Attitudes and experiences of healthcare workers regarding incidents involving coercion in mental health care services are frequently reported in the research literature, yet little is known about paramedics' experiences, and which factors contribute to their moral stress...
2024: PloS One
Scott D Heathcote, Terry D Blumenthal, Neal R Swerdlow
In emergency medical services, paramedics are informed of an emergency call by a high-intensity acoustic alarm called the "call alert." Sudden, loud sounds like the call alert may cause a startle response and be experienced as aversive. Studies have identified an association between the call alert and adverse health effects in first responders; conceivably, these adverse health effects might be reduced by modifying the call alert to blunt its startling and aversive properties. Here, we assessed whether the call alert causes a startle response and whether its startling and aversive properties are reduced when the call alert is preceded by a weak acoustic "prepulse," a process referred to as "prepulse inhibition" (PPI)...
January 2, 2024: Psychophysiology
Erin Donathan, Andrea LaLumia, Charles Foat, Nigel Barr, David I Page
OBJECTIVE: Simulations are an integral part of paramedic education. Technological advancements have introduced three-dimensional virtual reality patient simulations (3DVRS), offering a low-cost, accessible alternative. This study compares the impact of 3DVRS and traditional simulation on paramedic students. METHODS: Students selected from a convenience sample of 11 cohorts in 10 accredited programs distributed across the United States were allocated to 2 groups using a stratified random sampling...
February 2024: Journal of the American College of Emergency Physicians open
Emogene S Aldridge, Nirukshi Perera, Stephen Ball, Tanya Birnie, Alani Morgan, Austin Whiteside, Janet Bray, Judith Finn
AIM: To describe the barriers to cardiopulmonary resuscitation (CPR) initiation and continuation in emergency calls for out-of-hospital cardiac arrest (OHCA). METHODS: We analysed 295 consecutive emergency calls relating to OHCA over a four-month period (1 January - 30 April 2021). Calls included were paramedic-confirmed, non-traumatic, non-EMS-witnessed OHCA, where the caller was with the patient. Calls were listened to in full and coded in terms of barriers to CPR initiation and continuation, and patient and caller characteristics...
December 29, 2023: Resuscitation
Audrey Fitzgerald, Conor Fitzgerald, Louise Anderson, Ammar Ali Hussain, Guillaume Alinier
INTRODUCTION: The values and attitudes of healthcare professionals influence their handling of "do-not-attempt-resuscitation" (DNAR) orders, as does that of the families they interact with. The aim of this study was to describe attitudes, perceptions, and practices among community-based medical practitioners towards discussing cardiopulmonary resuscitation and DNAR orders with patients and their relatives, and to investigate if the COVID-19 pandemic affected their practice in having these discussions...
2023: Frontiers in Medicine
Netanel Krugliak, Karla Gagnon, Bruce Sawadsky, Michael Lewell, Melissa McGowan, Brodie Nolan
OBJECTIVE: Critical care transport is a high-risk environment ripe for patient safety incidents (PSIs). Disclosure is the process by which a PSI is communicated to a patient or substitute decision maker. Little is known on paramedic perceptions on disclosure PSIs. This study evaluated the impact of a disclosure training program on the perceptions of paramedics on disclosing PSIs. METHODS: This was a before-and-after mixed methods survey study on paramedic disclosure training at Ornge, the provincial critical care transport organization for Ontario, Canada...
2024: Air Medical Journal
K R Amlaev, V N Mazharov, V B Zafirova
The article presents brief descriptive review of manpower resources in health care of Greece, Spain and Bulgaria. It is noted that countries differ in redundancy of specialists at relative deficiency of general practitioners. The medical personnel of analyzed countries are characterized by aging, tendency to migration to other countries, deficiency of paramedical personnel and excess of required number of dentists that is especially pronounced in Bulgaria. Furthermore, accessibility of medical care is reduced by limits of number of patients per one physician established for specified time period in Greece...
November 2023: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
Aneta Drozdowska, Piotr Drozdowski, Aleksander Jaworski, Anna Ryczek, Daniel Bula, Dawid Adamczyk, Jowita Adamczyk, Ada Łątkowska, Barbara Sławińska, Adam Reich
Background and Objectives : Allergic contact dermatitis (ACD) is a serious health and socio-economic problem. Accurate and reliable assessment of exposure to ACD factors in the work environment would increase quality of life and work of employees. The aim of this study was to assess the level of exposure of workers of a multidisciplinary hospital to the factors causing ACD. Material and Methods : The proprietary OSDES-16 questionnaire was used. The effectiveness of the OSDES-16 was confirmed statistically. The study included 230 employees of the medical center in Polanica Zdrój, divided into groups...
November 27, 2023: Medicina
Mateusz Strózik, Hanna Wiciak, Lukasz Szarpak, Pawel Wroblewski, Jacek Smereka
Planned out-of-hospital births, facilitated by highly skilled and experienced midwives, offer expectant parents a distinct opportunity to partake in a personalized, intimate, and empowering birth experience. Many parents opt for the care provided by midwives who specialize in supporting home births. This retrospective study is based on 41,335 EMS emergency calls to women in advanced pregnancy, of which 209 concerned home birth situations documenting obstetrical emergencies over four years (January 2018 to December 2022), of which 60 involved the assistance of a midwife...
December 15, 2023: Journal of Clinical Medicine
Jukka Pelli, Hilla Nordquist
The beginning of the COVID-19 pandemic majorly impacted the population and public services. In Finland, a state of emergency was declared to ensure the security of healthcare resources, and prehospital emergency medical service (EMS) organizations faced emergency conditions for the first time. This study explores the leadership challenges related to well-being experienced during the early phase of the pandemic. This qualitative study utilized reflective essay material written between August and November 2020 by experienced advanced-level paramedics ( n = 30) who participated actively in EMS fieldwork at the beginning of the pandemic...
December 12, 2023: Nursing Reports
Mayank Krishna, Nilesh Makwana, Ganesh S Kakde, Sapna Puri, Arun S Kharat
A survey on antibiotic literacy in terms of the use and abuse of antibiotics to track and understand antibiotic consumption is crucial to optimize the use of antibiotics and minimizing antimicrobial resistance (AMR). Purposive random sampling, using the snow-ball questionnaire technique, was adopted to ensure that the respondents distributed across India, coming from rural and urban settings, were adolescents as well as adults and had completed at least the higher secondary school level of education. Respondents were divided into five subcategories...
2023: Canadian Journal of Infectious Diseases & Medical Microbiology
Fanny Velardo, Muriel Péfau, Raymond Nasso, Pierre Parneix, Anne-Gaëlle Venier
BACKGROUND: Hand hygiene plays an important role in the transmission of nosocomial infections from healthcare workers (HCW) to patients. Patients could play a key role in improving hand hygiene by sharing their experience of the HCW's practices. Already in 2019, the French national mission of transversal support for actions to prevent healthcare-associated infections proposed the national "Pulpe'friction" audit, to assess HCW's reported practices, social representations, and barriers to using alcohol-based hand rubs (ABHR)...
2023: GMS Hygiene and Infection Control
Katherine Klamer
OBJECTIVES: To identify Barbie brand dolls that had medicine and science themed professions in comparison with other career dolls and to determine their accuracy in meeting clinical and laboratory safety standards. DESIGN: Descriptive quantitative study. SETTING: Visual and data analysis of web searches. MAIN OUTCOME MEASURES: To identify the kinds of medical and scientific subspecialties that the Barbie dolls (and a comparison doll group) worked in; and to determine whether these medical professional and scientist dolls met laboratory and clinical safety standards...
December 18, 2023: BMJ: British Medical Journal
Girija Kesavan, Thirumalairajan Subramaniam, Hariharan Vaiyapuri Manemaran
The development of highly efficient electrocatalytic sensors is necessary for detection in various paramedical and industrial applications. Motivated by this concept, we demonstrate flower-like Ag/SrFeO3 nanostructures prepared by a facile route to modify electrocatalyst material for the detection of caffeic acid (CA). The surface morphology, phase structure, particle size, and pore volume were investigated through different physicochemical analytical techniques. The cyclic voltammetry technique was employed to evaluate the electrochemical behavior of both glassy carbon and modified Ag/SrFeO3 electrodes toward CA...
December 12, 2023: ACS Omega
Abdullah Alshamrani, Cameron M Gosling, Yousef M Alsofayan, Eihab Khasawneh, Brett Williams
INTRODUCTION: Paramedics are critical in providing timely medical care to injured patients and responding to trauma events. However, they are often exposed to traumatic events such as death, serious injuries, and violence, which can increase their risk of developing mental health disorders. The nature of their work, including uncontrolled environments and frequent exposure to trauma, as well as the severity of the patient's conditions, all contribute to this risk. This study aims to investigate the distress experienced by Saudi paramedics in response to traumatic events...
December 14, 2023: International Emergency Nursing
Carl Robert Christiansen, Jeanette Viggen Andersen, Peter Dieckmann
BACKGROUND: Simulation in healthcare attempts to create relevant representations of patient encounters. It provides experiential learning, bridging typical classroom activities and clinical practice. This study aims to investigate whether the principle of Peer-Assisted Learning can be used in simulation by letting simulation-experienced paramedic students prepare, deliver, and debrief their own simulations, with minimal faculty assistance. This could be a way to support student learning by being involved in teaching, and it might at the same time optimise the cost-effectiveness of simulation-based training...
December 14, 2023: Advances in Simulation
Carole Mette, Diane Prost, Julien Baud, Jerome Taieb, Eloi Marijon, Olivier Piot
No abstract text is available yet for this article.
November 11, 2023: Archives of Cardiovascular Diseases
Shane Knox, Charles Brand, Catherine Sweeney
BACKGROUND: In Ireland, there are currently three educational institutions (recognised institutions- RIs) providing paramedic programmes, accredited by the regulator, the Pre-Hospital Emergency Care Council (PHECC). Each RI assesses their students in-house, and in order to acquire a licence to practice, students must also pass summative assessments provided by PHECC. These assessments comprise multiple choice questions, short answer questions and skills assessments. The objective of this study was to explore the perceptions and experiences of paramedic educators of assessments used within their institution and by the regulator to provide insights that could inform the future design of paramedic assessments...
December 12, 2023: BMC Medical Education
Gina Agarwal, Aloysius Niroshan Siriwardena, Brent McLeod, Robert Spaight, Gregory Adam Whitley, Richard Ferron, Melissa Pirrie, Ricardo Angeles, Harriet Moore, Mark Gussy
OBJECTIVE: Paramedic assessment data have not been used for research on avoidable calls. Paramedic impression codes are designated by paramedics on responding to a 911/999 medical emergency after an assessment of the presenting condition. Ambulatory care sensitive conditions (ACSCs) are non-acute health conditions not needing hospital admission when properly managed. This study aimed to map the paramedic impression codes to ACSCs and mental health conditions for use in future research on avoidable 911/999 calls...
December 12, 2023: BMJ Open
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