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Al Barbari MJ, Gangaram P, Kenward G, Alolimat H, Laughton J, Alinier G. The level of stress experienced by Hamad Medical Corporation Paramedics before and during the COVID-19 Pandemic. J Emerg Med Trauma Acute Care. 2022a;

Al Barbari MJ, Gangaram P, Kenward G, Alolimat H, Laughton J, Alinier G. Coping strategies adopted by Hamad Medical Corporation Paramedics before and during the COVID-19 Pandemic. J Emerg Med Trauma Acute Care. 2022b;

Al Barbari MJ, Gangaram P, Kenward G, Alolimat H, Laughton J, Alinier G. Impact of ethnicity on Paramedic perceived work-related stress and coping strategies adopted before and during the COVID-19 pandemic. J Emerg Med Trauma Acute Care. 2022c;

Alinier G. ‘Clash’ of Brexit. Int Para Pract. 2019; 9:(2)

Bennett P, Williams Y, Page N, Hood K, Woollard M. Levels of mental health problems among UK emergency ambulance workers. Emerg Med J. 2004; 21:(2)235-236

Crowe RP, Bower JK, Cash RE, Panchal AR, Rodriguez SA, Olivo-Marston SE. Association of Burnout with Workforce-Reducing Factors among EMS Professionals. Prehosp Emerg Care. 2018; 22:(2)229-236

Dalingwater L. NHS staffing shortages and the Brexit effect. Observ Soc Britannique. 2019; 24:67-86

Dodd G. PTSD, available support and development of services in the UK Ambulance Service. J Para Pract. 2017; 9:(6)258-263

Flynn D, Moloney E, Bhattarai N COVID-19 pandemic in the United Kingdom. Health Policy Technol. 2020; 9:(4)673-691

Gangaram P, Alinier G, Menacho A. Crisis resource management in emergency medical settings in Qatar. Int Para Pract. 2017; 7:(2)18-23

Khan KS, Mamun MA, Griffiths MD, Ullah I. The mental health impact of the COVID-19 pandemic across different cohorts. Int J Mental Health Addiction. 2022; 20:(1)380-386

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Viswanathan R, Myers MF, Fanous AH. Support groups and individual mental health care via video conferencing for frontline clinicians during the COVID-19 pandemic. Psychosomatics. 2020; 61:(5)538-543

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Sequels of the COVID-19 pandemic on prehospital care professionals

02 July 2022
Volume 12 · Issue 2


As the COVID-19 pandemic and associated measures continue to have an impact on global populations, Guillaume Alinier explores the effects on the wellbeing of frontline prehospital care professionals and what can be done to support them to continue providing high-calibre care and growing as a profession

The Coronavirus Disease 2019 (COVID-19) has had a greater impact on the world than many would have ever expected, and in all aspects of our life, whether economically, environmentally, socially, physically, or mentally. The latter has been especially felt among frontline clinicians, who have been under extremely high pressure, dealing with a significantly higher patient load and stressful situations over a prolonged period of time and with a high number of uncertainties. In the UK, up to August 2020, there had been a noticeable increase in the number of emergency ambulance and non-urgent (NHS 111) calls, though fewer emergency department visits due to lockdowns (Flynn et al, 2020). This put frontline ambulance paramedics at an increased risk of exposure to the virus and high workload pressure.

Mental health issues among health professionals is not a new issue by any means (Bennett et al, 2004). However, the last 2 years has been an unprecedented period of time for everyone. Following the unquantifiable Brexit exodus among European National Health Service Staff (Alinier, 2019; Dalingwater, 2019), COVID-19 has added yet more pressure on the already stretched prehospital healthcare workforce. From the beginning, the pandemic has had profound effects on how clinicians worked and lived their lives, with reports of many sleeping in their car, in the hospital, or in hotel rooms between shifts to minimise the risk of contaminating family members (Viswanathan et al, 2020; Al Amiry and Maguire, 2021). Although, a clear effect on the mental health of the general population in all sectors has been noticed (Flynn et al, 2020), it is even further pronounced among the healthcare workforce (Xiong et al, 2020; Khan et al, 2022).

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