Research

Prehospital unfractionated heparin prior to primary PCI

Introduction: Unfractionated heparin is an anticoagulant used by some, but not all, ambulance services in the treatment of patients who will undergo primary percutaneous coronary intervention (PPCI) due to ST-elevation myocardial infarction (STEMI). Aims: The purpose of this study is to review the effectiveness and safety of prehospital unfractionated heparin administration to STEMI patients prior to PPCI, and to consider whether this drug should be more widely used for these purposes across...

Physiological and psychological components of paramedic wellbeing

Literature throughout the years has identified that wellbeing includes a variety of concepts that primarily have social, physical, and mental components. Research still needs to identify how the key aspects of these themes link together to create a holistic wellbeing approach, especially in frontline emergency healthcare, like paramedics. Linking together physiological indicators and psychological mediators is currently being investigated through a feasibility study at Anglia Ruskin University....

Local socioeconomic status and paramedic students' academic performance

Research indicates that students of lower socioeconomic status are educationally disadvantaged. This study sought to examine differences in paramedic students' academic performance from counties with varied socioeconomic status in the United States of America. Student performance data and socioeconomic status data were combined for counties within the states of California, Mississippi, Louisiana, Texas and Virginia. Linear multiple regression modelling was performed to determine the relationship...

Improving motivation for self-directed training in Danish EMS personnel

Background: Emergency Medical Services personnel's motivation to carry out self-directed training might be impaired by several factors such as work environment, pressures and training facilities. The aim of this study was to evaluate whether easy access to local training facilities would improve individual motivation for self-directed training. Methods: A before-and-after study of 118 Danish personnel was conducted. Participants were asked to complete two identical questionnaires, exploring...

Improving the quality and transparency of prehospital case reports using CARE

Clinical case reports play an important role in supporting evidence-based paramedicine. When research on a topic is limited and there is no robust evidence, a case report may be the best available, especially for rare or unusual presentations or in novel clinical practice. Case reports in paramedicine journals are common. However, adherence to the published consensus-based reporting guideline is rare, which may weaken the evidence arising from this body of case report literature. There is a need...

A description of a unique paramedic role in a Canadian emergency department

Background: Paramedics are known for their role in prehospital emergency medical services. In response to healthcare system overcrowding, and increased demands on emergency departments, roles for paramedics have emerged in hospitals. Aims: The authors describe a well established paramedic role in the emergency department of a busy regional referral centre, highlighting the successes and challenges of the programme. Methods: In this phenomenological study, six paramedics employed at the...

Global patient experience of paramedic practice

Background: Paramedics occupy an ever-increasing role within healthcare and the development of this role should be informed by the voice of patients. This systematic literature review seeks to explore patient experience during a paramedic intervention. Methods: Using a ‘state of the art’ review style, a systematic search was conducted of the literature published between 2006 and 2018. Following PRISMA guidelines, a total of seven articles meeting the inclusion criteria were identified. A...

Burnout in Australian paramedics

Background: Burnout has consistently been identified as an issue in health professionals, with paramedics in particular frequently noted to have high burnout rates. Aims: The current study aimed to describe the prevalence of total work burnout in Australian paramedics and of three subcategories: personal, work-related and patient-related burnout. Methods: This cross-sectional online survey presented the Copenhagen Burnout Inventory (CBI) to a national convenience sample (n=893) over a...

Incidence, response, and outcomes of cardiac arrest in Portland, Oregon

Cardiac arrest is a serious medical event with a poor prognosis of survival, at less than 10% (Zive et al, 2011). Several studies have investigated out-of-hospital cardiac arrest (OHCA) response, treatment, and outcomes. Cardiac arrest databases such as the Resuscitation Outcomes Consortium (ROC) and the Cardiac Arrest Registry to Enhance Survival (CARES) have been created to provide evidence-based findings to develop emergency medical service (EMS) policies for treatment. The current study was...

Obstacles to emergency medical services system design and operational features

Objective: There is a paucity of global research regarding emergency medical services (EMS) systems. EMS system processes and outcomes vary by model and jurisdiction. This study explores the individual, organisational, and system obstacles to 15 features of EMS systems. Methods: Using a multi-case study, five US EMS systems, representing five major design models, were studied. Data collection included: i) data metrics, ii) document review, iii) interviews, and iv) archival...

The profile of an emergency medical services leader: a multi-national qualitative study

This article discusses the profile of an Emergency Medical Services (EMS) leader that emerged from a larger study on how EMS leadership is learned from a multinational qualitative study of EMS providers working in Riyadh, Kingdom of Saudi Arabia. EMS is a team-oriented profession designed to respond to emergencies and disasters. Within EMS are leaders responsible for ensuring response capabilities, which has been plagued with criticisms and shortcomings. Different leadership styles have been...

ED staff knowledge and attitudes towards the paramedic profession in Israel

Objective: To examine the level of knowledge and attitudes of emergency department (ED) personnel towards the paramedic profession in Israel, and to examine opinions of the ED staff regarding integration of paramedics into the ED work staff. Study design: Cross-sectional survey conducted among health care workers. Sample and setting: The research population was physicians and nurses in four level 1 hospitals in Israel. The sample population includes 92 physicians (approximately 61%) and 102...

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