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https://www.readbyqxmd.com/read/26012478/transfer-of-care-and-offload-delay-continued-resistance-or-integrative-thinking
#1
Brian Schwartz
The disciplines of paramedicine and emergency medicine have evolved synchronously over the past four decades, linked by emergency physicians with expertise in prehospital care. Ambulance offload delay (OD) is an inevitable consequence of emergency department overcrowding (EDOC) and compromises the care of the patient on the ambulance stretcher in the emergency department (ED), as well as paramedic emergency medical service response in the community. Efforts to define transfer of care from paramedics to ED staff with a view to reducing offload time have met with resistance from both sides with different agendas...
November 2015: CJEM
https://www.readbyqxmd.com/read/25909892/prehospital-identification-of-underlying-coronary-artery-disease-by-community-paramedics
#2
RANDOMIZED CONTROLLED TRIAL
Martina Heinelt, Ian R Drennan, Jinbaek Kim, Steven Lucas, Kyle Grant, Chris Spearen, Walter Tavares, Lina Al-Imari, Jane Philpott, Paul Hoogeveen, Laurie J Morrison
There is a lack of definitive evidence that preventative, in-home medical care provided by highly trained community paramedics reduces acute health care utilization and improves the overall well-being of patients suffering from chronic diseases. The Expanding Paramedicine in the Community (EPIC) trial is a randomized controlled trial designed to investigate the use of community paramedics in chronic disease management (ClinicalTrials.gov ID: NCT02034045). This case of a patient randomized to the intervention arm of the EPIC study demonstrates how the added layer of frequent patient contact by community paramedics and real-time electronic medical record (EMR) correspondence between the paramedics, physicians and other involved practitioners prevented possible life-threatening complications...
2015: Prehospital Emergency Care
https://www.readbyqxmd.com/read/25480308/industrial-paramedics-out-on-site-but-not-out-of-mind
#3
REVIEW
Joseph J Acker, Tania M Johnston, Ann Lazarsfeld-Jensen
INTRODUCTION: Australian natural resource exploration and production companies are employing paramedics to provide emergency medical response, primary health care, injury prevention, and health promotion services in remote locations nationally and internationally. Although Australian paramedic practice has steadily evolved to include increasingly complex medical interventions in the prehospital setting, paramedics are not yet registered health professionals, and in many states and territories their title is not protected...
2014: Rural and Remote Health
https://www.readbyqxmd.com/read/10178179/what-they-didn-t-teach-me-in-paramedic-school
#4
J Dernocoeur
Medicine is an art based on scientific principles. It's important for paramedics to understand this so they can keep up with changes and advances. We must acknowledge that care we believe to be proper today may be considered inappropriate treatment tomorrow. For this reason, we need to understand that the medical knowledge we gained in paramedic education is not sufficient. Reading journals and staying current with medical science is as much a part of our job as running calls. Many people are already implementing some of the changes suggested here and are constantly improving prehospital care in their respective areas...
April 1998: Emergency Medical Services
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