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Tomasz Kucmin, Adriana Kucmin, Dorota Turska, Andrzej Turski, Adam Nogalski
OBJECTIVES: The aim of the study was to determine the relationship between the severity of post-traumatic stress disorder (PTSD) symptoms and such predictors as coping style and dispositional optimism in the group of professional paramedics. METHODS: The study was conducted in a group of 440 paramedics employed by various units of the Polish Emergency Medical Service in five voivodships. Finally, research data obtained from 159 people were analyzed. The mean age of the respondents was 34...
June 30, 2018: Psychiatria Polska
Caitlin Wilson, Clare Harley, Stephanie Steels
INTRODUCTION: Paramedics are involved in examining, treating and diagnosing patients. The accuracy of these diagnoses is evaluated using diagnostic accuracy studies. We undertook a systematic review of published literature to provide an overview of how accurately paramedics diagnose patients compared with hospital doctors. A bivariate meta-analysis was incorporated to examine the range of diagnostic sensitivity and specificity. METHODS: We searched MEDLINE, CINAHL, Embase, AMED and the Cochrane Database from 1946 to 7 May 2016 for studies where patients had been given a diagnosis by paramedics and hospital doctors...
September 14, 2018: Emergency Medicine Journal: EMJ
Steven Chan, Lynn Babcock, Gary Geis, Mary Frey, Venita Robinson, Benjamin Kerrey
INTRODUCTION: Multicenter clinical trials of high-acuity, low-frequency emergencies are expensive and resource intensive. Current standards for trial preparation have significant limitations. Our objective is to describe our use of in situ simulation (ISS) to identify and mitigate threats to enrollment, protocol adherence, and patient safety in preparation for a multicenter clinical trial of antiepileptics for status epilepticus in the emergency department. METHODS: This is a descriptive study of ISS conducted in the emergency department at a free-standing, academic pediatric institution...
September 13, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Marine Gasté, Éric Monteils, Barbara Alves, Bruno Meyer, Romain Jouffroy
In 2016, the International Consensus Conference 'Sepsis-3' highlighted the value of Sequential Organ Failure Assessment (SOFA) and Quick Sequential Organ Failure Assessment (qSOFA) scores in addition to medical and paramedical clinical reasoning to assess severity and the risk of mortality. The option of using qSOFA scores in healthcare services underlines the important role of nurses in the early detection of sepsis with a risk of unfavourable outcome, raising hopes of reducing the associated mortality.
September 2018: Soins; la Revue de Référence Infirmière
Leigh Keen, Jenna Katherine Bulger, Nigel Rees, Helen Snooks, Greg Fegan, Simon Ford, Bridie Angela Evans, Mirella Longo
BACKGROUND: Rapid Analgesia for Prehospital Hip Disruption was a small study designed to determine the feasibility of undertaking a randomised controlled trial (RCT) to test the clinical and cost-effectiveness of paramedics administering Fascia Iliaca Compartment Block as early prehospital pain relief to patients with a fractured hip. The objective was to devise a simple and effective method of random allocation concealment suitable for use by paramedics while in the emergency prehospital setting...
September 12, 2018: Emergency Medicine Journal: EMJ
Genevieve Marsh-Feiley, Leila Eadie, Philip Wilson
INTRODUCTION: During remotely supported prehospital ultrasound (RSPU), an ultrasound operator performs a scan and sends images to a remote expert for interpretation. This novel technology has been undergoing investigation in the randomised controlled SatCare trial, which seeks to assess the capability of RSPU to improve patient outcomes and standard of prehospital care in the Highlands of Scotland. This study aimed to explore the views of emergency medicine physicians and paramedics prior to starting the trial...
September 2018: Rural and Remote Health
Francis Kim, Cameron Dezfulian, Philip E Empey, Matthew Morrell, Michele Olsufka, Sue Scruggs, Peter Kudenchuk, Susanne May, Charles Maynard, Michael R Sayre, Graham Nichol
It is hypothesized that intravenous (IV) sodium nitrite given during resuscitation of out-of-hospital cardiac arrest (OHCA) will improve survival. We performed a phase 1 open-label study of IV sodium nitrite given during resuscitation of 120 patents with OHCA from ventricular fibrillation or nonventricular fibrillation initial rhythms by Seattle Fire Department paramedics. A total of 59 patients received 25 mg (low) and 61 patients received 60 mg (high) of sodium nitrite during resuscitation from OHCA. Treatment effects were compared between high- and low-dose nitrite groups, and all patients in a concurrent local Emergency Medical Services registry of OHCA...
August 15, 2018: American Journal of Cardiology
Hilding Hanna, Zoe Jordan, Micah D J Peters
The question of this review is: what are the barriers and facilitators related to learning, development, and preparedness for practice from the perspective of undergraduate paramedicine students, graduate/intern paramedics and the preceptors/trainers that facilitate learning?
September 10, 2018: JBI Database of Systematic Reviews and Implementation Reports
Lukasz Szarpak, Agnieszka Madziala, Michael Czekajlo, Jacek Smereka, Alexander Kaserer, Marek Dabrowski, Marcin Madziala, Ruslan Yakubtsevich, Jerzy Robert Ladny, Kurt Ruetzler
BACKGROUND: Endotracheal intubation (ETI) can be challenging, especially in life-threatening situations such as cardiopulmonary resuscitation (CPR). Videolaryngoscopes aim to ease ETI, but effort is still widely discussed. This study intended to investigate 2 different airway devices regarding the success rate of ETI during ongoing chest compressions. METHODS: This randomized, cross-over, multi-center manikin trial included 85 experienced paramedics actively working in the emergency medicine service...
September 2018: Medicine (Baltimore)
Scott L Mankowitz, Pat Regenberg, Janina Kaldan, Jon B Cole
BACKGROUND: Rapid tranquilization of agitated patients can prevent injuries and expedite care. Whereas antipsychotics and benzodiazepines are commonly used for this purpose, ketamine has been suggested as an alternative. OBJECTIVE: The aim of this systematic review is to determine the safety and effectiveness of ketamine to sedate prehospital and emergency department (ED) patients with undifferentiated agitation. METHODS: Studies and case series of patients receiving ketamine for agitation were included...
September 6, 2018: Journal of Emergency Medicine
I Poizot-Martin, V Obry-Roguet, O Zaegel-Faucher, C Lions, C Cano, A Ivanova, A Ritleng, C Debreux, S Bregigeon
OBJECTIVES: To quantify within a cohort of HIV-infected individuals the number of medical visits and procedures to be carried out according to comorbidities and risk factors to implement a personalized care pathway. PATIENTS AND METHODS: Retrospective study of 915 patients consulting from January 1 to December 31, 2016 at an outpatient unit of multidisciplinary consultations, using an electronic patient record. We built an algorithm using parameters required for the application of the national guidelines for the management of HIV-infected individuals...
September 5, 2018: Médecine et Maladies Infectieuses
Xinyu Wang, Yuanfa Tao, Xiandong Tao, Jianglong Chen, Yifeng Jin, Zhengxiang Shan, Jiyang Tan, Qixin Cao, Tiewen Pan
The success rate of pre-hospital endotracheal intubation (ETI) by paramedics is lower than physicians. We aimed to establish a remote robot-assisted intubation system (RRAIS) and expected it to improve success rate of pre-hospital ETI. To test the robot's feasibility, 20 pigs were intubated by direct laryngoscope or the robot system. Intubation time, success rate, airway complications were recorded during the experiment. The animal experiment showed that participants achieved a higher success rate in absolute numbers by the robot system...
September 7, 2018: Scientific Reports
Abdullah Nurus Salam Khan, Sk Masum Billah, Ishtiaq Mannan, Imteaz Ibne Mannan, Tahmina Begum, Marufa Aziz Khan, Munia Islam, S M Monirul Ahasan, Jebun Nessa Rahman, Joby George, Shams El Arifeen, Umme Salma Jahan Meena, Iftekhar Rashid, Joseph de Graft-Johnson
BACKGROUND: In Bangladesh, female paramedics known as Family Welfare Visitors (FWVs), conduct normal deliveries in first-level primary care facilities, or Union Health and Family Welfare Centres (UH&FWC). Utilization of partographs allow for early identification of abnormal labour and referral for advanced care to Emergency Obstetric Care (EmOC) facilities. A systematic assessment of the quality of partograph utilization in clinical-decision making will contribute to understanding the use of the tool by health workers...
2018: PloS One
Sean M Caffrey, Leaugeay C Barnes, David Olvera
A joint position statement of the National Association of EMS Educators (NAEMSE), the National EMS Management Association (NEMSMA) and the International Association of Flight and Critical Care Paramedics (IAFCCP).
September 6, 2018: Prehospital Emergency Care
Robert Crouch, Ruth Brown
Developing a consistent and skilled workforce is critical to the sustainability of any clinical service. Nurses and paramedics have formed part of the emergency care workforce for many years and the extended role of these staff groups has supported patient care as the demand has risen and outstripped the capacity of the medical staff. In many hospitals and health-care systems, these extended roles have developed in response to local demand and case mix, resulting in inconsistent role descriptions and lack of transportable qualifications...
September 2, 2018: British Journal of Hospital Medicine
Z M Batukaieva, V M Alekseieva, V V Kozlov, M S Mikerova
Despite a steady tendency of decreasing of indices of morbidity of tuberculosis of population of the Chechen Republic, the problems related to early diagnosis of tuberculosis and organization of specialized medical care of patients continue to be unresolved. The questionnaire survey of administrators of anti-tuberculosis medical organizations of the Chechen Republic was carried out with the purpose of establishing difficulties in medical care support of patients with tuberculosis and determining main directions of their overcoming...
March 2018: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
N G Petrova, N G Petrova
The quality of life of paramedical personnel is an important and little-studied characteristic of health that directly conditions quality of medical care support. The survey of 400 paramedical workers using questionnaire SF-36 demonstrated that an average grade of quality of life made up to 68.1±1.2. This grade decreases as increases age of workers. It is minimal in case of employment service 11-15 years and it is lower in medical nurses as compared with administrators of nursing services. The similar tendency is noted in workers of out-patient network as compared with workers of hospitals...
March 2018: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
Taposh Kumar Biswas, Anjuman Ara Begum, Shamima Akther, M Hafizur Rahman, Henry B Perry, Heidi E Jones, Mahbub Elahi Chowdhury
BACKGROUND: In Bangladesh, while the infrastructure of public health facilities to provide maternal and newborn care services is adequate, services are not always available due to insufficient staffing. A human resource availability index for health facilities is needed for monitoring and advocacy. This study aimed to develop indices for measuring the availability of different types of human resources to provide round-the-clock emergency obstetric and newborn care (EmONC) service at district-level public facilities...
September 4, 2018: BMC Health Services Research
K Pabisiak, A Krejczy, R Bohatyrewicz, K Ciechanowski
BACKGROUND: Healthcare staff working in emergency medical services (EMS) and hospital emergency departments serve a key role in identifying potential donors after cardiac death in Maastricht category II. METHODS: An anonymous survey available via electronic resources for emergency medical technicians (EMTs) was conducted. The questionnaire included questions about attitudes and knowledge about donation regarding cardiac death (DCD) and organ donation in general...
September 2018: Transplantation Proceedings
I Milaniak, E Wilczek-Rużyczka, P Przybyłowski
BACKGROUND: Organ transplantation offers patients with organ failure an improved quality of life and a life-saving opportunity. Despite universal acceptance of posthumous organ donation, only a minority of candidates become actual donors. Empathy and altruism as a moral issues can influence organ donation decisionmaking The aim of this study was to assess the role of empathy and altruism in the organ donation decisionmaking process in a group of nursing and paramedic students. METHODS: Our study was conducted with 111 nursing and paramedic students (aged 19-59 years, 84 females and 27 males)...
September 2018: Transplantation Proceedings
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