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paramedic paramedics EMT ambulance

Eric J Cortez, Ashish R Panchal, James E Davis, David P Keseg
Introduction The staffing of ambulances with different levels of Emergency Medical Service (EMS) providers is a difficult decision with evidence being mixed on the benefit of each model. Hypothesis/Problem The objective of this study was to describe a pilot program evaluating alternative staffing on two ambulances utilizing the paramedic-basic (PB) model (staffed with one paramedic and one emergency medical technician[EMT]). METHODS: This was a retrospective study conducted from September 17, 2013 through December 31, 2013...
April 2017: Prehospital and Disaster Medicine
Atakan Yilmaz, Mustafa Serinken, Onur Dal, Serpil Yaylacı, Ozgur Karcioglu
OBJECTIVES: Emergency medical technicians (EMTs) and paramedics are at serious risk for work-related injuries (WRIs) during work hours. Both EMTs and paramedics have higher WRI rates, according to the literature data. This study was designed to investigate causes and characteristics of WRIs involving EMTs and paramedics staffed in Western Turkey. METHODS: All health care personnel staffed in Emergency Medical Services (EMS) in the city were interviewed face-to-face in their off-duty hours to inform them about the study...
October 2016: Prehospital and Disaster Medicine
Bedia Gülen, Mustafa Serinken, Celile Hatipoğlu, Derya Özaşır, Ertan Sönmez, Gökhan Kaya, Güleser Akpınar
BACKGROUND: Evaluated in the present study were locations, descriptions, and results of work-related injuries (WRIs) sustained by emergency medical technicians (EMTs) and paramedics in Turkey's most crowded city, İstanbul. METHODS: After the present study had been accepted by the urban health authority, a questionnaire was emailed to the healthcare personnel of İstanbul's 195 ambulance stations. RESULTS: Included in the present study were the responses of 901 members of staff (660 EMTs and 241 paramedics), with a mean age of 29...
March 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
C Crawford Mechem, Richard Bossert, Christopher Baldini
This country has witnessed a steady increase in the number of active shooter incidents in recent years. The traditional emergency medical services (EMS) response to such incidents has been to stage at a safe distance until the scene has been secured by law enforcement. Such an approach may lead to unnecessary delays in medical care and potentially needless loss of life. To address this issue locally, the Philadelphia Fire Department (PFD) and the Philadelphia Police Department (PPD) collaborated to develop the Rapid Assessment Medical Support (RAMS) program...
April 2015: Prehospital Emergency Care
A M Powell, J M Halon, J Nelson
INTRODUCTION: Emergent care of the acute heart attack patient continues to be at the forefront of quality and cost reduction strategies throughout the healthcare industry. Although the average cardiac door-to-balloon (D2B) times have decreased substantially over the past few years, there are still vast disparities found in D2B times in populations that reside in rural areas. Such disparities are mostly related to prolonged travel time and subsequent delays in cardiac catherization lab team activation...
2014: Rural and Remote Health
Marc Arial, Damien Benoît, Pascal Wild
INTRODUCTION: Back problems are a major occupational health issue for prehospital emergency care professionals. The goals of this article are to: 1) provide descriptive data about the prevalence and the severity of lower back and upper back disorders in EMTs and paramedics; 2) identify some individual and collective strategies used by EMTs and paramedics to protect their health as they perform prehospital emergency missions; 3) assess the possible effectiveness of strategies in preventing back problems by exploring associations between the use of strategies and the presence and severity of symptoms...
July 2014: Applied Ergonomics
Jason Killens
LOCOG Medical managed thousands of patient contacts across all the Games venues without our intervention. A polyclinic in the athlete's village had extensive diagnostic options, including X-ray and magnetic resonance imaging for athletes and the Olympic family. These helped limit the number of patients who needed transport to the ED. Although the delivery was seamless, there were "behind the scenes" moments in the final stages of planning that made us think. We received additional requests for ambulance cover at training venues that hadn't been planned for on short notice...
March 2013: JEMS: a Journal of Emergency Medical Services
Scott A Bier, Erik Hermstad, Christopher Trollman, Melinda Holt
BACKGROUND: There is great disparity in the education, experience, and staffing requirements for civilian and Army aeromedical transports (AMT). OBJECTIVE: This study sought to determine if medical skills beyond the standard training for Army flight medics were indicated and being performed on Army AMT missions. As a secondary measure, the percentage of indicated interventions performed by basic Emergency Medical Technician (EMT-B) and paramedic (EMT-P) flight medics were compared...
May 2013: Journal of Emergency Medicine
Sang Do Shin, Marcus Eng Hock Ong, Hideharu Tanaka, Matthew Huei-Ming Ma, Tatsuya Nishiuchi, Omer Alsakaf, Sarah Abdul Karim, Nalinas Khunkhlai, Chih-Hao Lin, Kyoung Jun Song, Hyun Wook Ryoo, Hyun Ho Ryu, Lai Peng Tham, David C Cone
BACKGROUND: There are great variations in out-of-hospital cardiac arrest (OHCA) survival outcomes among different countries and different emergency medical services (EMS) systems. The impact of different systems and their contribution to enhanced survival are poorly understood. This paper compares the EMS systems of several Asian sites making up the Pan-Asian Resuscitation Outcomes Study (PAROS) network. Some preliminary cardiac arrest outcomes are also reported. METHODS: This is a cross-sectional descriptive survey study addressing population demographics, service levels, provider characteristics, system operations, budget and finance, medical direction (leadership), and oversight...
October 2012: Prehospital Emergency Care
Brian J Maguire
INTRODUCTION: This is the first study using national data to evaluate transportation risks among emergency medical technicians (EMTs) and paramedics (to be referred to hereafter as "EMTs") in the United States. HYPOTHESIS: This epidemiological study compares the transportation risks for EMTs to the transportation risks for all workers in the US. METHODS: The rates, relative risks, and proportions associated with the 1,050 injury cases with lost work days, and 30 fatalities resulting from transportation incidents occurring to EMTs in the US between 2006 and 2008 are described...
October 2011: Prehospital and Disaster Medicine
Christian Winship, Brett Williams, Malcolm J Boyle
BACKGROUND: Many studies over the past decade have investigated delaying initial defibrillation to perform cardiopulmonary resuscitation (CPR), as it has been associated with increased rates of restoration of spontaneous circulation and/or survival. Since 2006, a number of studies have investigated these procedures. The objective of this study was to undertake a literature review examining the commencement of CPR before defibrillation in the out-of-hospital setting. METHODS: A literature review was undertaken using the electronic medical databases Ovid Medline, EMBASE, CINHAL Plus, Cochrane Systematic Review and Meditext, from their commencement to the end of June 2011...
October 2012: Emergency Medicine Journal: EMJ
Paul R Hinchey, Valerie J De Maio, Amar Patel, Jose G Cabañas
INTRODUCTION: We assessed heart rate as a surrogate measure of psychological response to determine whether high-fidelity simulation reproduces a stressful atmosphere for air medical providers. METHODS: A prospective simulation study of air-medical providers at a level 1 trauma center randomized to adult or pediatric trauma scenarios in an ambulance. Continuous closed circuit video and wireless heart rate monitoring was conducted from the time of initial patient simulator contact to completion of packaging for transport...
March 2011: Air Medical Journal
Michael Greene, David M Williams
Keisha Johnson sits unusually straight in her chair and holds securely to her application packet. The waiting area is filled with other EMT and paramedic candidates applying for open positions at Page Paramedics, a not-for-profit ambulance service that partners with fire departments to provide emergency ALS transport. Keisha completed her paramedic program in the fall and worked for a small inter-facility transport service on nights and weekends while she went to school, but this would be her first paramedic position and chance to do traditional EMS work...
October 2010: JEMS: a Journal of Emergency Medical Services
Florian Popa, Arafat Raed, Victor Lorin Purcarea, Adrian Lală, George Bobirnac
INTRODUCTION: The specificity of the emergency medical act strongly manifests itself on account of a wide series of psycho-traumatizing factors augmented both by the vulnerable situation of the patient and the paroxysmal state of the act. Also, it has been recognized that the physical solicitation and distress levels are the highest among all medical specialties, this being a valuable marker for establishing the quality of the medical act. MATERIAL AND METHODS: We have surveyed a total of 4725 emergency medical workers with the MBI-HSS instrument, receiving 4693 valid surveys (99...
July 2010: Journal of Medicine and Life
Christopher Jason Fullagar, N Heramba Prasad, Lawrence H Brown, Nelson Anaya
OBJECTIVE: To describe requirements of physicians wishing to function as primary field emergency medical services (EMS) providers and variation of these requirements among states. METHODS: A simple mailed survey was developed and distributed to all 50 U.S. state EMS directors. The survey gathered information about each state's regulations concerning physicians performing as a primary EMS crew member. Data were entered into a Microsoft Excel spreadsheet and reported using simple descriptive statistics, including proportions and 95% confidence intervals (CIs)...
April 2010: Prehospital Emergency Care
Charles E Cady, Matthew D Weaver, Ronald G Pirrallo, Henry E Wang
OBJECTIVE: While emergency medical technicians-basic (EMT-Bs) in select emergency medical services (EMS) agencies use the Esophageal Tracheal Combitube (ETC) for the airway management of out-of-hospital cardiopulmonary arrests, the effect of this intervention on patient outcomes is not known. We compared the associations between initial EMT ETC placement and initial paramedic endotracheal intubation (ETI) on patient survival after out-of-hospital cardiopulmonary arrest. METHODS: We utilized data on adult (age > 21 years), out-of-hospital cardiopulmonary arrests from a large, urban, county-based, two-tiered (EMT-B first responder, paramedic ambulance) EMS system for the years 1997-2005...
October 2009: Prehospital Emergency Care
Linda Warren, Robert Sapien
During the past several years, EMTs and paramedics have seen more and more children with underlying health conditions, including children with special health-care needs (CSHCN). Advances in medical knowledge, improved technology and more affordable medical equipment have allowed CSHCN to be cared for at home rather than in specialized facilities. As a result, when these children become ill or injured, EMS is called to assist the family in caring for them. The families are typically experts in providing the patient's history and assisting EMS with equipment and devices...
January 2009: JEMS: a Journal of Emergency Medical Services
Ryan Bayley, Matthew Weinger, Stephen Meador, Corey Slovis
BACKGROUND: Despite the widespread use of both two paramedic and single paramedic ambulance crews, there is little evidence regarding differences between these two staffing configurations in the delivery of patient care. OBJECTIVES: To determine potential differences in care provided by each of these ambulance configurations in the resuscitation of a cardiac arrest victim in ventricular fibrillation. METHODS: Fifteen paramedic-paramedic and 15 paramedic-EMT crews were recruited to perform resuscitation on a high-fidelity human simulator (Laerdal SimMan)...
January 2008: Prehospital Emergency Care
Jonathan R Studnek, Amy Ferketich
INTRODUCTION: The purpose of this study was to determine factors associated with seat belt usage among Emergency Medical Technicians (EMTs). METHODS: As part of biennial re-registration paperwork, nationally registered EMTs completed a survey on the safety and health risks facing Emergency Medical Services (EMS) providers. Respondents were asked to describe their seat belt use while in the front seats of an ambulance. They were categorized as "high" in seat belt use if it had been more than a year since they had not worn their seat belt or "low" in seat belt use if they had not worn their seat belt at least once within the past 12 months...
2007: Journal of Safety Research
Laurie J Morrison, Mark P Angelini, Marian J Vermeulen, Brian Schwartz
OBJECTIVES: To measure the patient access time interval and characterize its contribution to the total emergency medical services (EMS) response time interval; to compare the patient access time intervals for patients located three or more floors above ground with those less than three floors above or below ground, and specifically in the apartment subgroup; and to identify barriers that significantly impede EMS access to patients in high-rise apartments. METHODS: An observational study of all patients treated by an emergency medical technician paramedics (EMT-P) crew was conducted using a trained independent observer to collect time intervals and identify potential barriers to access...
January 2005: Prehospital Emergency Care
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