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Industrial paramedic

Ala'a O Oteir, Karen Smith, Johannes U Stoelwinder, Shelley Cox, James W Middleton, Paul A Jennings
BACKGROUND: Traumatic Spinal Cord Injury (TSCI) is relatively uncommon, yet a devastating and costly condition. Despite the human and social impacts, studies describing patients with potential TSCI in the pre-hospital setting are scarce. This paper aims to describe the epidemiology of patients potentially at risk of or suspected to have a TSCI by paramedics, with a view to providing a better understanding of factors associated with potential TSCI. METHODS: This is a retrospective cohort study of all adult patients managed and transported by Ambulance Victoria (AV) between 01 January 2007 and 31 December 2012 who, based on meeting pre-hospital triage protocols and criteria for spinal clearance, paramedic suspicion or spinal immobilisation, were classified to be at risk of or suspected to have a TSCI...
December 2016: Injury Epidemiology
Alex J Fraess-Phillips
OBJECTIVE: The goal of this search was to review the current literature regarding paramedic triage of primary care patients and the safety of paramedic-initiated non-transport of non-urgent patients. METHODS: A narrative literature review was conducted using the Medline (Medline Industries, Inc.; Mundelein, Illinois USA) database and a manual search of Google Scholar (Google; Mountain View, California USA). RESULTS: Only 11 studies were found investigating paramedic triage and safety of non-transport of non-urgent patients...
September 19, 2016: Prehospital and Disaster Medicine
Irene Yung Park
Emotional and spiritual healing stand at the center of the activity of Catholic pastoral caregivers attending to the sick in non-Catholic hospitals in Seoul. In this paper I explore how these agents understand their practice as part of a holistic human healing, positioning their work side by side with medical healing. I also examine how their role is both confirmed and challenged against the backdrop of the growing commercialization of the health care industry under the neoliberal paradigm.
March 2016: Journal of Pastoral Care & Counseling: JPCC
Jennifer A Taylor, Brittany Barnes, Andrea L Davis, Jasmine Wright, Shannon Widman, Michael LeVasseur
BACKGROUND: Struck by injuries experienced by females were observed to be higher compared to males in an urban fire department. The disparity was investigated while gaining a grounded understanding of EMS responder experiences from patient-initiated violence. METHODS: A convergent parallel mixed methods design was employed. Using a linked injury dataset, patient-initiated violence estimates were calculated comparing genders. Semi-structured interviews and a focus group were conducted with injured EMS responders...
February 2016: American Journal of Industrial Medicine
Melissa Yanucil, Megan Propati
In this review of a broad range of reports and studies of workplace violence in healthcare, the authors find that such violence extends through the entire continuum of the industry affecting all health care employees in settings that include Paramedics and EMTs, Emergency Department staff acute care staff, long-term care staff and Home Care staff. Knowing the risks and the data is the first step in developing strategies to prevent and minimize its impact, they conclude.
2015: Journal of Healthcare Protection Management
Bahram Nabilou, Aram Feizi, Hesam Seyedin
Patient safety is a new and challenging discipline in the Iranian health care industry. Among the challenges for patient safety improvement, education of medical and paramedical students is intimidating. The present study was designed to assess students' perceptions of patient safety, and their knowledge and attitudes to patient safety education. This cross-sectional analytical study was conducted in 2012 at Urmia University of Medical Sciences, West Azerbaijan province, Iran. 134 students studying medicine, nursing, and midwifery were recruited through census for the study...
2015: PloS One
Judah Goldstein, Jan L Jensen, Alix J E Carter, Andrew H Travers, Kenneth Rockwood
OBJECTIVES: Societal aging is expected to impact the use of emergency medical services (EMS). Older adults are known as high users of EMS. Our primary objective was to quantify the rate of EMS use by older adults in a Canadian provincial EMS system. Our secondary objective was to compare those transported to those not transported. METHODS: We analysed data from a provincial EMS database for emergency responses between January 1, 2010 and December 31, 2010 and included all older adults (≥65 years) requesting EMS for an emergency call...
September 2015: CJEM
Ranganath R Kulkarni, R G Hemanth Kumar, Pratibha R Kulkarni, Raghavendra B Kotabagi
Toluene (methylbenzene; volatile hydrocarbon) is an industrial solvent that causes major injury to the lungs; the organ being the first capillary bed encountered. We report an unusual case of suicide by a 24-year-old male, paramedical professional, with fatal outcome within 16 h of intentional, intravenous self-administration of toluene, with clinical presentation of acute respiratory distress syndrome. Psychological autopsy revealed severe depressive disorder and solvent (inhalant) abuse, with marital disharmony as the precipitating stressor for suicide...
April 2015: Indian Journal of Psychological Medicine
Julie Considine, Tony Walker, Debra Berry
Over the past decade, several Australian universities have offered a double degree in nursing and paramedicine. Mainstream employment models that facilitate integrated graduate practice in both nursing and paramedicine are currently lacking. The aim of the present study was to detail the development of the Interprofessional Graduate Program (IPG), the industrial and professional issues that required solutions, outcomes from the first pilot IPG group and future directions. The IPG was an 18-month program during which participants rotated between graduate nursing experience in emergency nursing at Northern Health, Melbourne, Australia and graduate paramedic experience with Ambulance Victoria...
November 2015: Australian Health Review: a Publication of the Australian Hospital Association
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
Laetitia Yperzeele, Robbert-Jan Van Hooff, Ann De Smedt, Alexis Valenzuela Espinoza, Rohny Van de Casseye, Ives Hubloue, Jacques De Keyser, Raf Brouns
BACKGROUND: The global burden of stroke is immense, both in medical and economic terms. With the aging population and the ongoing industrialization of the third world, stroke prevalence is expected to increase and will have a major effect on national health expenditures. Currently, the medical treatment for acute ischemic stroke is limited to intravenous recombinant tissue plasminogen activator (IV r-tPA), but its time dependency leads to low utilization rates in routine clinical practice...
2014: Cerebrovascular Diseases
Peter Mulholland, Tony Barnett, Judy Spencer
INTRODUCTION: The traditional view of paramedic practice is one of provision of emergency care and transport within community or industrial settings. With greater integration of emergency services with the overall health system, this role is changing. Paramedics, especially in rural areas, are now working more closely with other professions in new and extended roles that incorporate non-emergency community-based care, preventative medicine and social care. Workforce shortages, health service budget cuts, population size and the changing demographic profile of many rural and remote communities highlight the need for effective interaction between the health professions to respond to the health needs of these communities...
2014: Rural and Remote Health
J-T Gräsner, S Seewald, A Bohn, M Fischer, M Messelken, T Jantzen, J Wnent
Sudden death due to cardiac arrest represents one of the greatest challenges facing modern medicine, not only because of the massive number of cases involved but also because of its tremendous social and economic impact. For many years, the magic figure of 1 per 1000 inhabitants per year was generally accepted as an estimate of the annual incidence of sudden death in the industrialized world, with a survival rate of 6 %. This estimate was based on large numbers of published reports of local, regional, national and multinational experience in the management of cardiac arrest...
June 2014: Der Anaesthesist
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
Kate Cantwell, Amee Morgans, Karen Smith, Michael Livingston, Paul Dietze
OBJECTIVES: This paper aims to examine whether an adaptation of the International Classification of Disease (ICD) coding system can be applied retrospectively to final paramedic assessment data in an ambulance dataset with a view to developing more fine-grained, clinically relevant case definitions than are available through point-of-call data. METHODS: Over 1.2 million case records were extracted from the Ambulance Victoria data warehouse. Data fields included dispatch code, cause (CN) and final primary assessment (FPA)...
February 2014: Australian Health Review: a Publication of the Australian Hospital Association
Brian J Maguire, Sean Smith
INTRODUCTION: Emergency medical services personnel treat 22 million patients a year, yet little is known of their risk of injury and fatality. PROBLEM: Work-related injury and fatality rates among US paramedics and emergency medical technicians (EMTs) are higher than the national average for all occupations. METHODS: Data collected by the Department of Labor (DOL) Bureau of Labor Statistics were reviewed to identify injuries and fatalities among EMTs and paramedics from 2003 through 2007...
August 2013: Prehospital and Disaster Medicine
Xiang-Yu Hou, Joanna Rego, Melinda Service
Paramedic education has been undergoing major development in Australia in the past 20 years, with many different educational programmes being developed across all Australian jurisdictions. This paper aims to review the current paramedic education programmes in Australia to identify the similarities and differences between the programmes, and the strengths and challenges in these programmes. A literature search was performed using six scientific databases to identify any systematic reviews, literature reviews or relevant articles on the topic...
April 2013: Emergency Medicine Australasia: EMA
J C N Assob, P F Nde, D S Nsagha, D L Njimoh, O Nfor, A L Njunda, H L F Kamga
BACKGROUND: The street-food industry lacks legal recognition, it operates in unstable and precarious conditions, involving women and men with minimal or no knowledge of hygienic food handling practices. Infective eggs, bacteria, toxins and cysts of faecal orally transmissible parasites are common agents responsible for food contamination in developing countries. OBJECTIVE: To determine the incidence of digestive faecal-oral parasites among street-food vendors in Buea, South-west region of Cameroon, METHODS: From March to May 2009, physical and laboratory analysis of stool samples of 150 randomly selected street-food vendors, residing in four different zones in the municipality were carried out...
September 2012: African Health Sciences
(no author information available yet)
Modern medical wallets, accepted by the Armed Forces of the Russian Federation as a support supply, include innovative pharma products and medical goods providing effectiveness of first paramedical and first medical aid for wounded during combat training, warfighting with conventional weapon, mass destruction weapon and in case of natural and industrial disasters.
October 2012: Voenno-medit︠s︡inskiĭ Zhurnal
F Unger
No abstract text is available yet for this article.
2012: Prilozi
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