Read by QxMD icon Read

"Critical Care Paramedic"

Russell D MacDonald, Felipe Allendes
OBJECTIVE: Transport of intra-aortic balloon pump (IABP)-dependent patients between hospitals is increasingly common. The transports are typically time-sensitive and require personnel familiar with IABP operation and management of a potentially unstable patient. This study examined transports performed by specially trained critical care paramedics in a large air medical and land critical care transport service. METHODS: This retrospective, descriptive review prospectively collected data for IABP-dependent patient transports in Ontario, Canada in a 10-year interval beginning September 2003...
July 2016: Air Medical Journal
Jim Walmsley, Janette Turner
INTRODUCTION: The Critical Care Paramedic (CCP) is a relatively new advanced practitioner. CCPs provide advanced clinical skills, knowledge and expertise for primary response and critical care retrieval and transfer. In the UK it is currently an undefined role with no common code of practice, clinical governance or national guidance. The aim of this study was to explore the current use of CCPs and assess the views of a range of stakeholders on the required skills and role development within a British context...
May 2015: Emergency Medicine Journal: EMJ
Carl McQueen, Nick Crombie, Stef Cormack, Arun George, Steve Wheaton
INTRODUCTION: The utilisation of Helicopter Emergency Medical Services (HEMS) in response to equestrian accidents has been an integral part of operations for many years throughout the UK. The recent establishment of major trauma networks in the UK has placed great emphasis on the appropriate tasking of HEMS units to cases where added benefit can be provided and the incidence of time critical injury in cases of equestrian accidents has been shown to be low. This study assesses the impact made on the utilisation of the different HEMS resources for cases of equestrian accidents within the West Midlands following the launch of the regional trauma network...
May 2015: Injury
Douglas F Kupas, Henry E Wang
No abstract text is available yet for this article.
July 2014: Annals of Emergency Medicine
Jeffrey M Singh, Russell D MacDonald, Mahvareh Ahghari
STUDY OBJECTIVE: The risks associated with urgent land-based transport of critically ill patients are not well known and have important implications for patient safety, care delivery, and policy development. We seek to determine the incidence of in-transit critical events and associated patient- and transport-level factors. METHODS: We conducted a retrospective cohort study using clinical and administrative data. We included adults undergoing urgent land-based critical care transport by a dedicated transport provider between January 1, 2005, and December 31, 2010...
July 2014: Annals of Emergency Medicine
Carl McQueen, Nicholas Crombie, Jonathan Hulme, Stef Cormack, Nageena Hussain, Frank Ludwig, Steve Wheaton
INTRODUCTION: In the West Midlands region of the UK, delivery of pre-hospital care has been remodelled through introduction of a 24 h Medical Emergency Response Incident Team (MERIT). Teams including physicians and critical care paramedics (CCP) are deployed to incidents on land-based and helicopter-based platforms. Clinical practice, including delivery of rapid sequence induction of anaesthesia (RSI), is underpinned by standard operating procedures (SOP). This study describes the first 12 months experience of prehospital RSI in the MERIT scheme in the West Midlands...
January 2015: Emergency Medicine Journal: EMJ
Johannes von Vopelius-Feldt, Jonathan Benger
Critical care paramedics (CCPs) have been introduced by individual ambulance trusts in England, but there is a lack of national coordination of training and practice. We conducted an online survey of NHS ambulance services to provide an overview of the current utilization and role of CCPs in England. The survey found significant variations in training, competencies and the working patterns of the ∼90 CCPs working in five ambulance services. All ambulance trusts currently employing CCPs are planning on increasing CCP numbers, whereas 'insufficient financial means' and 'insufficient scientific evidence' are the two major barriers to CCP utilization...
August 2014: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
Johannes von Vopelius-Feldt, John Wood, Jonathan Benger
OBJECTIVES: Paramedic-delivered prehospital critical care is an established concept in a number of emergency medical services around the world and, more recently, has been introduced to the UK. This review identifies and describes the available evidence relating to paramedics who routinely provide prehospital critical care as primary scene response (critical care paramedics, or CCP). METHODS: A systematic search of electronic databases was performed: CENTRAL, EMBASE, MEDLINE (through EMBASE and Web of Knowledge) and Web of Science (through Web of Knowledge)...
December 2014: Emergency Medicine Journal: EMJ
William Raynovich, Jason Hums, David F Stuhlmiller, James D Bramble, Ted Kasha, Kim Galt
OBJECTIVE: The purpose of this study was to gather data from paramedics practicing in the critical care transport setting to guide development of the education, training, and clinical practices for certification as a critical care paramedic. METHODS: A paper survey of 1991 randomly selected nationally registered (NREMT) paramedics was conducted. Nine paramedics with residences in small US Pacific Island territories were not included in the survey. RESULTS: We received 610 responses (30...
September 2013: Air Medical Journal
Johannes von Vopelius-Feldt, Jonathan Benger
INTRODUCTION: Emergency medical services in the UK are facing the challenge of responding to an increasing number of calls, often for non-emergency care, while also providing critical care to the few severely ill or injured patients. In response, paramedic training in the UK has been extended and there are regional strategies to improve prehospital critical care (PHCC). We describe the clinical competencies of three groups of prehospital providers in the UK with the aim of informing future planning of the delivery of PHCC...
December 2014: Emergency Medicine Journal: EMJ
Christopher Charles Douglas Evans, Robert J Brison, Daniel Howes, Ian G Stiell, William Pickett
OBJECTIVES: Prehospital airway management for adult trauma patients remains controversial. We sought to review the frequency that paramedic non-drug assisted intubation or attempted intubation is performed for trauma patients in Ontario, Canada, and determine its association with mortality. METHODS: We conducted a retrospective cohort study using the Ontario Trauma Registry's Comprehensive Data Set for 2002-2009. Eligible patients were greater than 16 years of age, had an initial Glasgow Coma Score of less than 9 and were cared for by ground-based non-critical care paramedics...
November 2013: Emergency Medicine Journal: EMJ
Johannes von Vopelius-Feldt, Jonathan R Benger
OBJECTIVES: Prehospital anaesthesia using rapid sequence induction (RSI) is carried out internationally and in the UK despite equivocal evidence of clinical benefit. It is a core skill of the prehospital critical care service established by the Great Western Ambulance Service NHS Trust (GWAS) in 2008. This retrospective analysis of the service's first 150 prehospital RSIs describes intubation success rates and complications, thereby contributing towards the ongoing debate on its role and safety...
December 2013: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
Geoff Hughes
No abstract text is available yet for this article.
August 2011: Emergency Medicine Journal: EMJ
Jeffrey M Singh, Russell D MacDonald, Susan E Bronskill, Michael J Schull
BACKGROUND: Little is known about the risks of urgent air-medical transport used in regionalized health care systems. We sought to determine the incidence of in-transit critical events and identify factors associated with these events. METHODS: We conducted a population-based, retrospective cohort study using clinical and administrative data. We included all adults undergoing urgent air-medical transport in the Canadian province of Ontario between Jan. 1, 2004, and May 31, 2006...
October 27, 2009: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
James P Riley
No abstract text is available yet for this article.
March 2009: EMS Magazine
Randall W Benner, Matthew S Zavarella
This article provides the critical care paramedic with a review of the ongoing management of a patient with an acute coronary syndrome (ACS). In the March issue, we focused on the management and critical care transport of an unstable ACS patient from a small outlying community hospital back to the cath lab. In this article, we focus on the same patient as she progresses through the catheterization lab with complications. It is important to remember that, due to the instability of the precipitating condition, not all patients have a successful outcome with catheterization, and the critical care transport crew may be summoned again for transport...
July 2008: EMS Magazine
Russell D MacDonald, Steve Farquhar
This prospective case series describes the experience of a specially trained critical care paramedic transfer program that transports intra-aortic balloon pump (IABP)-dependent patients to definitive cardiac surgical care without additional medical escorts. Paramedics complete a standard ambulance patient care report and a quality management report for each IABP-dependent patient transported. All patient care reports were routinely screened for calls involving IABP-dependent patients to ensure all calls were captured...
October 2005: Prehospital Emergency Care
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"