Read by QxMD icon Read

paramedics and mental health

Thomas R Scaggs, David M Glass, Megan Gleason Hutchcraft, William B Weir
Excited delirium syndrome (ExDS) is defined by marked agitation and confusion with sympathomimetic surge and incessant physical struggle, despite futility, which may lead to profound pathophysiologic changes and sudden death. Severe metabolic derangements, including lactic acidosis, rhabdomyolysis, and hyperthermia, occur. The pathophysiology of excited delirium is a subject of ongoing basic science and clinical research. Positive associations with ExDS include male gender, mental health disorders, and substance abuse (especially sympathomimetics)...
October 2016: Prehospital and Disaster Medicine
(no author information available yet)
Despite its title, this book has content that can be applied to many areas of clinical practice. The evidence-based text provides a logical approach to learning as well as undertaking a physiological patient assessment. With lots of helpful illustrations, it lacks photographic examples of presentations or conditions. In addition to covering the usual physical assessment of respiratory, cardiovascular, and abdominal gastrointestinal conditions, this text covers mental and social health assessments to ensure a holistic approach to patient assessment...
July 6, 2016: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
Oded Hammerman, David Mostofsky, Yona Louria, Gal Ifergane, Yacov Ezra
BACKGROUND: Behavioral Medicine is an inter-disciplinary field concerned with the integration of behavioral and biomedical knowledge for the purposes of diagnosis, prevention, treatment and rehabilitation of conditions pertaining to health and illness. Behavioral treatments (such as: hypnosis, relaxation training, meditation, biofeedback and cognitive-behavioral therapy) have been shown to be effective in reducing physical symptoms as well as improving health-related behaviors and quality of life across a wide variety of illnesses, such as: chronic pain, somatic symptoms, diabetes, inflammatory bowel diseases, coronary heart disease and more...
February 2016: Harefuah
Eve De Silva, Lisa Bowerman, Craig Zimitat
BACKGROUND: Many emergency service professionals and health professionals play important roles in the assessment and management of suicide risk but often receive inadequate mental health training in this area. A 'Suicide Awareness and Intervention Program' (SAIP) was developed for first year medical, paramedical and pharmacy students at the University of Tasmania, Australia. The program aimed to increase students' knowledge and awareness about suicide-related issues, develop interpersonal skills around suicide screening and increase awareness of available support services...
September 2015: Education for Health: Change in Training & Practice
Beech Burns, Matthew L Hansen, Stacy Valenzuela, Caitlin Summers, Joshua Van Otterloo, Barbara Skarica, Craig Warden, Jeanne-Marie Guise
INTRODUCTION: Approximately 25.5 million pediatric patients are treated in Emergency Departments around the United States annually. Roughly 7% of these patients are transported by ambulance; of these, approximately 7% arrive in ambulances running red lights and sirens (RLS). Compared to those transporting without RLS, emergency vehicles employing RLS are involved in more accidents and are associated with more fatalities. OBJECTIVE: To characterize the use of RLS in pediatric transports and identify factors associated with unnecessary use of RLS...
May 2016: Prehospital Emergency Care
Ian H Stanley, Melanie A Hom, Thomas E Joiner
First responders-police officers, firefighters, emergency medical technicians (EMTs), and paramedics-experience significant job-related stressors and exposures that may confer increased risk for mental health morbidities (e.g., posttraumatic stress disorder [PTSD], suicidal thoughts and behaviors) and hastened mortality (e.g., death by suicide). Inherent in these occupations, however, are also factors (e.g., camaraderie, pre-enlistment screening) that may inoculate against the development or maintenance of psychiatric conditions...
March 2016: Clinical Psychology Review
Zoe Pyper, Jessica L Paterson
OBJECTIVE: Australian ambulance personnel experience stress, fatigue and exposure to traumatic events. These risks have been extensively researched in metropolitan paramedics. However, there has been limited research in rural and regional personnel. Rural and regional ambulance personnel make up a significant proportion of the Australian ambulance workforce and may be exposed to unique stressors. The aim of the current study was to investigate levels of fatigue, stress, and emotional trauma in rural and regional ambulance personnel...
February 2016: Emergency Medicine Australasia: EMA
Bastien Boussat, Thierry Bougerol, Olivier Detante, Arnaud Seigneurin, Patrice François
BACKGROUND: A management tool, called the Experience Feedback Committee, has been applied for patient safety and successfully used in medical departments. The purpose of this study was to analyse the functioning of an Experience Feedback Committee in a psychiatric department and to explore its contribution to the particular issues of patient safety in mental health. METHODS: We conducted a descriptive study based on all the written documents produced by the Experience Feedback Committee between March 2010 and January 2013...
2015: Annals of General Psychiatry
Derek L Isenberg, Dorian Jacobs
INTRODUCTION: Violent patients in the prehospital environment pose a threat to health care workers tasked with managing their medical conditions. While research has focused on methods to control the agitated patient in the emergency department (ED), there is a paucity of data looking at the optimal approach to subdue these patients safely in the prehospital setting. Hypothesis This study evaluated the efficacy of two different intramuscular medications, midazolam and haloperidol, to determine their efficacy in sedating agitated patients in the prehospital setting...
October 2015: Prehospital and Disaster Medicine
Christopher Prener, Alisa K Lincoln
Emergency medical technicians and paramedics form the backbone of the United States' Emergency Medical Service (EMS) system. Despite the frequent involvement of EMS with people with mental health and substance abuse problems, the nature and content of this work, as well as how EMS providers think about this work, have not been fully explored. Using data obtained through observations and interviews with providers at an urban American EMS agency, this paper provides an analysis of the ways in which EMS providers interact with people with mental illness and substance abuse problems, as well as providers' experiences with the mental health care system...
November 2015: American Journal of Orthopsychiatry
Mike Brady
Death anxiety, or 'thanatophobia', is a state in which people experience negative emotional reactions in recognition of their own mortality. Emergency and unscheduled healthcare workers, such as emergency nurses and paramedics, are constantly reminded of death and therefore of their own mortality, and this makes them susceptible to death anxiety. This article introduces the concept of death anxiety, and highlights the need for staff, employers and universities to recognise its signs and symptoms. It also suggests some interventions that could prevent the debilitating effects of death anxiety, to improve staff's mental health and the care they provide to patients...
July 2015: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
Nigel Rees, Frances Rapport, Helen Snooks
OBJECTIVE: Presentations of self-harm to paramedic and emergency staff are increasing, and despite being the first professionals encountered, patients who self-harm report the quality of care and attitudes from these staff are unsatisfactory. Understanding this care may provide opportunities to improve services. The aim of this study is to enhance knowledge building and theory generation in order to develop practice and policy through a metasynthesis of qualitative research relating to perceptions of paramedic and emergency care for people who self-harm...
June 2015: Journal of Psychosomatic Research
Rani Srivastava, Jyoti Batra
BACKGROUND: Oxidative stress has gained attention recently in behavioral medicine and has been reported to be associated with various psychological disturbances and their prognoses. OBJECTIVES: Study aims to evaluate the oxidative stress (malonylaldehyde (MDA) levels) and its relation with psychological factors (dimensions of personality, levels of anxiety, stress, and depression) among medical/paramedical students of 1(st) and 3(rd) year). MATERIALS AND METHODS: A total of 150 students; 75 from 1(st) year (2010-2011) and75 from 3(rd) year (2009-2010); of medical and paramedical background were assessed on level of MDA (oxidative stress) and personality variables, that is, level of anxiety, stress, and depression...
July 2014: Industrial Psychiatry Journal
Minainyo Helen Roberts, Malcolm Ross Sim, Ollie Black, Peter Smith
OBJECTIVE: To investigate occupational risk of musculoskeletal (MSK) and mental injury among ambulance officers and paramedics, and compare with nurse professionals, social and welfare professionals, and carers and aides in Victoria, Australia, using workers' compensation (WC) claims statistics. METHODS: Data were retrieved from the Victorian Compensation Research Database (CRD). Analysis was restricted to claims received between 1 July 2003 and 30 June 2012. WC claim rates were calculated using labour force statistics, and expressed per 1000 full-time equivalent workers...
July 2015: Occupational and Environmental Medicine
Karen Smith, Emily Andrew, Marijana Lijovic, Ziad Nehme, Stephen Bernard
BACKGROUND: Out-of-hospital cardiac arrest (OHCA) is a significant global health problem. There has been considerable investment in improving the emergency medical response to OHCA, with associated improvements in survival. However, concern remains that survivors have a poor quality of life. This study describes the quality of life of OHCA survivors at 1-year postarrest in Victoria, Australia. METHODS AND RESULTS: Adult OHCA patients who arrested between 2010 and 2012 were identified from the Victorian Ambulance Cardiac Arrest Registry...
January 13, 2015: Circulation
Felix Kauye, Michael Udedi, Chitsanzo Mafuta
BACKGROUND: Paramedics dominate primary health care in Malawi where native healers also play a major role in the provision of health care and psychiatric nurses are the backbone of district mental health services. AIM: The aim is to improve understanding of prior care-seeking and treatment of new patients seen at mental health services in a developing country like Malawi. METHOD: For one calendar month, 128 newly referred patients to the mental health services in the three psychiatric units in Malawi were interviewed using an encounter form...
March 2015: International Journal of Social Psychiatry
Jessica L Paterson, Sarah Sofianopoulos, Brett Williams
OBJECTIVE: Paramedic fatigue is associated with burnout, attrition, sick leave, work disability, physical and mental health complaints and impaired performance. However, no studies have addressed how fatigue is understood by paramedics. The present study addresses this shortcoming by exploring factors paramedics recognise as contributors to fatigue. METHODS: Forty-nine (12F; 38 years ± 9.7 years) Australian paramedics completed a survey on perceived causes of performance impairing fatigue...
April 2014: Emergency Medicine Australasia: EMA
Joanne F Bradbury, Matt Ireland, Helen Stasa
Police have, historically, been the first point of contact for people experiencing a mental health crisis in the Australian community. Changes in the NSW Mental Health Act 2007 extended the powers and responsibilities for involuntary transport to paramedics and accredited mental health practitioners. The Mental Health Act also allows for police assistance to other agencies during transport of people living with mental illness if there are serious safety concerns. Involuntary intervention for people living with mental illness is based on risk-of-serious-harm criteria under the Mental Health Act, implying serious deterioration before the Act may be invoked...
April 7, 2014: Medical Journal of Australia
(no author information available yet)
Scottsdale (AZ) Health System and the City of Scottsdale Fire Department are teaming up to treat patients at the right level of care and avoid unnecessary trips to the emergency department and hospitalizations. In the model, a paramedic from the fire department and an advanced practice nurse from the hospital will take calls to 911 that the medical triage staff determines are low-level complaints that do not require a trip to the emergency department. The nurse-paramedic team will also make follow-up visits to discharged patients who may be at risk for readmissions...
March 2014: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
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"